Mutation-based growth charts for SEDC and other COL2A1 related dysplasias

Paulien A Terhal, Paula van Dommelen, Martine Le Merrer, Andreas Zankl, Marleen E H Simon, Sarah F Smithson, Carlo Marcelis, Bronwyn Kerr, Esther Kinning, Sahar Mansour, Raoul C M Hennekam, Annemarie H van der Hout, Valerie Cormier-Daire, Allan M Lund, Linda Goodwin, André Mégarbané, Melissa Lees, Regina C Betz, Edward S Tobias, Paul CouckeGeert R Mortier

    20 Citations (Scopus)

    Abstract

    From data collected via a large international collaborative study, we have constructed a growth chart for patients with molecularly confirmed congenital spondylo-epiphyseal dysplasia (SEDC) and other COL2A1 related dysplasias. The growth chart is based on longitudinal height measurements of 79 patients with glycine substitutions in the triple-helical domain of COL2A1. In addition, measurements of 27 patients with other molecular defects, such as arginine to cysteine substitutions, splice mutations, and mutations in the C-terminal propeptide have been plotted on the chart. Height of the patients progressively deviate from that of normal children: compared to normal WHO charts, the mean length/height is -2.6 SD at birth, -4.2 SD at 5 years, and -5.8 SD in adulthood. The mean adult height (male and female combined) of patients with glycine substitutions in the triple-helical region is 138.2 cm but there is a large variation. Patients with glycine to cysteine substitutions tend to cluster within the upper part of the chart, while patients with glycine to serine or valine substitutions are situated between +1 SD and -1 SD. Patients with carboxy-terminal glycine substitutions tend to be shorter than patients with amino-terminal substitutions, while patients with splice mutations are relatively tall. However, there are exceptions and specific mutations can have a strong or a relatively mild negative effect on growth. The observation of significant difference in adult height between affected members of the same family indicates that height remains a multifactorial trait even in the presence of a mutation with a strong dominant effect.
    Original languageEnglish
    JournalAmerican Journal of Medical Genetics. Part C: Seminars in Medical Genetics
    Volume160C
    Issue number3
    Pages (from-to)205-16
    Number of pages12
    ISSN1552-4868
    DOIs
    Publication statusPublished - 15 Aug 2012

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