Abstract

Pseudoachondroplasia (PSACH) is an autosomal dominant skeletal dysplasia caused by mutations in cartilage oligomeric matrix protein (COMP) and characterised by short limbed dwarfism and early onset osteoarthritis. Mouse models of PSACH show variable retention of mutant COMP in the ER of chondrocytes, however, in each case a different stress pathway is activated and the underlying disease mechanisms remain largely unknown. T585M COMP mutant mice are a model of moderate PSACH and demonstrate a mild ER stress response. Although mutant COMP is not retained in significant quantities within the ER of chondrocytes, both BiP and the pro-apoptotic ER stress-related transcription factor CHOP are mildly elevated, whilst bcl-2 levels are decreased, resulting in increased and spatially dysregulated chondrocyte apoptosis. To determine whether the abnormal chondrocyte apoptosis observed in the growth plate of mutant mice is CHOP-mediated, we bred T585M COMP mutant mice with CHOP-null mice to homozygosity, and analysed the resulting phenotype. Although abnormal apoptosis was alleviated in the resting zone following CHOP deletion, the mutant growth plates were generally more disorganised. Furthermore, the bone lengths of COMP mutant CHOP null mice were significantly shorter at 9 weeks of age when compared to the COMP mutant mice, including a significant difference in the skull length. Overall, these data demonstrate that CHOP-mediated apoptosis is an early event in the pathobiology of PSACH and suggest that the lack of CHOP, in conjunction with a COMP mutation, may lead to aggravation of the skeletal phenotype via a potentially synergistic effect on endochondral ossification.

Highlights

  • Pseudoachondroplasia (PSACH) is an autosomal dominant skeletal dysplasia resulting from mutations in cartilage oligomeric matrix protein (COMP), a large pentameric glycoprotein present in cartilage, bone, skeletal muscle, tendon and ligament [1,2]

  • The length of the skull, which is formed through a combination of endochondral and intramembranous ossification, was 4.7% shorter in CHOP null mice at 9 weeks of age when compared to the wild type controls (n = 10) (Figure 1B and Table S1)

  • In vitro analysis of cartilage from PSACH patients with a range of different T3COMP mutations consistently shows enlarged rER that can have a characteristic lamellar appearance. Following these observations it was hypothesised that PSACH resulted from an unfolded protein response (UPR) elicited by misfolded COMP retained in the endoplasmic reticulum (ER) of chondrocytes [34,35]

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Summary

Introduction

Pseudoachondroplasia (PSACH) is an autosomal dominant skeletal dysplasia resulting from mutations in cartilage oligomeric matrix protein (COMP), a large pentameric glycoprotein present in cartilage, bone, skeletal muscle, tendon and ligament [1,2]. PSACH-causing mutations in COMP cluster in two distinct regions of the molecule, the thrombospondin type 3 (T3-COMP) repeats and the C-terminal (CTD-COMP) globular domain [11]. Type 3 repeat mutations account for the majority PSACH cases and are all believed to result in misfolding of the mutant protein and its retention in the endoplasmic reticulum (ER) [12,13]. Analysis of the growth plate in a targeted mouse model of

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