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Physiology Renal physiology 2707b957

Testotoxicosis is due to

A
Gain of function mutation of Gs a
B
Loss of function mutation of Gs a
C
Both gain and loss of function mutation of Gs a
D
Mutation in Gs a resulting in decrease in intrinsic GTPase activity
High-Yield Explanation
Testotoxicosis is an interesting disease that combines gain and loss of function. In this condition, an activating mutation of Gs a causes excess testosterone secretion and prepubeal sexual maturation. However, this mutation is temperature-sensitive and is active only at the relatively low temperature of the testes (33 degC). At 37 degC, the normal temperature of the rest of the body, it is replaced by loss of function, with the production of hypoparathyroidism and decreased responsiveness to TSH.

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