Carney complex presenting as subclinical Cushing syndrome in a child due to a novel Phosphodiesterase 11A mutation

Qian Sun1, Jie Song1, Wenjing Feng1

  • 1Departments of Geriatric Medicine, The Affiliated Hospital of Qingdao University, Qingdao, China.

Heliyon
|December 20, 2022
PubMed

Insights

Researchers identified a new PDE11A gene mutation causing Carney complex (CNC) in a Chinese family. This finding highlights the importance of genetic testing and managing associated conditions like Cushing's syndrome.

Area of Science:

  • Genetics
  • Molecular Biology
  • Endocrinology

Background:

  • Carney complex (CNC) is a rare genetic disorder associated with multiple endocrine neoplasia.
  • Key genes implicated in CNC include PRKAR1A, PDE8B, and PDE11A.

Purpose of the Study:

  • To characterize the clinical presentation of CNC in a Chinese patient.
  • To identify pathogenic mutations contributing to CNC in a Chinese family.

Main Methods:

  • Genomic DNA was isolated from peripheral blood of a Chinese CNC family.
  • Targeted region sequencing (TRS) and Sanger sequencing were employed for mutation identification and validation.

Main Results:

  • A novel PDE11A variant (NM_016953: exon11: c1921A>G, p.Lys641Glu) was identified and predicted to cause CNC.
  • The identified mutation was also present in the patient's mother, suggesting familial inheritance.

Conclusions:

  • This study reports a new genetic mutation in PDE11A associated with Carney complex.
  • Early detection and management of subclinical Cushing's syndrome in CNC patients are crucial.
Abstract

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