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Science 30 August 1996: Vol. 273. no. 5279, pp. 1236 - 1238 DOI: 10.1126/science.273.5279.1236
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Reports
Pycnodysostosis, a Lysosomal Disease Caused by Cathepsin K
Deficiency
Bruce D. Gelb,
*
Guo-Ping Shi,
Harold A. Chapman,
Robert J. Desnick
Pycnodysostosis, an autosomal recessive osteochondrodysplasia
characterized by osteosclerosis and short stature, maps to chromosome
1q21. Cathepsin K, a cysteine protease gene that is highly expressed in
osteoclasts, localized to the pycnodysostosis region. Nonsense,
missense, and stop codon mutations in the gene encoding cathepsin K
were identified in patients. Transient expression of complementary DNA
containing the stop codon mutation resulted in messenger RNA but no
immunologically detectable protein. Thus, pycnodysostosis results from
gene defects in a lysosomal protease with highest expression in
osteoclasts. These findings suggest that cathepsin K is a major
protease in bone resorption, providing a possible rationale for the
treatment of disorders such as osteoporosis and certain forms of
arthritis.
B. D. Gelb and R. J. Desnick, Department of Human Genetics and
Division of Pediatric Cardiology, Mount Sinai School of Medicine, New
York, NY 10029, USA.
G.-P. Shi and H. A. Chapman, Department of Medicine, Brigham and
Women's Hospital and Harvard Medical School, Boston, MA 02115, USA
*
To whom correspondence should be addressed at Department of Human
Genetics, Mount Sinai School of Medicine, Box 1203, One Gustave L. Levy
Place, New York, NY 10029, USA. E-mail: gelb{at}msvax.mssm.edu
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