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Science 30 August 1996:
Vol. 273. no. 5279, pp. 1236 - 1238
DOI: 10.1126/science.273.5279.1236

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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