Lung Hsuan, Hsiao Edward C, Wentworth Kelly L
Division of Endocrinology and Metabolism and the Institute for Human Genetics, Department of Medicine, University of California, San Francisco, San Francisco, CA, United States.
Oral and Craniofacial Sciences Graduate Program, School of Dentistry, University of California, San Francisco, San Francisco, CA, United States.
Front Endocrinol (Lausanne). 2020 Jan 24;10:925. doi: 10.3389/fendo.2019.00925. eCollection 2019.
The G G-protein coupled receptor pathway is a critical regulator of normal bone formation and function. The G pathway increases intracellular cAMP levels by ultimately acting on adenylate cyclase. McCune-Albright Syndrome (MAS) and fibrous dysplasia (FD) of the bone are two proto-typical conditions that result from increased cellular G signaling activity. Both are caused by somatic activating mutations in the gene that encodes for the Gα subunit. FD bone lesions are particularly difficult to treat because of their variability and because of the lack of effective medical therapies. In this review, we briefly discuss the key clinical presentations of FD/MAS. We also review the current status of mouse models that target the G GPCR signaling pathway and human cellular models for FD/MAS. These powerful tools and our improving clinical knowledge will allow further elucidation of the roles of GPCR signaling in FD/MS pathogenesis, and facilitate the development of novel therapies for these medically significant conditions.
G蛋白偶联受体途径是正常骨形成和功能的关键调节因子。G途径最终通过作用于腺苷酸环化酶来提高细胞内cAMP水平。McCune-Albright综合征(MAS)和骨纤维发育不良(FD)是由细胞G信号活性增加导致的两种典型病症。两者均由编码Gα亚基的基因中的体细胞激活突变引起。FD骨病变因其变异性以及缺乏有效的药物治疗而特别难以治疗。在本综述中,我们简要讨论了FD/MAS的关键临床表现。我们还综述了针对G GPCR信号通路的小鼠模型以及用于FD/MAS的人类细胞模型的现状。这些强大的工具以及我们不断完善的临床知识将有助于进一步阐明GPCR信号在FD/MS发病机制中的作用,并促进针对这些具有重要医学意义病症的新疗法的开发。