1. Acromelic dysplasias: how rare musculoskeletal disorders reveal biological functions of extracellular matrix proteins
- Author
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Dirk Hubmacher, Zerina Balic, and Sarah A. Stanley
- Subjects
0301 basic medicine ,Limb Deformities, Congenital ,Dwarfism ,030105 genetics & heredity ,Biology ,Fibrillins ,Article ,General Biochemistry, Genetics and Molecular Biology ,Extracellular matrix ,Biological pathway ,Mice ,03 medical and health sciences ,History and Philosophy of Science ,Transforming Growth Factor beta ,Fibrillin Microfibrils ,Intellectual Disability ,Cryptorchidism ,Animals ,Humans ,Growth Disorders ,Smad4 Protein ,Mice, Knockout ,Bone Diseases, Developmental ,General Neuroscience ,ADAMTS ,Facies ,Musculoskeletal Abnormalities ,Cell biology ,Disease Models, Animal ,Weill-Marchesani Syndrome ,030104 developmental biology ,Microfibrils ,Knockout mouse ,Skin Abnormalities ,Joints ,Hand Deformities, Congenital ,Fibrillin ,Intracellular ,Transforming growth factor - Abstract
Acromelic dysplasias are a group of rare musculoskeletal disorders that collectively present with short stature, pseudomuscular build, stiff joints, and tight skin. Acromelic dysplasias are caused by mutations in genes (FBN1, ADAMTSL2, ADAMTS10, ADAMTS17, LTBP2, and LTBP3) that encode secreted extracellular matrix proteins, and in SMAD4, an intracellular coregulator of transforming growth factor-β (TGF-β) signaling. The shared musculoskeletal presentations in acromelic dysplasias suggest that these proteins cooperate in a biological pathway, but also fulfill distinct roles in specific tissues that are affected in individual disorders of the acromelic dysplasia group. In addition, most of the affected proteins directly interact with fibrillin microfibrils in the extracellular matrix and have been linked to the regulation of TGF-β signaling. Together with recently developed knockout mouse models targeting the affected genes, novel insights into molecular mechanisms of how these proteins regulate musculoskeletal development and homeostasis have emerged. Here, we summarize the current knowledge highlighting pathogenic mechanisms of the different disorders that compose acromelic dysplasias and provide an overview of the emerging biological roles of the individual proteins that are compromised. Finally, we develop a conceptual model of how these proteins may interact and form an "acromelic dysplasia complex" on fibrillin microfibrils in connective tissues of the musculoskeletal system.
- Published
- 2020