Genetic deficiency of tartrate-resistant acid phosphatase associated with skeletal dysplasia, cerebral calcifications and autoimmunity

被引:130
作者
Lausch, Ekkehart [1 ]
Janecke, Andreas [2 ,3 ]
Bros, Matthias [4 ]
Trojandt, Stefanie [4 ]
Alanay, Yasemin [5 ]
De Laet, Corinne [6 ]
Huebner, Christian A. [7 ]
Meinecke, Peter [8 ]
Nishimura, Gen [9 ]
Matsuo, Mari [10 ]
Hirano, Yoshiko [10 ]
Tenoutasse, Sylvie [6 ]
Kiss, Andrea [11 ,12 ]
Machado Rosa, Rafael Fabiano [11 ,12 ]
Unger, Sharon L. [13 ]
Renella, Raffaele [14 ,15 ,16 ]
Bonafe, Luisa [16 ]
Spranger, Juergen [1 ]
Unger, Sheila [1 ,17 ]
Zabel, Bernhard [1 ]
Superti-Furga, Andrea [1 ,16 ]
机构
[1] Univ Freiburg, Freiburg Univ Hosp, Ctr Pediat & Adolescent Med, Freiburg, Germany
[2] Innsbruck Med Univ, Dept Pediat 2, Innsbruck, Austria
[3] Innsbruck Med Univ, Div Human Genet, Innsbruck, Austria
[4] Johannes Gutenberg Univ Mainz, Univ Med Ctr, Dept Dermatol, Mainz, Germany
[5] Hacettepe Univ, Fac Med, Dept Pediat, Pediat Genet Unit, TR-06100 Ankara, Turkey
[6] Queen Fabiola Childrens Univ Hosp, Nutr & Metab Unit, Brussels, Belgium
[7] Univ Jena, Univ Hosp Jena, Inst Human Genet, Jena, Germany
[8] Childrens Hosp Altona, Clin Genet Unit, Hamburg, Germany
[9] Tokyo Metropolitan Childrens Med Ctr, Dept Pediat Imaging, Tokyo, Japan
[10] Tokyo Womens Med Univ, Dept Pediat, Tokyo, Japan
[11] Univ Fed Ciencias Saude Porto Alegre, Div Clin Genet, Porto Alegre, RS, Brazil
[12] Univ Fed Ciencias Saude Porto Alegre, Grad Program Pathol, Porto Alegre, RS, Brazil
[13] Univ Toronto, Mt Sinai Hosp, Div Neonatol, Toronto, ON M5G 1X5, Canada
[14] Childrens Hosp, Dept Pediat Hematol Oncol, Boston, MA 02115 USA
[15] Dana Farber Canc Inst, Boston, MA 02115 USA
[16] CHU Vaudois, Dept Pediat, CH-1011 Lausanne, Switzerland
[17] CHU Vaudois, Dept Med Genet, CH-1011 Lausanne, Switzerland
关键词
SYSTEMIC-LUPUS-ERYTHEMATOSUS; DENDRITIC CELLS; MULTIPLE-SCLEROSIS; T-CELLS; OSTEOPONTIN EXPRESSION; STAPHYLOCOCCUS-AUREUS; ACP; SPONDYLOENCHONDRODYSPLASIA; SURVIVAL; DISEASE;
D O I
10.1038/ng.749
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Vertebral and metaphyseal dysplasia, spasticity with cerebral calcifications, and strong predisposition to autoimmune diseases are the hallmarks of the genetic disorder spondyloenchondrodysplasia. We mapped a locus in five consanguineous families to chromosome 19p13 and identified mutations in ACP5, which encodes tartrate-resistant phosphatase (TRAP), in 14 affected individuals and showed that these mutations abolish enzyme function in the serum and cells of affected individuals. Phosphorylated osteopontin, a protein involved in bone reabsorption and in immune regulation, accumulates in serum, urine and cells cultured from TRAP-deficient individuals. Case-derived dendritic cells exhibit an altered cytokine profile and are more potent than matched control cells in stimulating allogeneic T cell proliferation in mixed lymphocyte reactions. These findings shed new light on the role of osteopontin and its regulation by TRAP in the pathogenesis of common autoimmune disorders.
引用
收藏
页码:132 / U79
页数:8
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