A genome-wide scan identifies mutations in the gene encoding phosphodiesterase 11A4 (PDE11A) in individuals with adrenocortical hyperplasia
Abstract
Phosphodiesterases (PDEs) regulate cyclic nucleotide levels. Increased cyclic AMP (cAMP) signaling has been associated with PRKAR1A or GNAS mutations and leads to adrenocortical tumors and Cushing syndrome. We investigated the genetic source of Cushing syndrome in individuals with adrenocortical hyperplasia that was not caused by known defects. We performed genome-wide SNP genotyping, including the adrenocortical tumor DNA. The region with the highest probability to harbor a susceptibility gene by loss of heterozygosity (LOH) and other analyses was 2q31-2q35. We identified mutations disrupting the expression of the PDE11A isoform-4 gene (PDE11A) in three kindreds. Tumor tissues showed 2q31-2q35 LOH, decreased protein expression and high cyclic nucleotide levels and cAMP-responsive element binding protein (CREB) phosphorylation. PDE11A codes for a dual-specificity PDE that is expressed in adrenal cortex and is partially inhibited by tadalafil and other PDE inhibitors; its germline inactivation is associated with adrenocortical hyperplasia, suggesting another means by which dysregulation of cAMP signaling causes endocrine tumors.
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Mutations in PDE11A and PDE8B are the most commonly reported phosphodiesterase mutations in cortisol-producing adrenocortical adenomas.
“Mutations in PDE11A and PDE8B genes are the most commonly reported (149,150).”
From Adrenal incidentaloma (2020) · cites this paper as [149]
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- Authors
- Horvath, A., Boikos, S., Giatzakis, C., Robinson-White, A., Groussin, L., Griffin, K. J., Stein, E., Levine, E., Delimpasi, G., Hsiao, H. P., Keil, M., Heyerdahl, S., Matyakhina, L., Libè, R., Fratticci, A., Kirschner, L. S., Cramer, K., Gaillard, R. C., Bertagna, X., Carney, J. A., Bertherat, J., Bossis, I., & Stratakis, C. A.
- Affiliations
- National Institutes of Health (US)
- Centre National de la Recherche Scientifique (FR)
- The Ohio State University (US)
- Centre Hospitalier Universitaire Vaudois (CH)
- Mayo Clinic (US)
- Corresponding author
- Stratakis, Constantine A
- ORCID
- Venue
- Nature Genetics
- Published
- 2006-06-11
- Volume
- 38
- Issue
- 7
- Pages
- 794-800
- ISSN
- 1061-4036 (ISSN-L)
- 1546-1718
- OpenAlex
- W2009917029
- Cited by
- 352
- References
- 30
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 14 · 2023: 15 · 2022: 15 · 2021: 12 · 2020: 19 · 2019: 8 · 2018: 16 · 2017: 17 · 2016: 18 · 2015: 21 · 2014: 26 · 2013: 12 · 2012: 18
- FWCI
- 22.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Nature Genetics (publishedVersion)
- PubMed (publishedVersion)
- IRIS (submittedVersion)
- SERVAL (Université de Lausanne) (submittedVersion)
- Funders
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Phosphodiesterase function and regulation
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Pituitary Gland Disorders and Treatments
- Keywords
- PDE11A, adrenocortical hyperplasia, Cushing's syndrome, cAMP signaling, loss of heterozygosity, CREB phosphorylation, germline mutations, adrenocortical tumors, phosphodiesterase inhibitors, tadalafil, endocrine tumors, cyclic nucleotides
- MeSH terms
- Adrenal Glands, Adult, Child, Chromosomes, Human, Pair 2, Cushing Syndrome, Female, Humans, Hyperplasia, Male, Mutation, Phosphoric Diester Hydrolases, 3',5'-Cyclic-GMP Phosphodiesterases, Loss of Heterozygosity, Polymorphism, Single Nucleotide
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