2007
DOI: 10.1359/jbmr.070307
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Juvenile Paget's Disease: The Second Reported, Oldest Patient Is Homozygous for the TNFRSF11B “Balkan” Mutation (966_969delTGACinsCTT), Which Elevates Circulating Immunoreactive Osteoprotegerin Levels

Abstract: The oldest person (60 yr) with juvenile Paget's disease is homozygous for the TNFRSF11B mutation 966_969delTGACinsCTT. Elevated circulating levels of immunoreactive OPG and soluble RANKL accompany this genetic defect that truncates the OPG monomer, preventing formation of OPG homodimers.Introduction: Juvenile Paget's disease (JPD), a rare autosomal recessive disorder, features skeletal pain, fracture, and deformity from extremely rapid bone turnover. Deafness and sometimes retinopathy also occur. Most patients… Show more

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Cited by 37 publications
(38 citation statements)
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“…Another frameshift mutation (D323FfsX4), resulting in deletion of the HBD, has been reported in a relatively mild juvenile Paget disease patient. (46) RANKL coexpressed with OPG-DHBD mutant tends to accumulate in the Golgi apparatus and is not transported to either lysosomes or the cell surface, as is shown in the experiments using HeLa cells. Considering this, the D323FfsX4 mutation might result in the retention of RANKL in the Golgi apparatus, and the increase in the amount of RANKL transported to the cell surface is rather small compared with that in the case of the D198RfsX7 mutation.…”
Section: Discussionsupporting
confidence: 55%
“…Another frameshift mutation (D323FfsX4), resulting in deletion of the HBD, has been reported in a relatively mild juvenile Paget disease patient. (46) RANKL coexpressed with OPG-DHBD mutant tends to accumulate in the Golgi apparatus and is not transported to either lysosomes or the cell surface, as is shown in the experiments using HeLa cells. Considering this, the D323FfsX4 mutation might result in the retention of RANKL in the Golgi apparatus, and the increase in the amount of RANKL transported to the cell surface is rather small compared with that in the case of the D198RfsX7 mutation.…”
Section: Discussionsupporting
confidence: 55%
“…(11) Other JPD1 patients present in childhood with somewhat more mild skeletal disease. (4, 16) This range in JPD expressivity is now understood to reflect the variety of mutations identified within the different functional domains of TNFRSF11B . (13, 38, 39) …”
Section: V) Discussionmentioning
confidence: 99%
“…(13) This OPG deficiency form of JPD uniquely leads to vascular microcalcification (VMC) (14) that perhaps explains carotid aneurysms in childhood (15) and retinopathy with blindness in adult life. (16, 17) A genetic basis for other instances of JPD remains presumptive. (4) …”
Section: Ii) Introductionmentioning
confidence: 99%
“…TNFRSF11B is identified by molecular function of receptor, and it is involved in biological process of developmental processes, skeletal development, and mesoderm development (DAVID). TNFRSF11B's relational study also can be presented in these articles [28][29][30][31][32][33]. NFAT5 is relevant to molecular function of transcription factor, and biological process of nucleoside, nucleotide and nucleic acid metabolism, mRNA transcription, mRNA transcription regulation, signal transduction, immunity and defense, stress response, developmental processes, mesoderm development, cytokine/chemokine mediated immunity (DAVID).…”
Section: Discussionmentioning
confidence: 99%