Paediatria Croatica, Vol. 61 No. 3, 2017.
Review article
https://doi.org/10.13112/PC.2017.21
Molecular genetics analysis of osteogenesis imperfecta in clinical practice
Annika Stubbe
; Bioglobe GmBH
Dragan Primorac
Wolfgang Hoppner
Abstract
Osteogenesis imperfecta (OI) is characterized by fractures with minimal or absent trauma, representing a continuum ranging from
perinatal lethality through individuals with severe skeletal deformities to nearly asymptomatic individuals with mild predisposition
to fractures. Diagnosis of OI is an interdisciplinary task based on family and/or patient history of fractures combined with characteristic
physical fi ndings. Radiographic examination reveals fractures of varying ages and stages of healing, wormian bones, and osteopenia.
As there is no defi nitive test for OI, molecular genetic testing by next generation sequencing (NGS) of COL1A1 and COL1A2 and
up to 12 other genes is essential to confi rm the genetic background. Therefore, we designed a NGS gene panel comprising 12 genes
involved in OI or severe osteoporosis. Here we report results in a cohort of 11 apparently sporadic young patients with OI, all off spring
of unaff ected parents, who were referred to orthopaedic surgery at Sv. Katarina Special Hospital (Zabok/Zagreb, Croatia). Ten
of these 11 patients could be classifi ed genetically. Overall, three genes with diff erent percent relating to the whole cohort were
involved: COL1A1 (63.6%), COL1A2 (18.18%) and WNT1 (9.09%).
Keywords
osteogenesis imperfecta; molecular genetics - analysis
Hrčak ID:
201170
URI
Publication date:
25.9.2017.
Visits: 2.153 *