The role of cathepsin C in Papillon-Lefèvre syndrome, prepubertal periodontitis, and aggressive periodontitis

We have previously reported that loss‐of‐function mutations in the cathepsin C gene (CTSC) result in Papillon‐Lefèvre syndrome, an autosomal recessive condition characterized by palmoplantar keratosis and early‐onset, severe periodontitis. Others have also reported CTSC mutations in patients with se...

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Veröffentlicht in:Human mutation 2004-03, Vol.23 (3), p.222-228
Hauptverfasser: Hewitt, Chelsee, McCormick, Derek, Linden, Gerry, Turk, Dusan, Stern, Igor, Wallace, Ian, Southern, Louise, Zhang, Liqun, Howard, Rebecca, Bullon, Pedro, Wong, Melanie, Widmer, Richard, Gaffar, Khaled Abdul, Awawdeh, Lama, Briggs, Jim, Yaghmai, Reza, Jabs, Ethlin W., Hoeger, Peter, Bleck, Oliver, Rüdiger, Stefan G., Petersilka, Gregor, Battino, Maurizio, Brett, Peter, Hattab, Faiez, Al-Hamed, Mohamed, Sloan, Philip, Toomes, Carmel, Dixon, Mike, James, Jacqueline, Read, Andrew P., Thakker, Nalin
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container_issue 3
container_start_page 222
container_title Human mutation
container_volume 23
creator Hewitt, Chelsee
McCormick, Derek
Linden, Gerry
Turk, Dusan
Stern, Igor
Wallace, Ian
Southern, Louise
Zhang, Liqun
Howard, Rebecca
Bullon, Pedro
Wong, Melanie
Widmer, Richard
Gaffar, Khaled Abdul
Awawdeh, Lama
Briggs, Jim
Yaghmai, Reza
Jabs, Ethlin W.
Hoeger, Peter
Bleck, Oliver
Rüdiger, Stefan G.
Petersilka, Gregor
Battino, Maurizio
Brett, Peter
Hattab, Faiez
Al-Hamed, Mohamed
Sloan, Philip
Toomes, Carmel
Dixon, Mike
James, Jacqueline
Read, Andrew P.
Thakker, Nalin
description We have previously reported that loss‐of‐function mutations in the cathepsin C gene (CTSC) result in Papillon‐Lefèvre syndrome, an autosomal recessive condition characterized by palmoplantar keratosis and early‐onset, severe periodontitis. Others have also reported CTSC mutations in patients with severe prepubertal periodontitis, but without any skin manifestations. The possible role of CTSC variants in more common types of non‐mendelian, early‐onset, severe periodontitis (“aggressive periodontitis”) has not been investigated. In this study, we have investigated the role of CTSC in all three conditions. We demonstrate that PLS is genetically homogeneous and the mutation spectrum that includes three novel mutations (c.386T>A/p.V129E, c.935A>G/p.Q312R, and c.1235A>G/p.Y412C) in 21 PLS families (including eight from our previous study) provides an insight into structure–function relationships of CTSC. Our data also suggest that a complete loss‐of‐function appears to be necessary for the manifestation of the phenotype, making it unlikely that weak CTSC mutations are a cause of aggressive periodontitis. This was confirmed by analyses of the CTSC activity in 30 subjects with aggressive periodontitis and age–sex matched controls, which demonstrated that there was no significant difference between these two groups (1,728.7 ± SD 576.8 μ moles/mg/min vs. 1,678.7 ± SD 527.2 μ moles/mg/min, respectively, p = 0.73). CTSC mutations were detected in only one of two families with prepubertal periodontitis; these did not form a separate functional class with respect to those observed in classical PLS. The affected individuals in the other prepubertal periodontitis family not only lacked CTSC mutations, but in addition did not share the haplotypes at the CTSC locus. These data suggest that prepubertal periodontitis is a genetically heterogeneous disease that, in some families, just represents a partially penetrant PLS. Hum Mutat 23:222–228, 2004. © 2004 Wiley‐Liss, Inc.
