Mutations in LAMA5 disrupts a skeletal noncanonical focal adhesion pathway and produces a distinct bent bone dysplasia

Abstract

In addition to its structural role in skeletogenesis, the extracellular matrix (ECM), particularly basement membrane proteins, facilitates communication with intracellular signaling pathways and cell to cell interactions to control differentiation, proliferation, migration and survival. Alterations in extracellular proteins cause a number of skeletal disorders and one attributed mechanism results from the deleterious effects of mutated proteins on ECM structure. Yet, the consequences of abnormal ECM on cellular communication remains less well understood. Herein, we describe an unclassified form of bent bone dysplasia caused by recessively inherited mutations in LAMA5, the gene encoding the alpha-5 laminin basement membrane protein. This finding uncovered a mechanism of disease driven by ECM-cell interactions between alpha-5-containing laminins, and integrin- mediated focal adhesion signaling, particularly in cartilage. Loss of LAMA5 altered b1 integrin signaling through the non-canonical kinase PYK2 and the skeletal enriched SRC kinase FYN. Loss of LAMA5 negatively impacted the actin cytoskeleton, vinculin localization, and WNT signaling, tying focal adhesion molecules to key skeletal signaling molecules. This newly described mechanism reveals that a LAMA5-b1 Integrin-PYK2-FYN focal adhesion complex regulatesskeletogenesis and, when dysregulated, produces a distinct skeletal disorder.