J Pediatr Genet 2018; 07(01): 009-013
DOI: 10.1055/s-0037-1604100
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Pycnodysostosis: Novel Variants in CTSK and Occurrence of Giant Cell Tumor

Arya Shambhavi*
1   Department of Medical Genetics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
,
Smrithi Salian*
1   Department of Medical Genetics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
,
Hitesh Shah
2   Department of Orthopaedics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
,
Mohandas Nair
3   Department of Pediatrics, Government Medical College, Kozhikode, India
,
Krishna Sharan
4   Department of Radiotherapy, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
,
Dong-Kyu Jin
5   Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
,
Sung Yoon Cho
5   Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea
,
Mary Mathew
6   Department of Pathology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
,
Anju Shukla
1   Department of Medical Genetics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
,
Katta M. Girisha
1   Department of Medical Genetics, Kasturba Medical College, Manipal University, Manipal, Karnataka, India
› Author Affiliations
Funding This work is funded by the Department of Science and Technology through the project titled “Application of autozygosity mapping and exome sequencing to identify genetic basis of disorders of skeletal development” (SB/SO/HS/005/2014).
Further Information

Publication History

24 February 2017

01 June 2017

Publication Date:
13 July 2017 (online)

Abstract

Pycnodysostosis is an autosomal recessive skeletal dysplasia caused by pathogenic variants in the cathepsin K (CTSK) gene. We report seven patients from four unrelated families with this condition in whom we have identified three novel pathogenic variants, c.120 + 1G > T in intron 2, c.399 + 1G > A in intron 4, and c.148T > G (p.W50G) in exon 2, and a known variant, c.568C > T (p.Q190*) in exon 5 of CTSK. We present the clinical, radiographic, and molecular findings of all individuals with molecularly proven pycnodysostosis from the present cohort. We also report the occurrence of giant cell tumor in the skull of a patient with this condition.

* Both the authors contributed equally to the article.


Supplementary Material

 
  • References

  • 1 Maroteaux P, Lamy M. Pyknodysostosis [in French]. Presse Med 1962; 70: 999-1002
  • 2 Soliman AT, Ramadan MA, Sherif A, Aziz Bedair ES, Rizk MM. Pycnodysostosis: clinical, radiologic, and endocrine evaluation and linear growth after growth hormone therapy. Metabolism 2001; 50 (08) 905-911
  • 3 Turan S. Current research on pycnodysostosis. Intractable Rare Dis Res 2014; 3 (03) 91-93
  • 4 Mujawar Q, Naganoor R, Patil H, Thobbi AN, Ukkali S, Malagi N. Pycnodysostosis with unusual findings: a case report. Cases J 2009; 2: 6544 . Doi: 10.4076/1757-1626-2-654
  • 5 Gelb BD, Edelson JG, Desnick RJ. Linkage of pycnodysostosis to chromosome 1q21 by homozygosity mapping. Nat Genet 1995; 10 (02) 235-237
  • 6 Littlewood-Evans AJ, Bilbe G, Bowler WB. , et al. The osteoclast-associated protease cathepsin K is expressed in human breast carcinoma. Cancer Res 1997; 57 (23) 5386-5390
  • 7 Araujo TF, Ribeiro EM, Arruda AP. , et al. Molecular analysis of the CTSK gene in a cohort of 33 Brazilian families with pycnodysostosis from a cluster in a Brazilian Northeast region. Eur J Med Res 2016; 21 (01) 33
  • 8 Mandal K, Ray S, Saxena D. , et al. Pycnodysostosis: mutation spectrum in five unrelated Indian children. Clin Dysmorphol 2016; 25 (03) 113-120
  • 9 Singh A, Cuevas-Covarrubias S, Pradhan G. , et al. Novel mutation and white matter involvement in an Indian child with pycnodysostosis. Indian J Pediatr 2015; 82 (05) 471-473
  • 10 Xue Y, Wang L, Xia D. , et al. Dental abnormalities caused by novel compound heterozygous CTSK mutations. J Dent Res 2015; 94 (05) 674-681
  • 11 Huang X, Qi X, Li M. , et al. A mutation in CTSK gene in an autosomal recessive pycnodysostosis family of Chinese origin. Calcif Tissue Int 2015; 96 (05) 373-378
  • 12 Pangrazio A, Puddu A, Oppo M. , et al. Exome sequencing identifies CTSK mutations in patients originally diagnosed as intermediate osteopetrosis. Bone 2014; 59: 122-126
  • 13 Arman A, Bereket A, Coker A. , et al. Cathepsin K analysis in a pycnodysostosis cohort: demographic, genotypic and phenotypic features. Orphanet J Rare Dis 2014; 9: 60
  • 14 Ozdemir TR, Atik T, Karaca E, Onay H, Ozkinay F, Cogulu O. A novel mutation in two families with pycnodysostosis. Clin Dysmorphol 2013; 22 (03) 102-105
  • 15 Zheng H, Zhang Z, He JW, Fu WZ, Zhang ZL. A novel mutation (R122Q) in the cathepsin K gene in a Chinese child with Pyknodysostosis. Gene 2013; 521 (01) 176-179
  • 16 Utokpat P, Panmontha W, Tongkobpetch S, Suphapeetiporn K, Shotelersuk V. Novel CTSK mutation resulting in an entire exon 2 skipping in a Thai girl with pycnodysostosis. Pediatr Int 2013; 55 (05) 651-655
  • 17 Xue Y, Cai T, Shi S. , et al. Clinical and animal research findings in pycnodysostosis and gene mutations of cathepsin K from 1996 to 2011. Orphanet J Rare Dis 2011; 6: 20
  • 18 Fratzl-Zelman N, Valenta A, Roschger P. , et al. Decreased bone turnover and deterioration of bone structure in two cases of pycnodysostosis. J Clin Endocrinol Metab 2004; 89 (04) 1538-1547
  • 19 Matsushita M, Kitoh H, Kaneko H. , et al. Novel compound heterozygous mutations in the cathepsin K gene in Japanese female siblings with pyknodysostosis. Mol Syndromol 2012; 2 (06) 254-258
  • 20 Hou WS, Brömme D, Zhao Y. , et al. Characterization of novel cathepsin K mutations in the pro and mature polypeptide regions causing pycnodysostosis. J Clin Invest 1999; 103 (05) 731-738
  • 21 Chakarun CJ, Forrester DM, Gottsegen CJ, Patel DB, White EA, Matcuk Jr GR. Giant cell tumor of bone: review, mimics, and new developments in treatment. Radiographics 2013; 33 (01) 197-211
  • 22 Lindeman JH, Hanemaaijer R, Mulder A. , et al. Cathepsin K is the principal protease in giant cell tumor of bone. Am J Pathol 2004; 165 (02) 593-600
  • 23 Haagerup A, Hertz JM, Christensen MF, Binderup H, Kruse TA. Cathepsin K gene mutations and 1q21 haplotypes in at patients with pycnodysostosis in an outbred population. Eur J Hum Genet 2000; 8 (06) 431-436
  • 24 Donnarumma M, Regis S, Tappino B. , et al. Molecular analysis and characterization of nine novel CTSK mutations in twelve patients affected by pycnodysostosis. Mutation in brief #961. Online. Hum Mutat 2007; 28 (05) 524 . Doi: 10.1002/humu.9490