Osteogenesis imperfecta (OI) is a group of congenital and heritable bone disorders that currently affects at least 50,000 people in the United States. OI varies in severity from perinatally lethal to mild forms. The majority of cases is caused by a dominant mutation in type I collagen genes (COL1α1 and COL1α2), altering the quantity or quality of type I collagen. Although OI is typically characterized as a disease of the bone, it is perhaps more accurately described as a connective tissue disorder. Type I collagen is a major constituent of lung connective tissue. Respiratory insufficiency is the leading cause of death in patients with OI. Thus, it is important and necessary to understand the etiology of the restrictive pulmonary physiology in the OI population.
This study is cross-sectional. At the participant's one study visit, data will be obtained at a single point in time and reflect the patients' current condition. Evaluations will include family and medical history, self-report questionnaires, physical evaluation, diagnostic studies, and radiographic studies. Eighteen participants will be enrolled, ideally within one year. Participants will be enrolled regardless of OI type since Bronchial Wall Thickening, a finding we are attempting to validate, was observed in all types of OI. Interested males with OI will be preferred over females to compensate for our highly female original cohort and determine if sexual dimorphism exists for cardiopulmonary outcomes in people with OI. Smokers will not be excluded.
Study Type
OBSERVATIONAL
Enrollment
18
University of California Los Angeles
Los Angeles, California, United States
Kennedy Krieger Institute / Hugo W. Moser Research Institute
Baltimore, Maryland, United States
Hospital for Special Surgery
New York, New York, United States
proportion of restrictive lung physiology
FEV1/FVC greater than or equal to 80%, which is obtained from PFT
Time frame: 12 months
Presence and severity of Bronchial Wall Thickening
measurement of percent of bronchial diameter subsumed by wall thickness
Time frame: 12 months
Vital lung capacity
Vital capacity/total lung capacity/chest volume prediction based on 1) readings by trained chest CT readers and 2) 3-D lung imaging calculation
Time frame: 12 months
Presences of pulmonary fibrosis
Presence of pulmonary fibrosis based on readings by trained chest CT readers
Time frame: 12 months
Change in lung tissue
location of bronchiectasis, and presence of atelectasis based on readings by trained chest CT readers
Time frame: 12 months
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