Table 1.

Clinical, Biochemical, and Radiological Characteristics of the 3 Index Patients With JPD, Heterozygous Family Members, and Unaffected Family Members

IDSexGenotype TNRFSF11BAge (y)HT-SDSCrP (mg/dL)TSAP (U/L)OPG (pmol/L)RANKL (pmol/L)RANKL/OPGTRAP 5b (U/L)OC (ng/mL)DPD (µg/g creatinine)IGF1-SDSDEXAZ/T ScoreBP (mm Hg)
JPD
 IV.9Femalec. [2T:G]; [2T:G]11.17–2.650.63750.49.14022.8514.9299.5391–1.05−0.9128/63
 III.2Malec. [25_28dupCTCG]; [25_28dupCTCG]2.61−1.501.23010.414.27135.6817.2133.7518
 III.1Femaledel 8q24.12; del 8q24.16.0–5.20.423.3258.3012.7167.2
Heterozygous family members
 IV.8Femalec. [2T:G]; [=]16.051.02<0.51261.80.3810.2187.997−1–1.1
 IV.10Malec. [2T:G]; [=]1.00<0.53984.11.9090.4621.281.2
 III.7Malec. [2T:G]; [=]39.700.59<0.59620.2880.144.524.620–1.4122/70
 III.8Femalec. [2T:G]; [=]35.20−0.201.61223.60.2040.06766.089–2.5122/73
 III.4Femalec. [2T:G]; [=]34.510.67<0.5661.20.4200.355,131.3−0.4133/76
 IV.5Malec. [2T:G]; [=]6.37−0.22<0.53183.10.7260.232994.60.16−0.3118/58
 III.10Femalec. [2T:G]; [=]47.72−0.92<0.5872.40.2170.095.228.5−0.4
 III.5Malec. [2T:G]; [=]49.80−0.3011502.90.4940.174,4271.8131/90
 IV.4Malec. [2T:G]; [=]11.24<0.5242130284−0.140.5
 II.3Femalec. [25_28dupCTCG]; [=]30.80−0.78<0.5992.80.0940.032.319.131
 II.2Malec. [25_28dupCTCG]; [=]32.110.64<0.5832.10.3460.165.12240
 III.1Malec. [25_28dupCTCG]; [=]3.160.22<0.52572.90.6220.2110.876273−0.59
 II.2Femaledel 8q24.1; [=]10.3630.362.626.1
 II.1Maledel 8q24.1; [=]1.80.2290.132.934.4
Unaffected family members
 III.2Femalec. [=]; [=]42.380.021.21075.70.0340.014.622.2−1
 IV.3aMalec. [=]; [=]13.60−0.02<0.53683.10.4130.1333241.72831.11–1.3134/63
 IV.6Femalec. [=]; [=]27.100.78<0.5563.70.0800.023.628.2−1
 II.5Femalec. [=]; [=]35.920.593.70.1080.03
 II.7Femalec. [=]; [=]28.33−0.243.30.1590.05
IDSexGenotype TNRFSF11BAge (y)HT-SDSCrP (mg/dL)TSAP (U/L)OPG (pmol/L)RANKL (pmol/L)RANKL/OPGTRAP 5b (U/L)OC (ng/mL)DPD (µg/g creatinine)IGF1-SDSDEXAZ/T ScoreBP (mm Hg)
JPD
 IV.9Femalec. [2T:G]; [2T:G]11.17–2.650.63750.49.14022.8514.9299.5391–1.05−0.9128/63
 III.2Malec. [25_28dupCTCG]; [25_28dupCTCG]2.61−1.501.23010.414.27135.6817.2133.7518
 III.1Femaledel 8q24.12; del 8q24.16.0–5.20.423.3258.3012.7167.2
Heterozygous family members
 IV.8Femalec. [2T:G]; [=]16.051.02<0.51261.80.3810.2187.997−1–1.1
 IV.10Malec. [2T:G]; [=]1.00<0.53984.11.9090.4621.281.2
 III.7Malec. [2T:G]; [=]39.700.59<0.59620.2880.144.524.620–1.4122/70
 III.8Femalec. [2T:G]; [=]35.20−0.201.61223.60.2040.06766.089–2.5122/73
 III.4Femalec. [2T:G]; [=]34.510.67<0.5661.20.4200.355,131.3−0.4133/76
 IV.5Malec. [2T:G]; [=]6.37−0.22<0.53183.10.7260.232994.60.16−0.3118/58
 III.10Femalec. [2T:G]; [=]47.72−0.92<0.5872.40.2170.095.228.5−0.4
 III.5Malec. [2T:G]; [=]49.80−0.3011502.90.4940.174,4271.8131/90
 IV.4Malec. [2T:G]; [=]11.24<0.5242130284−0.140.5
 II.3Femalec. [25_28dupCTCG]; [=]30.80−0.78<0.5992.80.0940.032.319.131
 II.2Malec. [25_28dupCTCG]; [=]32.110.64<0.5832.10.3460.165.12240
 III.1Malec. [25_28dupCTCG]; [=]3.160.22<0.52572.90.6220.2110.876273−0.59
 II.2Femaledel 8q24.1; [=]10.3630.362.626.1
 II.1Maledel 8q24.1; [=]1.80.2290.132.934.4
Unaffected family members
 III.2Femalec. [=]; [=]42.380.021.21075.70.0340.014.622.2−1
 IV.3aMalec. [=]; [=]13.60−0.02<0.53683.10.4130.1333241.72831.11–1.3134/63
 IV.6Femalec. [=]; [=]27.100.78<0.5563.70.0800.023.628.2−1
 II.5Femalec. [=]; [=]35.920.593.70.1080.03
 II.7Femalec. [=]; [=]28.33−0.243.30.1590.05

