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Clinical and radiographic findings in two brothers affected with a novel mutation in matrix metalloproteinase 2 gene

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Abstract

The two well-described osteolysis syndromes associated with matrix metalloproteinase-2 deficiency and mutations in the metalloproteinase-2 gene are Torg–Winchester syndrome and nodulosis–arthropathy–osteolysis variant. They are characterized by carpal–tarsal destruction, subcutaneous nodules, and generalized osteoporosis and show autosomal recessive inheritance. Herein, we report two siblings affected with a novel mutation in matrix metalloproteinase 2 gene and discuss their clinical and radiographic findings.

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References

  1. Erickson CM, Hirschberger M, Stickler GB (1978) Carpal–tarsal osteolysis. J Pediatr 93:779–782

    Article  CAS  PubMed  Google Scholar 

  2. Faber MR, Verlaak R, Fiselier TJ et al (2004) Inherited multicentric osteolysis with carpal–tarsal localization mimicking juvenile idiopathic arthritis. Eur J Pediatr 163:612–618

    PubMed  Google Scholar 

  3. Froelich A, Corret D (1937) Ostéolyse du carpe. Rev Med Nancy 65:696–699

    Google Scholar 

  4. Mosig RA, Dowling O, DiFeo A et al (2007) Loss of MMP-2 disrupts skeletal and craniofacial development and results in decreased bone mineralization, joint erosion and defects in osteoblast and osteoclast growth. Hum Mol Genet 1(16):1113–1123

    Article  Google Scholar 

  5. Hirooka M, Hirota M (1985) Chronic nephropathy in idiopathic multicentric osteolysis. Int J Pediatr Nephrol 6:145–150

    CAS  PubMed  Google Scholar 

  6. Martignetti JA, Aqeel AA, Sewairi WA et al (2001) Mutation of the matrix metalloproteinase 2 gene (MMP2) causes a multicentric osteolysis and arthritis syndrome. Nat Genet 28:261–265

    Article  CAS  PubMed  Google Scholar 

  7. Rouzier C, Vanatka R, Bannwarth S et al (2006) A novel homozygous MMP2 mutation in a family with Winchester syndrome. Clin Genet 69:271–276

    Article  CAS  PubMed  Google Scholar 

  8. Stamenkovic I (2003) Extracellular matrix remodelling: the role of matrix metalloproteinases. J Pathol 200:448–464

    Article  CAS  PubMed  Google Scholar 

  9. Wenkert D, Mumm S, Wiegand SM et al (2007) Absence of MMP2 mutation in idiopathic multicentric osteolysis with nephropathy. Clin Orthop Relat Res 462:80–86

    Article  PubMed  Google Scholar 

  10. Zankl A, Bonafe L, Calcaterra V et al (2005) Winchester syndrome caused by a homozygous mutation affecting the active site of matrix metalloproteinase 2. Clin Genet 67:261–266

    Article  CAS  PubMed  Google Scholar 

  11. Zankl A, Pachman L, Poznanski A et al (2007) Torg syndrome is caused by inactivating mutations in MMP2 and is allelic to NAO and Winchester syndrome. J Bone Miner Res 22:329–333

    Article  CAS  PubMed  Google Scholar 

  12. Zhao W, Byrne MH, Wang Y, Krane SM (2000) Osteocyte and osteoblast apoptosis and excessive bone deposition accompany failure of collagenase cleavage of collagen. J Clin Invest 106:941–949

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Faysal Gok.

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Gok, F., Crettol, L.M., Alanay, Y. et al. Clinical and radiographic findings in two brothers affected with a novel mutation in matrix metalloproteinase 2 gene. Eur J Pediatr 169, 363–367 (2010). https://doi.org/10.1007/s00431-009-1028-7

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  • DOI: https://doi.org/10.1007/s00431-009-1028-7

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