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Index
Cover image
Title page
Table of Contents
Copyright
Dedication
Foreword
Acknowledgments
List of Contributors
I: Introduction
Chapter 1. Evolution of the Present Understanding of the Clinical and Genetic Heterogeneity and Molecular and Biochemical Basis of Osteogenesis Imperfecta
Advances in Collagen Protein Biochemistry Led to Identification of the First OI Mutations
Molecular Biology of Collagen Genes and its Relevance to OI Research
A Return to Research in Matrix Biology
Collagen and Molecular Chaperones
Defects in Mineralization
Whole Gene Deletions
Patient and Parent Support Organizations and the Facilitation of Research in OI
Reviews and Doctoral Theses
Pamidronate Modified OI (Less Severe)
Future Research
References
Chapter 2. Clinical and Genetic Classification of Osteogenesis Imperfecta and Epidemiology
Introduction
Clinical and Genetic Classifications of OI
Epidemiology of OI
References
Chapter 3. The Osteogenesis Imperfecta Community and Scientific Research: A Valuable Partnership
OI Foundation History
OI Research is Complicated
The Role of the OI Foundation in Research
A Model that Works
But Wait, There’s More
In Conclusion
II: Bone Biology, Structure and Biochemistry
Chapter 4. Mineralized Tissue: Histology, Biology and Biochemistry
Introduction
Methodology
Normal and OI Mineralization Processes
Conclusions
Acknowledgments
References
Chapter 5. Osteoblast/Osteoclast Development and Function in Osteogenesis Imperfecta
Introduction
Bone Components
Mutations in OI
Consequences
Pathways Leading to Altered Osteoblast Differentiation
References
Chapter 6. The Collagen Folding Machinery: Biosynthesis and Post-Translational Modifications of Collagens
Introduction
Procollagen Biosynthesis
A New Paradigm in OI
Discovery of the P3H1/CRTAP/CypB Complex
Role of the Prolyl 3-Hydroxylase 1 Complex in OI
The Extent of type I Collagen Modification when Complex Components are Altered
Consequences of Overmodified Type I Collagen for Collagen Fibrils
Is OI Due to the Absence of the 3-Hyp?
The Role of Collagen Chaperones in OI
Conclusions
References
Chapter 7. Collagen Structure, Folding and Function
Introduction: Collagen Role in Osteogenesis Imperfecta (OI)
Type I Collagen
Collagen Triple Helix
Procollagen Folding
Procollagen Trafficking
Assembly and Function of Collagen Fibers
Dysregulation of Type I Collagen Homeostasis by Gly Substitutions
Conclusion
Acknowledgment
References
Chapter 8. Bone Matrix Proteoglycans in Skeletal Function
SLRPs
Modular PGs
Cell Surface PGs
Direct Association Between OI and PG
Concluding Remarks
References
III: Clinical and Molecular Genetics of Osteogenesis Imperfecta
Chapter 9. Patterns of Inheritance in Osteogenesis Imperfecta
Introduction to Inheritance Patterns
Autosomal Dominant OI
Autosomal Recessive OI
Perinatal Lethal OI
Genetic Testing and Counseling in OI
References
Chapter 10. Osteogenesis Imperfecta Genotypes and Genotype–Phenotype Relationships
Introduction
Codon and Exon Numbering, Reference Sequences and Database Entries
Deletions Involving one or More Exons
Helical-Region Amino Acid Substitutions
Start Codons, Premature Termination Codons and Frameshifts
Splice-Site Variants
Amino Acid Deletions and Duplications
Intrafamilial Variability
Variant Summary
References
IV: COL1A1 and COL1A2 Mutations
Chapter 11. Structural Consequences of Glycine Missense Mutations in Osteogenesis Imperfecta
Introduction
Overview of OI Gly Missense Mutations
Effect of Gly Missense Mutations on the Collagen Triple-Helix Structure
Collagen Triple-Helix Stability and Gly Missense Mutations
Gly Missense Mutations and Folding of OI Collagens
Overview and Future Direction
References
Chapter 12. Haploinsufficiency for Mutations in Type I Collagen Genes: Mechanisms and Clinical Effects
Introduction
Collagen Protein Structure, Genes and Type of Mutations
Mechanisms of Haploinsufficiency
Nonsense Mediated mRNA Decay
Frequency of Haploinsufficiency Mutations in the Type I Collagen Genes
References
Chapter 13. Sequence Alterations in the Carboxyl-Terminal Propeptide Domain
Introduction
Mutations that Lead to Alterations in the Type I Procollagen C-propeptide Domain
Genotype–Phenotype Correlations
Involvement of ER-Stress and an Unfolded Protein Response
Conclusion
References