Given are the genotype at the TNFRSF11B locus; the age at investigation in years; the height (HT) SDS; serum levels of CrP (in mg/dL), TSAP (in U/L), OPG (in pmol/L), RANKL (in pmol/L), the RANKL/OPG ratio, TRAP 5b (in U/L), osteocalcin (OC, in ng/mL), DPD in urine (in µg/g creatinine), and IGF-1 (in ng/mL); IGF1-SDS; DEXA Z score or T score (depending on the age at time of investigation); and BP (in mm Hg). Pathological readings (aberrant from the applicable age appropriate norm) are highlighted by bold letters. Age-dependent reference values are provided as supplemental material.

Abbreviations: BP, blood pressure; CrP, C-reactive protein; DPD, deoxypyridinoline; DEXA, dual-emission X-ray absorptiometry; TSAP, tissue-specific alkaline phosphatase.

a Individual IV.3 is suffering from rheumatoid arthritis.

Table 1.

Clinical, Biochemical, and Radiological Characteristics of the 3 Index Patients With JPD, Heterozygous Family Members, and Unaffected Family Members

IDSexGenotype TNRFSF11BAge (y)HT-SDSCrP (mg/dL)TSAP (U/L)OPG (pmol/L)RANKL (pmol/L)RANKL/OPGTRAP 5b (U/L)OC (ng/mL)DPD (µg/g creatinine)IGF1-SDSDEXAZ/T ScoreBP (mm Hg)
JPD
 IV.9Femalec. [2T:G]; [2T:G]11.17–2.650.63750.49.14022.8514.9299.5391–1.05−0.9128/63
 III.2Malec. [25_28dupCTCG]; [25_28dupCTCG]2.61−1.501.23010.414.27135.6817.2133.7518
 III.1Femaledel 8q24.12; del 8q24.16.0–5.20.423.3258.3012.7167.2
Heterozygous family members
 IV.8Femalec. [2T:G]; [=]16.051.02<0.51261.80.3810.2187.997−1–1.1
 IV.10Malec. [2T:G]; [=]1.00<0.53984.11.9090.4621.281.2
 III.7Malec. [2T:G]; [=]39.700.59<0.59620.2880.144.524.620–1.4122/70
 III.8Femalec. [2T:G]; [=]35.20−0.201.61223.60.2040.06766.089–2.5122/73
 III.4Femalec. [2T:G]; [=]34.510.67<0.5661.20.4200.355,131.3−0.4133/76
 IV.5Malec. [2T:G]; [=]6.37−0.22<0.53183.10.7260.232994.60.16−0.3118/58
 III.10Femalec. [2T:G]; [=]47.72−0.92<0.5872.40.2170.095.228.5−0.4
 III.5Malec. [2T:G]; [=]49.80−0.3011502.90.4940.174,4271.8131/90
 IV.4Malec. [2T:G]; [=]11.24<0.5242130284−0.140.5
 II.3Femalec. [25_28dupCTCG]; [=]30.80−0.78<0.5992.80.0940.032.319.131
 II.2Malec. [25_28dupCTCG]; [=]32.110.64<0.5832.10.3460.165.12240
 III.1Malec. [25_28dupCTCG]; [=]3.160.22<0.52572.90.6220.2110.876273−0.59
 II.2Femaledel 8q24.1; [=]10.3630.362.626.1
 II.1Maledel 8q24.1; [=]1.80.2290.132.934.4
Unaffected family members
 III.2Femalec. [=]; [=]42.380.021.21075.70.0340.014.622.2−1
 IV.3aMalec. [=]; [=]13.60−0.02<0.53683.10.4130.1333241.72831.11–1.3134/63
 IV.6Femalec. [=]; [=]27.100.78<0.5563.70.0800.023.628.2−1
 II.5Femalec. [=]; [=]35.920.593.70.1080.03
