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FUNCTIONAL DIFFERENCES UNDERLYING MATRILIN-3 MUTATIONS IN SPONDYLO-EPI-METAPHYSEAL DYSPLASIA AND IN HAND OSTEOARTHRITIS Luo, J; Zhang, Y; Wang, Z; Wei, L; Chen, Q Department of Orthopaedics, Brown Medical School/Rhode Island Hospital, Providence, RI INTRODUCTION: Matrilins are extracellular matrix molecules involved in the development and homeostasis of cartilage and bone. Although all four members of matrilins are expressed in the skeletal system, matrilin-3 (Matn3) is particularly interesting because mutations in Matn3 cause a variety of skeletal diseases. Matrilin-3 is composed of a single N-terminal vWFA domain followed by four EGF repeats and a coiled-coil domain, whereas the other matrilins are each composed of two vWFA domains separated by EGF repeats. Mutations in the vWFA domain of Matn3 resulted in multiple epiphyseal dysplasia (MED), characterized by delayed and irregular ossification of the epiphyses and early-onset of osteoarthritis. Recently, mutations in Matn3 have been shown to lead to two more diseases: spondylo-epi-metaphyseal dysplasia (SMED), a chondrodystrophy occurring during skeletal development in childhood, and hand osteoarthritis (OA), a much milder disease occurring in adults during aging. Interestingly, both of these point mutations occur in the first EGF repeat of Matn3, but not in the vWFA domain where the MED mutations reside. Intriguingly these two point mutations occur next to each other: C304S point mutation is associated the SMED, and T303M point mutation is related to hand OA. Our study is trying to answer how mutations in the neighboring amino acid residues in the same domain lead to two very different diseases? METHODS: A cDNA transcript encoding full length mouse matrilin-3 was cloned by RT-PCR from total RNA isolated from the rib cartilage of C57 newborn mice. The full-length transcript was cloned into an expression vector pcDNA3.1/v-5-His. Point mutations mimicking SMED, hand OA, and both were generated by overlapping PCR. Normal and mutated Matn3 cDNA were transfected into COS-1 cell line or MCT chondrocyte cell line using Lipofectamin 2000 (Invitrogen), respectively. Culture medium and cell lysates were collected each day after transfection until the fifth day for Western blot analysis. The cell plate from the fifth day incubation was processed for immunofluorenscence using an antibody against the recombinant matrilin-3. RESULTS: To understand the mechanisms underlying mutations associated with SMED or hand OA, we cloned a full-length mouse matrilin-3 cDNA and generated three cDNAs containing the point mutation of SMED (CS), hand OA (TM), or both mutations, respectively, in the corresponding mouse sequence. These mutant cDNAs along with the wildtype Matn3 (WT) were transfected into MCT chondrocyte cell lines. As shown by western blot analysis (Fig. 1, left panel), wildtype and hand OA-related mutant matrilin-3 was detected in medium one day after transfection, while Matn3 harboring SMED mutation could not be detected in medium until three days after transfection. The secretion of the Matn3 mutant harboring both SMED and hand OA mutations was also delayed. Thus, there was a significant delay of the secretion of matrilin-3 protein harboring SMED mutation, but not that harboring hand OA mutation. Furthermore, this delay was observed in both COS cells, which does not synthesize endogenous Matn3, and MCT chondrocytes that synthesize endogenous Matn3 (Fig. 1, right panel). To determine whether mutated matrilin-3 is trapped within the cell, we performed immunocytochemistry of transfected cells using an antibody against the V5 tag of the recombinant matrilin-3. Immunocytochemical analysis showed that MCT cells transfected with Matn3 cDNA harboring either SMED mutation or both SMED and hand OA mutations contain a greatly expanded cytoplasm with numerous matrilin-3 positive vesicles (Fig. 2, A and C). The expanded cytoplasm with numerous matrilin-3 positive vesicles was observed in MCT chondrocytes under both proliferation and hypertrophic culture conditions. In contrast, cells transfected with a Matn3 cDNA harboring hand OA mutation exhibit a normal sized cytoplasm containing normal number of vesicles, similar to the wildtype Matn3 transfected cells (Fig. 2, B and D). diseases including MED, SMED and hand OA, but the molecular mechanisms are unknown. We have shown previously that MEDrelated point mutation in the vWFA domain of matrilin-3 causes a significant delay of matrilin secretion and an altered chondrocyte cytoplasm including expanded ER and numerous secretion vesicles. The site of MED-related mutation is located in β-fold region in the center of vWFA domain. This suggests that the secretion defect of MED Matn3 may be due to abnormal protein folding. In contrast, SMED and hand OA-related point mutation sites are located in the first EGF domain. Our results showed that the SMED-related mutation led a significant delay of matrilin secretion and an altered chondrocyte cytoplasm including expanded ER and numerous vesicles. These phenotypes are very similar to that from the MED-related point mutation in the vWFA domain. This suggests a common mechanism between MED and SMED pathogenesis. SMED-related mutation is a point mutation from cysteine to serine. Because cysteine is very important for folding and conformational structure of the protein, this mutation may affect the folding of the protein, thereby interfering with secretion of the protein. Therefore, even though the MED mutations occur in the vWFA domain and the SMED mutation occurs in the first EGF domain, they may share similar molecular mechanism that results in similar phenotypes. On the other hand, the hand OA-related point mutation does not result in delayed secretion of Matn-3, even though the mutated threonine is located next to the cysteine residue in the same EGF domain related to SEMD. This suggests that the pathological mechanism of hand OA may be distinct from those of MED and SEMD. We are in the process of analyzing the mechanism underlying Matn3 related OA. Figure 1. Western blot analysis of medium and cell lysates collected from cells transfected with matrilin-3 cDNA encoding wildtype (WT), Hand OA (TM), SMED (CS), or both mutations (B). Figure 2. Immunofluorenscence analysis of MCT chondrocytes expressing wildtype Matn3 (A), Hand OA Matn3 (B), SMED Matn3 (C), or Matn3 containing both mutations (D). DISCUSSION: Point mutations have been identified within the vWFA and the first EGF domain of matrilin-3. They cause different skeletal 52nd Annual Meeting of the Orthopaedic Research Society Paper No: 0008