Description
The study shows p.Arg50* creates inactive enzyme while p.Ile62Ser/p.Met64Arg enhance sphingomyelin production, yet both cause skeletal dysplasia. This paradox suggests unknown compensatory mechanisms or alternative pathways linking sphingomyelin metabolism to bone homeostasis.
Gap type: contradiction Source paper: Osteoporosis and skeletal dysplasia caused by pathogenic variants in SGMS2. (2019, JCI insight, PMID:30779713)