doi_str_mv 10.1002/humu.10314
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Others have also reported CTSC mutations in patients with severe prepubertal periodontitis, but without any skin manifestations. The possible role of CTSC variants in more common types of non‐mendelian, early‐onset, severe periodontitis (“aggressive periodontitis”) has not been investigated. In this study, we have investigated the role of CTSC in all three conditions. We demonstrate that PLS is genetically homogeneous and the mutation spectrum that includes three novel mutations (c.386T&gt;A/p.V129E, c.935A&gt;G/p.Q312R, and c.1235A&gt;G/p.Y412C) in 21 PLS families (including eight from our previous study) provides an insight into structure–function relationships of CTSC. Our data also suggest that a complete loss‐of‐function appears to be necessary for the manifestation of the phenotype, making it unlikely that weak CTSC mutations are a cause of aggressive periodontitis. This was confirmed by analyses of the CTSC activity in 30 subjects with aggressive periodontitis and age–sex matched controls, which demonstrated that there was no significant difference between these two groups (1,728.7 ± SD 576.8 μ moles/mg/min vs. 1,678.7 ± SD 527.2 μ moles/mg/min, respectively, p = 0.73). CTSC mutations were detected in only one of two families with prepubertal periodontitis; these did not form a separate functional class with respect to those observed in classical PLS. The affected individuals in the other prepubertal periodontitis family not only lacked CTSC mutations, but in addition did not share the haplotypes at the CTSC locus. These data suggest that prepubertal periodontitis is a genetically heterogeneous disease that, in some families, just represents a partially penetrant PLS. 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Mutat</addtitle><description>We have previously reported that loss‐of‐function mutations in the cathepsin C gene (CTSC) result in Papillon‐Lefèvre syndrome, an autosomal recessive condition characterized by palmoplantar keratosis and early‐onset, severe periodontitis. Others have also reported CTSC mutations in patients with severe prepubertal periodontitis, but without any skin manifestations. The possible role of CTSC variants in more common types of non‐mendelian, early‐onset, severe periodontitis (“aggressive periodontitis”) has not been investigated. In this study, we have investigated the role of CTSC in all three conditions. We demonstrate that PLS is genetically homogeneous and the mutation spectrum that includes three novel mutations (c.386T&gt;A/p.V129E, c.935A&gt;G/p.Q312R, and c.1235A&gt;G/p.Y412C) in 21 PLS families (including eight from our previous study) provides an insight into structure–function relationships of CTSC. Our data also suggest that a complete loss‐of‐function appears to be necessary for the manifestation of the phenotype, making it unlikely that weak CTSC mutations are a cause of aggressive periodontitis. This was confirmed by analyses of the CTSC activity in 30 subjects with aggressive periodontitis and age–sex matched controls, which demonstrated that there was no significant difference between these two groups (1,728.7 ± SD 576.8 μ moles/mg/min vs. 1,678.7 ± SD 527.2 μ moles/mg/min, respectively, p = 0.73). CTSC mutations were detected in only one of two families with prepubertal periodontitis; these did not form a separate functional class with respect to those observed in classical PLS. The affected individuals in the other prepubertal periodontitis family not only lacked CTSC mutations, but in addition did not share the haplotypes at the CTSC locus. These data suggest that prepubertal periodontitis is a genetically heterogeneous disease that, in some families, just represents a partially penetrant PLS. Hum Mutat 23:222–228, 2004. © 2004 Wiley‐Liss, Inc.