학술논문

EMILIN1 deficiency causes arterial tortuosity with osteopenia and connects impaired elastogenesis with defective collagen fibrillogenesis.
Document Type
article
Source
American journal of human genetics. 109(12)
Subject
Animals
Humans
Mice
Bone Diseases
Metabolic
Cutis Laxa
Collagen
Elastin
Extracellular Matrix Proteins
EFEMP2
EMILIN1
LOX
aortic aneurysm
arterial tortuosity
collagen
cutis laxa
elastic fiber
extracellular matrix
fracture
Rare Diseases
Pediatric
Congenital Structural Anomalies
1.1 Normal biological development and functioning
2.1 Biological and endogenous factors
Underpinning research
Aetiology
Biological Sciences
Medical and Health Sciences
Genetics & Heredity
Language
Abstract
EMILIN1 (elastin-microfibril-interface-located-protein-1) is a structural component of the elastic fiber network and localizes to the interface between the fibrillin microfibril scaffold and the elastin core. How EMILIN1 contributes to connective tissue integrity is not fully understood. Here, we report bi-allelic EMILIN1 loss-of-function variants causative for an entity combining cutis laxa, arterial tortuosity, aneurysm formation, and bone fragility, resembling autosomal-recessive cutis laxa type 1B, due to EFEMP2 (FBLN4) deficiency. In both humans and mice, absence of EMILIN1 impairs EFEMP2 extracellular matrix deposition and LOX activity resulting in impaired elastogenesis, reduced collagen crosslinking, and aberrant growth factor signaling. Collagen fiber ultrastructure and histopathology in EMILIN1- or EFEMP2-deficient skin and aorta corroborate these findings and murine Emilin1-/- femora show abnormal trabecular bone formation and strength. Altogether, EMILIN1 connects elastic fiber network with collagen fibril formation, relevant for both bone and vascular tissue homeostasis.