{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T05:37:16Z","timestamp":1783489036218,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,12,14]],"date-time":"2017-12-14T00:00:00Z","timestamp":1513209600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81270873"],"award-info":[{"award-number":["81270873"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81100559"],"award-info":[{"award-number":["81100559"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Endocrinology"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Pseudohypoparathyroidism (<jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>) is caused by mutations and epimutations in the <jats:italic><jats:styled-content style=\"fixed-case\">GNAS<\/jats:styled-content><\/jats:italic> locus, and characterized by the possibility of resistance to multiple hormones and Albright's hereditary osteodystrophy. <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content> can be classified into the forms 1A\/C, sporadic 1B and familial 1B.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objectives<\/jats:title><jats:p>To obtain an overall view of the clinical and genetic characteristics of the Chinese <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content> patient population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From 2000 to 2016, 120 patients were recruited and studied using Sanger sequencing, methylation\u2010specific multiple ligation\u2010dependent probe amplification (<jats:styled-content style=\"fixed-case\">MS<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">MLPA<\/jats:styled-content>) and combined bisulfite restriction analysis (<jats:styled-content style=\"fixed-case\">COBRA<\/jats:styled-content>). Of these patients, 104 had positive molecular alterations indicative of certain forms of <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content> and were included in data analysis. Clinical and laboratory features were compared between <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1A\/C and <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1B patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ten <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1A\/C, 21 familial <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1B and 73 sporadic <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1B patients were identified. Four novel <jats:italic><jats:styled-content style=\"fixed-case\">GNAS<\/jats:styled-content><\/jats:italic> mutations were discovered in these patients, including c.1038+1G&gt;T, c.530+2T&gt;C, c.880_883del<jats:styled-content style=\"fixed-case\">CAAG<\/jats:styled-content> and c.311_312del<jats:styled-content style=\"fixed-case\">AAG<\/jats:styled-content>, insT. The most common symptoms in this series were recurrent tetany (89.4%) and epilepsy (47.1%). The prevalence of weight excess increased with age for <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1B (10%\u201035%) and <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1A\/C (50%\u201075%). Intracranial calcification had a prevalence of 94.6% and correlated with seizures (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.227, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.029). Cataracts occurred in 56.2% <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content> patients, and there was a trend towards longer disease duration in patients with cataracts (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.051). Statistically significant differences (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05) were observed when comparing certain clinical characteristics between <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1B and <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1A\/C patients, including age of onset (10 vs 7\u00a0year), short stature (21.3% vs 70%), rounded face (60.6% vs 100%), brachydactyly (25.5% vs 100%), ectopic ossification (1.1% vs 40%) and <jats:styled-content style=\"fixed-case\">TSH<\/jats:styled-content> resistance (44.6% vs 90%), respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study is the largest single\u2010centre series of <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content> patients and summarizes the clinical and genetic features of the Chinese <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content> population. While there was substantial clinical overlap between <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1A\/C and <jats:styled-content style=\"fixed-case\">PHP<\/jats:styled-content>1B, differences in disease progression were observed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/cen.13516","type":"journal-article","created":{"date-parts":[[2017,11,14]],"date-time":"2017-11-14T16:28:36Z","timestamp":1510676916000},"page":"285-294","source":"Crossref","is-referenced-by-count":20,"title":["Clinical and genetic characteristics of Pseudohypoparathyroidism in the Chinese population"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8137-587X","authenticated-orcid":false,"given":"Xueying","family":"Chu","sequence":"first","affiliation":[{"name":"Key Laboratory of Endocrinology of National Health and Family Planning Commission Department of Endocrinology Peking Union Medical College (PUMC) Hospital Chinese Academy of Medical Sciences (CAMS)  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