</description><subject>Adult</subject><subject>Aggressive Periodontitis - genetics</subject><subject>cathepsin C</subject><subject>Cathepsin C - genetics</subject><subject>Cathepsin C - physiology</subject><subject>CTSC</subject><subject>DNA Mutational Analysis - methods</subject><subject>Female</subject><subject>Genetic Markers - genetics</subject><subject>Genotype</subject><subject>Haplotypes - genetics</subject><subject>Humans</subject><subject>Male</subject><subject>Models, Molecular</subject><subject>Mutation, Missense - genetics</subject><subject>Papillon-Lefevre Disease - genetics</subject><subject>Papillon-Lefèvre syndrome</subject><subject>Pedigree</subject><subject>periodontitis</subject><subject>Periodontitis - genetics</subject><subject>PLS</subject><subject>Point Mutation - genetics</subject><subject>Polymorphism, Genetic - genetics</subject><subject>Protein Structure, Tertiary - genetics</subject><issn>1059-7794</issn><issn>1098-1004</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkc1u1DAUhS0EoqWw4QGQxYJVA9d_tbOEEZ1STYFFR11aTnzTcUniYCeFeSPegxcj0ykg2NhHPt-5uvIh5DmD1wyAv9lM3TQrweQDcsigNMX8LB_utCoLrUt5QJ7kfAMARinxmBwwWWoJBg5Jf7lBmmKLNDa0duMGhxx6uqDz8dkNoW1jX6yw-fnjNiHN296n2OExHRIOU4VpdC0dMIXoYz-GMeRj6npP3fV1wpzDLf7rPiWPGtdmfHZ_H5H16fvLxVmx-rT8sHi7KmqpSllUnhteSlUBVN47DhVXAEKpupZGc1GxqlJguFCmBOURlWTcndTYuLr2ohFH5NV-7pDi1wnzaLuQa2xb12OcsjXANOdQzuDL_8CbOKV-3s2yUnOttDIz9OIemqoOvR1S6Fza2t_fOANsD3wLLW7_-mB3BdldQfauIHu2vljfqTlT7DMhj_j9T8alL_ZEC63s1celFReny6t36tyei1_ThZP_</recordid><startdate>200403</startdate><enddate>200403</enddate><creator>Hewitt, Chelsee</creator><creator>McCormick, Derek</creator><creator>Linden, Gerry</creator><creator>Turk, Dusan</creator><creator>Stern, Igor</creator><creator>Wallace, Ian</creator><creator>Southern, Louise</creator><creator>Zhang, Liqun</creator><creator>Howard, Rebecca</creator><creator>Bullon, Pedro</creator><creator>Wong, Melanie</creator><creator>Widmer, Richard</creator><creator>Gaffar, Khaled Abdul</creator><creator>Awawdeh, Lama</creator><creator>Briggs, Jim</creator><creator>Yaghmai, Reza</creator><creator>Jabs, Ethlin W.</creator><creator>Hoeger, Peter</creator><creator>Bleck, Oliver</creator><creator>Rüdiger, Stefan G.</creator><creator>Petersilka, Gregor</creator><creator>Battino, Maurizio</creator><creator>Brett, Peter</creator><creator>Hattab, Faiez</creator><creator>Al-Hamed, Mohamed</creator><creator>Sloan, Philip</creator><creator>Toomes, Carmel</creator><creator>Dixon, Mike</creator><creator>James, Jacqueline</creator><creator>Read, Andrew P.</creator><creator>Thakker, Nalin</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Hindawi Limited</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>3V.</scope><scope>7QP</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>P64</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>RC3</scope><scope>7X8</scope></search><sort><creationdate>200403</creationdate><title>The role of cathepsin C in Papillon-Lefèvre syndrome, prepubertal periodontitis, and aggressive periodontitis</title><author>Hewitt, Chelsee ; McCormick, Derek ; Linden, Gerry ; Turk, Dusan ; Stern, Igor ; Wallace, Ian ; Southern, Louise ; Zhang, Liqun ; Howard, Rebecca ; Bullon, Pedro ; Wong, Melanie ; Widmer, Richard ; Gaffar, Khaled Abdul ; Awawdeh, Lama ; Briggs, Jim ; Yaghmai, Reza ; Jabs, Ethlin W. ; Hoeger, Peter ; Bleck, Oliver ; Rüdiger, Stefan G. ; Petersilka, Gregor ; Battino, Maurizio ; Brett, Peter ; Hattab, Faiez ; Al-Hamed, Mohamed ; Sloan, Philip ; Toomes, Carmel ; Dixon, Mike ; James, Jacqueline ; Read, Andrew P. ; Thakker, Nalin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4594-bd282945b00bdda20b2500355cc48723b1bb5082358905dee5412a6cefaccd3f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Aggressive Periodontitis - genetics</topic><topic>cathepsin C</topic><topic>Cathepsin C - genetics</topic><topic>Cathepsin C - physiology</topic><topic>CTSC</topic><topic>DNA Mutational Analysis - methods</topic><topic>Female</topic><topic>Genetic Markers - genetics</topic><topic>Genotype</topic><topic>Haplotypes - genetics</topic><topic>Humans</topic><topic>Male</topic><topic>Models, Molecular</topic><topic>Mutation, Missense - genetics</topic><topic>Papillon-Lefevre Disease - genetics</topic><topic>Papillon-Lefèvre syndrome</topic><topic>Pedigree</topic><topic>periodontitis</topic><topic>Periodontitis - genetics</topic><topic>PLS</topic><topic>Point Mutation - genetics</topic><topic>Polymorphism, Genetic - genetics</topic><topic>Protein Structure, Tertiary - genetics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hewitt, Chelsee</creatorcontrib><creatorcontrib>McCormick, Derek</creatorcontrib><creatorcontrib>Linden, Gerry</creatorcontrib><creatorcontrib>Turk, Dusan</creatorcontrib><creatorcontrib>Stern, Igor</creatorcontrib><creatorcontrib>Wallace, Ian</creatorcontrib><creatorcontrib>Southern, Louise</creatorcontrib><creatorcontrib>Zhang, Liqun</creatorcontrib><creatorcontrib>Howard, Rebecca</creatorcontrib><creatorcontrib>Bullon, Pedro</creatorcontrib><creatorcontrib>Wong, Melanie</creatorcontrib><creatorcontrib>Widmer, Richard</creatorcontrib><creatorcontrib>Gaffar, Khaled Abdul</creatorcontrib><creatorcontrib>Awawdeh, Lama</creatorcontrib><creatorcontrib>Briggs, Jim</creatorcontrib><creatorcontrib>Yaghmai, Reza</creatorcontrib><creatorcontrib>Jabs, Ethlin W.