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Wings of HOPE as we REACH for the CURE to Multiple Hereditary Exostoses Syndrome/Multiple Osteochondroma Syndrome
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Welcome ! to the MHE Research Foundation website The MHE Research Foundation is a nonprofit 501(c)(3) organization dedicated to the support of, Researchers, Physicians and Families, Dealing with (MHE) Multiple Hereditary Exostoses Syndrome/(MO) Multiple Osteochondroma Syndrome a Rare Genetic Bone Disease. The MHE Research Foundations five point mission is to REACH, advance & support the following.
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Site Map
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RESEARCH, to assist and support researchers in order to one day discover a treatment/cure for MHE/MO/HME. Our foundation works hand in hand with researchers from around the world in this mission. EDUCATION, to provide vital clinical informational guides benefiting both families and physicians. ADVOCACY, bring awareness about this rare neglected bone disease throughout the world. CLINICAL, to help provide resources to families enabling them to locate the medical care they require. HOPE, the research being conducted on MHE/MO/HME & the informational resources will bring a better quality of life to the families affected by this syndrome around the world. Scroll down to read highlights, use the tool bar section tabs above to view complete website information.
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Send us your comments, question & thoughts Click Here
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Become Part Of The Wings Of Hope... As We Work Together To REACH... For The Cure...
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General donations to our foundation can be made Monthly,Quarterly,Annually as well as one time donation
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All donations made to the MHE Research Foundation are exempt from Federal Income Taxes under Section 501(c)(3) of the
Internal Revenue Code and are greatly appreciated. All donations go to help this foundation in its efforts to the further
understanding of MHE through research and education.
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The AWARENESS ribbon color for MHE/ MO /HME is WHITE. Please show your support for our cause by wearing a white ribbon this way when people ask! You can let them know what our ribbon means.
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Subscribe to The MHE Research Foundation’s Connection Corner Online Google Support Group.>
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Written consent must be obtained to attach web pages or the files attached to this website, please email the webmaster.
Email the webmaster: webmaster@mheresearchfoundation.org Materials on this website are protected by copyright Copyright © 2012 The MHE Research Foundation
Disclaimer: While many find the information useful, it is in no way a substitute for professional medical care. The information provided here is for educational and informational purposes only. This website does not engage in the practice of medicine. In all cases we recommend that you consult your own physician regarding any course of treatment or medicine.
This web page was updated last on 11/11/12, 12:0O pm Eastern time
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This website is regularly reviewed by members of the Scientific and Medical Advisory Board of the MHE Research Foundation.
All online submission forms use (SSL AES 256 bit encryption (High); RSA 1024 bit exchange) Protocol with Privacy protection. Our goal is to make this website as safe and user friendly as possible.
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number of users on this website page now :
The MHE Research Foundationis proud to be a partnering society with ASMB / MSTS / CTOS
The MHE Research Foundation We are pleased to welcome Marjorie (Max) Reynolds as the new Patient/Family Care Coordinator.
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If you are in the need of obtaining an Orthopaedic Surgeon and family support, please feel free to contact Max at anytime at
maxreynoldsmhe@gmail.com or call our toll free phone number. As part of Max new role within the Foundation she is Director of the
MHE / MO / HME Google support group and Facebook etc and is assistant to Vice President Sarah Ziegler as Coordinator Clinical and Research
Information.
Sarah Ziegler Co-Chair of the United States Bone and Joint Decade/Initiative (USBJD) Rare Bone Disease Patient Network
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Our Foundations Vice President and National Director of Research Sarah Ziegler educational display at the Pediatric Orthopaedic
Society of North America (POSNA) at there annual conference was held on May 16-19, 2012 in Denver and Sarah doing this again
this year at the POSNA conference to be held May 1-4, 2013 in Toronto, Ontario, Canada
What is Multiple Hereditary Exostoses Syndrome? Multiple Hereditary Exostoses (MHE) also often referred to as Hereditary Multiple Exostoses (HME) Multiple Osteochondromas (MO) is the preferred term used by the World Health Organization "WHO".
