title: Novel RUNX2 frameshift mutations in Chinese patients with cleidocranial dysplasia.
abstract: Cleidocranial dysplasia (CCD) is a skeletal disorder caused by heterozygous mutations in the runt-related transcription factor 2 (RUNX2) gene. We evaluated the phenotypes of eight Chinese patients with CCD from three unrelated families followed by analysis of the RUNX2 genes. Three different RUNX2 frameshift mutations were identified. Two of the mutations are novel (c.887insC and c.592delA) and one (c.90insC) has been described previously. Surprisingly, the patient with the most severely truncated RUNX2 protein (c.90insC) had the mildest phenotype. The RUNX2 mutations identified were assessed for their effect on the subcellular localization of the mutant RUNX2 proteins because of previously reported inconsistent findings. All three mutant proteins showed at least partially impaired nuclear localization compared with wild-type RUNX2, which was localized exclusively in the nucleus. Our findings support the notion that haploinsufficiency of RUNX2 may be mainly responsible for CCD. However, because the correlation between the severity of the phenotype and the degree of mutational impairment of RUNX2 is not consistent, other factors, such as nonsense-mediated mRNA decay and negative dominant effects, may also play a role. In addition, we show that despite the presence of the best characterized nuclear localization signal, nuclear translocation of truncated RUNX2 can be inhibited, possibly as a result of precipitation in the cytoplasm.
authors: The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan, China.
authors: Yanyu
authors: Y
authors: Huang
authors: Yaling
authors: Y
authors: Song
authors: Chenzheng
authors: C
authors: Zhang
authors: Guoxin
authors: G
authors: Chen
authors: Shihua
authors: S
authors: Wang
authors: Zhuan
authors: Z
authors: Bian
mesh_terms: D000293:Adolescent; D000328:Adult; D044466:Asian People / Q000235:genetics*; D016022:Case-Control Studies; D002467:Cell Nucleus; D002675:Child, Preschool; D002681:China; D002973:Cleidocranial Dysplasia / Q000235:genetics*; D018389:Codon, Nonsense; D050659:Core Binding Factor Alpha 1 Subunit / Q000235:genetics*; D003593:Cytoplasm; D005260:Female; D016368:Frameshift Mutation; D005838:Genotype; D006801:Humans; D008297:Male; D016297:Mutagenesis, Site-Directed; D010641:Phenotype
chemical_list: D018389:Codon, Nonsense; D050659:Core Binding Factor Alpha 1 Subunit; C493709:RUNX2 protein, human