Human Ehlers-Danlos Syndrome Type VII C and Bovine Dermatosparaxis Are Caused by Mutations in the Procollagen I N-Proteinase Gene
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Ehlers-Danlos syndrome (EDS) type VIIC is a recessively inherited connective-tissue disorder, characterized by extreme skin fragility, characteristic facies, joint laxity, droopy skin, umbilical hernia, and blue sclera. Like the animal model dermatosparaxis, EDS type VIIC results from the absence of activity of procollagen I N-proteinase (pNPI), the enzyme that excises the N-propeptide of type I and type II procollagens. The pNPI enzyme is a metalloproteinase containing properdin repeats and a cysteine-rich domain with similarities to the disintegrin domain of reprolysins. We used bovine cDNA to isolate human pNPI. The human enzyme exists in two forms: a long version similar to the bovine enzyme and a short version that contains the Zn++-binding catalytic site but lacks the entire C-terminal domain in which the properdin repeats are located. We have identified the mutations that cause EDS type VIIC in the six known affected human individuals and also in one strain of dermatosparactic calf. Five of the individuals with EDS type VIIC were homozygous for a C-->T transition that results in a premature termination codon, Q225X. Four of these five patients were homozygous at three downstream polymorphic sites. The sixth patient was homozygous for a different transition that results in a premature termination codon, W795X. In the dermatosparactic calf, the mutation is a 17-bp deletion that changes the reading frame of the message. These data provide direct evidence that EDS type VIIC and dermatosparaxis result from mutations in the pNPI gene.
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Dermatosparaxis EDS is caused by homozygous or compound heterozygous mutations in ADAMTS2, the gene encoding ADAMTS-2.
“Dermatosparaxis EDS (dEDS) is caused by homozygous or compound heterozygous mutations in ADAMTS2, the gene that encodes ADAMTS-2.”
From The Ehlers–Danlos syndromes, rare types (2017) · cites this paper as Colige et al., 1999
Mutations in ADAMTS2 result in decreased activity of ADAMTS-2, leading to defects in processing of type I procollagen to mature type I collagen.
“The mutations result in decreased activity of ADAMTS-2, which leads to defects in processing of type I procollagen to mature type I collagen [Colige et al., 1999;Colige et al., 2004;Van Damme et al., 2016].”
From The Ehlers–Danlos syndromes, rare types (2017) · cites this paper as Colige et al., 1999
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ADAMTS-12 Associates with and Degrades Cartilage Oligomeric Matrix Protein
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Punctin, a Novel ADAMTS-like Molecule, ADAMTSL-1, in Extracellular Matrix
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Characterization of proADAMTS5 processing by proprotein convertases
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Transforming Growth Factor-β Induces Secretion of Activated ADAMTS-2
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Regulation of ADAMTS Proteases
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- Authors
- Colige, A., Sieron, A. L., Li, S.-W., Schwarze, U., Petty, E., Wertelecki, W., Wilcox, W., Krakow, D., Cohn, D. H., Reardon, W., Byers, P. H., Lapière, C. M., Prockop, D. J., & Nusgens, B. V.
- Affiliations
- University of Liège (BE)
- University of Washington (US)
- University of Michigan (US)
- University of South Alabama (US)
- University of California, Los Angeles (US)
- Great Ormond Street Hospital (GB)
- Corresponding author
- Colige, Alain
- ORCID
- Venue
- The American Journal of Human Genetics
- Publisher
- Elsevier BV
- Published
- 1999-08
- Volume
- 65
- Issue
- 2
- Pages
- 308-317
- ISSN
- 0002-9297 (ISSN-L)
- PMC
- PMC1377929
- OpenAlex
- W2081172215
- Cited by
- 370
- References
- 36
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 12 · 2021: 13 · 2020: 15 · 2019: 12 · 2018: 14 · 2017: 13 · 2016: 13 · 2015: 16 · 2014: 8 · 2013: 21 · 2012: 12
- FWCI
- 5.65
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- The American Journal of Human Genetics (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Open Repository and Bibliography (University of Liège) (submittedVersion)
- Funders
- National Institutes of Health (AR 21557, AR 39837, HD 22657)
- Fonds De La Recherche Scientifique - FNRS (3.4529.95)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Protease and Inhibitor Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Keywords
- dermatosparaxis, genetic mutations, premature stop codon, connective tissue diseases, skin fragility, cysteine-rich domain, bovine model, cDNA cloning
- MeSH terms
- Amino Acid Sequence, Animals, Cattle, Cattle Diseases, Cells, Cultured, Cloning, Molecular, Disease Models, Animal, DNA Mutational Analysis, Ehlers-Danlos Syndrome, Fibroblasts, Genotype, Humans, Infant, Male, Molecular Sequence Data, Mutation, Procollagen N-Endopeptidase, RNA, Messenger, Alternative Splicing, Codon, Terminator
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