Progressive ankylosis protein homolog (ANK ilosis H omolog) is a protein that in humans is encoded by the ANKHgene.[5][6][7] ANKH is a multipass transmembrane protein that is expressed in joints and other tissues.[7] It is involved in transport of pyrophosphate (an inhibitor of hydroxyapatite precipitation) from cells into the extracellular space. It is expressed in osteoblasts. Deficiencies of ANKH are associated with excessive calcification of bone and with metastatic calcification.[8]
In a mouse model, mutation at the Ank locus causes a generalized, progressive form of arthritis accompanied by mineral deposition, formation of bony outgrowths, and joint destruction. The human homolog is virtually identical to the mouse protein and ANKH-mediated control of pyrophosphate levels has been suggested as a possible mechanism regulating tissue calcification and susceptibility to arthritis in higher animals.[7]
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Nürnberg P, Thiele H, Chandler D (May 2001). "Heterozygous mutations in ANKH, the human ortholog of the mouse progressive ankylosis gene, result in craniometaphyseal dysplasia". Nature Genetics. 28 (1): 37–41. doi:10.1038/88236. PMID11326272.
Tsui FW, Tsui HW, Cheng EY, Stone M, Payne U, Reveille JD, etal. (Mar 2003). "Novel genetic markers in the 5'-flanking region of ANKH are associated with ankylosing spondylitis". Arthritis and Rheumatism. 48 (3): 791–797. doi:10.1002/art.10844. PMID12632434.