• N. Engl. J. Med. · Dec 2006

    Case Reports

    Deficiency of cartilage-associated protein in recessive lethal osteogenesis imperfecta.

    • Aileen M Barnes, Weizhong Chang, Roy Morello, Wayne A Cabral, MaryAnn Weis, David R Eyre, Sergey Leikin, Elena Makareeva, Natalia Kuznetsova, Thomas E Uveges, Aarthi Ashok, Armando W Flor, John J Mulvihill, Patrick L Wilson, Usha T Sundaram, Brendan Lee, and Joan C Marini.
    • National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD 20892, USA.
    • N. Engl. J. Med. 2006 Dec 28; 355 (26): 2757-64.

    AbstractClassic osteogenesis imperfecta, an autosomal dominant disorder associated with osteoporosis and bone fragility, is caused by mutations in the genes for type I collagen. A recessive form of the disorder has long been suspected. Since the loss of cartilage-associated protein (CRTAP), which is required for post-translational prolyl 3-hydroxylation of collagen, causes severe osteoporosis in mice, we investigated whether CRTAP deficiency is associated with recessive osteogenesis imperfecta. Three of 10 children with lethal or severe osteogenesis imperfecta, who did not have a primary collagen defect yet had excess post-translational modification of collagen, were found to have a recessive condition resulting in CRTAP deficiency, suggesting that prolyl 3-hydroxylation of type I collagen is important for bone formation.Copyright 2006 Massachusetts Medical Society.

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