Key result
Gαs-Lys58Gln variant shows higher basal cAMP levels and greater ACTH response versus wild-type.
Why the study?
A novel p.Lys58Gln GNAS somatic variant identified in a patient with an adrenocortical adenoma and Cushing syndrome had not been previously characterised.
Does the Gαs-Lys58Gln variant alter cAMP signalling and cell viability compared to wild-type Gαs in HEK293 cells?
Does the Gαs-Lys58Gln variant alter cAMP signalling and cell viability compared to wild-type Gαs in HEK293 cells?
The novel Gαs-Lys58Gln variant causes constitutive activation of GNAS signalling and affects cell proliferation, representing a potential pathogenic mechanism in adrenal Cushing syndrome.
Objective Adrenocortical adenomas are frequent in the general population and can be associated with autonomous cortisol excess, increasing morbidity and mortality. Altered cAMP/PKA signalling is common in sporadic cortisol-producing adenomas, typically due to somatic activating mutations in the catalytic subunit α of PKA ( PRKACA ) or the G-protein α subunit, Gα s ( GNAS ), which activate cAMP signalling. We previously identified a novel p.Lys58Gln GNAS somatic variant in a patient with a 5.3 cm adenoma and overt Cushing’s syndrome. This novel mutation was not charactersised before but provided enough evidence to warrant further investigation. Design and methods Using HEK293 cells depleted of GNAS , we established wild-type (WT) Gα s and Gα s -Lys58Gln stable cell lines and evaluated adrenocorticotropic hormone (ACTH) receptor signalling using a cAMP GloSensor assay, measured CREB transcription factor phosphorylation (pCREB) by AlphaLISA and assessed CRE luciferase reporter activity. Cell viability and apoptosis were also assessed over 5 days. Results The Gα s -Lys58Gln variant showed a significantly higher basal cAMP, pCREB and CRE luciferase reporter concentration and a greater response to ACTH (0–10 nM, P < 0.001) compared to WT Gα s . The variant had no effect on ligand potency. There was also significantly enhanced cell viability and apoptosis in cells with the Gα s -Lys58Gln variant. Conclusions In conclusion, our study demonstrated that the Gα s -Lys58Gln variant is associated with constitutive activation of GNAS signalling, similar to Arg201 mutations previously reported in adrenocortical adenomas, potentially representing a new pathogenic mechanism in a subset of patients with adrenal Cushing syndrome. This variant may also affect cell proliferation and requires further study.
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Jamaluddin et al. (2025) studied Cortisol-producing adrenocortical adenoma. Gαs-Lys58Gln variant vs. Wild-type (WT) Gαs was evaluated on Response to ACTH (0–10 nM) (p=<0.001). The Gαs-Lys58Gln variant showed significantly higher basal cAMP, pCREB, and CRE luciferase reporter concentration and a greater response to ACTH compared to wild-type Gαs (P<0.001).
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