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2(I) chain and an EDS/OI clinical
phenotype| The first 150 words of the full text of this article appear below. |
EDITOR
Type I collagen is the major
structural protein of skin, bone, tendon, ligaments, and cornea. It is
a heterotrimer of two
1(I) chains and one
2(I) chain. Mutations
in one of its two structural genes (COL1A1,
COL1A2) underlie the inherited disorders osteogenesis imperfecta (OI) and Ehlers-Danlos syndrome types VIIA and
B (EDS VIIA, EDS VIIB).1 Mutations which inhibit the processing of the protein precursor, procollagen, cause the ligamentous laxity and extreme joint hypermobility of EDS VII. Structural abnormalities and/or reduced production of type I collagen lead to the
increased bone fragility, thin skin, blue sclerae, dentinogenesis imperfecta, and presenile deafness of osteogenesis imperfecta. The OI
phenotype can vary from perinatally lethal to mild disease depending
upon the nature of the mutation. Among the mild group are patients who
are heterozygous for a non-functional COL1A1 allele.2-5 Homozygosity for a non-functional
COL1A1 allele appears to be incompatible
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