Article
Glucocorticoid Receptor Mutations and Hypersensitivity to Endogenous and Exogenous Glucocorticoids.
The Journal of clinical endocrinology and metabolism - 1 Oct 2018
Santen Richard J, Jewell Christine M, Yue Wei, Heitjan Daniel F, Raff Hershel, Katen Kevin S, Cidlowski John A
Abstract excerpt
Background: The glucocorticoid receptor (GR) consists of two alternatively spliced isoforms: GRα, which activates gene transcription, and GRβ, a dominant-negative receptor. Theoretically, inactivating variants of GRβ could result in glucocorticoid hypersensitivity. Design: A 46-year-old woman presented for evaluation of adrenal insufficiency prompted by low plasma cortisol levels and multiple unexplained symptoms...
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