Up-Regulation of the Gene Encoding Protein Kinase A Type Iα Regulatory Subunit in Nodular Hyperplasia of Parathyroid Glands in Patients with Chronic Renal Failure

Context: Hyperplasia of parathyroid glands in patients with chronic renal failure is classified into diffuse (DH) and nodular (NH) types, and NH is often refractory to routine medical therapy. Objective: Although it is considered that the parenchymal cells initially proliferate diffusely and then so...

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Veröffentlicht in:The journal of clinical endocrinology and metabolism 2006-02, Vol.91 (2), p.563-568
Hauptverfasser: Hibi, Yatsuka, Kambe, Fukushi, Tominaga, Yoshihiro, Mizuno, Yutaka, Kobayashi, Hironobu, Iwase, Katsumi, Imai, Tsuneo, Seo, Hisao
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container_issue 2
container_start_page 563
container_title The journal of clinical endocrinology and metabolism
container_volume 91
creator Hibi, Yatsuka
Kambe, Fukushi
Tominaga, Yoshihiro
Mizuno, Yutaka
Kobayashi, Hironobu
Iwase, Katsumi
Imai, Tsuneo
Seo, Hisao
description Context: Hyperplasia of parathyroid glands in patients with chronic renal failure is classified into diffuse (DH) and nodular (NH) types, and NH is often refractory to routine medical therapy. Objective: Although it is considered that the parenchymal cells initially proliferate diffusely and then some of them are transformed to form nodules consisting of monoclonal cells, the underlying molecular mechanism for such a transformation is not fully understood. In this study we tried to identify the genes that are up-regulated in NH. Design and Setting: The cDNA population prepared from DH was subtracted from that prepared from NH by a PCR-based cDNA subtraction method. The resultant cDNAs were cloned and sequenced. To confirm the up-regulation of the identified genes, a total of 35 parathyroid glands (18 DH, 16 NH, and one mixed) obtained from 21 patients were analyzed. Results: One of the nuclear genes identified was the PRKAR1A gene, which encodes type Iα regulatory subunit (RIα) of cAMP-dependent protein kinase (PKA). Immunohistochemical analysis demonstrated that RIα was abundantly expressed in the nodular region, whereas the adjacent diffuse region displayed relatively low expression. Northern and Western blot analyses demonstrated up-regulation of RIα expression in most NH tested. Determination of PKA activities revealed that free PKA activities measured in the absence of cAMP in the assay were inversely correlated with RIα expression, indicating the functional significance of RIα up-regulation. Conclusions: These results suggest that the aberrant expression of RIα is involved in the diffuse to nodular transformation of hyperplasia of parathyroid glands by impairing cAMP/PKA signal transduction.
doi_str_mv 10.1210/jc.2005-2155
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Objective: Although it is considered that the parenchymal cells initially proliferate diffusely and then some of them are transformed to form nodules consisting of monoclonal cells, the underlying molecular mechanism for such a transformation is not fully understood. In this study we tried to identify the genes that are up-regulated in NH. Design and Setting: The cDNA population prepared from DH was subtracted from that prepared from NH by a PCR-based cDNA subtraction method. The resultant cDNAs were cloned and sequenced. To confirm the up-regulation of the identified genes, a total of 35 parathyroid glands (18 DH, 16 NH, and one mixed) obtained from 21 patients were analyzed. Results: One of the nuclear genes identified was the PRKAR1A gene, which encodes type Iα regulatory subunit (RIα) of cAMP-dependent protein kinase (PKA). Immunohistochemical analysis demonstrated that RIα was abundantly expressed in the nodular region, whereas the adjacent diffuse region displayed relatively low expression. Northern and Western blot analyses demonstrated up-regulation of RIα expression in most NH tested. Determination of PKA activities revealed that free PKA activities measured in the absence of cAMP in the assay were inversely correlated with RIα expression, indicating the functional significance of RIα up-regulation. 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Immunohistochemical analysis demonstrated that RIα was abundantly expressed in the nodular region, whereas the adjacent diffuse region displayed relatively low expression. Northern and Western blot analyses demonstrated up-regulation of RIα expression in most NH tested. Determination of PKA activities revealed that free PKA activities measured in the absence of cAMP in the assay were inversely correlated with RIα expression, indicating the functional significance of RIα up-regulation. 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Objective: Although it is considered that the parenchymal cells initially proliferate diffusely and then some of them are transformed to form nodules consisting of monoclonal cells, the underlying molecular mechanism for such a transformation is not fully understood. In this study we tried to identify the genes that are up-regulated in NH. Design and Setting: The cDNA population prepared from DH was subtracted from that prepared from NH by a PCR-based cDNA subtraction method. The resultant cDNAs were cloned and sequenced. To confirm the up-regulation of the identified genes, a total of 35 parathyroid glands (18 DH, 16 NH, and one mixed) obtained from 21 patients were analyzed. Results: One of the nuclear genes identified was the PRKAR1A gene, which encodes type Iα regulatory subunit (RIα) of cAMP-dependent protein kinase (PKA). Immunohistochemical analysis demonstrated that RIα was abundantly expressed in the nodular region, whereas the adjacent diffuse region displayed relatively low expression. Northern and Western blot analyses demonstrated up-regulation of RIα expression in most NH tested. Determination of PKA activities revealed that free PKA activities measured in the absence of cAMP in the assay were inversely correlated with RIα expression, indicating the functional significance of RIα up-regulation. Conclusions: These results suggest that the aberrant expression of RIα is involved in the diffuse to nodular transformation of hyperplasia of parathyroid glands by impairing cAMP/PKA signal transduction.</abstract><cop>Bethesda, MD</cop><pub>Endocrine Society</pub><pmid>16303839</pmid><doi>10.1210/jc.2005-2155</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Biological and medical sciences
Blotting, Northern
Blotting, Western
Cyclic AMP-Dependent Protein Kinase RIalpha Subunit
Cyclic AMP-Dependent Protein Kinases
Endocrinopathies
Fundamental and applied biological sciences. Psychology
Gene Expression Regulation, Enzymologic
Humans
Hyperparathyroidism, Secondary - complications
Hyperparathyroidism, Secondary - enzymology
Hyperparathyroidism, Secondary - genetics
Hyperparathyroidism, Secondary - pathology
Immunohistochemistry
Kidney Failure, Chronic - complications
Kidney Failure, Chronic - enzymology
Kidney Failure, Chronic - pathology
Medical sciences
Nucleic Acid Hybridization
Parathyroid Glands - enzymology
Proteins - genetics
Proteins - metabolism
RNA - chemistry
RNA - genetics
Up-Regulation
Vertebrates: endocrinology
title Up-Regulation of the Gene Encoding Protein Kinase A Type Iα Regulatory Subunit in Nodular Hyperplasia of Parathyroid Glands in Patients with Chronic Renal Failure
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