The coding sequence of the human ACTH receptor, cloned in 1992, contai
ns no intron, but the presence of one intron (of about 18 kb) separati
ng the coding exon from an upstream exon has been demonstrated. One ma
jor transcription start site was located in this first exon. Northern
blot analysis of cultured human adrenocortical cells revealed several
transcripts that can be partly explained by the use of different polya
denylation sites. We have isolated a 1 kb fragment of genomic DNA upst
ream of exon 1 and studied its basal promoter activity. The sequence o
f this region shows several putative CREs that could be responsible fo
r the stimulation by ACTH of its own receptors as demonstrated on huma
n adrenocortical cells. To functionally characterize the human ACTH re
ceptor, we have prepared cells stably transfected with either the norm
al receptor or a mutant receptor. This model allows the study of both
binding to ACTH and coupling to adenylate cyclase. Two naturally mutat
ed receptors, described in patients with Familial Glucocorticoid Defic
iency, have been studied. Both mutations (C251F and D107N) strongly im
paired the binding of ACTH to its receptors and are then responsible f
or the absence of biological response to ACTH.