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Identification of the first recurrent PAR1 deletion in Léri-Weill dyschondrosteosis and idiopathic short stature reveals the presence of a novel SHOX enhancer
  1. Sara Benito-Sanz1,2,
  2. Jose Luis Royo3,
  3. Eva Barroso1,2,
  4. Beatriz Paumard-Hernández1,2,
  5. Ana C Barreda-Bonis4,
  6. Pengfei Liu5,
  7. Ricardo Gracía4,
  8. James R Lupski5,
  9. Ángel Campos-Barros1,2,
  10. José Luis Gómez-Skarmeta3,
  11. Karen Elise Heath1,2
  1. 1Institute of Medical and Molecular Genetics (INGEMM), Hospital Universitario La Paz, Universidad Autónoma de Madrid, IdiPAZ, Spain
  2. 2Centro de Investigación Biomédica en Enfermedades Raras (CIBERER), Instituto Carlos III, Madrid, Spain
  3. 3Centro Andaluz de Biología del Desarrollo, Consejo Superior de Investigaciones Científicas and Universidad Pablo de Olavide, Sevilla, Spain
  4. 4Department of Pediatric Endocrinology, Hospital Universitario La Paz, Universidad Autónoma de Madrid, Madrid, Spain
  5. 5Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas, USA
  1. Correspondence to Dr Karen Elise Heath, Instituto de Genética Médica y Molecular (INGEMM), Hospital Universitario La Paz, P° Castellana 261, 28046 Madrid, Spain; kheath.hulp{at}


Background SHOX, located in the pseudoautosomal region 1 (PAR1) of the sexual chromosomes, encodes a transcription factor implicated in human growth. Defects in SHOX or its enhancers have been observed in ∼60% of Leri-Weill dyschondrosteosis (LWD) patients, a skeletal dysplasia characterised by short stature and/or the characteristic Madelung deformity, and in 2–5% of idiopathic short stature (ISS). To identify the molecular defect in the remaining genetically undiagnosed LWD and ISS patients, this study screened previously unanalysed PAR1 regions in 124 LWD and 576 ISS probands.

Methods PAR1 screening was undertaken by multiplex ligation dependent probe amplification (MLPA). Copy number alterations were subsequently confirmed and delimited by locus-specific custom-designed MLPA, array comparative genomic hybridisation (CGH) and breakpoint junction PCR/sequencing.

Results A recurrent PAR1 deletion downstream of SHOX spanning 47543 bp with identical breakpoints was identified in 19 LWD (15.3%) and 11 ISS (1.9%) probands, from 30 unrelated families. Eight evolutionarily conserved regions (ECRs 1–8) identified within the deleted sequence were evaluated for SHOX regulatory activity by means of chromosome conformation capture (3C) in chicken embryo limbs and luciferase reporter assays in human U2OS osteosarcoma cells. The 3C assay indicated potential SHOX regulatory activity by ECR1, which was subsequently confirmed to act as a SHOX enhancer, operating in an orientation and position independent manner, in human U2OS cells.

Conclusions This study has identified the first recurrent PAR1 deletion in LWD and ISS, which results in the loss of a previously uncharacterised SHOX enhancer. The loss of this enhancer may decrease SHOX transcription, resulting in LWD or ISS due to SHOX haploinsufficiency.

  • Deletion
  • enhancer
  • SHOX
  • LWD
  • diabetes
  • genetics
  • developmental
  • endocrinology
  • molecular genetics
  • genetic screening/counselling

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  • Funding This work was supported by the: Ministerio de Innovación y Ciencia (MICINN SAF2009-08230 to SB-S and KEH; BFU2010-14839 and CSD2007-00008 to JLG-S), Fondo de Investigación Sanitaria (FIS PI08/90270 to SB-S and KEH) and the Andalusian Government (CVI-3488 to JLG-S). Postdoctoral fellowships from CIBERER (SB-S) and Spanish National Research Council (CSIC) (JLR).

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval Ethics approval was provide by Hospital Universitario La Paz.

  • Provenance and peer review Not commissioned; externally peer reviewed.