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Involvement of PLEKHM1 in osteoclastic vesicular transport and osteopetrosis in incisors absent rats and humans
Liesbeth Van Wesenbeeck, Paul R. Odgren, Fraser P. Coxon, Annalisa Frattini, Pierre Moens, Bram Perdu, Carole A. MacKay, Els Van Hul, Jean-Pierre Timmermans, Filip Vanhoenacker, Ruben Jacobs, Barbara Peruzzi, Anna Teti, Miep H. Helfrich, Michael J. Rogers, Anna Villa, Wim Van Hul
Liesbeth Van Wesenbeeck, Paul R. Odgren, Fraser P. Coxon, Annalisa Frattini, Pierre Moens, Bram Perdu, Carole A. MacKay, Els Van Hul, Jean-Pierre Timmermans, Filip Vanhoenacker, Ruben Jacobs, Barbara Peruzzi, Anna Teti, Miep H. Helfrich, Michael J. Rogers, Anna Villa, Wim Van Hul
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Research Article Bone biology

Involvement of PLEKHM1 in osteoclastic vesicular transport and osteopetrosis in incisors absent rats and humans

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Abstract

This study illustrates that Plekhm1 is an essential protein for bone resorption, as loss-of-function mutations were found to underlie the osteopetrotic phenotype of the incisors absent rat as well as an intermediate type of human osteopetrosis. Electron and confocal microscopic analysis demonstrated that monocytes from a patient homozygous for the mutation differentiated into osteoclasts normally, but when cultured on dentine discs, the osteoclasts failed to form ruffled borders and showed little evidence of bone resorption. The presence of both RUN and pleckstrin homology domains suggests that Plekhm1 may be linked to small GTPase signaling. We found that Plekhm1 colocalized with Rab7 to late endosomal/lysosomal vesicles in HEK293 and osteoclast-like cells, an effect that was dependent on the prenylation of Rab7. In conclusion, we believe PLEKHM1 to be a novel gene implicated in the development of osteopetrosis, with a putative critical function in vesicular transport in the osteoclast.

Authors

Liesbeth Van Wesenbeeck, Paul R. Odgren, Fraser P. Coxon, Annalisa Frattini, Pierre Moens, Bram Perdu, Carole A. MacKay, Els Van Hul, Jean-Pierre Timmermans, Filip Vanhoenacker, Ruben Jacobs, Barbara Peruzzi, Anna Teti, Miep H. Helfrich, Michael J. Rogers, Anna Villa, Wim Van Hul

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Figure 4

Characterization of the osteoclasts from the family with autosomal-recessive osteopetrosis.

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Characterization of the osteoclasts from the family with autosomal-reces...
Cells were cultured on dentine discs (A–D) or plastic (E and F) in the presence of RANKL for 10 days and then fixed, stained, and analyzed by confocal microscopy (A–D) or conventional microscopy (E and F). (A) Staining of F-actin with FITC-phalloidin (green stain), acidic vesicles with lysotracker (red stain), and osteoclast membrane with anti-VNR antibodies (blue stain). (B) Staining of the dentine surface with FL-ALN (green stain) and F-actin with TRITC-phalloidin (red stain). Dark areas correspond to resorption pits (asterisks). (C) Staining of the dentine surface with FL-ALN and nuclei with Sytox Green (green); F-actin with TRITC-phalloidin (red); osteoclast membrane with anti-VNR antibodies (blue). A–C represent 1-μm xy optical sections; D represents zx reconstructions of osteoclasts in C. Scale bar: 10 μm. (E and F) Staining for TRAP in osteoclasts. Original magnification, ×10 (E) and ×40 (F).

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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