</creatorcontrib><creatorcontrib>Hoeger, Peter</creatorcontrib><creatorcontrib>Bleck, Oliver</creatorcontrib><creatorcontrib>Rüdiger, Stefan G.</creatorcontrib><creatorcontrib>Petersilka, Gregor</creatorcontrib><creatorcontrib>Battino, Maurizio</creatorcontrib><creatorcontrib>Brett, Peter</creatorcontrib><creatorcontrib>Hattab, Faiez</creatorcontrib><creatorcontrib>Al-Hamed, Mohamed</creatorcontrib><creatorcontrib>Sloan, Philip</creatorcontrib><creatorcontrib>Toomes, Carmel</creatorcontrib><creatorcontrib>Dixon, Mike</creatorcontrib><creatorcontrib>James, Jacqueline</creatorcontrib><creatorcontrib>Read, Andrew P.</creatorcontrib><creatorcontrib>Thakker, Nalin</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium &amp; 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Mutat</addtitle><date>2004-03</date><risdate>2004</risdate><volume>23</volume><issue>3</issue><spage>222</spage><epage>228</epage><pages>222-228</pages><issn>1059-7794</issn><eissn>1098-1004</eissn><abstract>We have previously reported that loss‐of‐function mutations in the cathepsin C gene (CTSC) result in Papillon‐Lefèvre syndrome, an autosomal recessive condition characterized by palmoplantar keratosis and early‐onset, severe periodontitis. Others have also reported CTSC mutations in patients with severe prepubertal periodontitis, but without any skin manifestations. The possible role of CTSC variants in more common types of non‐mendelian, early‐onset, severe periodontitis (“aggressive periodontitis”) has not been investigated. In this study, we have investigated the role of CTSC in all three conditions. We demonstrate that PLS is genetically homogeneous and the mutation spectrum that includes three novel mutations (c.386T&gt;A/p.V129E, c.935A&gt;G/p.Q312R, and c.1235A&gt;G/p.Y412C) in 21 PLS families (including eight from our previous study) provides an insight into structure–function relationships of CTSC. Our data also suggest that a complete loss‐of‐function appears to be necessary for the manifestation of the phenotype, making it unlikely that weak CTSC mutations are a cause of aggressive periodontitis. This was confirmed by analyses of the CTSC activity in 30 subjects with aggressive periodontitis and age–sex matched controls, which demonstrated that there was no significant difference between these two groups (1,728.7 ± SD 576.8 μ moles/mg/min vs. 1,678.7 ± SD 527.2 μ moles/mg/min, respectively, p = 0.73). CTSC mutations were detected in only one of two families with prepubertal periodontitis; these did not form a separate functional class with respect to those observed in classical PLS. The affected individuals in the other prepubertal periodontitis family not only lacked CTSC mutations, but in addition did not share the haplotypes at the CTSC locus. These data suggest that prepubertal periodontitis is a genetically heterogeneous disease that, in some families, just represents a partially penetrant PLS. Hum Mutat 23:222–228, 2004. © 2004 Wiley‐Liss, Inc.</abstract><cop>Hoboken</cop><pub>Wiley Subscription Services, Inc., A Wiley Company</pub><pmid>14974080</pmid><doi>10.1002/humu.10314</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adult
Aggressive Periodontitis - genetics
cathepsin C
Cathepsin C - genetics
Cathepsin C - physiology
CTSC
DNA Mutational Analysis - methods
Female
Genetic Markers - genetics
Genotype
Haplotypes - genetics
Humans
Male
Models, Molecular
Mutation, Missense - genetics
Papillon-Lefevre Disease - genetics
Papillon-Lefèvre syndrome
Pedigree
periodontitis
Periodontitis - genetics
PLS
Point Mutation - genetics
Polymorphism, Genetic - genetics
Protein Structure, Tertiary - genetics
title The role of cathepsin C in Papillon-Lefèvre syndrome, prepubertal periodontitis, and aggressive periodontitis
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