Gnathodiaphyseal dysplasia
Gnathodiaphyseal dysplasia is a rare bone disorder characterized by reduced bone mineral density, frequent fractures, and specific abnormalities of the jaw.
Overview
Gnathodiaphyseal dysplasia causes osteopenia (reduced bone mineral density), making bones unusually fragile. Affected individuals often experience multiple fractures in childhood from mild trauma. While the bones are generally less dense, the outer layer of the long bones in the arms and legs is often abnormally hard and thick (diaphyseal sclerosis), and bowing of these bones may occur.
Jaw Abnormalities
The condition frequently affects the jaw, leading to several complications:
- Osteomyelitis: Bone infections causing pain, swelling, and pus discharge.
- Osteonecrosis: Deterioration of exposed jawbone where gums have receded.
- Cementoosseous lesions: Areas where normal bone is replaced by fibrous tissue and a hard material called cementum.
Causes
Gnathodiaphyseal dysplasia is caused by mutations in the ANO5 gene. This gene provides instructions for making the protein anoctamin-5, which belongs to a family of proteins that act as calcium-activated chloride channels. While the exact mechanism is not fully understood, researchers believe these mutations may disrupt how cells process calcium, which is essential for bone development and growth.
Inheritance
This condition is inherited in an autosomal dominant pattern, meaning one copy of the altered gene in each cell is sufficient to cause the disorder.
