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一名患有奥尔布赖特遗传性骨营养不良和PHP1A的男性中一种新的从头GNAS突变的异常剪接转录本分析。

Analysis of aberrantly spliced transcripts of a novel de novo GNAS mutant in a male with albright hereditary osteodystrophy and PHP1A.

作者信息

Ham H-J, Baek K-H, Lee J-Y, Kim S Y, Mo E Y, Kim E S, Han J H, Moon S-D

机构信息

Department of Internal Medicine, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Bupyeong-gu, Incheon, Republic of Korea.

Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seocho-gu, Seoul, Republic of Korea.

出版信息

Horm Metab Res. 2015 Jul;47(8):585-90. doi: 10.1055/s-0034-1395678. Epub 2014 Dec 12.

Abstract

Pseudohypoparathyroidism (PHP) is a genetic disorder due to target-organ unresponsiveness to parathyroid hormone (PTH). PHP type 1A (PHP1A) is an autosomal dominant disease characterized by Albright hereditary osteodystrophy (AHO) and PTH resistance caused by defects at the GNAS locus. We analyzed the GNAS gene in a male with typical AHO and elevated PTH levels. We identified a novel de novo heterozygous mutation at the splice donor site in intron-7 (IVS7+1G>A, c.585+1G>A) of the GNAS gene. No GNAS mutations were detected in his parents. Our patient was diagnosed with PHP1A due to a heterozygous de novo mutation in the GNAS gene. Reverse transcriptase (RT) PCR analysis and sequencing revealed that this de novo splice mutation generated alternative splicing errors leading to the formation of 2 mutant transcripts: one with exon-7 deleted, the other with whole intron-7 included. To investigate whether these aberrantly spliced transcripts were stable, we assessed the differential expression of GNAS mRNAs in the proband's blood by real-time quantitative RT-PCR. In the proband, the relative expression levels of wild-type, exon-7-deleted, and intron-7-included GNAS mRNAs were 0.21, 6.12E-07, and 1.08E-04, respectively, relative to wild-type GNAS mRNA from a healthy control (set at 1.0). This suggests that this novel de novo splicing mutation generates rapidly decaying mutant transcripts, which might affect stimulatory G-protein activity and give rise to this sporadic case. In conclusion, this is an interesting report of aberrantly spliced mRNAs from a de novo splice mutation of the GNAS gene causing PHP1A in a male.

摘要

假性甲状旁腺功能减退症(PHP)是一种由于靶器官对甲状旁腺激素(PTH)无反应而导致的遗传性疾病。1A型假性甲状旁腺功能减退症(PHP1A)是一种常染色体显性疾病,其特征为奥尔布赖特遗传性骨营养不良(AHO)以及由GNAS基因座缺陷引起的PTH抵抗。我们分析了一名具有典型AHO且PTH水平升高的男性的GNAS基因。我们在GNAS基因第7内含子的剪接供体位点(IVS7+1G>A,c.585+1G>A)发现了一个新的从头杂合突变。在他的父母中未检测到GNAS突变。由于GNAS基因存在杂合性从头突变,我们的患者被诊断为PHP1A。逆转录酶(RT)PCR分析和测序显示,这种从头剪接突变产生了选择性剪接错误,导致形成2种突变转录本:一种缺失外显子7,另一种包含整个第7内含子。为了研究这些异常剪接的转录本是否稳定,我们通过实时定量RT-PCR评估了先证者血液中GNAS mRNA的差异表达。在先证者中,相对于健康对照的野生型GNAS mRNA(设定为1.0),野生型、缺失外显子7和包含第7内含子的GNAS mRNA的相对表达水平分别为0.21、6.12E-07和1.08E-04。这表明这种新的从头剪接突变产生了快速降解的突变转录本,这可能会影响刺激性G蛋白活性并导致这一散发病例。总之,这是一篇关于GNAS基因从头剪接突变导致男性患PHP1A的异常剪接mRNA的有趣报道。

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