We describe a large family, including 54 affected individuals, with multiple epiphyseal dysplasia (MED) with involvement of the peripheral joints only. In this family, a mutation in the COL9A2 gene was detected. Every affected person has involvement of the knee joints. Other involved joints are the
Novel COL9A3 mutation in a family with multiple epiphyseal dysplasia
β Scribed by Eiji Nakashima; Hiroshi Kitoh; Koichi Maeda; Nobuhiko Haga; Rika Kosaki; Akihiko Mabuchi; Gen Nishimura; Hirofumi Ohashi; Shiro Ikegawa
- Publisher
- John Wiley and Sons
- Year
- 2005
- Tongue
- English
- Weight
- 161 KB
- Volume
- 132A
- Category
- Article
- ISSN
- 1552-4825
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β¦ Synopsis
Abstract
Multiple epiphyseal dysplasia (MED) is a common skeletal dysplasia characterized by mild to moderate short stature, earlyβonset of osteoarthritis (OA) mainly in the hip and knee joints, and abnormally small and/or irregular epiphyses. MED is clinically and genetically heterogeneous. Six causative genes of MED have been reported, including type IX collagen genes (COL9A1, COL9A2, COL9A3). All the type IX collagen mutations previously reported cause exon skipping that loses the COL3 domain. Here we have identified a novel COL9A3 mutation coβsegregating in a threeβgeneration family with MED. The mutation (IVS3β+β5Gβ>βA) was speculated to lose the COL3 domain by skipping of exon 3, which was confirmed by in vitro analysis. The patients were of normal height and had minimal complaints with phenotypes being more severe in male patients. The radiographic phenotypes of the patients were relatively milder than those of previously reported cases, and were indistinguishable to common, idiopathic OA. Β© 2004 WileyβLiss, Inc.
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