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Mental Deficiency in Pseudohypoparathyroidism Type I Is Associated with Ns-Protein Deficiency

ZVI FARFEL, M.D.; and EITAN FRIEDMAN, M.D.
[+] Article and Author Information

Grant support: by the fund for basic research from the Israel Academy of Sciences and Humanities.

▸Requests for reprints should be addressed to Zvi Farfel, M.D.; Clinical Pharmacology Unit, The Chaim Sheba Medical Center; Tel-Hashomer 52621, Israel.


Tel-Hashomer, Israel


© 1986 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1986;105(2):197-199. doi:10.7326/0003-4819-105-2-197
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Pseudohypoparathyroidism type I is a hereditary disorder characterized by resistance to parathyroid hormone and other hormones that work via cyclic adenosine 3′, 5′monophosphate (cAMP). Most patients with this disorder have generalized deficient activity of Ns-protein (type Ia), which couples stimulatory hormone receptors to catalytic adenylate cyclase. In patients with normal Ns-protein activity (type Ib), a decreased incidence of resistance to hormones other than parathyroid hormone exists. Mental deficiency of unknown cause occurs in 47% to 75% of all patients with pseudohypoparathyroidism type I. Because mutations in the adenylate cyclase-cAMP system may affect the learning ability of Drosophila flies, we assessed mental deficiency in 25 patients whose Ns-protein activity we had determined: 9 of 14 patients with type Ia disorder and 0 of 11 patients with type Ib disorder had mental deficiency. We suggest that Ns-protein deficiency, reduced cAMP levels, or both, are involved in the mental deficiency in these patients and probably in mental function in humans.

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