Fibrodysplasia Ossificans Progressiva, a Heritable Disorder of Severe Heterotopic Ossification, Maps to Human Chromosome 4q27-31*  George Feldman, Ming.

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Fibrodysplasia Ossificans Progressiva, a Heritable Disorder of Severe Heterotopic Ossification, Maps to Human Chromosome 4q27-31*  George Feldman, Ming Li, Shelden Martin, Margrit Urbanek, J. Andoni Urtizberea, Michel Fardeau, Martine LeMerrer, J. Michael Connor, James Triffitt, Roger Smith, Maximilian Muenke, Frederick S. Kaplan, Eileen M. Shore  The American Journal of Human Genetics  Volume 66, Issue 1, Pages 128-135 (January 2000) DOI: 10.1086/302724 Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 1 Clinical findings in FOP. A, Radiographs of the feet at age 4 mo in a child with FOP. The soft-tissue shadows clearly outline the short in-turned great toes due to malformed delta-shaped proximal phalanges (arrowheads), one of the common variations of great-toe malformations seen in FOP. B, Multiple variable-size soft-tissue nodules (preosseous fibroproliferative lesions) on the back of a 4-year-old child with FOP. These fibroproliferative lesions are frequently the first indication of heterotopic ossification in a child. C and D, Clinical appearance and skeleton of a man with FOP. The rigid posture in this 25-year-old man was due to ankylosis of the spine, shoulders, and elbows. He died of pneumonia at age 40 years. Plates and ribbons of ectopic bone contour the skin over the back and arms (C) and can be seen directly on the skeleton (D). (Courtesy of the Mutter Museum, College of Physicians of Philadelphia; reproduced with permission from Shafritz et al. [1996].) The American Journal of Human Genetics 2000 66, 128-135DOI: (10.1086/302724) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 2 Pedigrees of families with FOP with genotypes for markers from chromosome 4q27-31. Standard pedigree notation is used: circles and squares denote females and males, respectively; blackened symbols indicate affected individuals; and generations are indicated by Roman numerals to the left of the pedigrees (only individuals from whom genotyping data was obtained are numbered). Haplotypes for the markers shown on the left are listed below the symbols for the family members. The haplotype cosegregating with the disorder in each family is boxed. The American Journal of Human Genetics 2000 66, 128-135DOI: (10.1086/302724) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 3 Combined multipoint LOD scores for the markers in the 4q27-31 region in four families with FOP. Multipoint LOD scores were calculated for each of the markers indicated along the X-axis. The relative genetic distances of these markers, measured (in cM) from 4pter, were derived from the Research Genetics database. The American Journal of Human Genetics 2000 66, 128-135DOI: (10.1086/302724) Copyright © 2000 The American Society of Human Genetics Terms and Conditions

Figure 4 Localization of the FOP-linked interval on the long arm of human chromosome 4. Schematic representation of the 4q27-31 region shows some of the markers used in the genetic linkage analysis. The genetic distances between the markers are indicated and the cumulative genetic distances (in cM; pter is 0 cM) for the markers defining the proximal and distal boundaries of the linked interval are shown in parentheses, under the marker names. Blackened squares denote regions of allele sharing among affected individuals; open squares represent recombinant regions. Crossovers in individual III-4 from family 3 identified the proximal boundary, and those in individual III-2 from family 3 identified the distal boundary. The American Journal of Human Genetics 2000 66, 128-135DOI: (10.1086/302724) Copyright © 2000 The American Society of Human Genetics Terms and Conditions