title: Missense mutations abolishing DNA binding of the osteoblast-specific transcription factor OSF2/CBFA1 in cleidocranial dysplasia.
abstract: Cleidocranial dysplasia (CCD) is an autosomal dominant disorder characterized by hypoplastic or absent clavicles, large fontanelles, dental anomalies and delayed skeletal development. The phenotype is suggestive of a generalized defect in ossification and is one of the most common skeletal dysplasias not associated with disproportionate stature. To date, no genetic determinants of ossification have been identified. CCD has been mapped to chromosome 6p21, where CBFA1, a gene encoding OSF2/CBFA1, a transcriptional activator of osteoblast differentiation, has been localized. Here, we describe two de novo missense mutations, Met175Arg and Ser191Asn, in the OSF2/CBFA1 gene in two patients with CCD. These two mutations result in substitution of highly conserved amino acids in the DNA-binding domain. DNA-binding studies with the mutant polypeptides show that these amino acid substitutions abolish the DNA-binding ability of OSF2/CBFA1 to its known target sequence. Concurrent studies show that heterozygous nonsense mutations in OSF2/CBFA1 also result in CCD, while mice homozygous for the osf2/cbfa1 mull allele exhibit a more severe lethal phenotype. Thus, these results together suggest that CCD is produced by haploinsufficiency of OSF2/CBFA1 and provide direct genetic evidence that the phenotype is secondary to an alteration of osteoblast differentiation.
authors.affiliation: Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, Texas 77030, USA. blee@bcm.tmc.edu
authors.forename: B
authors.initials: B
authors.lastname: Lee
authors.forename: K
authors.initials: K
authors.lastname: Thirunavukkarasu
authors.forename: L
authors.initials: L
authors.lastname: Zhou
authors.forename: L
authors.initials: L
authors.lastname: Pastore
authors.forename: A
authors.initials: A
authors.lastname: Baldini
authors.forename: J
authors.initials: J
authors.lastname: Hecht
authors.forename: V
authors.initials: V
authors.lastname: Geoffroy
authors.forename: P
authors.initials: P
authors.lastname: Ducy
authors.forename: G
authors.initials: G
authors.lastname: Karsenty
mesh_terms: D000595:Amino Acid Sequence; D001842:Bone and Bones / Q000000981:diagnostic imaging; D002454:Cell Differentiation; D002874:Chromosome Mapping; D002896:Chromosomes, Human, Pair 6; D002973:Cleidocranial Dysplasia / Q000000981:diagnostic imaging / Q000235:genetics* / Q000473:pathology; D050659:Core Binding Factor Alpha 1 Subunit; D004247:DNA / Q000378:metabolism*; D005260:Female; D005838:Genotype; D006801:Humans; D017404:In Situ Hybridization, Fluorescence; D007621:Karyotyping; D008297:Male; D008969:Molecular Sequence Data; D009154:Mutation; D009363:Neoplasm Proteins; D010006:Osteoblasts / Q000166:cytology* / Q000378:metabolism; D010641:Phenotype; D011859:Radiography; D017422:Sequence Analysis, DNA; D014157:Transcription Factors / Q000737:chemistry / Q000235:genetics* / Q000378:metabolism; D014407:Tumor Cells, Cultured
chemical_list: D050659:Core Binding Factor Alpha 1 Subunit; D009363:Neoplasm Proteins; D014157:Transcription Factors; D004247:DNA