Fröhlich Leopold F, Bastepe Murat, Ozturk Defne, Abu-Zahra Hilal, Jüppner Harald
Endocrine Unit, Department of Medicine, Massachusetts General Hospital for Children/MGH, Boston, MA 02114, USA.
Endocrinology. 2007 Jun;148(6):2925-35. doi: 10.1210/en.2006-1298. Epub 2007 Feb 22.
Pseudohypoparathyroidism type Ib (PHP-Ib) is characterized by hypocalcemia and hyperphosphatemia due to proximal renal tubular resistance to PTH but without evidence for Albright's hereditary osteodystrophy. The disorder is paternally imprinted and affected individuals, but not unaffected carriers, show loss of GNAS exon A/B methylation, a differentially methylated region upstream of the exons encoding Gsalpha. Affected individuals of numerous unrelated kindreds with an autosomal dominant form of PHP-Ib (AD-PHP-Ib) have an identical 3-kb microdeletion removing exons 4-6 of syntaxin-16 (STX16) (STX16del4-6), which is thought to disrupt a cis-acting element required for exon A/B methylation. To explore the mechanisms underlying the regulation of exon A/B methylation, we generated mice genetically altered to carry the equivalent of STX16del4-6 (Stx16(Delta4-6)). Although the human GNAS locus shows a similar organization as the murine Gnas ortholog and although the human and mouse STX16/Stx16 regions show no major structural differences, no phenotypic or epigenotypic abnormalities were detected in mice with Stx16(Delta4-6) on one or both parental alleles. Furthermore, calcium and PTH levels in Stx16(Delta4-6) mice were indistinguishable from those in wild-type animals, indicating that ablation of the murine equivalent of human STX16del4-6 does not contribute to the development of PTH resistance. The identification of a novel intragenic transcript from within the STX16/Stx16 locus in total RNA from kidneys of Stx16(Delta4-6) mice and lymphoblastoid cell-derived RNA of a patient with AD-PHP-Ib raises the question whether this transcript contributes, if deleted or altered, to the development of AD-PHP-Ib in humans.
I型假性甲状旁腺功能减退症(PHP-Ib)的特征是由于近端肾小管对甲状旁腺激素(PTH)抵抗而导致低钙血症和高磷血症,但无Albright遗传性骨营养不良的证据。该疾病是父系印记的,受影响的个体而非未受影响的携带者表现出GNAS外显子A/B甲基化缺失,这是编码Gsα的外显子上游的一个差异甲基化区域。许多患有常染色体显性形式的PHP-Ib(AD-PHP-Ib)的无关家族中的受影响个体具有相同的3kb微缺失,该缺失去除了 syntaxin-16(STX16)的外显子4-6(STX16del4-6),据认为这会破坏外显子A/B甲基化所需的顺式作用元件。为了探索外显子A/B甲基化调控的潜在机制,我们构建了基因改造小鼠,使其携带相当于STX16del4-6(Stx16(Delta4-6))的基因。尽管人类GNAS基因座与小鼠Gnas直系同源基因具有相似的组织结构,并且人类和小鼠的STX16/Stx16区域没有重大结构差异,但在一个或两个亲本等位基因上携带Stx16(Delta4-6)的小鼠中未检测到表型或表观基因型异常。此外,Stx16(Delta4-6)小鼠的钙和PTH水平与野生型动物无异,这表明去除人类STX16del4-6的小鼠等效物不会导致PTH抵抗的发生。在Stx16(Delta4-6)小鼠肾脏的总RNA以及一名AD-PHP-Ib患者的淋巴母细胞衍生RNA中,从STX16/Stx16基因座内鉴定出一种新的基因内转录本,这就提出了一个问题,即如果该转录本被删除或改变,它是否会导致人类AD-PHP-Ib的发生。