Gene
PRKAR1A
protein kinase cAMP-dependent type I regulatory subunit alpha
- HGNC 9388↗(opens in a new tab)
- Ensembl gene ENSG00000108946↗(opens in a new tab)
- NCBI Gene 5573↗(opens in a new tab)
Summary
- Cytogenetic location
- 17q24.2
- Coordinates
- Chromosome 17: 68,512,430–68,533,431 (GRCh38)
- Exons
- 11 exons across 21 kb
- Protein
- 381 amino acids
- Inheritance
- Autosomal dominant
- Also known as
- CNC1
- Previous symbols
- PRKAR1, TSE1, PKR1, Prkar1alpha
- MANE Select transcript
- ENST00000589228.6NM_002734.5
- Locus type
- gene with protein product
- Very high
- Confident
- Low
- Very low
Reference genomeGRCh38hg38
Positions on gene and variant pages follow this choice, in this browser.
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Get my Genome TestCurated reports relevant to this gene
Carney Complex & Hereditary Adrenal Cushing Syndrome
- Carney complexAutosomal dominant
A multiple neoplasia syndrome with spotty skin pigmentation, cardiac and skin myxomas, and endocrine tumours of the adrenal, pituitary, thyroid and testes.
- ClinGen rates the link definitive
- 5 GenCC submitters rate it definitive or strong
What knowing changes
Regular heart ultrasound to find myxomas early, plus endocrine and testicular surveillance, and testing of relatives.
- Primary pigmented nodular adrenocortical diseaseAutosomal dominant
Small pigmented adrenal nodules that produce cortisol independently of ACTH, causing Cushing syndrome, either alone or as part of Carney complex.
- 2 GenCC submitters rate it definitive or strong
What knowing changes
Biochemical screening for cortisol excess allows Cushing syndrome to be recognised and treated early.
Pseudohypoparathyroidism & GNAS-Inactivation Disorders
- AcrodysostosisAutosomal dominant
A skeletal condition with short hands and feet and facial differences, sometimes with hormone resistance, caused by PRKAR1A or PDE4D variants.
- 4 GenCC submitters rate it definitive or strong
Inheritance
- Autosomal dominant
- One changed copy, from either parent, is enough. A parent who has one passes it on to each child with a one-in-two chance.
How PRKAR1A is laid out
- Coding sequence
- Untranslated region
- Intron
- Direction of transcription
- Known disease-causing sites
Exons of the gene's MANE Select transcript (release v1.5), from NCBI and EMBL-EBI, on the GRCh38 reference genome.
Chromosome bands from UCSC's GRCh38 ideogram (2022-10-29).
Nearby genes from Ensembl release 116, on GRCh38.
Exons make up 4.3 kb of the gene's 21 kb; 1,146 of those bases code for the protein.
How a genome test reads PRKAR1A
72
positions in PRKAR1A where ClinVar classes a change as pathogenic or likely pathogenic
None of them falls in a region short reads find hard.
A whole genome covers all 21 kb of PRKAR1A, introns included, not only the 4.3 kb of exons.
Genes linked to the same conditions
Traits linked to PRKAR1A
The Human Phenotype Ontology lists these as features of the rare conditions PRKAR1A can cause. Each trait's page lists the other genes linked to it.
