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A GNAS1 imprinting defect in pseudohypoparathyroidism type IB
Jie Liu, … , Leslie G. Biesecker, Lee S. Weinstein
Jie Liu, … , Leslie G. Biesecker, Lee S. Weinstein
Published November 1, 2000
Citation Information: J Clin Invest. 2000;106(9):1167-1174. https://doi.org/10.1172/JCI10431.
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Article

A GNAS1 imprinting defect in pseudohypoparathyroidism type IB

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Abstract

Pseudohypoparathyroidism type IB (PHPIB) is characterized by renal resistance to parathyroid hormone (PTH) and the absence of other endocrine or physical abnormalities. Familial PHPIB has been mapped to 20q13, near GNAS1, which encodes Gsα, the G protein α-subunit required for receptor-stimulated cAMP generation. However, Gsα function is normal in blood cells from PHPIB patients, ruling out mutations within the Gsα coding region. In mice Gsα is expressed only from the maternal allele in renal proximal tubules (the site of PTH action) but is biallelically expressed in most other tissues. Studies in patients with Albright hereditary osteodystrophy suggest a similar Gsα imprinting pattern in humans. Here we identify a region upstream of the Gsα promoter that is normally methylated on the maternal allele and unmethylated on the paternal allele, but that is unmethylated on both alleles in all 13 PHPIB patients studied. Within this region is an alternative promoter and first exon (exon 1A), generating transcripts that are normally expressed only from the paternal allele, but that are biallelically expressed in PHPIB patients. Therefore, PHPIB is associated with a paternal-specific imprinting pattern of the exon 1A region on both alleles, which may lead to decreased Gsα expression in renal proximal tubules. We propose that loss of exon 1A imprinting is the cause of PHPIB.

Authors

Jie Liu, Deborah Litman, Marjorie J. Rosenberg, Shuhua Yu, Leslie G. Biesecker, Lee S. Weinstein

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Figure 2

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The GNAS1 exon 1A region is methylated only on the maternal allele in no...
The GNAS1 exon 1A region is methylated only on the maternal allele in normal subjects. (a) Genomic DNA from two normal subjects heterozygous for a 5-bp insertion polymorphism in GNAS1 exon 1A (N1 and N2) was digested with PstI and AscI, and fractions containing the 2.8-kb methylated (Meth) and 1.6-kb unmethylated (Unmeth) fragments were purified from agarose gels. The fractions were genotyped for the exon 1A polymorphism using PCR and direct sequencing and for parental assignment were run next to the same reaction performed on genomic DNA from a homozygous parent (mother for N1, father for N2). The presence of the polymorphic 5-bp insertion is indicated with brackets (although there is compression on these gels, bisulfite-modified genomic sequencing, shown in b, which removed these compressions, confirmed that the insertion is in fact 5-bp long). For both N1 and N2, the genotypes of methylated and unmethylated fragments corresponded to those of the mother and father, respectively. Identical results were also obtained for N3, the sister of N2 (data not shown). (b) Results of bisulfite-modified genomic sequencing of N3, showing the methylated maternal allele on the left and the unmethylated paternal allele (which includes the 5-bp insertion polymorphism) on the right. In the paternal allele, all Cs are unmethylated and are therefore converted to Ts. In the maternal allele all Cs within CpG dinucleotides (eight shown in figure; 25 total in sequencing reaction) are methylated and therefore remain as Cs (Cs that are not within CpG dinucleotides are unmethylated and are therefore converted to Ts).

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ISSN: 0021-9738 (print), 1558-8238 (online)

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