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Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance
Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance
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Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance
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Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance
Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance

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Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance
Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance
Journal Article

Recurrent PRKAR1A Mutation in Acrodysostosis with Hormone Resistance

2011
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Overview
The authors describe a germ-line mutation in the gene for PRKAR1A in three unrelated patients with acrodysostosis and resistance to multiple hormones. The mutated protein subunit impairs the response of protein kinase A to cyclic-AMP stimulation. Numerous hormones activate heterotrimeric G-protein–coupled receptors, which then activate G protein and adenylyl cyclase, generating intracellular cAMP. 1 In turn, cAMP activates protein kinase A, resulting in the phosphorylation of specific proteins that mediate the physiological effects of these hormones. 2 – 4 Loss-of-function mutations in the gene encoding GNAS cause pseudohypoparathyroidism type 1a, a disease with characteristic developmental and skeletal abnormalities (collectively called Albright's hereditary osteodystrophy, i.e., short stature, brachydactyly most frequently affecting the fourth and fifth metacarpals, rounded facies, obesity, and heterotopic subcutaneous ossification) that are associated with hormone resistance. 1 , 5 Acrodysostosis (Online Mendelian Inheritance in Man number 101800) is a . . .