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Table 2 Clinical, molecular, biological and radiological details of the study

From: SATB2-associated syndrome: characterization of skeletal features and of bone fragility in a prospective cohort of 19 patients

Patient

Gender

Age

(y)

Mutation

(NM_015265.3)

Clinical Fracture

Radiological fracture

Other X-ray findings

Lumbar Spine

aBMD

Z-score SD (g/cm2)

Total hip

aBMD

Z-score SD (g/cm2)

ALP

ULM

CTX Plasm

ULM

Ca

2.2–2.6 mmol/L

PTH

2nd generation Roche 10–47 pg/ml

25 OH Vit D

30–60 ng/ml

SATB2-01-P1

Female

11

c.1197dup

p.(Lys400*)

2

Humerus Clavicle

 

Thin Cranial vault with demineralization

Digitiform impressions

Spine demineralization with thick cortical bone

Delayed maturation

Small epiphyseal bones

Metaphyseal striations

Foliated cortical bone

− 3.5

(0.454)

− 2.7

(0.626)

NA

0.78

2.27

41

26

SATB2-01-P2

Male

10

c.1627del

p.(Arg543Alafs*3)

1

Humerus

Dorsal Vertebral fracture

Cranial vault with demineralization

Digitiform impressions

Small epiphyseal bones

Metaphyseal striations

Foliated cortical bone

− 1,1

(0.492)

− 0.9

(0.627)

0.86

0.79

2.5

23.2

24

SATB2-01-P3

Male

7

Deletion exons 3 and 4

0

Vertebral fracture

Thin cranial vault with demineralization

Digitiform impressions

Thin spine cortical bone with demineralization

Delayed maturation

Metaphyseal striations

Small epiphyseal bones

Foliated cortical bone

− 1,8

(0.443)

 

1.09

0.81

2.31

50.4

21

SATB2-01-P4

Female

9

c.1165C > T

(pArg389Cys)

1

Tibia

 

Spine with demineralization

Delayed maturation

Metaphyseal striations

Small epiphyseal bones

Foliated cortical bone

− 1.7

(0.447)

− 1.8

(0.488)

1.05

0.78

2.46

34.8

24

SATB2-01-P5

Male

11

Deletion exons 3 and 4

1

Humerus

Vertebral fracture

Cranial vault demineralization

Digitiform impressions

Thin spine and long bone cortical

Metaphyseal striations

Small epiphyseal bones

Foliated cortical bone

− 2.8

(0.409)

 

0.78

1.05

2.5

64.4

26

SATB2-01-P6

Male

7

c.703G > T

p.(Glu235*)

1

Clavicle

Vertebral fracture

Thin Cranial vault with demineralization

Digitiform impressions

Thin spine cortical bone with demineralization

Delayed maturation

Metaphyseal striations

Small ivory epiphyseal bones

Foliated cortical bone

− 0.9

(0.451)

 

0.80

0.81

2.51

42.2

24

SATB2-01-P7

Male

12

del 2q33.1

(minimum size of 29.114 bp)

Deletion from 200,325,004 to 200,354,118 (GRCh37/hg19)

3

Vertebral fracture, thigh bone

Vertebral fracture

Thin spine cortical bone with demineralization

Metaphyseal striations

− 2.0

(0,497)

 

0.68

NA

2.43

28.3

19

SATB2-01-P9

Male

4

c.715C > T

p.(Arg239*)

0

 

Cranial vault demineralization

Thin spine cortical bone with demineralization

Delayed maturation

Metaphyseal striations

Small epiphyseal bones

Foliated cortical bone

-2.6

(0,339)

 

0.78

0.89

2.45

20.8

42

SATB2-01-P10

Female

14

c.955C > T

p.(Gln319*)

1

Forearm

 

Thin Cranial vault

Spine with demineralization

Delayed maturation

Metaphyseal striations

Foliated cortical bone

− 3.3

(0,746)

 

0.79

0.77

2.24

68.2

30

SATB2-01-P11

Male

4

c.715C > T

p.(Arg239*)

0

 

Cranial vault demineralization

  

0.71

0.57

2.33

32.8

44

SATB2-01-P12

Male

1

c.658C > T

p.(Gln220*)

0

 

Thin spine cortical bone with demineralization

Skeletal maturation advance

Foliated cortical bone

  

0.99

0.73

2.41

27.5

 

SATB2-01-P13

Male

6

del2q31.3

(7.78 Mb)

0

 

Thin spine cortical bone with demineralization

Delayed maturation

Small epiphyseal bones

Foliated cortical bone

− 2.6

(0,445)

− 0.9

(0,667)

NA

NA

 

31.2

25

SATB2-02-P1

Female

9

c.1198A > G

p.(Lys400Glu)

0

Vertebral fracture

Cranial vault demineralization

Digitiform impressions

Thin spine cortical bone with demineralization

Delayed maturation

Metaphyseal striations

Small epiphyseal bones

Foliated cortical bone

0.5

(0,631)

− 1.1

(0,611)

1.27

NA

2.35

21

35

SATB2-04-P1

Female

7

c.715C > T

p.(Arg239*)

0

 

Digitiform impressions

Thin spine cortical bone with demineralization

Delayed maturation

Foliated cortical bone

  

1.12

NA

2.68

20.1

12.5

SATB2-05-P1

Female

12

c.1285C > T

p.(Arg429*)

0

 

Cranial vault demineralization

Digitiform impressions

Spine with demineralization

Metaphyseal striations

− 2.3

(0,619)

− 2.7

(0,572)

0.51

1.29

 

29.2

21

SATB2-06-P1

Female

13

c.1696G > A p.(Glu566Lys)

0

 

Thick Cranial vault with demineralization

Thin spine cortical bone with demineralization

Skeletal maturation advance

Metaphyseal striations

Small epiphyseal bones

  

0.23

0.19

2.47

 

22.74

SATB2-06-P2

Female

8

c.1010 dup

p.(Phe339Alafs*13)

1

NA

 

Thin spine cortical bone with demineralization

Small epiphyseal bones

Foliated cortical bone

  

1.33

0.87

2.26

26

24

SATB2-07-P1

Female

10

c.1610del

p.(Asn537Thrfs*9)

1

Elbow

 

Cranial vault with demineralization

Thin spine cortical bone with demineralization

Metaphyseal striations

Small epiphyseal bones

Foliated cortical bone

  

1.07

NA

2.42

19

37

SATB2-08-P1

Male

19

c.1538G > A p.(Ser513Asn)

0

 

Thin spine cortical bone

− 0.2

(0,992)

− 0.4

(1,094)

0.62

0.74

2.4

32

32.3

  1. Bone densitometry results are expressed in g/cm2 and Z-score SD
  2. NA not applicable, SD standard deviation
  3. ALP alkaline phosphatase activity, CTX C-telopeptide, ULM upper limit method