Estudio del pseudohipoparatiroidismo en una cohorte espaola: Caracterizacin clnico gentica: estudio del locus GNAS (Spanis,Used

Estudio del pseudohipoparatiroidismo en una cohorte espaola: Caracterizacin clnico gentica: estudio del locus GNAS (Spanis,Used

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El pseudohipoparatiroidismo (PHP) est caracterizado por hipocalcemia e hiperfosfatemia debidas a resistencia a la hormona paratiroidea (PTH). Pacientes con PHPIa generalmente presentan otras resistencias hormonales y muestran un fenotipo caracterstico denominado osteodistrofia hereditaria de Albright (AHO). Este fenotipo tambin est presente en pacientes diagnosticados de pseudopseudohipoparatiroidismo (PPHP), que no tienen resistencia hormonal. Por otra parte, pacientes con PHPIb, presentan, preferentemente, resistencia a la PTH y no tienen fenotipo de Albright. Desde el punto de vista gentico, el PHPI est causado por alteraciones en el locus GNAS (20q13.32), uno de los ms complejos del genoma humano. Pacientes con PHPIa presentan mutaciones en heterozigosis en cualquiera de los trece exones del gen GNAS, que codifica la protena Gsa. Mientras que el PHPIb se debe a alteraciones en el complejo patrn de metilacin del locus GNAS, asociadas en algunos casos a deleciones, en el alelo materno, en regiones centromricas al gen GNAS.

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