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Published on: September 1, 2015
Familial calcium pyrophosphate dihydrate deposition disease and the ANKH gene
1Department of Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA. Charlene.Williams@mail.tju.edu
Insights
Genetic analysis identified the ANKH gene as a cause of familial calcium pyrophosphate dihydrate deposition disease. This finding links a specific gene to hereditary crystal deposition arthropathies, improving understanding of these joint disorders.
Area of Science:
- Genetics
- Rheumatology
- Molecular Biology
Background:
- Crystal deposition arthropathies encompass various disorders, including familial calcium pyrophosphate dihydrate deposition disease.
- Most affected families exhibit radiographically confirmed calcium pyrophosphate dihydrate crystals in joint spaces.
Purpose of the Study:
- To identify the genetic basis of familial calcium pyrophosphate dihydrate deposition disease.
- To investigate the role of the ANKH gene in the pathogenesis of this hereditary disorder.
Main Methods:
- Genetic linkage analysis identified a chromosomal region associated with the disease phenotype.
- Positional candidate gene analysis focused on ANKH, a gene regulating inorganic pyrophosphate transport.
- Sequence variant analysis was performed in unrelated families with the disease.
Main Results:
- A specific region on chromosome 5 short arm was genetically linked to familial calcium pyrophosphate dihydrate deposition disease.
- Sequence variants in the ANKH gene were identified in several unrelated families.
- These ANKH variants segregated with the calcium pyrophosphate dihydrate deposition disease phenotype within affected families.
Conclusions:
- The ANKH gene is implicated as the causative gene for familial calcium pyrophosphate dihydrate deposition disease.
- This discovery provides a molecular basis for hereditary crystal deposition arthropathies.
- Understanding ANKH's role may offer new therapeutic targets for crystal-related joint diseases.
Abstract:
The crystal deposition arthropathies comprise a host of disorders that may occur idiopathically or as secondary manifestations of associated diseases. Rarely, crystal deposition presents as a familial disorder. Most affected family members display radiographically detectable crystals of calcium pyrophosphate dihydrate in their joint spaces. In genetic studies of familial calcium pyrophosphate dihydrate deposition disease, a region on the short arm of chromosome 5 was found to be genetically linked to the phenotype displayed by several of these families. Among the positional candidates at this locus was ANKH, the human homolog of a gene that is responsible for the phenotype of progressive ankylosis (ank) in the mouse. ANKH codes for a transmembrane protein that appears to regulate the transport of inorganic pyrophosphate. It was analyzed as a potential positional candidate gene for calcium pyrophosphate dihydrate deposition disease, and in several unrelated families, sequence variants were identified that segregated with the calcium pyrophosphate dihydrate deposition disease phenotype among affected members. A discussion of ANKH as the familial calcium pyrophosphate dihydrate deposition disease gene is presented.
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