Abnormality of head or neck
- Darkening of skin of the lips
- Decreased size of maxilla
- Lip freckle
- Midface retrusion
- Moon face
- Palatine myxoma
- Depressed nasal bridge
- Flat nose
Show 25 more traits
- Open mouth
- Short nose
- Wide nasal bridge
- Big lower jaw
- Broad head shape
- Corners of eye widely separated
- Delayed eruption of teeth
- Frontal bossing
- Nasal tip, upturned
- Prominent forehead
- Abnormal hard palate morphology
- Eye folds
- Eyelid nodules
- Flat face
- Gum enlargement
- Inflammation of the mouth
- Neoplasm of the pharynx
- Open bite
- Paranasal sinus neoplasm
- Tongue nodules
- Bad bite
- Broad nasal tip
- Failure of development of between one and six teeth
- Overgrowth of skullcap
- Round face
Abnormality of the endocrine system
- Adrenocortical carcinoma
- Adrenocorticotropic hormone deficiency
- Decreased growth hormone responses to growth hormone-releasing hormone challenge
- Increased circulating cortisol level
- Low thyroid gland function due to abnormal pituitary gland
- Macronodular adrenal hyperplasia
- Pigmented micronodular adrenocortical disease
- Abnormal circulating dehydroepiandrosterone concentration
Show 25 more traits
- Decreased circulating dehydroepiandrosterone concentration
- Elevated circulating thyroid-stimulating hormone concentration
- Elevated plasma aldosterone
- Elevated serum 11-deoxycortisol
- Euthyroid multinodular goiter
- Growth hormone excess
- Increased circulating androgen concentration
- Increased circulating androstenedione concentration
- Increased circulating insulin-like growth factor 1 concentration
- Increased circulating prolactin concentration
- Increased serum estradiol
- Increased testosterone
- Paradoxical increased cortisol secretion on dexamethasone suppression test
- Pituitary growth hormone cell adenoma
- Underactive thyroid gland from birth
- Decreased activity of gonads
- Early onset of puberty
- Follicular thyroid carcinoma
- Papillary thyroid carcinoma
- Thyroid carcinoma
- Decreased circulating ACTH concentration
- Noncancerous tumor in pituitary gland
- Pheochromocytoma
- Primary hypercortisolism
- Thyroid follicular hyperplasia
Abnormality of limbs
- Cone-shaped end part of finger bones
- Short finger bones
- Short fingers or toes
- Short long bone of foot
- Short palm
- Shortened long bone of hand
- Abnormal shape of long bones of hand
- Short toe
Show 16 more traits
- Abnormal morphology of the radius
- Abnormal morphology of ulna
- Abnormal shape of shaft of long bone
- Abnormality of the thighbone
- Abnormality of the wide portion of a long bone
- Bowing of the long bones
- Cone-shaped end part of long bone
- Coxa valga
- Outward bow-leggedness
- Smaller or shorter than typical limbs
- Underdeveloped inner large forearm bone
- Underdeveloped outer large forearm bone
- Fluid accumulation in lower limbs
- Broad palm
- Dislocated radial head
- Long big toe
Abnormality of the genitourinary system
- Abnormal female external genitalia
- Abnormality of reproductive system physiology
- Absent kidney on one side
- Gonadal neoplasm
- Ovarian cyst
- Sertoli cell neoplasm
- Testicular cancer
- Undescended testes
Show 13 more traits
- Abnormal morphology of female internal genitalia
- Abnormal sperm motility
- Decreased fertility in males
- Large testis
- Leydig cell neoplasia
- Low sperm count
- Menstrual irregularity
- Ovarian carcinoma
- Ovarian dermoid cyst
- Ovarian serous cystadenoma
- Previous menstrual periods stop
- Testicular adrenal rest tumor
- Abnormal uterus bleeding
Abnormality of the digestive system
- Abdominal pain
- Anorexia
- Accumulation of fluid in the abdomen
- Esophageal tumor
- Jaundice
- Slowed or blocked flow of bile from liver
- Stomach tumor
- Cancer of the pancreas
Show 2 more traits
Laboratory abnormality
- Elevated calcitonin
- Elevated circulating parathyroid hormone level
- High blood phosphate levels
- High urine cortisol level
- Diabetes mellitus
- Fever
- Laboratory abnormality
- Low blood potassium levels
Show 2 more traits
External links
Gene records
Transcript
Protein
Where this comes from
- HGNC: the gene's symbol, name, other symbols and location.
- MANE Select v1.5, from NCBI and EMBL-EBI: the transcript, its exons and coding sequence.
- GenCC and ClinGen, released 2026-10-16: which conditions the gene is linked to, and how strongly.
- The ACMG secondary findings list, SF v3.2.
- ClinVar and the GIAB stratifications: known disease-causing sites, and the regions short reads find hard.
- The Human Phenotype Ontology, release 2026-09-01: the traits linked to the gene. Find out more at hpo.jax.org.
- Data release 2026.10.16-c6eea6bf.
Cite this page
Dante Labs. (n.d.). PRKAR1A gene: protein kinase cAMP-dependent type I regulatory subunit alpha. Retrieved 16 October 2026, from https://dantelabs.com/genes/prkar1a
Dante Labs. PRKAR1A gene: protein kinase cAMP-dependent type I regulatory subunit alpha [Internet]. [cited 16 October 2026]. Available from: https://dantelabs.com/genes/prkar1a
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