Osteoporosis, bone & mineral

A Missense Mutation in Close Proximity of ALS-linked PFN1 Mutations Causes Only Early-onset Paget Disease of Bone

J Clin Endocrinol MetabPublished Mechanistic study

Authors' conclusion

The observation of recurrent mutations highlights the causative role of PFN1 (L112P) in early-onset PDB/giant cell tumor within the Chinese population and provides insights into the physio-pathological functions of Profilin 1.

Study context

Population
A second Chinese family affected by early-onset paget disease of bone (PDB) with malignant giant cell tumors; mouse model carrying the c.335T>C mutation in Pfn1
Outcome
Genetic, clinical and mouse-model findings
Methodological detailsfamily genetic study, mouse model
  • Family genetic study
  • Mouse model

Main finding

As reported in the abstract

  • Same heterozygous missense mutation (c.335T>C/p. L112P) in PFN1 identified as in a previously reported family
  • PFN1 L112P mutation did not induce ALS in affected individuals
  • Early-onset PDB patients had a significantly poorer response to denosumab vs typical PDB patients
  • Heterozygous mice showed PDB-like phenotypes (skeletal deformities, focal osteoclastic lesions with giant osteoclasts), no ALS-like phenotypes
  • Pfn1 mutation led to enhanced actin ring-like structures at bone surfaces without affecting nuclear factor-κB activation in osteoclast cultures

Original publication

A Missense Mutation in Close Proximity of ALS-linked PFN1 Mutations Causes Only Early-onset Paget Disease of Bone. J Clin Endocrinol Metab. Published 3 June 2025. doi:10.1210/clinem/dgaf314

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