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A recurrent mutation in the BMP type I receptor ACVR1 causes inherited and sporadic fibrodysplasia ossificans progressiva
Authors:Shore Eileen M  Xu Meiqi  Feldman George J  Fenstermacher David A  Cho Tae-Joon  Choi In Ho  Connor J Michael  Delai Patricia  Glaser David L  LeMerrer Martine  Morhart Rolf  Rogers John G  Smith Roger  Triffitt James T  Urtizberea J Andoni  Zasloff Michael  Brown Matthew A  Kaplan Frederick S
Institution:Center for Research in FOP and Related Disorders, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. shore@mail.med.upenn.edu
Abstract:Fibrodysplasia ossificans progressiva (FOP) is a rare autosomal dominant disorder of skeletal malformations and progressive extraskeletal ossification. We mapped FOP to chromosome 2q23-24 by linkage analysis and identified an identical heterozygous mutation (617G --> A; R206H) in the glycine-serine (GS) activation domain of ACVR1, a BMP type I receptor, in all affected individuals examined. Protein modeling predicts destabilization of the GS domain, consistent with constitutive activation of ACVR1 as the underlying cause of the ectopic chondrogenesis, osteogenesis and joint fusions seen in FOP.
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