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Paloneva J, Manninen T, Christman G, Hovanes K, Mandelin J, Adolfsson R, Bianchin M, Bird T, Miranda R, Salmaggi A, Tranebjærg L, Konttinen Y, Peltonen L. Mutations in two genes encoding different subunits of a receptor signaling complex result in an identical disease phenotype. Am J Hum Genet 2002; 71:656-62. [PMID: 12080485 PMCID: PMC379202 DOI: 10.1086/342259] [Citation(s) in RCA: 501] [Impact Index Per Article: 22.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2002] [Accepted: 06/11/2002] [Indexed: 01/25/2023] Open
Abstract
Polycystic lipomembranous osteodysplasia with sclerosing leukoencephalopathy (PLOSL), also known as "Nasu-Hakola disease," is a globally distributed recessively inherited disease leading to death during the 5th decade of life and is characterized by early-onset progressive dementia and bone cysts. Elsewhere, we have identified PLOSL mutations in TYROBP (DAP12), which codes for a membrane receptor component in natural-killer and myeloid cells, and also have identified genetic heterogeneity in PLOSL, with some patients carrying no mutations in TYROBP. Here we complete the molecular pathology of PLOSL by identifying TREM2 as the second PLOSL gene. TREM2 forms a receptor signaling complex with TYROBP and triggers activation of the immune responses in macrophages and dendritic cells. Patients with PLOSL have no defects in cell-mediated immunity, suggesting a remarkable capacity of the human immune system to compensate for the inactive TYROBP-mediated activation pathway. Our data imply that the TYROBP-mediated signaling pathway plays a significant role in human brain and bone tissue and provide an interesting example of how mutations in two different subunits of a multisubunit receptor complex result in an identical human disease phenotype.
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Affiliation(s)
- Juha Paloneva
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Tuula Manninen
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Grant Christman
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Karine Hovanes
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Jami Mandelin
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Rolf Adolfsson
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Marino Bianchin
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Thomas Bird
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Roxana Miranda
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Andrea Salmaggi
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Lisbeth Tranebjærg
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Yrjö Konttinen
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
| | - Leena Peltonen
- Department of Molecular Medicine, National Public Health Institute, Departments of Biomedicine/Anatomy and Medical Genetics, University of Helsinki, and Department of Medicine/Invärtes Medicin, Helsinki University Central Hospital and ORTON Research Institute, Invalid Foundation, Helsinki; Department of Human Genetics, UCLA School of Medicine, Gonda Center, University of California–Los Angeles, Los Angeles; Department of Psychiatry, University of Umeå, Umeå, Sweden; Neurology Division, Hospital Regional de São José, Santa Catarina, Brazil; Department of Neurology, University of Washington, and VA Medical Center, Seattle; Department of Internal Medicine, Clinica Modelo, CBES, La Paz; Department of Clinical Neurosciences, Instituto Nazionale Neurologico C. Besta, Milan; and Department of Medical Genetics, University Hospital of Tromsø, Tromsø, Norway, and Department of Audiology, Bispebjerg Hospital and Institute of Medical, Biochemistry and Genetics, Copenhagen
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