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Dr. George H. Thompson, POSNA 2003 President, POSNA 2011 President, Dr. James Roach, POSNA 2010 President, John P. Dormans and Sarah Ziegler
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Dr. Charles T. Price, Distinguished Achievement Award and POSNA 2005 President Sarah Ziegler
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Dr. James Roach POSNA 2011 President, Sarah Ziegler
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Dr. Leon Root Dr. John P. Dormans Dr. Richard Davidson Dr. James McCarthy LLRS 2012 Dr. James Roach, Dr. Harold JP van Bosse
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Research "PATIENT" Registry Click Here
** MHE / MO / HME Research Project is OPEN and needs patient participation.** Tumor and Blood samples are needed. If you or your child is having surgery please consider donating these tumors samples to research. Click Here
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The MHE Research Foundation would like to thank Adriano Sverko and his production company 'asvm productions"
for all their efforts
561-594-5305
RESEARCH & THE SANFORD-BURNHAM
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Multiple Hereditary Exostoses: Its Burden on Childhood and Beyond: Commentary on an article by A.L. Goud, MD, et al.:
“Pain, Physical and Social Functioning, and Quality of Life in Individuals with Multiple Hereditary Exostoses in the Netherlands. A
National Cohort Study”. Arkader A.
J Bone Joint Surg Am. 2012 Jun 6;94(11):e811-1
To read this full text publication Click here
Autism-like socio-communicative deficits and stereotypies in mice lacking heparan sulfate.
Irie F, Badie-Mahdavi H, Yamaguchi Y.
Proc Natl Acad Sci U S A. 2012 Mar 12.
HSPG-Deficient Zebrafish Uncovers Dental Aspect of Multiple Osteochondromas.
Wiweger MI, Zhao Z, van Merkesteyn RJ, Roehl HH, Hogendoorn PC.
PLoS One. 2012;7(1):e29734. Epub 2012 Jan 11.
To read this full text publication Click here
Epiphyseal growth plate and secondary peripheral chondrosarcoma the neighbours matter.
J Pathol. 2012 Jan;226(2):219-28. doi: 10.1002/path.3003. Epub 2011 Nov 23.
de Andrea CE, Hogendoorn PC.
To read this full text publication Click here
Identification and functional characterization of the human EXT1 promoter region.
Jennes I, Zuntini M, Mees K, Palagani A, Pedrini E, De Cock G, Fransen E, Vanden Berghe W, Sangiorgi L, Wuyts W.
Gene. 2012 Jan 15;492(1):148-59. Epub 2011 Oct 19.
Compound heterozygous loss of Ext1 and Ext2 is sufficient for formation of multiple exostoses in mouse ribs and long bones.
Zak BM, Schuksz M, Koyama E, Mundy C, Wells DE, Yamaguchi Y, Pacifici M, Esko JD.
Bone. 2011 May 1;48(5):979-87. Epub 2011 Feb 15.
To read Click Here
Breakpoint characterization of large deletions in EXT1 or EXT2 in 10 Multiple Osteochondromas families.
Jennes I, de Jong D, Mees K, Hogendoorn PC, Szuhai K, Wuyts W.
BMC Med Genet. 2011 Jun 26;12(1):85.
To read this full text publication Click here
Growth plate regulation and osteochondroma formation: insights from tracing proteoglycans in zebrafish models and human cartilage.
de Andrea CE, Prins FA, Wiweger MI, Hogendoorn PC.
J Pathol. 2011 Jun;224(2):160-8. doi: 10.1002/path.2886.t
New Publications
Glycobiology and the Growth Plate: Current Concepts in Multiple Hereditary Exostoses
Jones, Kevin B.
Journal of Pediatric Orthopaedics. 31(5):577-586, July/August 2011.
Publications from the press release above
Conditional ablation of the heparan sulfate-synthesizing enzyme Ext1 leads to dysregulation of BMP signaling and severe skeletal defects.
Matsumoto Y, Matsumoto K, Irie F, Fukushi JI, Stallcup WB, Yamaguchi Y.
Sanford-Burnham Medical Research Institute, United States.
J Biol Chem. 2010 Jun 18;285(25):19227-34. Epub 2010 Apr 19.
To read this full text publication Click Here
A mouse model of chondrocyte-specific somatic mutation reveals a role for Ext1 loss of heterozygosity in multiple hereditary exostoses.
Matsumoto K, Irie F, Mackem S, Yamaguchi Y.
Proc Natl Acad Sci U S A. 2010 Jun 15;107(24):10932-7. Epub 2010 Jun 1.
Roles of heparan sulfate in mammalian brain development current views based on the findings from Ext1 conditional knockout studies.
Yamaguchi Y, Inatani M, Matsumoto Y, Ogawa J, Irie F.
Prog Mol Biol Transl Sci. 2010;93:133-52.
