RT Journal Article
SR Electronic
T1 Recessive osteogenesis imperfecta caused by <em>LEPRE1</em> mutations: clinical documentation and identification of the splice form responsible for prolyl 3-hydroxylation
JF Journal of Medical Genetics
JO J Med Genet
FD BMJ Publishing Group Ltd
SP 233
OP 241
DO 10.1136/jmg.2008.062729
VO 46
IS 4
A1 Willaert, A
A1 Malfait, F
A1 Symoens, S
A1 Gevaert, K
A1 Kayserili, H
A1 Megarbane, A
A1 Mortier, G
A1 Leroy, J G
A1 Coucke, P J
A1 De Paepe, A
YR 2009
UL http://jmg.bmj.com/content/46/4/233.abstract
AB Background: Recessive forms of osteogenesis imperfecta (OI) may be caused by mutations in LEPRE1, encoding prolyl 3-hydroxylase-1 (P3H1) or in CRTAP, encoding cartilage associated protein. These proteins constitute together with cyclophilin B (CyPB) the prolyl 3-hydroxylation complex that hydroxylates the Pro986 residue in both the type I and type II collagen α1-chains.Methods: We screened LEPRE1, CRTAP and PPIB (encoding CyPB) in a European/Middle Eastern cohort of 20 lethal/severe OI patients without a type I collagen mutation.Results: Four novel homozygous and compound heterozygous mutations were identified in LEPRE1 in four probands. Two probands survived the neonatal period, including one patient who is the eldest reported patient (177/12 years) so far with P3H1 deficiency. At birth, clinical and radiologic features were hardly distinguishable from those in patients with autosomal dominant (AD) severe/lethal OI. Follow-up data reveal that the longer lived patients develop a severe osteochondrodysplasia that overlaps with, but has some distinctive features from, AD OI. A new splice site mutation was identified in two of the four probands, affecting only one of three LEPRE1 mRNA splice forms, detected in this study. The affected splice form encodes a 736 amino acid (AA) protein with a “KDEL” endoplasmic reticulum retention signal. While western blotting and immunocytochemical analysis of fibroblast cultures revealed absence of this P3H1 protein, mass spectrometry and SDS-urea-PAGE data showed severe reduction of α1(I)Pro986 3-hydroxylation and overmodification of type I (pro)collagen chains in skin fibroblasts of the patients.Conclusion: These findings suggest that the 3-hydroxylation function of P3H1 is restricted to the 736AA splice form.