Juvenile Paget’s Disease With Heterozygous Duplication In TNFRSF11A Encoding RANK
Identifieur interne : 001382 ( Pmc/Checkpoint ); précédent : 001381; suivant : 001383Juvenile Paget’s Disease With Heterozygous Duplication In TNFRSF11A Encoding RANK
Auteurs : Michael P. Whyte ; Cristina Tau [Argentine] ; William H. Mcalister ; Xiafang Zhang ; Deborah V. Novack ; Virginia Preliasco [Argentine] ; Eduardo Santini-Araujo [Argentine] ; Steven MummSource :
- Bone [ 8756-3282 ] ; 2014.
Abstract
Mendelian disorders of RANKL/OPG/RANK signaling feature the extremes of aberrant osteoclastogenesis and cause either osteopetrosis or rapid turnover skeletal disease. The patients with autosomal dominant accelerated bone remodeling have familial expansile osteolysis, early-onset Paget’s disease of bone, expansile skeletal hyperphosphatasia, or panostotic expansile bone disease due to heterozygous 18-, 27-, 15-, and 12-bp insertional duplications, respectively, within exon 1 of
Url:
DOI: 10.1016/j.bone.2014.07.019
PubMed: 25063546
PubMed Central: 4189967
Affiliations:
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Encoding RANK</title>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Juvenile Paget’s Disease With Heterozygous Duplication In <italic>TNFRSF11A</italic>
Encoding RANK</title>
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<author><name sortKey="Tau, Cristina" sort="Tau, Cristina" uniqKey="Tau C" first="Cristina" last="Tau">Cristina Tau</name>
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<wicri:noCountry code="subfield">63110</wicri:noCountry>
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<author><name sortKey="Zhang, Xiafang" sort="Zhang, Xiafang" uniqKey="Zhang X" first="Xiafang" last="Zhang">Xiafang Zhang</name>
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<wicri:noCountry code="subfield">63110</wicri:noCountry>
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<wicri:noCountry code="subfield">63131</wicri:noCountry>
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<front><div type="abstract" xml:lang="en"><p id="P1">Mendelian disorders of RANKL/OPG/RANK signaling feature the extremes of aberrant osteoclastogenesis and cause either osteopetrosis or rapid turnover skeletal disease. The patients with autosomal dominant accelerated bone remodeling have familial expansile osteolysis, early-onset Paget’s disease of bone, expansile skeletal hyperphosphatasia, or panostotic expansile bone disease due to heterozygous 18-, 27-, 15-, and 12-bp insertional duplications, respectively, within exon 1 of <italic>TNFRSF11A</italic>
that encodes the signal peptide of RANK. Juvenile Paget’s disease (JPD), an autosomal recessive disorder, manifests extremely fast skeletal remodeling, and is usually caused by loss-of-function mutations within <italic>TNFRSF11B</italic>
that encodes OPG. These disorders are ultra-rare. A 13-year-old Bolivian girl was referred at age 3 years. One femur was congenitally short and curved. Then, both bowed. Deafness at age 2 years involved missing ossicles and eroded cochleas. Teeth often had absorbed roots, broke, and were lost. Radiographs had revealed acquired tubular bone widening, cortical thickening, and coarse trabeculation. Biochemical markers indicated rapid skeletal turnover. Histopathology showed accelerated remodeling with abundant osteoclasts. JPD was diagnosed. Immobilization from a femur fracture caused severe hypercalcemia that responded rapidly to pamidronate treatment followed by bone turnover marker and radiographic improvement. No <italic>TNFRSF11B</italic>
mutation was found. Instead, a unique heterozygous 15-bp insertional tandem duplication (87dup15) within exon 1 of <italic>TNFRSF11A</italic>
predicted the same pentapeptide extension of RANK that causes expansile skeletal hyperphosphatasia (84dup15). Single nucleotide polymorphisms in <italic>TNFRSF11A</italic>
and <italic>TNFRSF11B</italic>
possibly impacted her phenotype. Our findings: i) reveal that JPD can be associated with an activating mutation within <italic>TNFRSF11A</italic>
