SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India

SERPINF1 gene variants lead to a severe type of osteogenesis imperfecta (OI) attributed to defects in the matrix mineralization. We present 18 patients with SERPINF1 gene variants leading to severe progressive deforming OI, the largest series in the world to date. These patients were normal at birth...

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Main Authors: Agnes Selina, Madhavi Kandagaddala, Vignesh Kumar, Suneetha Susan Cleave Abraham, Sumita Danda, Vrisha Madhuri
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Bone Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352187223000384
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author Agnes Selina
Madhavi Kandagaddala
Vignesh Kumar
Suneetha Susan Cleave Abraham
Sumita Danda
Vrisha Madhuri
author_facet Agnes Selina
Madhavi Kandagaddala
Vignesh Kumar
Suneetha Susan Cleave Abraham
Sumita Danda
Vrisha Madhuri
author_sort Agnes Selina
collection DOAJ
description SERPINF1 gene variants lead to a severe type of osteogenesis imperfecta (OI) attributed to defects in the matrix mineralization. We present 18 patients with SERPINF1 gene variants leading to severe progressive deforming OI, the largest series in the world to date. These patients were normal at birth and had the first fracture between 2 months to 9 years; progression of deformities was seen in 12 adolescents who became nonambulatory. Radiologically, compression fractures with kyphoscoliosis, protrusio acetabuli, and lytic lesions in the metaphysis and pelvis were seen in older children with classical popcorn appearance in the distal femoral metaphysis in three. By exome sequencing and targeted sequencing, we identified ten variants. One was unreported and novel; three other novel variants in this series were reported earlier. The recurrent deletion inframe mutation p.phe277del was found in 5 patients from three families. Alkaline phosphatase was elevated in all children on the first visit. Bone mineral density was low in all patients and showed improvement at two years in seven children on regular pamidronate therapy. For others, the 2 year BMD data were not available. The Z scores for four of the seven children showed worsening at the 2-year follow-up.
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spelling doaj.art-4e7a867755fe457a9d090975adf80c952023-06-22T05:03:19ZengElsevierBone Reports2352-18722023-06-0118101690SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from IndiaAgnes Selina0Madhavi Kandagaddala1Vignesh Kumar2Suneetha Susan Cleave Abraham3Sumita Danda4Vrisha Madhuri5Christian Medical College, Vellore, IndiaChristian Medical College, Vellore, IndiaChristian Medical College, Vellore, IndiaChristian Medical College, Vellore, IndiaChristian Medical College, Vellore, IndiaCorresponding author.; Christian Medical College, Vellore, IndiaSERPINF1 gene variants lead to a severe type of osteogenesis imperfecta (OI) attributed to defects in the matrix mineralization. We present 18 patients with SERPINF1 gene variants leading to severe progressive deforming OI, the largest series in the world to date. These patients were normal at birth and had the first fracture between 2 months to 9 years; progression of deformities was seen in 12 adolescents who became nonambulatory. Radiologically, compression fractures with kyphoscoliosis, protrusio acetabuli, and lytic lesions in the metaphysis and pelvis were seen in older children with classical popcorn appearance in the distal femoral metaphysis in three. By exome sequencing and targeted sequencing, we identified ten variants. One was unreported and novel; three other novel variants in this series were reported earlier. The recurrent deletion inframe mutation p.phe277del was found in 5 patients from three families. Alkaline phosphatase was elevated in all children on the first visit. Bone mineral density was low in all patients and showed improvement at two years in seven children on regular pamidronate therapy. For others, the 2 year BMD data were not available. The Z scores for four of the seven children showed worsening at the 2-year follow-up.http://www.sciencedirect.com/science/article/pii/S2352187223000384Osteogenesis imperfectaSERPINF1 genePigment epithelium-derived factor (PEDF) mineralization defect
spellingShingle Agnes Selina
Madhavi Kandagaddala
Vignesh Kumar
Suneetha Susan Cleave Abraham
Sumita Danda
Vrisha Madhuri
SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India
Bone Reports
Osteogenesis imperfecta
SERPINF1 gene
Pigment epithelium-derived factor (PEDF) mineralization defect
title SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India
title_full SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India
title_fullStr SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India
title_full_unstemmed SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India
title_short SERPINF1 gene variants causing late-onset progressive deforming osteogenesis imperfecta – A study of 18 patients from India
title_sort serpinf1 gene variants causing late onset progressive deforming osteogenesis imperfecta a study of 18 patients from india
topic Osteogenesis imperfecta
SERPINF1 gene
Pigment epithelium-derived factor (PEDF) mineralization defect
url http://www.sciencedirect.com/science/article/pii/S2352187223000384
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