Tiling resolution array-CGH shows that somatic mosaic deletion of the EXT gene is causative in EXT gene mutation negative multiple
osteochondromas patients.
Szuhai K, Jennes I, de Jong D, Bovée JV, Wiweger M, Wuyts W, Hogendoorn PC.
Hum Mutat. 2010 Dec 7 (full text link)
Multiple osteochondromas in the archaeological record: a global review
E.M. Murphy, C.J. McKenzie
Journal of Archaeological Science 37 (2010) 2255e2264
To read this full text publication Click Here
No Haploinsufficiency but Loss of Heterozygosity for EXT in Multiple Osteochondromas
Reijnders CM, Waaijer CJ, Hamilton A, Buddingh EP, Dijkstra SP, Ham J, Bakker E, Szuhai K, Karperien M, Hogendoorn PC, Stringer SE, Bovée JV.
Am J Pathol. 2010 Sep 2. PMID: 20813973
Genetic models of osteochondroma onset and neoplastic progression: evidence for mechanisms alternative to EXT genes inactivation.
Zuntini M, Pedrini E, Parra A, Sgariglia F, Gentile FV, Pandolfi M, Alberghini M, Sangiorgi L.
Oncogene. 2010 Jul 1;29(26):3827-34.
Primary cilia organization reflects polarity in the growth plate and implies loss of polarity and mosaicism in osteochondroma
de Andrea CE, Wiweger M, Prins F, Bovée JV, Romeo S, Hogendoorn PC.
International Journal of Laboratory Investigation (April issue)
http://www.nature.com/labinvest/journal/vaop/ncurrent/abs/labinvest201081a.html
Sugars, bones, and a disease called multiple hereditary exostoses
Henry H. Roehl, Maurizio Pacifici
Journal of Developmental Dynamics May 2010 issue
http://www3.interscience.wiley.com/journal/123345707/abstract
EXTra hit for mouse osteochondroma
Judith V. M. G. Bovée
10.1073/pnas.0914431107 PNAS published February 2, 2010 vol. 107 no. 5 1813-1814
Biological Sciences - Developmental Biology:
A mouse model of osteochondromagenesis from clonal inactivation of Ext1 in chondrocytes
Kevin B. Jones, Virginia Piombo, Charles Searby, Gail Kurriger, Baoli Yang, Florian Grabellus, Peter J. Roughley, Jose A. Morcuende, Joseph A.
Buckwalter, Mario R. Capecchi, Andrea Vortkamp, and Val C. Sheffield
PNAS published online doi:10.1073/pnas.0910875107
Mutation in the heparan sulfate biosynthesis enzyme Ext1 influences growth factor signaling and fibroblast interaction with the
extracellular matrix.
Cecilia Österholm, Malgorzata M. Barczyk, Marta Busse, Mona Grønning, Rolf K. Reed, and Marion Kusche-Gullberg
J. Biol. Chem. 2009 284: 34935-34943. First Published on October 22, 2009, doi:10.1074/jbc.M109.005264
To read this Full Text publication Click here
Multiple osteochondromas: mutation update and description of the multiple osteochondromas mutation database (MOdb).
Jennes I, Pedrini E, Zuntini M, Mordenti M, Balkassmi S, Asteggiano CG, Casey B, Bakker B, Sangiorgi L, Wuyts W.
Hum Mutat. 2009 Oct 6
Involvement of the Spine in Patients with Multiple Hereditary Exostoses
James W. Roach, Joshua W.B. Klatt, and Nathan D. Faulkner
The Journal of Bone and Joint Surgery. Am., Aug 2009; 91: 1942 - 1948.
Multiple Hereditary Exostosis and Hedgehog Signaling: Implications for Novel Therapies
Benjamin A. Alman
The Journal of Bone and Joint Surgery. Am., Jul 2009; 91: 63 - 67.

