“…In contrast, rationally designed missense mutations (G479V, G781V and Q1087V) in G171 equivalent sites in blade 4 of β-propellers 2, 3 or 4 did not result in the suppression of Dkk1 function even though all of these variants could signal in response to Wnt1. This indicates that among the four β-propellers, β-propeller 1 plays an important role in mediating resistance to Dkk1 function in vitro and in turn suggests that LRP5 β-propeller 1 variants in addition to G171V could result in the high bone mass phenotype in vivo (Johnson and Summerfield, 2005). This hypothesis is supported by recent reports indicating that several LRP5 β-propeller 1 mutations (D111Y, G171R, A214T, A214V, A242T and T243I) have been identified from patients with increased bone density, and that these LRP5 variants activate Wnt signaling by relieving Dkk1-mediated inhibition in an in vitro TCF signaling assay (Van Wesenbeeck et al, 2003;Ai et al, 2005b;Koay and Brown, 2005;Kwee et al, 2005).…”