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Gene Regulation in Van Buchem Disease

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Gene Regulatory Sequences and Human Disease
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Abstract

Van Buchem disease (VB) is a rare autosomal recessive disorder in which progressive bone overgrowth leads to very dense bones, distortion of the face, and entrapment of cranial nerves. It uniquely stands out as a congenital disorder likely to be caused by noncoding mutations for several reasons: (1) it maps to the same locus on human chromosome 17q12–21 as a highly similar disorder, sclerosteosis; (2) several single specific mutations have been identified in sclerosteosis patients that all predict null alleles in the determinant gene, sclerostin or SOST; (3) no coding mutations in SOST have been identified in VB patients; and (4) all VB patients carry a homozygous 52-kb noncoding deletion downstream of the SOST transcript. Here, we describe how by using comparative sequence analysis, BAC recombination, and enhancer assays, in combination with the generation of transgenic and knockout mice, it has been shown that human SOST is essential for maintaining healthy bone metabolism and that VB disease is caused by a noncoding deletion that removes a SOST-specific regulatory element, ECR5.

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Abbreviations

BAC:

Bacterial artificial chromosome

BMD:

Bone mineral density

bp:

Base pair

chr:

Chromosome

cm:

Centimeter

cM:

Centimorgan

ECR:

Evolutionary conserved region

GFP:

Green fluorescent protein

HBM:

High bone mass

Hsp68:

Heat shock protein 68

Kb:

Kilobase

KO:

Knockout

lacZ:

Beta-galactosidase

lb:

Pound

LOD:

Logarithm (base 10) of odds

Mb:

Megabase

MEF2:

Myocyte enhancer factor 2

microCT:

Micro-computed tomography

mut:

Mutation

NDP:

Norrie disease protein

PCR:

Polymerase chain reaction

PRDC:

Protein related to dan and cerberus

PTH:

Parathyroid hormone

qPCR:

Quantitative polymerase chain reaction

rtPCR:

Reverse transcriptase polymerase chain reaction

SNP:

Single nucleotide polymorphism

SOST:

Sclerostin

SV40:

Simian vacuolating virus 40

TFBS:

Transcription factor binding site

TGF-β:

Transforming growth factor beta

VB:

Van Buchem disease

VBΔ:

Van Buchem deletion

WT:

Wild type

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Correspondence to Gabriela G. Loots .

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Loots, G.G. (2012). Gene Regulation in Van Buchem Disease. In: Ahituv, N. (eds) Gene Regulatory Sequences and Human Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1683-8_4

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