Chapter 14. Recessive Osteogenesis Imperfecta Due to Mutations in CRTAP, LEPRE1 and PPIB
Collagen Post-Translational Modifications and the Protein Components of the Prolyl 3-Hydroxylation Complex
Osteogenesis Imperfecta (OI) Patients with Distinguishing Characteristics
Mutations Identified in Lepre1 and Ppib and Patient Clinical Descriptions
Mouse Phenotypes with Mutations in Crtap, Lepre1 and Ppib Genes
Putative Role of Collagen Prolyl 3-Hydroxylation and Pathogenetic Mechanisms of Mutations in these Genes
Conclusion
References
Chapter 15. FKBP10 (FKBP65 Protein), Osteogenesis Imperfecta and Bruck Syndrome
Introduction
FKBP Proteins
FKBP10/FKBP65 (Protein)
FKBP10 (Gene) and OI
Bruck Syndrome (BS)
FKBP10 and Bruck Syndrome (BS)
FKBP and Collagen Crosslinking
References
Chapter 16. SERPINH1 and Osteogenesis Imperfecta
Introduction
HSP47 as a Protein Chaperone
HSP47 Binding to the Collagen Triple Helix
SERPINH1 Mutations and OI
Summary
References
Chapter 17. SERPINF1 as a Cause of Osteogenesis Imperfecta Type VI
Osteogenesis Imperfecta Type VI and SERPINF1
PEDF: Identification, Structure and Function
Conclusion
Acknowledgment
References
Chapter 18. OSX/SP7 Mutations and Osteogenesis Imperfecta
Introduction
The Process of Osteoblast Differentiation and its Relation with Osterix
The SP7 Protein and the Sp7 Gene
OSX Mouse Model
Patients Reported with Mutations in SP7
SP7/Osx Expression and Other Functions
Final Comments
References
Chapter 19. BMP1 Mutations in Autosomal Recessive Osteogenesis Imperfecta
Introduction
BMP1 and its Relation to Collagen ia1 and ia2 Proteins
The BMP1 Protein and the BMP1 Gene
Patients Reported with Mutations in Bmp1
Comparison of Findings in Mutated Patients and Transgenic Animals
Final Comments
References
Chapter 20. Osteogenesis Imperfecta Type V
Molecular Genetic Aspect
Clinical and Radiologic Manifestations
Histopathologic and Laboratory Findings
Therapeutic Interventions
References
V: Animal Models of Osteogenesis Imperfecta
Chapter 21. Animal Models of Osteogenesis Imperfecta
Type I Collagen Gene Defects (Col1a1 and Col1a2)
Prolyl Hydroxylation (CRTAP/P3H1/CypB Complex)
Chaperone: Folding and Secretion into the Matrix
References
VI: Brittle Bone Overlap Phenotypes: TGF-Beta Mutations and Bone
Chapter 22. Transforming Growth Factor Beta and Bone: Lessons Learned from TGFbeta-Related Conditions
Introduction
Normal TGFbeta Signaling Cascade
TGFbeta in Syndromes with Tall Stature and/or Long Bone Overgrowth
TGFbeta in Syndromes with Short Stature
Role of Extracellular Matrix and TGFbeta in Skeletal Growth
References
Chapter 23. Arthrochalasis Type of Ehlers–Danlos Syndrome (EDS Types VIIA and VIIB) and Related Disorders
Introduction
Arthrochalasis Type of EDS: EDS Types VIIA and VIIB
Dermatosparactic Type of EDS (EDS VIIC)
EDS–OI Overlap Syndromes
Locus Heterogeneity
Acknowledgments
References
VII: Clinical Aspects of Osteogenesis Imperfecta
Chapter 24. Changes in Bone Density during Development
Introduction
Methodological Considerations
Determinants of BMD in OI
Bisphosphonate Treatment Effects on Bmd in OI
References
Chapter 25. Bone Histomorphometry
Introduction
The Bone Tissue Level in Classical OI
The Bone Tissue Level in Newer OI Types
Effects of Bisphosphonate Treatment in OI
References
Chapter 26. Osteogenesis Imperfecta and Pregnancy
Introduction
Cardiovascular System
Pulmonary Function
Skeleton
Management of Pregnancy, Labor and Delivery
Prenatal Diagnosis of OI
Ultrasound Diagnosis of OI
References
Chapter 27. Differential Diagnosis of Osteogenesis Imperfecta in Children
Introduction
Differential Diagnosis, by Age
Summary
References
Chapter 28. The Differential Diagnosis of Adult Osteogenesis Imperfecta
Introduction
EDS and Type I OI
Idiopathic Osteoporosis
Marfan’s Syndrome
Joint Hypermobility Syndrome
References
Chapter 29. Growth and Growth Hormone Use in Osteogenesis Imperfecta
Impaired Linear Growth in Osteogenesis Imperfecta (OI)
Action of the Growth Hormone–IGF-1 Axis in Skeletal Growth
Clinical Testing for Growth Hormone and IGF-1
Growth Hormone and IGF-1 Testing in Patients with OI
Growth Hormone Treatment: Current FDA-Approved Indications
Growth Hormone Trials in Skeletal Conditions
Benefits of rGH Treatment in GH-Deficient Patients
Growth Hormone Use in GH-Sufficient Children
