Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability

Mutations in multiple genes of the growth hormone/IGF-I axis have been identified in syndromes marked by growth failure. However, no pathogenic human mutations have been reported in the six high-affinity IGF-binding proteins (IGFBPs) or their regulators, such as the met alloproteinase pregnancy-asso...

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Authors: Dauber, Andrew; Muñoz-Calvo, María T.; Barrios, Vicente; Domené, Horacio M.; Kloverpris, Soren; Serra-Juhé, Clara; Desikan, Vardhini; Pozo Román, Jesús; Muzumdar, Radhika; Martos Moreno, Gabriel Ángel; Hawkins, Federico G.; Jasper, Héctor G.; Conover, Cheryl A.; Frystyk, Jan; Yakar, Shoshana; Hwa, Vivian; Chowen, Julie Ann; Oxvig, Claus; Rosenfeld, Ron G.; Pérez-Jurado, Luis A.; Argente Oliver, Jesús
Format: Article
Publication date:2016
Country:España
Institution:Universidad Autónoma de Madrid
Repository:Biblos-e Archivo. Repositorio Institucional de la UAM
Language:English
OAI Identifier:oai:repositorio.uam.es:10486/677926
Online Access:http://hdl.handle.net/10486/677926
https://dx.doi.org/10.15252/emmm.201506106
Access Level:Open access
Keyword:Bone
Delayed growth
Growth hormone
IGF bioavailability
IGF-binding proteins
Medicina
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author Dauber, Andrew
author2 Muñoz-Calvo, María T.
Barrios, Vicente
Domené, Horacio M.
Kloverpris, Soren
Serra-Juhé, Clara
Desikan, Vardhini
Pozo Román, Jesús
Muzumdar, Radhika
Martos Moreno, Gabriel Ángel
Hawkins, Federico G.
Jasper, Héctor G.
Conover, Cheryl A.
Frystyk, Jan
Yakar, Shoshana
Hwa, Vivian
Chowen, Julie Ann
Oxvig, Claus
Rosenfeld, Ron G.
Pérez-Jurado, Luis A.
Argente Oliver, Jesús
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author_browse Argente Oliver, Jesús
Barrios, Vicente
Chowen, Julie Ann
Conover, Cheryl A.
Dauber, Andrew
Desikan, Vardhini
Domené, Horacio M.
Frystyk, Jan
Hawkins, Federico G.
Hwa, Vivian
Jasper, Héctor G.
Kloverpris, Soren
Martos Moreno, Gabriel Ángel
Muzumdar, Radhika
Muñoz-Calvo, María T.
Oxvig, Claus
Pozo Román, Jesús
Pérez-Jurado, Luis A.
Rosenfeld, Ron G.
Serra-Juhé, Clara
Yakar, Shoshana
author_facet Dauber, Andrew
Muñoz-Calvo, María T.
Barrios, Vicente
Domené, Horacio M.
Kloverpris, Soren
Serra-Juhé, Clara
Desikan, Vardhini
Pozo Román, Jesús
Muzumdar, Radhika
Martos Moreno, Gabriel Ángel
Hawkins, Federico G.
Jasper, Héctor G.
Conover, Cheryl A.
Frystyk, Jan
Yakar, Shoshana
Hwa, Vivian
Chowen, Julie Ann
Oxvig, Claus
Rosenfeld, Ron G.
Pérez-Jurado, Luis A.
Argente Oliver, Jesús
author_role author
collection Biblos-e Archivo. Repositorio Institucional de la UAM
description Mutations in multiple genes of the growth hormone/IGF-I axis have been identified in syndromes marked by growth failure. However, no pathogenic human mutations have been reported in the six high-affinity IGF-binding proteins (IGFBPs) or their regulators, such as the met alloproteinase pregnancy-associated plasma protein A2 (PAPP-A2) that is hypothesized to increase IGF-I bioactivity by specific proteolytic cleavage of IGFBP-3 and -5. Multiple members of two unrelated families presented with progressive growth failure, moderate microcephaly, thin long bones, mildly decreased bone density and elevated circulating total IGF-I, IGFBP-3, and -5, acid labile subunit, and IGF-II concentrations. Two different homozygous mutations in PAPPA2, p.D643fs25* and p.Ala1033Val, were associated with this novel syndrome of growth failure. In vitro analysis of IGFBP cleavage demonstrated that both mutations cause a complete absence of PAPP-A2 proteolytic activity. Size-exclusion chromatography showed a significant increase in IGF-I bound in its ternary complex. Free IGF-I concentrations were decreased. These patients provide important insights into the regulation of longitudinal growth in humans, documenting the critical role of PAPP-A2 in releasing IGF-I from its BPs.
