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Originally published In Press as doi:10.1074/jbc.M006032200 on October 11, 2000
J. Biol. Chem., Vol. 276, Issue 1, 165-171, January 5, 2001
Selective Resistance to Parathyroid Hormone Caused by a Novel
Uncoupling Mutation in the Carboxyl Terminus of G s
A CAUSE OF PSEUDOHYPOPARATHYROIDISM TYPE Ib*
Wei-I.
Wu ,
William F.
Schwindinger ,
Luis F.
Aparicio§, and
Michael A.
Levine ¶
From the Division of Pediatric Endocrinology and the
Ilyssa Center for Molecular and Cellular Endocrinology, Department of
Pediatrics, The Johns Hopkins University School of Medicine, Baltimore,
Maryland 21287 and § Metabolic Disease Associates, Erie,
Pennsylvania 16507
Gs is a
heterotrimeric ( , , and chains) G protein that couples
heptahelical plasma membrane receptors to stimulation of adenylyl
cyclase. Inactivation of one GNAS1 gene allele encoding the
chain of Gs (G s) causes
pseudohypoparathyroidism type Ia. Affected subjects have resistance to
parathyroid hormone (PTH) and other hormones that activate adenylyl
cyclase plus somatic features termed Albright hereditary
osteodystrophy. By contrast, subjects with pseudohypoparathyroidism
type Ib have hormone resistance that is limited to PTH and lack
Albright hereditary osteodystrophy. The molecular basis for
pseudohypoparathyroidism type Ib is unknown. We analyzed the
GNAS1 gene for mutations using polymerase chain reaction to
amplify genomic DNA from three brothers with pseudohypoparathyroidism type Ib. We identified a novel heterozygous 3-base pair deletion causing loss of isoleucine 382 in the three affected boys and their
clinically unaffected mother and maternal grandfather. This mutation
was absent in other family members and 15 additional unrelated subjects
with pseudohypoparathyroidism type Ib. To characterize the signaling
properties of the mutant G s, we used site-directed mutagenesis to introduce the isoleucine 382 deletion into a wild type
G s cDNA, transfected HEK293 cells with either wild
type or mutant G s cDNA, plus cDNAs encoding
heptahelical receptors for PTH, thyrotropic hormone, or
luteinizing hormone, and we measured cAMP production in response to
hormone stimulation. The mutant G s protein was unable to
interact with the receptor for PTH but showed normal coupling to the
other coexpressed heptahelical receptors. These results provide
evidence of selective uncoupling of the mutant G s from
PTH receptors and explain PTH-specific hormone resistance in these
three brothers with pseudohypoparathyroidism type Ib. The absence of
PTH resistance in the mother and maternal grandfather who carry the
same mutation is consistent with current models of paternal imprinting
of the GNAS1 gene.
*
This work was supported in part by United States Public
Health Service Grant DK34281 (to M. A. L.) and by General Clinical Research Center Grant RR0035 from the National Institutes of Health.The costs of publication of this
article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in
accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
¶
To whom correspondence should be addressed: Division of
Pediatric Endocrinology, Johns Hopkins University School of Medicine, Park Bldg., Rm. 211, 600 N. Wolfe St., Baltimore, Maryland 21287. Tel.:
410-955-6463; Fax: 410-955-9773; E-mail: mlevine@jhmi.edu.
Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.

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Copyright © 2001 by the American Society for Biochemistry and Molecular Biology.
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