Mutations in WNT1 Cause Different Forms of Bone Fragility

被引:234
作者
Keupp, Katharina [1 ,2 ,3 ]
Beleggia, Filippo [1 ,2 ,3 ]
Kayserili, Hulya [4 ]
Barnes, Aileen M. [5 ]
Steiner, Magdalena [6 ]
Semler, Oliver [7 ]
Fischer, Bjoern [6 ]
Yigit, Goekhan [1 ,2 ,3 ]
Janda, Claudia Y. [8 ,9 ]
Becker, Jutta [1 ]
Breer, Stefan [10 ]
Altunoglu, Umut [4 ]
Gruenhagen, Johannes [6 ]
Krawitz, Peter [6 ]
Hecht, Jochen [11 ]
Schinke, Thorsten [10 ]
Makareeva, Elena [12 ]
Lausch, Ekkehart [13 ]
Cankaya, Tufan [14 ]
Caparros-Martin, Jose A. [15 ,16 ,17 ]
Lapunzina, Pablo [17 ,18 ]
Temtamy, Samia [19 ]
Aglan, Mona [19 ]
Zabel, Bernhard [13 ]
Eysel, Peer [20 ]
Koerber, Friederike [21 ]
Leikin, Sergey [12 ]
Garcia, K. Christopher [8 ,9 ]
Netzer, Christian [1 ]
Schoenau, Eckhard [7 ]
Ruiz-Perez, Victor L. [15 ,16 ,17 ]
Mundlos, Stefan [6 ,22 ]
Amling, Michael [10 ]
Kornak, Uwe [6 ,22 ]
Marini, Joan [5 ]
Wollnik, Bernd [1 ,2 ,3 ]
机构
[1] Univ Cologne, Univ Hosp Cologne, Inst Human Genet, D-50931 Cologne, Germany
[2] Univ Cologne, Ctr Mol Med Cologne, D-50931 Cologne, Germany
[3] Univ Cologne, Cologne Excellence Cluster Cellular Stress Respon, D-50931 Cologne, Germany
[4] Istanbul Univ, Istanbul Fac Med, Dept Med Genet, TR-34093 Istanbul, Turkey
[5] NICHHD, Bone & Extracellular Matrix Branch, NIH, Bethesda, MD 20892 USA
[6] Charite, Inst Med Genet & Human Genet, D-13353 Berlin, Germany
[7] Univ Cologne, Childrens Hosp, D-50931 Cologne, Germany
[8] Stanford Univ, Sch Med, Howard Hughes Med Inst, Dept Mol & Cellular Physiol, Stanford, CA 94305 USA
[9] Stanford Univ, Sch Med, Howard Hughes Med Inst, Dept Biol Struct, Stanford, CA 94305 USA
[10] Univ Med Ctr Hamburg Eppendorf, Dept Osteol & Biomech, D-20246 Hamburg, Germany
[11] Berlin Brandenburg Ctr Regenerat Therapies, D-13353 Berlin, Germany
[12] NICHHD, Sect Phys Biochem, NIH, Bethesda, MD 20892 USA
[13] Univ Freiburg, Childrens Hosp, Div Genet, D-79106 Freiburg, Germany
[14] Dokuz Eylul Univ, Fac Med, Dept Med Genet, TR-35210 Izmir, Turkey
[15] CSIC, Inst Invest Biomed, E-28029 Madrid, Spain
[16] Univ Autonoma Madrid, Madrid 28029, Spain
[17] Inst Salud Carlos III, Ctr Invest Biomed Red Enfermedades Raras, Madrid 28029, Spain
[18] Univ Autonoma Madrid, Inst Genet Med & Mol, Inst Invest Hosp Univ La Paz, Madrid 28046, Spain
[19] Natl Res Ctr, Human Genet & Genome Res Div, Cairo 12311, Egypt
[20] Univ Cologne, Dept Orthopaed & Traumat Surg, D-50931 Cologne, Germany
[21] Univ Cologne, Dept Radiol, D-50931 Cologne, Germany
[22] Max Planck Inst Mol Genet, D-14195 Berlin, Germany
基金
美国国家卫生研究院;
关键词
RECESSIVE OSTEOGENESIS IMPERFECTA; OSTEOPOROSIS-PSEUDOGLIOMA SYNDROME; MINERAL DENSITY; IN-VIVO; IDENTIFICATION; PROTOONCOGENE; METAANALYSIS; DISORDERS; FRACTURE; REVEALS;
D O I
10.1016/j.ajhg.2013.02.010
中图分类号
Q3 [遗传学];
学科分类号
071007 [遗传学];
摘要
We report that hypofunctional alleles of WNT1 cause autosomal-recessive osteogenesis imperfecta, a congenital disorder characterized by reduced bone mass and recurrent fractures. In consanguineous families, we identified five homozygous mutations in WNT1: one frameshift mutation, two missense mutations, one splice-site mutation, and one nonsense mutation. In addition, in a family affected by dominantly inherited early-onset osteoporosis, a heterozygous WNT1 missense mutation was identified in affected individuals. Initial functional analysis revealed that altered WNT1 proteins fail to activate canonical LRP5-mediated WNT-regulated beta-catenin signaling. Furthermore, osteoblasts cultured in vitro showed enhanced Wnt1 expression with advancing differentiation, indicating a role of WNT1 in osteoblast function and bone development. Our finding that homozygous and heterozygous variants in WNT1 predispose to low-bone-mass phenotypes might advance the development of more effective therapeutic strategies for congenital forms of bone fragility, as well as for common forms of age-related osteoporosis.
引用
收藏
页码:565 / 574
页数:10
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