Complete SHOX deficiency causes Langer mesomelic dysplasia

Andrew R. Zinn, Fanglin Wei, Ling Zhang, Frederick F. Elder, Charles I. Scott, Pia Marttila, Judith L. Ross

Research output: Contribution to journalArticlepeer-review

88 Scopus citations


The SHOX (short-stature homeobox-containing) gene encodes isoforms of a homeo-domain transcription factor important in human limb development. SHOX haploin-sufficiency has been implicated in three human growth disorders: Turner syndrome, idiopathic short stature, and Leri-Weill dyschondrosteosis. Langer mesomelic dysplasia is thought to be the homozygous form of dyschondrosteosis. However, complete SHOX deficiency has not been demonstrated for any postnatal patient with the classic Langer phenotype. We studied four adults and one child with Langer mesomelic dysplasia. SHOX abnormalities were detected in all five probands. One was a homozygote or hemizygote and two were compound heterozygotes. The homozygous or hemizygous mutation was in exon 6a, implying that the SHOXa isoform is essential for normal skeletal development. These findings confirm clinical inferences that Langer mesomelic dysplasia is the homozygous form of Leri-Weill dyschondrosteosis and add to our understanding of genotype/phenotype relationships in SHOX deficiency disorders.

Original languageEnglish (US)
Pages (from-to)158-163
Number of pages6
JournalAmerican Journal of Medical Genetics
Issue number2
StatePublished - Jun 15 2002


  • Growth plate
  • Homozygous
  • Mesomelia
  • SHOX
  • Skeletal development

ASJC Scopus subject areas

  • Genetics
  • Genetics(clinical)


Dive into the research topics of 'Complete SHOX deficiency causes Langer mesomelic dysplasia'. Together they form a unique fingerprint.

Cite this