Pseudohypoparathyroidism Ia (PHP-Ia), is an inherited disease with clinical hypoparathyroidism caused by parathyroid hormone
resistance (PTH), and shows the phenotype of Albright hereditary osteodystrophy (AHO), including short stature, obesity, round
face, brachydactyly, and subcutaneous ossification. This disease is caused by mutation that inactivates the α-subunit of Gs,
the stimulatory regulator of adenylyl cyclase. Here, a novel frameshift mutation (delG at codon 88) in exon 4, and a missense
mutation (R231H) in exon 9 of the
Gsα gene were identified in two Japanese patients with sporadic PHP-Ia. Deletion of a G in exon 4 at codon 88 in the first patient
produced a premature stop codon, resulting in the truncated protein. The second patient had a previously reported R231H mutation.
Because this amino acid is located in a region, switch 2, that is thought to interact with the βγ subunit of
Gsα protein, this mutation may impair Gs protein function. We report here one novel
Gsα mutation, and note that mutations in Japanese patients with PHP-Ia are probably heterogeneous.
Key words Pseudohypoparathyroidism Ia (PHP-Ia) - Albright hereditary osteodystrophy (AHO) - Parathyroid hormone (PTH) - Hypothyroidism - Gsα gene - Deletion mutation
Received: November 27, 2000 / Accepted: March 21, 2001