, ii) expand the range and overlap of phenotypes among the mendelian disorders of RANK activation, and iii) call for mutation analysis to improve diagnosis, prognostication, recurrence risk assessment, and perhaps treatment selection among the monogenic disorders of RANKL/OPG/RANK activation.</p>
</div>
</front>
</TEI>
<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8504048</journal-id>
<journal-id journal-id-type="pubmed-jr-id">1710</journal-id>
<journal-id journal-id-type="nlm-ta">Bone</journal-id>
<journal-id journal-id-type="iso-abbrev">Bone</journal-id>
<journal-title-group><journal-title>Bone</journal-title>
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<issn pub-type="epub">1873-2763</issn>
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<article-id pub-id-type="manuscript">NIHMS616547</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Juvenile Paget’s Disease With Heterozygous Duplication In <italic>TNFRSF11A</italic>
Encoding RANK</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Whyte</surname>
<given-names>Michael P.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Tau</surname>
<given-names>Cristina</given-names>
</name>
<email>cristinatau1@yahoo.com.ar</email>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author"><name><surname>McAlister</surname>
<given-names>William H.</given-names>
</name>
<email>mcalisterw@mir.wustl.edu</email>
<xref ref-type="aff" rid="A4">4</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Zhang</surname>
<given-names>Xiafang</given-names>
</name>
<email>xiafang@prodigy.net</email>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Novack</surname>
<given-names>Deborah V.</given-names>
</name>
<email>xiafang@prodigy.net</email>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A5">5</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Preliasco</surname>
<given-names>Virginia</given-names>
</name>
<email>alfredo.preliasco@speedy.com.ar</email>
<xref ref-type="aff" rid="A6">6</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Santini-Araujo</surname>
<given-names>Eduardo</given-names>
</name>
<email>santiniaraujo@laborpat.com.ar</email>
<xref ref-type="aff" rid="A7">7</xref>
</contrib>
<contrib contrib-type="author"><name><surname>Mumm</surname>
<given-names>Steven</given-names>
</name>
<email>smumm@dom.wustl.edu</email>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1"><label>1</label>
Center for Metabolic Bone Disease and Molecular Research, Shriners Hospital for Children; St. Louis, Missouri, USA, 63131</aff>
<aff id="A2"><label>2</label>
Division of Bone and Mineral Diseases, Washington University School of Medicine at Barnes-Jewish Hospital; St. Louis, Missouri, USA, 63110</aff>
<aff id="A3"><label>3</label>
Metabolismo Calcico y Oseo, Endocrinology, Hospital Pediatrics J.P. Garrahan; Buenos Aires, Argentina</aff>
<aff id="A4"><label>4</label>
Department of Pediatric Radiology, Mallinckrodt Institute of Radiology at St. Louis Children’s Hospital, Washington University School of Medicine; St. Louis, Missouri, USA, 63110</aff>
<aff id="A5"><label>5</label>
Department. of Pathology, Washington University School of Medicine at Barnes-Jewish Hospital; St. Louis, Missouri, USA, 63110</aff>
<aff id="A6"><label>6</label>
Department of Pediatric Integral Odontology, Faculty of Dentistry, University of Buenos Aires; Buenos Aires, Argentina</aff>
<aff id="A7"><label>7</label>
Laboratory of Orthopedic Pathology, Central Army Hospital; Buenos Aires, Argentina</aff>
<author-notes><corresp id="cor1"><bold>Address correspondence to:</bold>
Michael P. Whyte, M.D., Shriners Hospital for Children, 2001 South Lindbergh Blvd., St. Louis, MO, U.S.A., 63131, Tel: 314-872-8305, Fax: 314-872-7844, <email>Mwhyte@shrinenet.org</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted"><day>26</day>
<month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="epub"><day>23</day>
<month>7</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="ppub"><month>11</month>
<year>2014</year>
</pub-date>
<pub-date pub-type="pmc-release"><day>01</day>
<month>11</month>
<year>2015</year>
</pub-date>
<volume>68</volume>
