Osteoporosis, bone & mineral

Genotype-phenotype correlations in pseudohypoparathyroidism type 1a patients: a systemic review

Eur J EndocrinolPublished Systematic review

Authors' conclusion

This study revealed the correlation between loss-of-function RVs with round faces and subcutaneous ossifications in PHP 1a patients. Further exploration of genotype-phenotype correlations through more standardized and prospective studies with long-term follow-up is necessary.

Study context

Population
Patients with genetically diagnosed pseudohypoparathyroidism type 1a (PHP1a), articles until May 31, 2021
Participants
527 patients
Comparison
Missense and in-frame GNAS rare variants (RVs) vs loss-of-function RVs
Outcome
Genotype-phenotype correlations

Pooled result

As reported in the abstract

GNAS rare variants identified
258
RVs in exon 1
17.6%
RVs in exon 7
17.6%
Frameshift RVs
36.8%
Missense RVs
31.3%
Median age of onset
5.0 years
Elevated PTH
86.7%
Albright's hereditary osteodystrophy (AHO)
87.5%
TSH resistance
75.5%

Original publication

Genotype-phenotype correlations in pseudohypoparathyroidism type 1a patients: a systemic review. Eur J Endocrinol. Published 14 October 2023. doi:10.1093/ejendo/lvad142

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