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3+4+Supplementum/2012 - Společnost pro pojivové tkáně

3+4+Supplementum/2012 - Společnost pro pojivové tkáně

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Pycnodysostosis<br />

With the chromosomal location at the<br />

1q21, this is gene for cathepsin K and<br />

mutational spectrum included non sense,<br />

missense and stop codon point mutations<br />

with a loss of function effect, cathepsin<br />

K encodes incoded the lysosomal enzyme<br />

cystein <strong>pro</strong>tease.<br />

Spondylocostal dysostosis<br />

and dysplasia<br />

Heterogenous group with chromosomal<br />

location 19q13 with gene notch ligand<br />

delta like 3. Mutation included insertion<br />

and deletion (both have resulkt truncated<br />

<strong>pro</strong>tein) or missense mutation. Molecular<br />

pathogenesis included cell signalling in<br />

mesodermal patterning in early embryonic<br />

development<br />

Vitamin dependent and resistant<br />

rickets<br />

The first group (VddR) include two<br />

chromosomal location 12q23.3 for 25<br />

hydroxyvitamin D3 1alfa hydroxylasis, this<br />

is defective step in vitamin D metabolism<br />

and 12q12-q14 location for vitamin D receptor<br />

gene. Both genes have in mutational<br />

spectrum loss of functional spectrum. The<br />

second VdRR group is heterogenous too,<br />

as the previous. Chromosomal location is at<br />

12p13.3 with gwnw for FGF 23 or Xp22.1<br />

for the gene phosphate regulating gene<br />

with homologies to endopeptidases on the<br />

X chromosome. Mutational spectrum for<br />

both nosological units is broad, previously<br />

missens mutation.<br />

ambul_centrum@volny.cz<br />

Cleidocranial dysplasia<br />

Chromosomal location is 6p21 for gene<br />

CBFA 1 (core binding factor, alfa subunit<br />

1) with insertions, deletions and missense<br />

point mnutations, which results to the loss<br />

of function effect. Molecular pathogenesis<br />

influence osteoblast and chondroblast differentiation<br />

.<br />

ellis van Creveld syndrome<br />

The chromosomal location is 4p16,<br />

gene s.c. EVC eith point mutations and<br />

deletions with a loss of function effect, AR<br />

inheritance.<br />

Stickler syndrome<br />

Heterogenous group, with chromosomal<br />

location at 12q13.11 – q13.2 , this is gene<br />

for col 2 alfa 1 chain and nonsense point<br />

mutations in a premature stop codon (zero<br />

effect), or with chromosomal location at<br />

1p21, this is gene for col 11 alfa 1 chain, with<br />

point mutations affecting splicing, Next one<br />

type have chromosomal location 6p21.3,<br />

this is gene for col 11 alfa 2 chain with missense<br />

and splice site point mutation.<br />

Trichorhinofalangeal syndrome<br />

Three main types, type I with 8q24.12<br />

location, this is TRPS gene with nonsense<br />

point mutations and insertions, type II<br />

with 8q24.11-q24.13 is presented deletion<br />

of multiple genes including TRPS 1 and<br />

EXT 1 and type III at 8q24.12 shown to<br />

have missens mutation.<br />

327

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