Evidence map›Paper›PMID 29578045›Full record

ArticleOsteoarthritis and cartilage2018

Mutations in osteoprotegerin account for the CCAL1 locus in calcium pyrophosphate deposition disease.

C J Williams, U Qazi, M Bernstein, A Charniak, C Gohr, E Mitton-Fitzgerald, A Ortiz, L Cardinal, A T Kaell, A K Rosenthal

Open access · bronzeAbstract read
In one paragraph

Article in Osteoarthritis and cartilage, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.0field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 33 citations in OpenAlex.

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  11. "Lessons from Rare Forms of Osteoarthritis".Calcified tissue international · 2021
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. BONE MARKERS IN ARTHROPATHIES.Acta clinica Croatica · 2019
    Review
  17. Review
  18. Calcium crystal deposition diseases - beyond gout.Nature reviews. Rheumatology · 2018
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

C J WilliamsCooper Medical School of Rowan University, Camden, NJ, United States.
U QaziJohn T Mather Memorial Hospital-SUNY Stony Brook, Port Jefferson, NY, United States.
M BernsteinJohn T Mather Memorial Hospital-SUNY Stony Brook, Port Jefferson, NY, United States.
A CharniakJohn T Mather Memorial Hospital-SUNY Stony Brook, Port Jefferson, NY, United States.
C GohrMedical College of Wisconsin and the Zablocki VA Medical Center, Milwaukee, WI, United States.
E Mitton-FitzgeraldMedical College of Wisconsin and the Zablocki VA Medical Center, Milwaukee, WI, United States.
A OrtizCooper Medical School of Rowan University, Camden, NJ, United States.
L CardinalJohn T Mather Memorial Hospital-SUNY Stony Brook, Port Jefferson, NY, United States.
A T KaellJohn T Mather Memorial Hospital-SUNY Stony Brook, Port Jefferson, NY, United States.
A K RosenthalMedical College of Wisconsin and the Zablocki VA Medical Center, Milwaukee, WI, United States. Electronic address: arosenthal@mcw.edu.
John T. Mather Memorial Hospital · USMedical College of Wisconsin · USCooper Medical School of Rowan University · US

Funding

ANK-dependent ATP efflux causes calcium pyrophosphate deposition in cartilageI01CX001143 · VA · CLEMENT J. ZABLOCKI VA MEDICAL CENTER · PI ROSENTHAL, ANN K · 2015 to 2018
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CSRD VA I01 CX001143
6 · The paper itself

Abstract

objectiveMutations on chromosomes 5p (CCAL2) and 8q (CCAL1) have been linked to familial forms of calcium pyrophosphate deposition disease (CPDD). Mutations in the ANKH gene account for CCAL2, but the identity of CCAL1 has been elusive. Recently, a single Dutch kindred with a mutation in the Tumor Necrosis Factor Receptor Super Family member 11B (TNFRSF11B) gene coding for osteoprotegerin (OPG) was described as a gain-of-function mutation. Affected family members had premature generalized osteoarthritis (PGOA) and CPDD. As the TNFRSF11B gene is on 8q, we sought additional evidence that TNFRSF11B was CCAL1, and investigated potential disease mechanisms.

designDNA from two novel PGOA/CPDD families was screened for sequence variants in the TNFRSF11B gene. Mutations were verified by genotype analysis of affected and unaffected family members. We also investigated effects of normal and mutant OPG on regulators of CPP crystal formation in porcine cartilage.

resultsThe identical TNFRSF11B mutation described in the Dutch family was present in two novel PGOA/CPDD families. ANKH was normal in affected patient fibroblasts. Exogenous OPG did not alter ANKH mRNA or protein levels, affect translocation of ANKH to the membrane, nor increase [pyrophosphate (PPi)] or other key regulators of CPDD.

conclusionWe have firmly established the identity of CCAL1 as TNFRSF11B (OPG). Our findings suggest that this mutation produces disease in an ANKH-independent manner via novel mechanisms not primarily targeting cartilage. This work rationalizes further investigation of OPG pathway components as potential druggable targets for CPDD.

Indexed as

MutationAdultChondrocalcinosisHumansOsteoprotegerinPedigreeOsteoprotegerinTNFRSF11B protein, humanCalcium pyrophosphate depositionOsteoarthritisOsteoprotegerin

Identifiers

PMID29578045
PMCPMC6293976
OpenAlexW2791345411

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Read underepoch 390

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.