Identification of Novel pro-α2(IX) Collagen Gene Mutations in Two Families with Distinctive Oligo-Epiphyseal Forms of Multiple Epiphyseal Dysplasia  Paul.

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Identification of Novel pro-α2(IX) Collagen Gene Mutations in Two Families with Distinctive Oligo-Epiphyseal Forms of Multiple Epiphyseal Dysplasia  Paul Holden, Elizabeth G. Canty, Geert R. Mortier, Bernhard Zabel, Jurgen Spranger, Andrew Carr, Michael E. Grant, John A. Loughlin, Michael D. Briggs  The American Journal of Human Genetics  Volume 65, Issue 1, Pages 31-38 (July 1999) DOI: 10.1086/302440 Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 1 Pedigrees of two families with MED and COL9A2 mutations. a, Family K. b, Family G. In both families, an arrow indicates the proband. The American Journal of Human Genetics 1999 65, 31-38DOI: (10.1086/302440) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 2 Radiographic findings in individual JK and affected individuals from family G. a, Individual JK at age 15 years. b, Individual JK at age 9 years 9 mo. Note flattened and irregular epiphyses. c, Individual JK at age 11 years 5 mo. d, Individual IV-2 (family G) at age 14 years 6 mo. Note flattened irregular epiphyses and metal plates from the tibial osteotomy that was performed at age 13 years. e, Individual IV-1 (family G) at age 10 years. The American Journal of Human Genetics 1999 65, 31-38DOI: (10.1086/302440) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 3 COL9A2 splice-site mutation in family K. a, Nucleotide sequence of exon 3 (upper case) /intron 3 (lower case) boundary. Shown at the top is the wild-type sequence; shown below is the sequence from the mutant allele. Indicated by an arrow is the G→A transition at the last nucleotide of exon 3. b, PAGE analysis of COL9A2 exon3/intron3 genomic DNA fragment containing the mutation. The mutation disrupts a HphI restriction-endonuclease site (indicated by an asterisk [*]). JK and his affected mother, UK, who are heterozygous for the mutation, show both digested and undigested product, whereas a control sample (lane C) shows only the digested product. The American Journal of Human Genetics 1999 65, 31-38DOI: (10.1086/302440) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 4 COL9A2 splice-site mutation in family G. a, Nucleotide sequence of exon 3 (upper case) /intron 3 (lower case) boundary. Shown at the top is the wild-type sequence; shown below is the sequence from the mutant allele. Indicated by an arrow is the G→C transversion at position +5 of intron 3. b, PAGE analysis of COL9A2 exon3/intron3 genomic fragment containing the mutation. The mutation creates a MaeIII restriction-endonuclease site (indicated by an asterisk [*]). Affected individuals of family G, who are heterozygous for the mutation, show both undigested and digested product; a control sample (lane C) shows only the undigested product. The American Journal of Human Genetics 1999 65, 31-38DOI: (10.1086/302440) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 5 6% PAGE analysis of PCR-amplified COL9A2 cDNA from a control sample (lane C) and from patients MG and JK. The control shows the expected DNA fragment of 196 bp, whereas both patient samples show both normal and shortened DNA fragments. The white arrow indicates putative heteroduplex molecules, formed between normal and deleted DNA fragments. The American Journal of Human Genetics 1999 65, 31-38DOI: (10.1086/302440) Copyright © 1999 The American Society of Human Genetics Terms and Conditions

Figure 6 BpmI restriction-enzyme digestion of COL9A2 cDNA. a, Possible combinations of COL9A2 mRNA transcripts. At the top is the normal transcript with exons 2–5 (partial) and G as the last nucleotide of exon 3 (boxed). In the middle is a normal-sized transcript (exons 2–5) but with A as the last nucleotide of exon 3 (boxed). Also enclosed in a box is the recognition sequence of BpmI. At the bottom is the incorrectly spliced transcript showing the loss of exon 3. b, 6% PAGE analysis of COL9A2 cDNA amplified by PCR from a control sample (lane C) and patient JK, before (−) and after (+) digestion with BpmI. The American Journal of Human Genetics 1999 65, 31-38DOI: (10.1086/302440) Copyright © 1999 The American Society of Human Genetics Terms and Conditions