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Clinical and mutation profile of multicentric osteolysis nodulosis and arthropathy
Authors:Gandham SriLakshmi Bhavani  Hitesh Shah  Anju Shukla  Neerja Gupta  Kalpana Gowrishankar  Anand P. Rao  Madhulika Kabra  Meenal Agarwal  Prajnya Ranganath  Alka V. Ekbote  Shubha R. Phadke  Asha Kamath  Ashwin Dalal  Katta Mohan Girisha
Affiliation:1. Department of Medical Genetics, Kasturba Medical College, Manipal University, Manipal, India;2. Department of Orthopedics, Pediatric Orthopedics services, Kasturba Medical College, Manipal University, Manipal, India;3. Division of Genetics, Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India;4. Department of Medical Genetics, Kanchi Kamakoti Childs Trust Hospital, Chennai, Tamilnadu, India;5. Manipal Hospital, Bangalore, India;6. Department of Medical Genetics, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India;7. Department of Medical Genetics, Nizam's Institute of Medical Sciences, Hyderabad, India;8. Division of Diagnostics, Centre for DNA Fingerprinting and Diagnostics, Hyderabad, India;9. Department of Clinical Genetics, Christian Medical College and Hospital, Vellore, India;10. Department of Community Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, India;11. Correspondence to:;12. Dr Katta M. Girisha, Department of Medical Genetics, Kasturba Medical College, Manipal, Manipal University, Manipal‐576104, India. E‐mail:
Abstract:
​Multicentric osteolysis nodulosis and arthropathy (MONA) is an infrequently described autosomal recessive skeletal dysplasia characterized by progressive osteolysis and arthropathy. Inactivating mutations in MMP2, encoding matrix metalloproteinase‐2, are known to cause this disorder. Fifteen families with mutations in MMP2 have been reported in literature. In this study we screened thirteen individuals from eleven families for MMP2 mutations and identified eight mutations (five novel and three known variants). We characterize the clinical, radiographic and molecular findings in all individuals with molecularly proven MONA from the present cohort and previous reports, and provide a comprehensive review of the MMP2 related disorders. © 2015 Wiley Periodicals, Inc.
Keywords:multicentric osteolysis nodulosis and arthropathy  Torg‐Winchester syndrome  MMP2
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