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An Acvr1 R206H knock-in mouse has fibrodysplasia ossificans progressiva.

Fibrodysplasia ossificans progressiva (FOP; MIM #135100) is a debilitating genetic disorder of dysregulated cellular differentiation characterized by malformation of the great toes during embryonic skeletal development and by progressive heterotopic endochondral ossification postnatally. Patients with these classic clinical features of FOP have the identical heterozygous single nucleotide substitution (c.617G > A; R206H) in the gene encoding ACVR1/ALK2, a bone morphogenetic protein (BMP) type I receptor. Gene targeting was used to develop an Acvr1 knock-in model for FOP (Acvr1(R206H/+)). Radiographic analysis of Acvr1(R206H/+) chimeric mice revealed that this mutation induced malformed first digits in the hind limbs and postnatal extraskeletal bone formation, recapitulating the human disease. Histological analysis of murine lesions showed inflammatory infiltration and apoptosis of skeletal muscle followed by robust formation of heterotopic bone through an endochondral pathway, identical to that seen in patients. Progenitor cells of a Tie2(+) lineage participated in each stage of endochondral osteogenesis. We further determined that both wild-type (WT) and mutant cells are present within the ectopic bone tissue, an unexpected finding that indicates that although the mutation is necessary to induce the bone formation process, the mutation is not required for progenitor cell contribution to bone and cartilage. This unique knock-in mouse model provides novel insight into the genetic regulation of heterotopic ossification and establishes the first direct in vivo evidence that the R206H mutation in ACVR1 causes FOP.

Pubmed ID: 22508565


  • Chakkalakal SA
  • Zhang D
  • Culbert AL
  • Convente MR
  • Caron RJ
  • Wright AC
  • Maidment AD
  • Kaplan FS
  • Shore EM


Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research

Publication Data

August 18, 2012

Associated Grants

  • Agency: NIAMS NIH HHS, Id: R01 AR041916
  • Agency: NIAMS NIH HHS, Id: R01-AR41916

Mesh Terms

  • Activin Receptors, Type I
  • Alleles
  • Amino Acid Substitution
  • Animals
  • Apoptosis
  • Base Sequence
  • Cell Movement
  • Chondrogenesis
  • Connective Tissue
  • Gene Knock-In Techniques
  • Gene Targeting
  • Humans
  • Inflammation
  • Lymphocytes
  • Mice
  • Mice, Inbred C57BL
  • Molecular Sequence Data
  • Muscle, Skeletal
  • Myositis Ossificans
  • Ossification, Heterotopic
  • Osteogenesis
  • Receptor Protein-Tyrosine Kinases
  • Receptor, TIE-2
  • Stem Cells