Abstract
We describe a patient with striking generalized symmetrical enchondromatosis of the tubular bones and a de novo duplication of chromosome 12p11.23 to 12p11.22. The PTHLH gene within this region encodes a ligand for PTHR1: mutations in the gene encoding this receptor are associated with some cases of Ollier disease, several skeletal dysplasias including Blomstrand, Eiken, and Jansen and down-regulation of PTHLH expression in brachydactyly type E. Our findings suggest that abnormal PTHLH-PTHR1 signaling may underly this unusual form of enchondromatosis and indicate that unlike most cases of Ollier disease it is dominantly inherited.
© 2010 Wiley-Liss, Inc.
MeSH terms
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Adolescent
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Bone Diseases, Developmental / diagnostic imaging
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Bone Diseases, Developmental / genetics
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Bone and Bones / diagnostic imaging
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Bone and Bones / metabolism
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Chromosome Duplication*
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Chromosomes, Human, Pair 12*
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Comparative Genomic Hybridization
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DNA / genetics
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Down-Regulation
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Enchondromatosis / diagnostic imaging
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Enchondromatosis / genetics*
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Enchondromatosis / metabolism
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Female
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Genes, Dominant
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Humans
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In Situ Hybridization, Fluorescence
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Mutation
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Oligonucleotide Array Sequence Analysis
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Parathyroid Hormone-Related Protein / genetics*
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Radiography
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Receptor, Parathyroid Hormone, Type 1 / genetics
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Signal Transduction / genetics
Substances
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PTH1R protein, human
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PTHLH protein, human
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Parathyroid Hormone-Related Protein
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Receptor, Parathyroid Hormone, Type 1
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DNA