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Clinical and molecular studies of EXT1/EXT2 in Bulgaria

  • CDG - an update
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Journal of Inherited Metabolic Disease

Abstract

EXT1/EXT2-CDG (Multiple cartilagineous exostoses, hereditary multiple osteochondroma (MO); OMIM 133700/133701) are common defects of O-xylosylglycan glycosylation. The diagnostic criteria are at least two osteochondromas of the juxta-epiphyseal region of long bones with in the majority of cases a positive family history and/or mutation in one of the EXT genes. The authors report data on clinical symptoms and complications of 23 patients (from 16 families), discussing the family history, age of diagnosis, new clinical and molecular data. Fifteen mutations and large deletions, of which nine are new, were detected in the EXT1 and EXT2 gene by sequence analysis, FISH and MLPA analysis.

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Reference

  • Ahn J, Ludecke H, Lindow S et al. (1995) Cloning of the putative tumor suppressor for hereditary multiple exostoses (EXT1). Nat Genet 11:137–143

    Article  PubMed  CAS  Google Scholar 

  • Alvarez C, Tredwell S, De Vera M et al. (2006) The genotype-phenotype correlation of hereditary multiple exostoses. Clin Genet 70:122–130

    Article  PubMed  CAS  Google Scholar 

  • Bovée JV (2008) Multiple osteochondromas. Orphanet J Rare Dis 3:1–7

    Article  Google Scholar 

  • Clines G, Ashley J, Shah S et al. (1997) The structure of the human Multiple exostoses 2 Gene and characterization of homologues in mouse and Caenorhabditis elegans. Genome Res 7:359–367

    PubMed  CAS  Google Scholar 

  • Enneking W (1987) Modification of the system for functional evaluation in the surgical management of musculoskeletal tumors. In: Enneking WF (ed) Limb salvage in musculoskeletal oncology. Bristol-Myers orthopedic symposium. Churchill Livingstone, New York, pp 626–639

    Google Scholar 

  • Galasso C, Scire G, Sanna M et al (1996) Growth hormone therapy in two patients with HME. Clin Pediatr 12:657–661

    Article  Google Scholar 

  • German GB (2008) Hereditary multiple exostoses and schizophrenia. Indian J Hum Genet 14:65–66

    Article  Google Scholar 

  • Jennes I, Entius M, Van Hul E et al. (2008) Mutation screening of EXT1 and EXT2 by denaturing high performance liquid chromatography, direct sequencing analysis, fluorescence in situ hybridization, and a new multiplex ligation–dependent probe amplification probe set in patients with multiple osteochondromas. J Mol Diagn 10:85–92

    Article  PubMed  CAS  Google Scholar 

  • Jennes I, Pedrini E, Zuntini M et al. (2009) Multiple osteochondromas: mutation database (Modb). Hum Mutat 30:1620–1627

    Article  PubMed  CAS  Google Scholar 

  • Legeai-Mallet L, Munich A, Maroteaux P et al. (1997) Incomplete penetrance and expressivity skewing in hereditary multiple exostoses. Clin Genet 52:12–16

    Article  PubMed  CAS  Google Scholar 

  • Martinez E, Leon S, Hawkins C (2008) Growth hormone deficiency associated with hereditary multiple exostosis –growth hormone treatment in one case. Acta Pediatr 77:218–219

    Article  Google Scholar 

  • Porter D, Simpson A (1999) The neoplasmic pathogenesis of solitary and multiple osteochondromas. J Pathol 188:119–125

    Article  PubMed  CAS  Google Scholar 

  • Schmale GA, Conrad EU, Rashkind WH (1994) The natural history of hereditary multiple exostoses. J Bone Joint Surg Am 76:986–992

    PubMed  CAS  Google Scholar 

  • Schmitt A, Bores A, Baran R (1997) Subungual exostosis of fingers in hereditary multiple exostosis. 3 cases. Ann Dermatol Venereol 124:233–236

    PubMed  CAS  Google Scholar 

  • Szuhai K, Jennes I, de Jong D (2011) Tiling Resolution Array-CGH shows that somatic mosaic deletions of the EXT gene is causative in EXT gene mutation negative multiple osteochondromas patients. Hum Mutat 32:2036–2049

    Article  Google Scholar 

  • Taniguchi K (1995) A practical classification system for multiple cartilagineous exostosis in children. J Pediatr Orthop 15:585–591

    Article  PubMed  CAS  Google Scholar 

  • Wuyts W, van Hul W, De Boulle K et al. (1998) Mutations in the EXT1 and EXT2 genes in hereditary multiple exostoses. Am J Hum Genet 62:346–354

    Article  PubMed  CAS  Google Scholar 

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Acknowledgements

This work was supported by EU project EUROGLYCANET (European Network for the advancement of research, diagnosis and treatment of a growing group of rare disorders) 512131/ 01.01-2005-31.12. 2007 and Research project R14-D/ 27.07.09-27.07. 2010, Medical University-Sofia entitled “Screening for congenital disorders of glycosylation”. The Department of Medical Genetics of Antwerp is a partner of the EuroBoNeT consortium, a European Commission granted Network of Excellence for studying the pathology and genetics of bone tumours.

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Correspondence to Malina Kirilova Stancheva-Ivanova.

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Communicated by: Eva Morava

Competing interest: None declared.

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Stancheva-Ivanova, M.K., Wuyts, W., van Hul, E. et al. Clinical and molecular studies of EXT1/EXT2 in Bulgaria. J Inherit Metab Dis 34, 917–921 (2011). https://doi.org/10.1007/s10545-011-9314-8

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  • DOI: https://doi.org/10.1007/s10545-011-9314-8

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