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J Med Genet 2001;38:132-136 ( February )

Letters to the editor

Homozygosity for a splice site mutation of the COL1A2 gene yields a non-functional proalpha 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 alpha 1(I) chains and one alpha 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 . . . [Full text of this article]




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