Genetic evidence linking the promoter region and 5’-UTR deletion of GNAS with pseudohypoparathyroidism type 1 C
6 affiliations
- 1Department of Pathology, Yonsei University College of Medicine
- 2Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine
- 3Department of Biochemistry, College of Medicine, Ewha Womans University
- 4Department of Biomedical Science, CHA Stem Cell Institute, CHA University
- 5GC Genome
- 6Samsung Genome Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine
Abstract
Background Pseudohypoparathyroidism (PHP) is a heterogeneous disorder caused by genetic or epigenetic changes at the GNAS locus on chromosome 20q13.3 leading to impaired cyclic adenosine monophosphate (cAMP)-dependent signaling pathway via the alpha-subunit of the stimulatory G protein (Gsα). Unlike PHP type 1 A (PHP1A), which occurs due to GNAS variant and low Gsα activity, the activity of Gsα is normal in PHP type 1 C (PHP1C) despite the same phenotypic characteristics as PHP1A. However, the genetic cause of PHP1C is unknown. Methods The likely causative variant of PHP1C was investigated using next-generation sequencing, and Gsα protein levels and function were assessed in patient-derived cells by immunoblotting, immunocytochemistry and cAMP measurement. Results We identified a de novo genomic deletion in a promoter region and 5’ untranslated region (UTR) of GNAS (5’ deletion of GNAS), in a participant with PHP1C. Furthermore, although the mRNA and protein levels of GNAS were maintained, cAMP production was impaired in PHP1C, implicating a functional abnormality rather than quantitative changes. Conclusions This novel 5’-UTR deletion of GNAS may underlie PHP1C and highlights the importance of assessing non-coding regions of GNAS in participants with PHP1C or PHP1A who lack pathogenic variants in conventional genetic tests.
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BibTeX
@article{lee2026genetic,
title = {{Genetic evidence linking the promoter region and 5’-UTR deletion of GNAS with pseudohypoparathyroidism type 1 C}},
author = {Chung Lee and Yoon Ji Ahn and Sung-Chul Jung and Saeyoung Park and Ji Yeon Kim and Chang-Seok Ki and Woong-Yang Park and Sung Yoon Cho},
journal = {BMC Medical Genomics},
year = {2026},
month = jul,
doi = {10.1186/s12920-026-02439-x},
url = {https://doi.org/10.1186/s12920-026-02439-x},
note = {CC BY},
}
RIS
TY - JOUR
TI - Genetic evidence linking the promoter region and 5’-UTR deletion of GNAS with pseudohypoparathyroidism type 1 C
AU - Chung Lee
AU - Yoon Ji Ahn
AU - Sung-Chul Jung
AU - Saeyoung Park
AU - Ji Yeon Kim
AU - Chang-Seok Ki
AU - Woong-Yang Park
AU - Sung Yoon Cho
PY - 2026
DA - 2026/07/01
JO - BMC Medical Genomics
DO - 10.1186/s12920-026-02439-x
UR - https://doi.org/10.1186/s12920-026-02439-x
AB - Background Pseudohypoparathyroidism (PHP) is a heterogeneous disorder caused by genetic or epigenetic changes at the GNAS locus on chromosome 20q13.3 leading to impaired cyclic adenosine monophosphate (cAMP)-dependent signaling pathway via the alpha-subunit of the stimulatory G protein (Gsα). Unlike PHP type 1 A (PHP1A), which occurs due to GNAS variant and low Gsα activity, the activity of Gsα is normal in PHP type 1 C (PHP1C) despite the same phenotypic characteristics as PHP1A. However, the genetic cause of PHP1C is unknown. Methods The likely causative variant of PHP1C was investigated using next-generation sequencing, and Gsα protein levels and function were assessed in patient-derived cells by immunoblotting, immunocytochemistry and cAMP measurement. Results We identified a de novo genomic deletion in a promoter region and 5’ untranslated region (UTR) of GNAS (5’ deletion of GNAS), in a participant with PHP1C. Furthermore, although the mRNA and protein levels of GNAS were maintained, cAMP production was impaired in PHP1C, implicating a functional abnormality rather than quantitative changes. Conclusions This novel 5’-UTR deletion of GNAS may underlie PHP1C and highlights the importance of assessing non-coding regions of GNAS in participants with PHP1C or PHP1A who lack pathogenic variants in conventional genetic tests.
SN - 1755-8794
ER -