New mechanisms involved in paternal 20q disomy associated with pseudohypoparathyroidism

Autor: Ana Bernal Chico, Luis Castaño, Guiomar Perez de Nanclares, Edelmiro Menéndez Torre, Fernando Goñi Goicoechea, EDUARDO FERNANDEZ-REBOLLO, Loreto Martorell, Liliana Del Carmen Suárez Santa Cruz, Diego Yeste, CARMEN GUILLEN PONCE, Jesús Argente, Aurora Sanchez Diaz, Ignacio Diez Lopez, Encarna Guillén-Navarro, SONIA GAZTAMBIDE, LUCIA SENTCHORDI
Rok vydání: 2010
Předmět:
Zdroj: European Journal of Endocrinology. 163:953-962
ISSN: 1479-683X
0804-4643
DOI: 10.1530/eje-10-0435
Popis: PurposeType I pseudohypoparathyroidism (PHP-I) can be subclassified into Ia and Ib, depending on the presence or absence of Albright's hereditary osteodystrophy's phenotype, diminished α-subunit of the stimulatory G protein (Gsα) activity and multihormonal resistance. Whereas PHP-Ia is mainly associated with heterozygous inactivating mutations in Gsα-coding exons ofGNAS, PHP-Ib is caused by imprinting defects ofGNAS. To date, just one patient with PHP and complete paternal uniparental disomy (UPD) has been described.We sought to identify the underlining molecular defect in twenty patients with parathyroid hormone resistance, hypocalcemia and hyperphosphatemia, and abnormal methylation pattern at GNAS locus.MethodsMicrosatellite typing and comparative genome hybridization were performed for proband and parents.ResultsWe describe four patients with partial paternal UPD of chromosome 20 involving pat20qUPD in one case, from 20q13.13-qter in two cases, and pat20p heterodisomy plus interstitial 20q isodisomy in one patient.ConclusionsThese observations demonstrate that mitotic recombination of chromosome 20 can also give rise to UPD and PHP, a situation similar to other imprinting disorders, such as Beckwith–Wiedemann syndrome or neonatal diabetes.
Databáze: OpenAIRE