Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia

Hereditary Multiple Exostosis is an autosomal dominant condition in which multiple benign cartilage-capped tumours grow in relation to the growth plates of long and flat bones. HME has a wide spectrum of clinical presentations and results in considerable morbidity from lesions due to mass effect cau...

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Main Author: Alvarez, Christine M.
Format: Others
Language:English
Published: 2009
Online Access:http://hdl.handle.net/2429/14060
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spelling ndltd-UBC-oai-circle.library.ubc.ca-2429-140602018-01-05T17:37:05Z Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia Alvarez, Christine M. Hereditary Multiple Exostosis is an autosomal dominant condition in which multiple benign cartilage-capped tumours grow in relation to the growth plates of long and flat bones. HME has a wide spectrum of clinical presentations and results in considerable morbidity from lesions due to mass effect causing limb deformity, mal-alignment, and shortening. Mutations in EXT 1 and 2 genes result in multiple exostoses. The presumptive role of the EXT genes is either tumour suppression or growth plate regulation. The purpose of this study was to determine the relationship between the genotype and phenotype in HME. Ten families were identified with HME. Genotyping was completed by linkage analysis of all families and the EXT 1 or 2 gene was sequenced based on these results. Mutation identification and confirmation was performed. Phenotyping consisting of clinical and radiographic examinations generated 89 features for each subject. Thirty-two affected individuals from 10 families participated. Eight of 10 mutations were identified, confirmed and segregation verified. Six of the mutations were unique and 2 previously had been reported in the literature. Three mutations were in EXT 1 and 5 in EXT 2. Two were missense, 3 nonsense, 2 splice site and 1 frameshift. EXT 1 patients were found to have more exostoses, with a higher percentage of flat and pelvic bone involvement. EXT 1 patients had more mal-alignment and were shorter. Males also had a more severe phenotype and modulated the severity of EXT 1 expression. No other genotypic factors were found to influence phenotype. An established genotype phenotype correlation will aid in patient management in terms of surveillance, determining prognosis and mangement. In conclusion a genotype phenotype correlation exists where EXT 1 is linked to a more severe phenotype. Surgery, Department of Medicine, Faculty of Graduate 2009-10-19T22:05:31Z 2009-10-19T22:05:31Z 2003 2003-05 Text Thesis/Dissertation http://hdl.handle.net/2429/14060 eng For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use. 11159477 bytes application/pdf
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language English
format Others
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description Hereditary Multiple Exostosis is an autosomal dominant condition in which multiple benign cartilage-capped tumours grow in relation to the growth plates of long and flat bones. HME has a wide spectrum of clinical presentations and results in considerable morbidity from lesions due to mass effect causing limb deformity, mal-alignment, and shortening. Mutations in EXT 1 and 2 genes result in multiple exostoses. The presumptive role of the EXT genes is either tumour suppression or growth plate regulation. The purpose of this study was to determine the relationship between the genotype and phenotype in HME. Ten families were identified with HME. Genotyping was completed by linkage analysis of all families and the EXT 1 or 2 gene was sequenced based on these results. Mutation identification and confirmation was performed. Phenotyping consisting of clinical and radiographic examinations generated 89 features for each subject. Thirty-two affected individuals from 10 families participated. Eight of 10 mutations were identified, confirmed and segregation verified. Six of the mutations were unique and 2 previously had been reported in the literature. Three mutations were in EXT 1 and 5 in EXT 2. Two were missense, 3 nonsense, 2 splice site and 1 frameshift. EXT 1 patients were found to have more exostoses, with a higher percentage of flat and pelvic bone involvement. EXT 1 patients had more mal-alignment and were shorter. Males also had a more severe phenotype and modulated the severity of EXT 1 expression. No other genotypic factors were found to influence phenotype. An established genotype phenotype correlation will aid in patient management in terms of surveillance, determining prognosis and mangement. In conclusion a genotype phenotype correlation exists where EXT 1 is linked to a more severe phenotype. === Surgery, Department of === Medicine, Faculty of === Graduate
author Alvarez, Christine M.
spellingShingle Alvarez, Christine M.
Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia
author_facet Alvarez, Christine M.
author_sort Alvarez, Christine M.
title Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia
title_short Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia
title_full Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia
title_fullStr Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia
title_full_unstemmed Genotype-phenotype correlations in hereditary multiple exostoses in British Columbia
title_sort genotype-phenotype correlations in hereditary multiple exostoses in british columbia
publishDate 2009
url http://hdl.handle.net/2429/14060
work_keys_str_mv AT alvarezchristinem genotypephenotypecorrelationsinhereditarymultipleexostosesinbritishcolumbia
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