Title |
Molecular diagnosis in children with fractures but no extraskeletal signs of osteogenesis imperfecta
|
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Published in |
Osteoporosis International, April 2017
|
DOI | 10.1007/s00198-017-4031-2 |
Pubmed ID | |
Authors |
G. Bardai, L. M. Ward, P. Trejo, P. Moffatt, F. H. Glorieux, F. Rauch |
Abstract |
In 26 of 94 individuals (28%) below 21 years of age who had a significant fracture history but did not have extraskeletal features of osteogenesis imperfecta (OI), we detected disease-causing mutations in OI-associated genes. In children who have mild bone fragility but do not have extraskeletal features of OI, it can be difficult to establish a diagnosis on clinical grounds. Here, we assessed the diagnostic yield of genetic testing in this context, by sequencing a panel of genes that are associated with OI. DNA sequence analysis was performed on 94 individuals below 21 years of age who had a significant fracture history but had white sclera and no signs of dentinogenesis imperfecta. Disease-causing variants were detected in 28% of individuals and affected 5 different genes. Twelve individuals had mutations in COL1A1 or COL1A2, 8 in LRP5, 4 in BMP1, and 2 in PLS3. DNA sequence analysis of currently known OI-associated genes identified disease-causing variants in more than a quarter of individuals with a significant fracture history but without extraskeletal manifestations of OI. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Netherlands | 1 | 33% |
Unknown | 2 | 67% |
Demographic breakdown
Type | Count | As % |
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Science communicators (journalists, bloggers, editors) | 1 | 33% |
Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Scientists | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 38 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 4 | 11% |
Student > Doctoral Student | 4 | 11% |
Student > Ph. D. Student | 3 | 8% |
Other | 3 | 8% |
Professor | 3 | 8% |
Other | 10 | 26% |
Unknown | 11 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 15 | 39% |
Biochemistry, Genetics and Molecular Biology | 5 | 13% |
Nursing and Health Professions | 2 | 5% |
Agricultural and Biological Sciences | 2 | 5% |
Unspecified | 1 | 3% |
Other | 2 | 5% |
Unknown | 11 | 29% |