eu_rights_str_mv openAccess
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institution Universidad Autónoma de Madrid
instname_str Universidad Autónoma de Madrid
language eng
network_acronym_str ES
network_name_str España
oai_identifier_str oai:repositorio.uam.es:10486/677926
publishDate 2016
publishDateSort 2016
publisher Wiley-Blackwell Publishing Ltd
Wiley - V C H Verlag GmbH & Co. KGaA
publisherStr Wiley - V C H Verlag GmbH & Co. KGaA
Wiley-Blackwell Publishing Ltd
reponame_str Biblos-e Archivo. Repositorio Institucional de la UAM
spelling Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability Dauber, Andrew Muñoz-Calvo, María T. Barrios, Vicente Domené, Horacio M. Kloverpris, Soren Serra-Juhé, Clara Desikan, Vardhini Pozo Román, Jesús Muzumdar, Radhika Martos Moreno, Gabriel Ángel Hawkins, Federico G. Jasper, Héctor G. Conover, Cheryl A. Frystyk, Jan Yakar, Shoshana Hwa, Vivian Chowen, Julie Ann Oxvig, Claus Rosenfeld, Ron G. Pérez-Jurado, Luis A. Argente Oliver, Jesús Bone Delayed growth Growth hormone IGF bioavailability IGF-binding proteins Medicina Mutations in multiple genes of the growth hormone/IGF-I axis have been identified in syndromes marked by growth failure. However, no pathogenic human mutations have been reported in the six high-affinity IGF-binding proteins (IGFBPs) or their regulators, such as the met alloproteinase pregnancy-associated plasma protein A2 (PAPP-A2) that is hypothesized to increase IGF-I bioactivity by specific proteolytic cleavage of IGFBP-3 and -5. Multiple members of two unrelated families presented with progressive growth failure, moderate microcephaly, thin long bones, mildly decreased bone density and elevated circulating total IGF-I, IGFBP-3, and -5, acid labile subunit, and IGF-II concentrations. Two different homozygous mutations in PAPPA2, p.D643fs25* and p.Ala1033Val, were associated with this novel syndrome of growth failure. In vitro analysis of IGFBP cleavage demonstrated that both mutations cause a complete absence of PAPP-A2 proteolytic activity. Size-exclusion chromatography showed a significant increase in IGF-I bound in its ternary complex. Free IGF-I concentrations were decreased. These patients provide important insights into the regulation of longitudinal growth in humans, documenting the critical role of PAPP-A2 in releasing IGF-I from its BPs. Research reported in this publication was supported by Fondos de Investigación Sanitaria and fondos FEDER (Grants PI100747 and PI1302195 to JA, PI1302481 to LAPJ), Ministerio de Ciencia e Innovación (Grants BFU2011–27492 and BFU2014-51836-C2-2-R to JAC), Centro de Investigación Biomédica en Red Fisiopatología de Obesidad y Nutrición (CIBEROBN), Instituto de Salud Carlos III (JA), Fundación Endocrinología y Nutrición (JA), the Catalan Government (2014SGR1468 and ICREA Acadèmica to LAPJ), the Eunice Kennedy Shriver National Institute of Child Health & Human Development of the National Institutes of Health (Award Number K23HD07335 to AD), The Danish Council for Independent Research (FNU), and the Novo Nordisk Foundation (CO). A CIBER for Rare Diseases (CIBERER) fellowship supported CSJ Wiley-Blackwell Publishing Ltd Wiley - V C H Verlag GmbH & Co. KGaA http://hdl.handle.net/10486/677926 https://dx.doi.org/10.15252/emmm.201506106
spellingShingle Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
Dauber, Andrew
Bone
Delayed growth
Growth hormone
IGF bioavailability
IGF-binding proteins
Medicina
title Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
title_full Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
title_fullStr Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
title_full_unstemmed Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
title_short Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
title_sort Mutations in pregnancy-associated plasma protein A2 cause short stature due to low IGF-I availability
topic Bone
Delayed growth
Growth hormone
IGF bioavailability
IGF-binding proteins
Medicina
topic_facet Bone
Delayed growth
Growth hormone
IGF bioavailability
IGF-binding proteins
Medicina
url http://hdl.handle.net/10486/677926
https://dx.doi.org/10.15252/emmm.201506106