A novel mutation of the adrenocorticotropin receptor (ACTH-R) gene in a family with the syndrome of isolated glucocorticoid deficiency, but no ACTH-R abnormalities in two families with the triple A syndrome

G substitution, changing tyrosine 254 to cysteine in the third extracellular loop of the receptor protein, probably interfering with ligand binding. Both of her parents were heterozygotes for this mutation, which was not detected in 100 normal alleles. No mutations were identified in the entire coding area of the ACTH receptor in the 2 families with triple A syndrome, supporting the idea of a developmental or postreceptor defect in this syndrome. -->
ISSN: 1945-7197
0021-972X
DOI: 10.1210/jcem.80.7.7608277
Přístupová URL adresa: https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0cc193661cb57e996639213f5337ad4c
https://doi.org/10.1210/jcem.80.7.7608277
Přírůstkové číslo: edsair.doi.dedup.....0cc193661cb57e996639213f5337ad4c
Autor: Ana Claudia Latronico, Angelo M. Digeorge, Constantine Tsigos, Robert Rapaport, George P. Chrousos, Keiko Arai
Rok vydání: 1995
Předmět:
Zdroj: Scopus-Elsevier
ISSN: 1945-7197
0021-972X
DOI: 10.1210/jcem.80.7.7608277
Popis: Isolated glucocorticoid deficiency (IGD) is an autosomal recessive disorder characterized by primary adrenocortical insufficiency, usually without mineralocorticoid deficiency. Occasionally, the disorder is associated with alacrima and achalasia of the esophagus (triple A syndrome), suggesting potential heterogeneity in its etiology. Mutations in the ACTH receptor gene have been reported in several families with IGD. We have amplified and directly sequenced the entire intronless ACTH receptor gene in 1 other family with IGD and 2 families with triple A syndrome. The proband with IGD was a homozygote for an A-->G substitution, changing tyrosine 254 to cysteine in the third extracellular loop of the receptor protein, probably interfering with ligand binding. Both of her parents were heterozygotes for this mutation, which was not detected in 100 normal alleles. No mutations were identified in the entire coding area of the ACTH receptor in the 2 families with triple A syndrome, supporting the idea of a developmental or postreceptor defect in this syndrome.
Databáze: OpenAIRE