Surgical correction of unilateral coronal synostosis offers a unique opport
unity to examine the molecular differences between an abnormal and a normal
cranial suture, We isolated and identified a cDNA fragment whose expressio
n was up-regulated in the premature fusing and fused coronal sutures, as co
mpared with normal coronal sutures. The nucleotide sequence of the full-len
gth cDNA of this gene, human NELL-1, has -61% homology with the chicken Nel
gene. Both chicken Nel and human NELL-1 are comprised of six epidermal gro
wth factor-like repeats. The human NELL-1 messages were localized primarily
in the mesenchymal cells and osteoblasts at the osteogenic front, along th
e parasutural bone margins, and within the condensing mesenchymal cells of
newly formed bone in sites of premature sutural fusion, Human multiorgan ti
ssue mRNA blot showed that NELL-1 was specifically expressed in fetal brain
but not in fetal kidney, liver, or lung. We also showed that Nell-1 was ex
pressed in rat calvarial osteoprogenitor cells and was largely absent in ra
t tibiae and fibroblast cell cultures. In conclusion, our data suggest that
the NELL-1 gene is preferentially expressed in cranial intramembranous bon
e and neural tissue (both of neural crest cell origin) and is up-regulated
during unilateral premature closure of the coronal suture, The precise role
of this gene is unknown.