FAM111A mutations result in hypoparathyroidism and impaired skeletal development

Am J Hum Genet. 2013 Jun 6;92(6):990-5. doi: 10.1016/j.ajhg.2013.04.020. Epub 2013 May 16.


Kenny-Caffey syndrome (KCS) and the similar but more severe osteocraniostenosis (OCS) are genetic conditions characterized by impaired skeletal development with small and dense bones, short stature, and primary hypoparathyroidism with hypocalcemia. We studied five individuals with KCS and five with OCS and found that all of them had heterozygous mutations in FAM111A. One mutation was identified in four unrelated individuals with KCS, and another one was identified in two unrelated individuals with OCS; all occurred de novo. Thus, OCS and KCS are allelic disorders of different severity. FAM111A codes for a 611 amino acid protein with homology to trypsin-like peptidases. Although FAM111A has been found to bind to the large T-antigen of SV40 and restrict viral replication, its native function is unknown. Molecular modeling of FAM111A shows that residues affected by KCS and OCS mutations do not map close to the active site but are clustered on a segment of the protein and are at, or close to, its outer surface, suggesting that the pathogenesis involves the interaction with as yet unidentified partner proteins rather than impaired catalysis. FAM111A appears to be crucial to a pathway that governs parathyroid hormone production, calcium homeostasis, and skeletal development and growth.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abnormalities, Multiple / diagnostic imaging
  • Abnormalities, Multiple / genetics*
  • Abnormalities, Multiple / mortality
  • Abnormalities, Multiple / pathology
  • Adolescent
  • Adult
  • Bone Diseases, Developmental / genetics*
  • Bone Diseases, Developmental / mortality
  • Bone Diseases, Developmental / pathology
  • Child
  • Craniofacial Abnormalities / genetics*
  • Craniofacial Abnormalities / mortality
  • Craniofacial Abnormalities / pathology
  • Dwarfism / diagnostic imaging
  • Dwarfism / genetics*
  • Dwarfism / mortality
  • Genetic Association Studies
  • Heterozygote
  • Humans
  • Hyperostosis, Cortical, Congenital / diagnostic imaging
  • Hyperostosis, Cortical, Congenital / genetics*
  • Hyperostosis, Cortical, Congenital / mortality
  • Hypocalcemia / diagnostic imaging
  • Hypocalcemia / genetics*
  • Hypocalcemia / mortality
  • Hypoparathyroidism / diagnostic imaging
  • Hypoparathyroidism / genetics*
  • Hypoparathyroidism / mortality
  • Infant
  • Infant, Newborn
  • Male
  • Mutation, Missense
  • Parathyroid Hormone / deficiency
  • Radiography
  • Receptors, Virus / genetics*


  • FAM111A protein, human
  • Parathyroid Hormone
  • Receptors, Virus

Supplementary concepts

  • Gracile bone dysplasia
  • Kenny-Caffey syndrome, type 2