RT Journal Article T1 Biallelic mutations in LAMA5 disrupts a skeletal noncanonical focal adhesion pathway and produces a distinct bent bone dysplasia A1 Barad, Maya A1 Csukasi, Fabiana A1 Bosakova, Michaela A1 Martin, Jorge H. A1 Zhang, Wenjuan A1 Paige Taylor, S. A1 Lachman, Ralph S. A1 Zieba, Jennifer A1 Bamshad, Michael A1 Nickerson, Deborah A1 Chong, Jessica X. A1 Cohn, Daniel H. A1 Krejci, Pavel A1 Krakow, Deborah A1 Duran, Ivan K1 Laminin α5 K1 LAMA5 K1 Skeletal dysplasia K1 Bent bone K1 β1 integrin K1 Fibrous dysplasia of bone K1 Integrina beta1 K1 Displasia fibrosa ósea AB Beyond its structural role in the skeleton, the extracellular matrix (ECM), particularly basement membrane proteins, facilitates communication with intracellular signaling pathways and cell to cell interactions to control differentiation, proliferation, migration and survival. Alterations in extracellular proteins cause a number of skeletal disorders, yet the consequences of an abnormal ECM on cellular communication remains less well understood METHODS: Clinical and radiographic examinations defined the phenotype in this unappreciated bent bone skeletal disorder. Exome analysis identified the genetic alteration, confirmed by Sanger sequencing. Quantitative PCR, western blot analyses, immunohistochemistry, luciferase assay for WNT signaling were employed to determine RNA, proteins levels and localization, and dissect out the underlying cell signaling abnormalities.  Migration and wound healing assays examined cell migration properties.Findings: This bent bone dysplasia resulted from biallelic mutations in LAMA5, the gene encoding the alpha-5 laminin basement membrane protein. This finding uncovered a mechanism of disease driven by ECM-cell interactions between alpha-5-containing laminins, and integrin-mediated focal adhesion signaling, particularly in cartilage. Loss of LAMA5 altered b1 integrin signaling through the non-canonical kinase PYK2 and the skeletal enriched SRC kinase, FYN. Loss of LAMA5 negatively impacted the actin cytoskeleton, vinculin localization, and WNT signaling. Interpretation: This newly described mechanism revealed a LAMA5-b1 Integrin-PYK2-FYN focal adhesion complex that regulates skeletogenesis, impacted WNT signaling and, when dysregulated, produced a distinct skeletal disorder. PB Elsevier YR 2020 FD 2020-11-23 LK http://hdl.handle.net/10668/3923 UL http://hdl.handle.net/10668/3923 LA en NO Barad M, Csukasi F, Bosakova M, Martin JH, Zhang W, Paige Taylor S, et al. Biallelic mutations in LAMA5 disrupts a skeletal noncanonical focal adhesion pathway and produces a distinct bent bone dysplasia. EBioMedicine. 2020 Dec;62:103075 DS RISalud RD Apr 7, 2025