Side Effects and Risks of Growth Hormone Treatment
Growth Effects of Bisphosphonate Treatment in OI
Growth Hormone and Combined Growth Hormone/Bisphosphonate Trials in OI
Future Directions
References
VIII: Organ Involvement in Osteogenesis Imperfecta
Chapter 30. Skin in Osteogenesis Imperfecta
Introduction
Normal Structure and Function of Skin
Cutaneous Manifestations of OI
Pathophysiology of Dermatologic Findings in OI
Histopathology of Skin in OI
Differential Diagnosis of Skin Findings in OI
Treatment of Cutaneous Symptoms in OI
Summary and Recommendations
References
Chapter 31. Osteogenesis Imperfecta and the Eye
Basic Eye and Visual System Background
OI and the Eye: an Overview of Eye Findings Related to OI
Survey of Eye Problems in OI Patients from the Kennedy Krieger Institute 2013
General Considerations for OI Patients and Eye Care
Acknowledgment
References
Chapter 32. Hearing Loss in Osteogenesis Imperfecta
Introduction
Temporal Bone Findings
Radiology
Measurement of Hearing
Types of Hearing Loss
Vestibular Dysfunction and OI
Management of Hearing Loss in OI
Bisphosphonates
Conductive Hearing Loss
Bone-Anchored Hearing aids
Implantable Hearing Aids
Sensorineural Hearing Loss and Hearing Aids
Cochlear Implants
Conclusions
References
Chapter 33. Oral-Facial Aspects of Osteogenesis Imperfecta
Introduction
The Dentition in Children with OI
Dentinogenesis Imperfecta (DI) and OI
Bisphosphonates and OI Patients
Concerns about Dental Care in Adults
Craniofacial Features of OI
Conclusion
References
Chapter 34. Cardiovascular Disease in Osteogenesis Imperfecta
Introduction
Heart Valve Disease
Arterial Disease
Myocardial Disease
Pathophysiology of Cardiovascular Disease in OI
Medical Treatment
Surgical Treatment
Summary
References
Chapter 35. Pulmonary Function in Osteogenesis Imperfecta
Introduction
Severity of OI and Lung Disease
Diagnostic Issues in OI Lung Disease
Clinical Patterns of Lung Disease in OI
Follow-Up and Treatment of OI Lung Disease
Review of Recent Literature and the Future of Lung Disease in OI
Conclusions
References
Chapter 36. Osteogenesis Imperfecta and Basilar Invagination
Introduction
Clinical Symptoms
Diagnosis
Treatment
Conclusion
References
Further Reading
Chapter 37. Muscle, Tendon and Ligament in Osteogenesis Imperfecta
Introduction
Muscle
Tendon and Ligament
Conclusion
References
Chapter 38. Osteoarthritis and Other Joint Involvement
Introduction
Osteoarthritis
Preclinical Studies of the Association of OI with OA
Clinical Studies of the Relationship of OI and OA
Other Joint Involvement
References
Chapter 39. Transient Migratory Osteoporosis in Osteogenesis Imperfecta
Introduction
Clinical Features of TMO
The Etiology of TMO
Bone Histology and Clinical Laboratory Tests in TMO
Imaging in Transient Osteoporosis
Differential Diagnosis
Disorders Related to Transient Osteoporosis
Treatment of Transient Osteoporosis
Conclusion
References
Chapter 40. Nutrition in Osteogenesis Imperfecta
Introduction: Common Nutrition Related Problems in OI
Kcalorie and Macronutrient Needs
Micronutrients and OI
Fluid
Special Needs of Infants, Children and Adolescents with OI
Pregnancy and Lactation
Physical Activity
Conclusion
References
Chapter 41. Ethical Implications of Osteogenesis Imperfecta across the Lifespan
Ethical Issues: Lethal Perinatal, Type II OI
Ethical Issues: Severe OI, Pediatric
Ethical Issues: Severe OI, Adult
Summary
References
Chapter 42. Osteogenesis Imperfecta and Non-Accidental Trauma
Brief Historical Review of Child Abuse and the Law
Clinical and Radiologic Manifestations of Non-Accidental Trauma
Clinical and Radiologic Differences Between OI and Non-Accidental Trauma
Differential Diagnosis of the Child with Multiple Fractures
Recommended Evaluation Process for the Child with Suspected Non-Accidental Trauma
Closing Comments
References
IX: Orthopedics
Chapter 43. Scoliosis and Kyphosis in Osteogenesis Imperfecta
Introduction
Craniocervical Junction Abnormalities
Spondylolisthesis and Spondylolysis
Scoliosis and Kyphosis
References
Chapter 44. Spinal Fractures, Spondylolysis and Spondylolysthesis
Introduction
Spine Fractures
Cervical Spine
Spondylolysis and Spondylolisthesis
Treatment
Summary
References
Chapter 45. Implant Considerations in Long Bones in Osteogenesis Imperfecta
Rodding (Tutor Effect)
A Rod. Why not a Plate?