 II.7Femalec. [=]; [=]28.33−0.243.30.1590.05
IDSexGenotype TNRFSF11BAge (y)HT-SDSCrP (mg/dL)TSAP (U/L)OPG (pmol/L)RANKL (pmol/L)RANKL/OPGTRAP 5b (U/L)OC (ng/mL)DPD (µg/g creatinine)IGF1-SDSDEXAZ/T ScoreBP (mm Hg)
JPD
 IV.9Femalec. [2T:G]; [2T:G]11.17–2.650.63750.49.14022.8514.9299.5391–1.05−0.9128/63
 III.2Malec. [25_28dupCTCG]; [25_28dupCTCG]2.61−1.501.23010.414.27135.6817.2133.7518
 III.1Femaledel 8q24.12; del 8q24.16.0–5.20.423.3258.3012.7167.2
Heterozygous family members
 IV.8Femalec. [2T:G]; [=]16.051.02<0.51261.80.3810.2187.997−1–1.1
 IV.10Malec. [2T:G]; [=]1.00<0.53984.11.9090.4621.281.2
 III.7Malec. [2T:G]; [=]39.700.59<0.59620.2880.144.524.620–1.4122/70
 III.8Femalec. [2T:G]; [=]35.20−0.201.61223.60.2040.06766.089–2.5122/73
 III.4Femalec. [2T:G]; [=]34.510.67<0.5661.20.4200.355,131.3−0.4133/76
 IV.5Malec. [2T:G]; [=]6.37−0.22<0.53183.10.7260.232994.60.16−0.3118/58
 III.10Femalec. [2T:G]; [=]47.72−0.92<0.5872.40.2170.095.228.5−0.4
 III.5Malec. [2T:G]; [=]49.80−0.3011502.90.4940.174,4271.8131/90
 IV.4Malec. [2T:G]; [=]11.24<0.5242130284−0.140.5
 II.3Femalec. [25_28dupCTCG]; [=]30.80−0.78<0.5992.80.0940.032.319.131
 II.2Malec. [25_28dupCTCG]; [=]32.110.64<0.5832.10.3460.165.12240
 III.1Malec. [25_28dupCTCG]; [=]3.160.22<0.52572.90.6220.2110.876273−0.59
 II.2Femaledel 8q24.1; [=]10.3630.362.626.1
 II.1Maledel 8q24.1; [=]1.80.2290.132.934.4
Unaffected family members
 III.2Femalec. [=]; [=]42.380.021.21075.70.0340.014.622.2−1
 IV.3aMalec. [=]; [=]13.60−0.02<0.53683.10.4130.1333241.72831.11–1.3134/63
 IV.6Femalec. [=]; [=]27.100.78<0.5563.70.0800.023.628.2−1
 II.5Femalec. [=]; [=]35.920.593.70.1080.03
 II.7Femalec. [=]; [=]28.33−0.243.30.1590.05

Given are the genotype at the TNFRSF11B locus; the age at investigation in years; the height (HT) SDS; serum levels of CrP (in mg/dL), TSAP (in U/L), OPG (in pmol/L), RANKL (in pmol/L), the RANKL/OPG ratio, TRAP 5b (in U/L), osteocalcin (OC, in ng/mL), DPD in urine (in µg/g creatinine), and IGF-1 (in ng/mL); IGF1-SDS; DEXA Z score or T score (depending on the age at time of investigation); and BP (in mm Hg). Pathological readings (aberrant from the applicable age appropriate norm) are highlighted by bold letters. Age-dependent reference values are provided as supplemental material.

Abbreviations: BP, blood pressure; CrP, C-reactive protein; DPD, deoxypyridinoline; DEXA, dual-emission X-ray absorptiometry; TSAP, tissue-specific alkaline phosphatase.

a Individual IV.3 is suffering from rheumatoid arthritis.

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