在伴有颅锁骨发育不全的患者中鉴定的新型 RUNX2 突变的功能分析。
Functional analysis of novel RUNX2 mutations identified in patients with cleidocranial dysplasia.
机构信息
Department of Biochemistry and Molecular Biology, Medical University, Lublin, Poland.
The Postgraduate School of Molecular Medicine, Medical University of Warsaw, Warsaw, Poland.
出版信息
Clin Genet. 2019 Nov;96(5):429-438. doi: 10.1111/cge.13610. Epub 2019 Jul 31.
RUNX2 (Runt-related transcription factor 2) is a master regulator of osteoblast differentiation, cartilage and bone development. Pathogenic variants in RUNX2 have been linked to the Cleidocranial dysplasia (CCD), which is characterized by hypoplasia or aplasia of clavicles, delayed fontanelle closure, and dental anomalies. Here, we report 11 unrelated Polish patients with CCD caused by pathogenic alterations located in the Runt domain of RUNX2. In total, we identified eight different intragenic variants, including seven missense and one splicing mutation. Three of them are novel: c.407T>A p.(Leu136Gln), c.480C>G p.(Asn160Lys), c.659C>G p.(Thr220Arg), additional three were not functionally tested: c.391C>T p.(Arg131Cys), c.580+1G>T p.(Lys195_Arg229del), c.652A>G p.(Lys218Glu), and the remaining two: c.568C>T p.(Arg190Trp), c.673C>T p.(Arg225Trp) were previously reported and characterized. The performed transactivation and localization studies provide evidence of decreased transcriptional activity of RUNX2 due to mutations targeting the Runt domain and prove that impairment of nuclear localization signal (NLS) affects the subcellular localization of the protein. Presented data show that pathogenic variants discovered in our patients have a detrimental effect on RUNX2, triggering the CCD phenotype.
RUNX2( runt 相关转录因子 2 )是成骨细胞分化、软骨和骨骼发育的主要调节因子。RUNX2 中的致病变体与颅锁骨发育不全症(CCD)有关,其特征为锁骨发育不全或发育不全、囟门延迟闭合和牙齿异常。在这里,我们报告了 11 例波兰无关的 CCD 患者,其病因是位于 RUNX2 的 Runt 结构域的致病改变。总共鉴定出 8 种不同的内含子变异,包括 7 种错义突变和 1 种剪接突变。其中 3 种是新的:c.407T>A p.(Leu136Gln),c.480C>G p.(Asn160Lys),c.659C>G p.(Thr220Arg),另外 3 种尚未进行功能测试:c.391C>T p.(Arg131Cys),c.580+1G>T p.(Lys195_Arg229del),c.652A>G p.(Lys218Glu),其余 2 种:c.568C>T p.(Arg190Trp),c.673C>T p.(Arg225Trp)先前已被报道并进行了特征描述。所进行的反式激活和定位研究提供了证据,表明靶向 Runt 结构域的突变会降低 RUNX2 的转录活性,并证明核定位信号(NLS)的损伤会影响蛋白质的亚细胞定位。目前的数据表明,我们在患者中发现的致病变体对 RUNX2 有不利影响,引发 CCD 表型。