Zhang Jin, Han Dong, Song Shujuan, Wang Ying, Zhao Hongshan, Pan Shaoxia, Bai Baojing, Feng Hailan
Department of Prosthodontics, Peking University School and Hospital of Stomatology, Haidian District, Beijing, China.
Eur J Med Genet. 2011 Jul-Aug;54(4):e377-82. doi: 10.1016/j.ejmg.2011.03.005. Epub 2011 Mar 30.
Mutations in the ectodysplasin-A (EDA) gene can cause both X-linked hypohidrotic ectodermal dysplasia (XLHED) and non-syndromic hypodontia (NSH). The correlation between the phenotypes and genotypes of these two conditions has yet to be described. In the present study, 27 non-consanguineous Chinese XLHED subjects were screened and 17 EDA mutations were identified. In order to investigate the correlation between genotype and phenotype, we also reviewed related studies on NSH subjects with confirmed EDA mutations and compared the differences in the clinical manifestations and EDA mutations of the two conditions. Tooth agenesis was observed in addition to abnormalities of other ectodermal organs. Tooth agenesis was more severe in XLHED subjects than in NSH subjects, and there were statistically significant differences in 10 tooth positions in the XLHED and NSH subjects, including canines, premolars, and molars. With the exception of one splicing mutation, all mutations in the NSH subjects were missense mutations, and these were most likely to be located in the tumor necrosis factor (TNF) domain. Further, more than half of the mutations in the XLHED subjects were speculated to be loss of function mutations, such as nonsense, insertion, and deletion mutations, and these mutations were distributed across all EDA domains. Our results show that there exists a correlation between the phenotypes and genotypes of XLHED and NSH subjects harboring EDA mutations. Further, our findings suggest that NSH is probably a variable expression of XLHED. This finding might be useful for clinical diagnosis and genetic counseling in clinical practice, and provides some insight into the different manifestations of EDA mutations in different ectodermal organs.
外胚层发育不良蛋白 A(EDA)基因突变可导致 X 连锁少汗性外胚层发育不良(XLHED)和非综合征性牙缺失(NSH)。这两种疾病的表型与基因型之间的相关性尚未见报道。在本研究中,对 27 名非近亲结婚的中国 XLHED 患者进行了筛查,共鉴定出 17 个 EDA 基因突变。为了研究基因型与表型之间的相关性,我们还回顾了关于确诊为 EDA 基因突变的 NSH 患者的相关研究,并比较了这两种疾病临床表现和 EDA 基因突变的差异。除其他外胚层器官异常外,还观察到牙缺失。XLHED 患者的牙缺失比 NSH 患者更严重,XLHED 和 NSH 患者在 10 个牙位上存在统计学显著差异,包括犬齿、前磨牙和磨牙。除一个剪接突变外,NSH 患者的所有突变均为错义突变,且这些突变最可能位于肿瘤坏死因子(TNF)结构域。此外,推测 XLHED 患者中超过一半的突变是功能丧失突变,如无义突变、插入突变和缺失突变,这些突变分布在所有 EDA 结构域。我们的结果表明,携带 EDA 基因突变的 XLHED 和 NSH 患者的表型与基因型之间存在相关性。此外,我们的研究结果表明,NSH 可能是 XLHED 的一种可变表现形式。这一发现可能对临床实践中的临床诊断和遗传咨询有用,并为 EDA 基因突变在不同外胚层器官中的不同表现提供了一些见解。
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