Abstract |
Classic Ehlers-Danlos syndrome (EDS) is a heritable connective tissue disease characterized by skin hyperextensibility, atrophic scarring, joint hypermobility and generalized tissue fragility. Mutations in COL5A1 and COL5A2, encoding the type V collagen proalpha1- and proalpha2-chain, are found in approximately 50% of patients with classic EDS. The majority of mutations lead to a non-functional COL5A1 allele, as a result of the introduction of a premature stopcodon in one COL5A1 transcript. A minority of mutations affect the structure of the type V collagen central helical domain. We show that mutations in the signal peptide (SP) domain of the preproá1(V)-collagen chain cause classic EDS. The missense mutations (p.L25R and p.L25P) are located in the crucial hydrophobic SP core, which is indispensible for preprotein translocation into the endoplasmic reticulum. As a result, mutant type V procollagen is retained within the cell, leading to a decreased amount of type V collagen in the extracellular matrix and disturbed collagen fibrillogenesis. Our findings further support the observation that decreased availability of type V (pro) collagen is a key factor and a shared mechanism in the pathogenesis of classic EDS.
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Authors | Sofie Symoens, Fransiska Malfait, Marjolijn Renard, Josette André, Ingrid Hausser, Bart Loeys, Paul Coucke, Anne De Paepe |
Journal | Human mutation
(Hum Mutat)
Vol. 30
Issue 2
Pg. E395-403
(Feb 2009)
ISSN: 1098-1004 [Electronic] United States |
PMID | 18972565
(Publication Type: Case Reports, Journal Article, Research Support, Non-U.S. Gov't)
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Copyright | (c) 2008 Wiley-Liss, Inc. |
Chemical References |
- COL5A1 protein, human
- Collagen Type V
- Fibrillar Collagens
- Mutant Proteins
- Protein Sorting Signals
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Topics |
- Adult
- Amino Acid Sequence
- Base Sequence
- Cell Line
- Child
- Child, Preschool
- Collagen Type V
(chemistry, genetics, metabolism)
- DNA Mutational Analysis
- Ehlers-Danlos Syndrome
(genetics)
- Female
- Fibrillar Collagens
(ultrastructure)
- Heterozygote
- Humans
- Immunoblotting
- Infant
- Infant, Newborn
- Male
- Molecular Sequence Data
- Mutant Proteins
(metabolism)
- Mutation
(genetics)
- Plasmids
(genetics)
- Protein Sorting Signals
(genetics)
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