- Open-Access Publishing
- Quality and Potential Expertise
- Flexible Online Submission
- Affordable Publication Charges
- Expertise Editorial Board Members
- 3 Week Fast-track Peer Review
- Global Visibility of Published Articles
Discovery of a Novel PRKAR1A Gene Mutation in a Case of Carney Complex
Clinical and Molecular Genetics Unit, UCL Institute of Child Health, London, UK
Keywords
Carney complex; Cushing's syndrome; PPNAD; PRKAR1A
Abstract
The primary objective of this study is to explore the clinical manifestations, diagnostic procedures, and therapeutic approaches concerning novel pathogenic mutations in the PRKAR1A gene, which lead to Carney complex.
Methods: We present a retrospective analysis of clinical data pertaining to a single patient. Results: In this study, we detail the case of a 13-year-old patient diagnosed with Carney complex. Through comprehensive testing, including genetic analysis, a new mutation locus (C.1-2942G>A) in the PRKAR1A gene was identified as the causative factor.
Conclusion: Diagnosing Carney complex can pose challenges in clinical settings, often leading to delayed recognition. Hence, it is imperative for healthcare professionals to enhance their understanding of this condition for early detection and timely intervention.
The primary objective of this study is to explore the clinical manifestations, diagnostic procedures, and therapeutic approaches concerning novel pathogenic mutations in the PRKAR1A gene, which lead to Carney complex.
Methods: We present a retrospective analysis of clinical data pertaining to a single patient. Results: In this study, we detail the case of a 13-year-old patient diagnosed with Carney complex. Through comprehensive testing, including genetic analysis, a new mutation locus (C.1-2942G>A) in the PRKAR1A gene was identified as the causative factor.
Conclusion: Diagnosing Carney complex can pose challenges in clinical settings, often leading to delayed recognition. Hence, it is imperative for healthcare professionals to enhance their understanding of this condition for early detection and timely intervention.
1. J A, Carney. (1985) The complex of myxomas, spotty pigmentation, and endocrine overactivity. , Medicine (Abingdon) 13(1), 19-26.
2. Anelia Horvath, Sosipatros Boikos, Christoforos Giatzakis. (2006) A genome-wide scan identifies mutations in the gene encoding phosphodiesterase 11A4 (PDE11A) in individuals with adrenocortical hyperplasia. , J .Nat Genet 38, 794-800.
3. Anelia Horvath, Christoforos Giatzakis, Kitman Tsang. (2008) A cAMP-specific phosphodiesterase (PDE8B) that is mutated in adrenal hyperplasia is expressed widely in human and mouse tissues: a novel PDE8B isoform in human adrenal cortex. , J .Eur J Hum Genet 16, 1245-1253.
4. A De Venanzi, Alencar G A, Bourdeau I. (2014) Primary bilateral macronodular adrenal hyperplasia. Current Opinion in Endocrinology Diabetes & Obesity 21(3), 177-184.
5. Rockall A G, Babar S A, SAA Sohaib. (2004) CT and MR imaging of the adrenal glands in ACTH-independent cushing syndrome. Radiographics A Review Publication of the Radiological Society of North America Inc. 24(2), 435-452.
6. Groussin L, Cazabat L, René. (2005) Adrenal pathophysiology: lessons from the Carney complex. Horm Res Paediatr. 64(3), 132-139.
7. Sikorska D, Bednarek-Papierska L, Mojs E. (2017) Samborski W Bilateral primary pigmented nodular adrenal disease as a component of Carney syndrome - case report. Endokrynol Pol. 68(1), 70-72.
8. Lowe K M, Young W F, Lyssikatos C. (2016) Cushing Syndrome in Carney Complex: Clinical, Pathologic, and Molecular Genetic Findings in the 17 Affected Mayo Clinic Patients. Am J Surg Pathol. 41(2), 171-181.
9. Wei Q, Jin X L, Zhu Y B. (2006) Primary pigmented nodular adrenocortical disease: a report of 5 cases. , Journal of Diagnostics Concepts and Practice 119(9), 782-785. 10. Nieman L K, BMK Biller, Findling J W. (2015) Treatment of Cushing's Syndrome: An Endocrine Society Clinical Practice Guideline. , J Clin Endocrinol Metab 8, 2807-283111. PubMed·View article·Search at Google Scholar 12. L S Kirschner, J A Carney, S D Pack. (2000) Mutations of the gene encoding the protein kinase A type I-alpha regulatory subunit in patients with the Carney complex. , J Nat Genet 26, 89-92. 13. L S Kirschner, Sandrini F, Monbo J.Genetic heterogeneity and spectrum of mutations of the PRKAR1A gene in patients with the carney complex. , J Hum Mol Genet 2000, 3037-46. 14. Jérôme Bertherat. (2009) Horvath Anélia, Groussin Lionel et al. Mutations in regulatory subunit type 1A of cyclic adenosine 5'- monophosphate-dependent protein kinase (PRKAR1A): phenotype analysis in 353 patients and 80 different genotypes. , J Clin Endocrinol Metab 94, 2085-2091. 15. Amit Tirosh. (2018) Valdés Nuria, Stratakis Constantine A, Genetics of micronodular adrenal hyperplasia and Carney complex. , J Presse Med 47-127. 16. Groussin L, L S Kirschner, Vincent-Dejean C. (2002) Molecular Analysis of the Cyclic AMP-Dependent Protein Kinase A (PKA). Regulatory Subunit 1A ( PRKAR1A ) Gene in Patients with Carney Complex and Primary Pigmented Nodular Adrenocortical Disease (PPNAD) Reveals Novel Mutations and Clues For Pathophysiology: American Journal of Human Genetics 71(6), 1433-1442. 17. Correa R, Salpea P, Stratakis C A. (2015) Carney complex: an update. , Eur J Endocrinol 173(4), 85-97