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. Author manuscript; available in PMC: 2024 Jan 1.
Published in final edited form as: Curr Osteoporos Rep. 2023 Mar 7;21(2):241–252. doi: 10.1007/s11914-023-00778-7

Table 2.

Rare skeletal dysplasia caused by SP7 mutations

Lapunzina et al. [74] and Tung et al. [75] Hayat et al. [76] Fiscaletti et al. [77•] Ludwig et al. [78•] Whyte et al. [79] Lui et al. [80••]

Patients (age) Egyptian (8y) and Chinese (17y) Pakistani (32y) Iraq (13y) Haitian (20y) Race not provided (15y) Race not provided (3y)
Diagnosis Recessive OI Recessive OI Recessive OI Dominant OI Juvenile Paget’s disease Neomorphic mutation
Mutations c.1052delA (p.E351GfsX19) c.824G > A (p.C275Y) c.946C > T (p.R316C) c.1019A > C (p.E340A) c.926C > G (p.S309W) c.926C > G (p.S309W)
Alterations Absence of 3rd zinc-finger domain No change to zinc-finger domain Altered 1st zinc-finger domain Altered 2nd zinc-finger domain Altered 1st zinc-finger domain Altered 1st zinc-finger domain
Height Below normal Short Short Normal Normal NA
Fractures Yes Yes Yes Yes Yes Yes
Bowing Upper and lower limbs Lower limbs NA NA Lower limbs Lower limbs
Scoliosis Mild Severe Mild Severe Mild Severe
Bone mineral density Low at lumbar spine and femur NA Low at lumbar spine Low at lumbar spine High lumbar spine areal BMD High lumbar BMD
Cortical porosity NA NA High High NA NA
Bone turnover Normal ALP Normal ALP High trabecular BFR Low BFR High ALP and bone turnover High ALP and bone turnover
Serum calcium and phosphorus Normal Normal NA Normal Normal Normal
Tooth morphology and eruption Delayed [74, 75], DI, primary dentition, enamel hypoplasia, discoloration, obliterated pulp chamber, permanent dentition, bulbous crowns, short roots [75] NA Delayed, No DI Broken teeth, No DI DI, Short roots, Thin or no pulp NA
Hearing Normal Normal Loss Loss Loss Normal
Face Dysmorphism Dysmorphism Dysmorphism Malocclusion Dysmorphism Craniosynostosis
Treatment Bisphosphonate NA Zoledronate NA NA Bisphosphonate