This Symposium is open to all who would like to attend, to register Click Here To download the program Click Here MHE Research will be presented by Maurizio Pacifici, Ph.D., Director of Research, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia To view the 2012 Symposium with Dr. Yu Yamaguchi's video presentation and all the others during this symposiun Click Here
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Maurizio Pacifici, Ph.D. Director of the Translational Research Program in Pediatric Orthopaedics at The Children's Hospital of Philadelphia
Has been awarded the 2011 MHE Research Foundation "The Humanitarian Scientific Achievement Award"
Jacqueline T. Hecht, Ph.D. Director of Pediatric Research Center at The University of Texas Medical School
Has been awarded the 2011 MHE Research Foundation "The REACH Rsearch Award"
Both Researchers will also be presented the following awards by members of the U. S. Congress ~ N. Y. State Senate The Borough of Brooklyn, City of New York. CITATIONS PROCLAMATIONS CERTIFICATES OF RECOGNITION
These awards were presented during FUNTASIA Held on Sunday Sept 25, 2011
TO VIEW VIDEO AND READ MORE ABOUT THIS EVENT CLICK HERE
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JUNE 9, 2012 Journal "The Scientist" Bones to Brains - Autism- Relevant Behavioral Phenotype Click here to read this article
MARCH 12, 2012 PRESS RELEASE RESEARCH & THE SANFORD BURNHAM
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MHE / MO / HME is a genetic bone disorder in which benign cartilage-capped bone tumors grow outward from the metaphyses of
long bones, growth plates or from the surface of flat bones throughout the body. The severity of this disease varies widely.
Some patients may have as few as two tumors, but most patients develop many more and the numbers of tumors can run into
the hundreds.
These cartilage-capped bone tumors are called Exostoses / Osteochondroma and may be sessile or pedunculated and vary
widely in size and shape. Pedunculated Exostoses / Osteochondroma is when a stalk is present, the structure is called
pedunculated. These have a Broccoli like appearance with stalk and growth towards the end of the stalk. Sessile Exostoses /
Osteochondroma have a broad-base attachment to the outer bone, called the "cortex". These have a lumpy / bumpy appearance
(When no stalk is present, these are called sessile).
These Exostoses / Osteochondromas can cause numerous problems, including: compression of peripheral nerves or blood
vessels; irritation of tendons and muscles resulting in pain and loss of motion; skeletal deformity; short stature; limb length
discrepancy; chronic pain and fatigue; mobility issues; early onset arthritis; and an increased risk of developing malignant tumor
transformation (chondro-sarcoma) reported risk of 2%-5% over life time. It is not uncommon for MHE / MO / HME patients to
undergo numerous surgical procedures throughout their lives to remove painful or deforming Exostoses / Osteochondromas,
following these surgeries abnormal scarring can accrue with keloid formation. MHE / MO / HME patient also need to undergo
surgeries to correct the bone deformities as well as limb length discrepancies and improve range of motion. New scientific
findings are also showing autism relevant behavioral phenotype connected to MHE / MO / HME.
Surgery, physical therapy and pain management are currently the only options available to MHE / MO / HME patients, but their
success varies from patient to patient and many struggle with chronic pain, fatigue and mobility problems throughout their lives.
MHE / MO / HME is a genetic autosomal dominant hereditary disorder. This means that a patient with MHE / MO / MHE has a 50%
chance of transmitting this disorder to his / her children. Approximately 10% -20% of individuals with MHE / MO / HME have the
condition as a result of a spontaneous mutation are thus the first person in their family to be affected.
There are two known genes found to cause MHE / MO / HME they are EXT1 located on chromosome 8q23-q24 and EXT2 located
on chromosome 11p11-p12. Approximately 60 to 70 % of mutations are located in the EXT1 gene and 20 to 30% are located in
the EXT2 gene. In 10 to 20% of the patients, no mutation is found.

The MHE Research Foundation Partnering in Advocacy and Education with the Musculoskeletal Tumor Society (MSTS) and the Connective Tissue Oncology Society (CTOS) during the Oct 26-29, 2011 joint conference held in Chicago Our Foundation would like to express our thanks to MSTS and CTOS for all of there continuing support of our efforts
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Dr. Richard Lackman 2011 President of MSTS and long time supporter. Dr. Lackman is Porfessor and Director, Sarcoma Center of Excellence at the Abramson Cancer Center of the University of Pennsylvania
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The 4th International MHE Research Conference was held Nov 1- 4, 2012 to review the conference Click Here
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RARE BONE DISEASE RESEARCH –FUTURE DIRECTIONS SUMMIT was held Sept 19, 2012 At John Hopkins in Baltimore, MD MHE Research was presneted by Maurizio Pacifici, Ph.D., Director of Research, Division of Orthopaedic Surgery, The Children’s Hospital of Philadelphia Click Here to view the prorgam
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Dr. Kevin B. Jones has authored the book "What Doctors Cannot Tell You: Clarity, Confidence and Uncertainty in Medicine" published June of 2012 Dr. Jones serves on the Scientific and Medical Advisory Board of our Foundation. We would like to thank Dr. Jones for all of his efforts on behalf of patients.
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