<fpage>153</fpage>
<lpage>161</lpage>
<pmc-comment>elocation-id from pubmed: 10.1016/j.bone.2014.07.019</pmc-comment>
<permissions><copyright-statement>© 2014 Elsevier Inc. All rights reserved.</copyright-statement>
<copyright-year>2014</copyright-year>
</permissions>
<abstract><p id="P1">Mendelian disorders of RANKL/OPG/RANK signaling feature the extremes of aberrant osteoclastogenesis and cause either osteopetrosis or rapid turnover skeletal disease. The patients with autosomal dominant accelerated bone remodeling have familial expansile osteolysis, early-onset Paget’s disease of bone, expansile skeletal hyperphosphatasia, or panostotic expansile bone disease due to heterozygous 18-, 27-, 15-, and 12-bp insertional duplications, respectively, within exon 1 of <italic>TNFRSF11A</italic>
that encodes the signal peptide of RANK. Juvenile Paget’s disease (JPD), an autosomal recessive disorder, manifests extremely fast skeletal remodeling, and is usually caused by loss-of-function mutations within <italic>TNFRSF11B</italic>
that encodes OPG. These disorders are ultra-rare. A 13-year-old Bolivian girl was referred at age 3 years. One femur was congenitally short and curved. Then, both bowed. Deafness at age 2 years involved missing ossicles and eroded cochleas. Teeth often had absorbed roots, broke, and were lost. Radiographs had revealed acquired tubular bone widening, cortical thickening, and coarse trabeculation. Biochemical markers indicated rapid skeletal turnover. Histopathology showed accelerated remodeling with abundant osteoclasts. JPD was diagnosed. Immobilization from a femur fracture caused severe hypercalcemia that responded rapidly to pamidronate treatment followed by bone turnover marker and radiographic improvement. No <italic>TNFRSF11B</italic>
mutation was found. Instead, a unique heterozygous 15-bp insertional tandem duplication (87dup15) within exon 1 of <italic>TNFRSF11A</italic>
predicted the same pentapeptide extension of RANK that causes expansile skeletal hyperphosphatasia (84dup15). Single nucleotide polymorphisms in <italic>TNFRSF11A</italic>
and <italic>TNFRSF11B</italic>
possibly impacted her phenotype. Our findings: i) reveal that JPD can be associated with an activating mutation within <italic>TNFRSF11A</italic>
, ii) expand the range and overlap of phenotypes among the mendelian disorders of RANK activation, and iii) call for mutation analysis to improve diagnosis, prognostication, recurrence risk assessment, and perhaps treatment selection among the monogenic disorders of RANKL/OPG/RANK activation.</p>
</abstract>
<kwd-group><kwd>bone remodeling</kwd>
<kwd>deafness</kwd>
<kwd>osteolysis</kwd>
<kwd>osteoprotegerin</kwd>
<kwd>tooth loss</kwd>
<kwd>vascular calcification</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list><country><li>Argentine</li>
</country>
</list>
<tree><noCountry><name sortKey="Mcalister, William H" sort="Mcalister, William H" uniqKey="Mcalister W" first="William H." last="Mcalister">William H. Mcalister</name>
<name sortKey="Mumm, Steven" sort="Mumm, Steven" uniqKey="Mumm S" first="Steven" last="Mumm">Steven Mumm</name>
<name sortKey="Novack, Deborah V" sort="Novack, Deborah V" uniqKey="Novack D" first="Deborah V." last="Novack">Deborah V. Novack</name>
<name sortKey="Whyte, Michael P" sort="Whyte, Michael P" uniqKey="Whyte M" first="Michael P." last="Whyte">Michael P. Whyte</name>
<name sortKey="Zhang, Xiafang" sort="Zhang, Xiafang" uniqKey="Zhang X" first="Xiafang" last="Zhang">Xiafang Zhang</name>
</noCountry>
<country name="Argentine"><noRegion><name sortKey="Tau, Cristina" sort="Tau, Cristina" uniqKey="Tau C" first="Cristina" last="Tau">Cristina Tau</name>
</noRegion>
<name sortKey="Preliasco, Virginia" sort="Preliasco, Virginia" uniqKey="Preliasco V" first="Virginia" last="Preliasco">Virginia Preliasco</name>
<name sortKey="Santini Araujo, Eduardo" sort="Santini Araujo, Eduardo" uniqKey="Santini Araujo E" first="Eduardo" last="Santini-Araujo">Eduardo Santini-Araujo</name>
</country>
</tree>
</affiliations>
</record>
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