{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T19:10:26Z","timestamp":1776712226163,"version":"3.51.2"},"reference-count":51,"publisher":"Oxford University Press (OUP)","issue":"9","funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["ZIA HD008830-14"],"award-info":[{"award-number":["ZIA HD008830-14"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000071","name":"National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["DE000735-14"],"award-info":[{"award-number":["DE000735-14"]}],"id":[{"id":"10.13039\/100000071","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Osteogenesis imperfecta (OI) is a genetically heterogeneous connective tissue disorder with major findings of bone fragility and deformity and short stature. Most patients have dominant mutations in COL1A1 or COL1A2. Heterozygous defects in transient receptor protein vanilloid 4 (TRPV4), encoding a Ca2+ permeable channel highly expressed in chondrocytes, osteoblasts, and osteoclasts, have been associated with skeletal dysplasias characterized by short stature, bone deformity, and osteoarthritis. We present the unusual situation of a patient with heterozygous variants in 2 genes known to cause bone dysplasia. We investigated variant function and potential contribution to phenotype. A 20-mo-old female was referred due to in utero genetic testing that revealed heterozygosity for both a novel COL1A2 splice variant c.2565+3_256+6delAAGT and a TRPV4 variant c.1108G&amp;gt;A; p.G370S. She had findings of type III OI as well as rhizomelia, unexpected for OI caused by collagen structural mutation. Polymerase chain reaction analysis of COL1A2 cDNA from patient fibroblasts confirmed in- and out-of-frame alternatively spliced transcripts. Type I collagen expression was reduced. Proband collagen was overmodified, and significant intracellular retention led to reduced secretion. Although patient fibroblasts showed higher TRPV4 mRNA levels, both patient fibroblasts and human embryonic kidney (HEK) cells transfected with WT or mutant TRPV4 constructs showed normal protein levels. However, analysis of patient fibroblasts and coexpression of GFP-tagged TRPV4 p.G370S and WT TRPV4 in HEK cells demonstrated reduced mutant TRPV4 protein at the plasma membrane compared to control fibroblasts and WT TRPV4 alone, respectively. Patient fibroblasts and the transfected HEK cells showed significantly decreased calcium influx in response to TRPV4 agonist. We propose that the TRPV4 variant is potentially causes the patient\u2019s rhizomelia in the context of OI. Expanded utilization of broad skeletal genetic testing panels or whole exome sequencing (WES) is expected to reveal additional cases with multi-gene contributions, illuminating cellular and matrix pathway interactions.<\/jats:p>","DOI":"10.1093\/jbmrpl\/ziaf111","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T12:47:40Z","timestamp":1753188460000},"source":"Crossref","is-referenced-by-count":1,"title":["Moderately severe osteogenesis imperfecta-like osteochondrodysplasia associated with heterozygous variants in both <i>COL1A2<\/i> and <i>TRPV4<\/i>"],"prefix":"10.1093","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-5459-8254","authenticated-orcid":false,"given":"Elena F","family":"Evans","sequence":"first","affiliation":[{"name":"Section on Heritable Disorders of Bone and Extracellular Matrix, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Woo Young","family":"Chung","sequence":"additional","affiliation":[{"name":"Epithelial Signaling and Transport Section, National Institute of Dental Craniofacial Research, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aileen M","family":"Barnes","sequence":"additional","affiliation":[{"name":"Section on Heritable Disorders of Bone and Extracellular Matrix, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elena","family":"Makareeva","sequence":"additional","affiliation":[{"name":"Section on Physical Biochemistry, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Talvacchio","sequence":"additional","affiliation":[{"name":"Office of the Clinical Director, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1017-6128","authenticated-orcid":false,"given":"Ava Movahed","family":"Abtahi","sequence":"additional","affiliation":[{"name":"Epithelial Signaling and Transport Section, National Institute of Dental Craniofacial Research, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa M","family":"Jenkins","sequence":"additional","affiliation":[{"name":"Mass Spectrometry Section, National Cancer Institute, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7095-0739","authenticated-orcid":false,"given":"Sergey","family":"Leikin","sequence":"additional","affiliation":[{"name":"Section on Physical Biochemistry, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shmuel","family":"Muallem","sequence":"additional","affiliation":[{"name":"Epithelial Signaling and Transport Section, National Institute of Dental Craniofacial Research, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan C","family":"Marini","sequence":"additional","affiliation":[{"name":"Section on Heritable Disorders of Bone and Extracellular Matrix, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health , Bethesda, MD 20892 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"issue":"9","key":"2025081218200384200_ref1","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1038\/nrendo.2011.81","article-title":"New perspectives on osteogenesis imperfecta","volume":"7","author":"Forlino","year":"2011","journal-title":"Nat Rev Endocrinol"},{"issue":"5B","key":"2025081218200384200_ref2","first-page":"113","article-title":"Clinical variability in osteogenesis imperfecta-variable expressivity or genetic heterogeneity","volume":"15","author":"Sillence","year":"1979","journal-title":"Birth Defects Orig Artic Ser"},{"issue":"3","key":"2025081218200384200_ref3","doi-asserted-by":"publisher","first-page":"209","DOI":"10.1002\/humu.20429","article-title":"Consortium for osteogenesis 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