1. Biallelic variants in MESD, which encodes a WNT-signaling-related protein, in four new families with recessively inherited osteogenesis imperfecta
- Author
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Melanie Pepin, Sofie Symoens, Fransiska Malfait, Michael J. Bamshad, Paul Coucke, Thao Tran, Jane E. Corteville, Rachel B. Keller, Jessica X. Chong, Samir Khatib, Elena Levtchenko, Peter Witters, Mohammad-Sadegh Fallah, Brecht Guillemyn, Sirous Zeinali, Hamideh Bagherian, Deborah A. Nickerson, and Peter H. Byers more...
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LRP6 ,LRP5 ,osteogenesis imperfecta ,QH426-470 ,Biology ,Compound heterozygosity ,protein recycling from the Golgi ,Frameshift mutation ,Exon ,KDEL receptor ,Report ,Medicine and Health Sciences ,Genetics ,medicine ,Genetics (clinical) ,MUTATIONS ,Genetic heterogeneity ,OI ,Wnt signaling pathway ,medicine.disease ,GENE ,COLLAGEN ,DIFFERENTIATION ,Osteogenesis imperfecta ,Molecular Medicine - Abstract
Summary The bone disorder osteogenesis imperfecta (OI) is genetically heterogeneous. Most affected individuals have an autosomal dominant disorder caused by heterozygous variants in either of the type I collagen genes (COL1A1 or COL1A2). To date, two reports have linked Mesoderm Development LRP Chaperone (MESD) to autosomal recessive OI type XX. Four different biallelic pathogenic variants in MESD were shown to cause a progressively deforming phenotype, associated with recurrent fractures and oligodontia in five individuals in five families. Recently, compound heterozygosity for a frameshift predicted to lead to a premature termination codon in exon 2 of the 3-exon gene and a second frameshift in the terminal exon in MESD were detected in three stillbirths in one family with severe OI consistent with the neonatal lethal phenotype. We have identified four additional individuals from four independent families with biallelic variants in MESD: the earlier reported c.632dupA (p.Lys212Glufs∗19) and c.676C>T (p.Arg226∗)—which are associated with a severe form of OI—and one new pathogenic variant, c.603-606delTAAA (p.Asn201Lysfs∗15), which causes a neonatal lethal form of OI. MESD acts in the WNT signaling pathway, where it is thought to play a role in the folding of the WNT co-receptors low-density lipoprotein receptor-related proteins 5 and 6 (LRP5/LRP6) and in chaperoning their transit to the cell surface. Our report broadens the phenotypic and genetic spectrum of MESD-related OI, provides additional insight into the pathogenic pathways, and underscores the necessity of MESD for normal WNT signaling in bone formation., Mesoderm Development LRP Chaperone (MESD) has been linked to autosomal recessive osteogenesis imperfecta type XX. Our report describes four new individuals and broadens the phenotypic and genetic spectrum of MESD-related OI, provides additional insight into the pathogenic pathways, and underscores the necessity of MESD for normal WNT signaling in bone formation. more...
- Published
- 2021
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