Dan Wells, PH.D.
Dan Wells,
Professor Department of Biology and Biochemistry University of Houston

Multiple Hereditary Exostoses (MHE) is an autosomal dominant skeletal disorder most frequently
caused by mutations in the EXT1 gene.

MHE affects proper development of endochondral bones, such that all affected individuals present
with exostoses adjacent to the growth plate of long bones, while some individuals exhibit additional
bone deformities. EXT1 functions as a heparan sulfate (HS) co-polymerase, and when defective
causes improper elongation of glycosaminoglycan side chains on core proteins of HS proteoglycans.

Although analysis of heterozygous EXT1-deficient mice has failed to reveal any significant gross
morphological variations in skeletal development, significant alterations in molecular signaling occur in
the developing long bones.

Our results indicate that defects in EXT1 and the resulting reduction in HS lead to enhanced Indian
Hedgehog diffusion causing an increase in chondrocyte proliferation and delayed hypertrophic
differentiation.
Dr. Wells serves on the Scientific and Medical Advisory Board of the MHE Research Foundation
Research authored by Dr. Wells
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This web page was updated last on 2/20/08,  4:00 pm Eastern time
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