RRC ID 37878
Author Wang Z, Iida A, Miyake N, Nishiguchi KM, Fujita K, Nakazawa T, Alswaid A, Albalwi MA, Kim OH, Cho TJ, Lim GY, Isidor B, David A, Rustad CF, Merckoll E, Westvik J, Stattin EL, Grigelioniene G, Kou I, Nakajima M, Ohashi H, Smithson S, Matsumoto N, Nishimura G, Ikegawa S.
Title Axial Spondylometaphyseal Dysplasia Is Caused by C21orf2 Mutations.
Journal PLoS One
Abstract Axial spondylometaphyseal dysplasia (axial SMD) is an autosomal recessive disease characterized by dysplasia of axial skeleton and retinal dystrophy. We conducted whole exome sequencing and identified C21orf2 (chromosome 21 open reading frame 2) as a disease gene for axial SMD. C21orf2 mutations have been recently found to cause isolated retinal degeneration and Jeune syndrome. We found a total of five biallelic C21orf2 mutations in six families out of nine: three missense and two splicing mutations in patients with various ethnic backgrounds. The pathogenic effects of the splicing (splice-site and branch-point) mutations were confirmed on RNA level, which showed complex patterns of abnormal splicing. C21orf2 mutations presented with a wide range of skeletal phenotypes, including cupped and flared anterior ends of ribs, lacy ilia and metaphyseal dysplasia of proximal femora. Analysis of patients without C21orf2 mutation indicated genetic heterogeneity of axial SMD. Functional data in chondrocyte suggest C21orf2 is implicated in cartilage differentiation. C21orf2 protein was localized to the connecting cilium of the cone and rod photoreceptors, confirming its significance in retinal function. Our study indicates that axial SMD is a member of a unique group of ciliopathy affecting skeleton and retina.
Volume 11(3)
Pages e0150555
Published 2016-1-1
DOI 10.1371/journal.pone.0150555
PII PONE-D-15-47610
PMID 26974433
PMC PMC4790905
MeSH Adolescent Cartilage / metabolism Cartilage / pathology Cell Differentiation / genetics Child Child, Preschool Cytoskeletal Proteins Female Gene Expression Regulation Genetic Diseases, Inborn / diagnostic imaging Genetic Diseases, Inborn / genetics* Genetic Diseases, Inborn / metabolism Humans Male Mutation* Osteochondrodysplasias / diagnostic imaging Osteochondrodysplasias / genetics* Osteochondrodysplasias / metabolism Phenotype Proteins / genetics* Proteins / metabolism Radiography Retina / metabolism Retina / pathology Young Adult
IF 2.74
Times Cited 13
WOS Category GENETICS & HEREDITY
Resource
Human and Animal Cells ATDC5(RCB0565)