Exome sequencing reveals FAM20c mutations associated with fibroblast growth factor 23–related hypophosphatemia, dental anomalies, and ectopic calcification

ABSTRACT Fibroblast growth factor 23 (FGF23) plays a crucial role in renal phosphate regulation, exemplified by the causal role of PHEX and DMP1 mutations in X‐linked hypophosphatemic rickets and autosomal recessive rickets type 1, respectively. Using whole exome sequencing we identified compound he...

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Veröffentlicht in:Journal of bone and mineral research 2013-06, Vol.28 (6), p.1378-1385
Hauptverfasser: Rafaelsen, Silje Hjorth, Ræder, Helge, Fagerheim, Anne Kristine, Knappskog, Per, Carpenter, Thomas O, Johansson, Stefan, Bjerknes, Robert
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container_end_page 1385
container_issue 6
container_start_page 1378
container_title Journal of bone and mineral research
container_volume 28
creator Rafaelsen, Silje Hjorth
Ræder, Helge
Fagerheim, Anne Kristine
Knappskog, Per
Carpenter, Thomas O
Johansson, Stefan
Bjerknes, Robert
description ABSTRACT Fibroblast growth factor 23 (FGF23) plays a crucial role in renal phosphate regulation, exemplified by the causal role of PHEX and DMP1 mutations in X‐linked hypophosphatemic rickets and autosomal recessive rickets type 1, respectively. Using whole exome sequencing we identified compound heterozygous mutations in family with sequence similarity 20, member C (FAM20C) in two siblings referred for hypophosphatemia and severe dental demineralization disease. FAM20C mutations were not found in other undiagnosed probands of a national Norwegian population of familial hypophosphatemia. Our results demonstrate that mutations in FAM20C provide a putative new mechanism in human subjects leading to dysregulated FGF23 levels, hypophosphatemia, hyperphosphaturia, dental anomalies, intracerebral calcifications and osteosclerosis of the long bones in the absence of rickets.
doi_str_mv 10.1002/jbmr.1850
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Using whole exome sequencing we identified compound heterozygous mutations in family with sequence similarity 20, member C (FAM20C) in two siblings referred for hypophosphatemia and severe dental demineralization disease. FAM20C mutations were not found in other undiagnosed probands of a national Norwegian population of familial hypophosphatemia. 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subjects Adolescent
Adult
Calcinosis - genetics
Calcinosis - metabolism
Calcinosis - pathology
Casein Kinase I
Cellular biology
DNA Mutational Analysis
Exome
EXOME SEQUENCING
Extracellular Matrix Proteins - genetics
Extracellular Matrix Proteins - metabolism
FAM20C
FAMILIAL HYPOPHOSPHATEMIA
Female
FGF23
Fibroblast Growth Factors - genetics
Fibroblast Growth Factors - metabolism
Humans
Hypophosphatemia, Familial - genetics
Hypophosphatemia, Familial - metabolism
Hypophosphatemia, Familial - pathology
Male
Medical research
Mutation
Norway
Osteosclerosis - genetics
Osteosclerosis - metabolism
Osteosclerosis - pathology
RAINE SYNDROME
Tooth Abnormalities - genetics
Tooth Abnormalities - metabolism
Tooth Abnormalities - pathology
title Exome sequencing reveals FAM20c mutations associated with fibroblast growth factor 23–related hypophosphatemia, dental anomalies, and ectopic calcification
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