Rodding of OI Bones
Complications of Limb Surgery in OI
Conclusion
References
Chapter 46. Treatment of Fractures and Non-Unions in Children with Osteogenesis Imperfecta
Introduction
Classification Systems
Evaluation and Diagnosis
Role of Medical Management to Reduce Fractures
Closed Treatment of Fractures
The Role of Surgical Management to Decrease Fractures
Non-Union
References
Chapter 47. Pediatric Limb Reconstruction in Osteogenesis Imperfecta
Introduction
Etiology of Deformity
Problems Caused by Limb Deformity
Treatment of Deformity
Combination Medical and Surgical Management
References
Chapter 48. Adult Limb Deformity Reconstruction in Osteogenesis Imperfecta
Introduction
Indications
Surgical Techniques
Results and Complications
Surgical Outcomes
Complications
Summary and Conclusions
References
Chapter 49. Joint Replacement in Patients with Osteogenesis Imperfecta
Introduction
Pathophysiology of Osteoarthritis in OI
Anesthetic Considerations
Preoperative Planning
Perioperative Considerations
Conclusion
References
Chapter 50. Orthotics and Osteogenesis Imperfecta
General Care
Styles of Orthoses
Fabrication
References
X: Physical Medicine and Rehabilitation
Chapter 51. Functional Outcome Measures in Children with Osteogenesis Imperfecta: A Review of the Literature using the ICF and Perspectives for Treatment
Introduction
Body Function and Structure
Participation and Activities
Outcome Measures and Utilized Instruments
Discussion
References
Chapter 52. Rehabilitation for Adults with Osteogenesis Imperfecta
Rehabilitation from Musculoskeletal Injury
Specific Rehabilitation Protocols for Musculoskeletal Injury
Evaluation
Treatment
Components of Care
Pain and Loss of Mobility Associated With Aging
Rehabilitation to Maintain Mobility
Cardiac Rehabilitation
Pulmonary Rehabilitation
Conclusion
References
XI: Pharmacologic Treatment of Osteogenesis Imperfecta
Chapter 53. Bisphosphonates
Bisphosphonates
Safety of Bisphosphonates
References
Chapter 54. Bisphosphonate Treatment and Related Agents in Children
Intravenous Bisphosphonate Treatment
Oral Bisphosphonates
Complications of Bisphosphonate Treatment
Other Medical Treatments
Future Treatments
Conclusions
References
Chapter 55. Osteogenesis Imperfecta: Maintenance of Adult Bone Health
Introduction
Bone Metabolism in Adult Aging and in Adults with OI
Biomarkers of Bone Turnover
Vitamin D and the Response to Treatment in Adults with OI
Dietary Calcium Supplements in Adults with OI
Bisphosphonate Treatment in Adults with OI
Teriparatide Treatment in Adult OI
Agents Under Study with Potential Application to OI (Circa December 2012)
References
Chapter 56. Pharmacologic Treatment of Osteogenesis Imperfecta: New Agents and their Potential Implications for Osteogenesis Imperfecta
Introduction
Supplementation and OI
Anabolic Agents and OI
Antiresorptive Agents and OI
Future Targets for Therapy
Conclusions
References
XII: Genetic Approach to Treatment of Osteogenesis Imperfecta
Chapter 57. The Potential of Gene and Cell-Based Strategies for the Treatment of Osteogenesis Imperfecta
Introduction
Selecting the Appropriate Therapy for the Underlying Disease Mechanism (Table 57.1)
Molecular Approaches and Safety Considerations for Gene Therapy
Rationale and Challenges for a Cell-Based Therapy for OI
Tissue Source for Cell Therapy of OI
Preclinical Test Platforms for Cell Therapy of OI
Acknowledgement
References
Chapter 58. New Discoveries in Osteogenesis Imperfecta
Introduction
Tmem38B and OI
WNT1 Mutations and OI
Summary
References
Index
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