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由外胚层发育不良蛋白-A突变引起的X连锁少汗性外胚层发育不良和非综合征性缺牙的表型与基因型之间的相关性。

Correlation between the phenotypes and genotypes of X-linked hypohidrotic ectodermal dysplasia and non-syndromic hypodontia caused by ectodysplasin-A mutations.

作者信息

Zhang Jin, Han Dong, Song Shujuan, Wang Ying, Zhao Hongshan, Pan Shaoxia, Bai Baojing, Feng Hailan

机构信息

Department of Prosthodontics, Peking University School and Hospital of Stomatology, Haidian District, Beijing, China.

出版信息

Eur J Med Genet. 2011 Jul-Aug;54(4):e377-82. doi: 10.1016/j.ejmg.2011.03.005. Epub 2011 Mar 30.


DOI:10.1016/j.ejmg.2011.03.005
PMID:21457804
Abstract

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.

摘要

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。

相似文献

[1]
Correlation between the phenotypes and genotypes of X-linked hypohidrotic ectodermal dysplasia and non-syndromic hypodontia caused by ectodysplasin-A mutations.

Eur J Med Genet. 2011

[2]
Novel EDA p.Ile260Ser mutation linked to non-syndromic hypodontia.

J Dent Res. 2013-4-26

[3]
Sweating ability and genotype in individuals with X-linked hypohidrotic ectodermal dysplasia.

J Med Genet. 2011-2-26

[4]
Novel EDA mutation in X-linked hypohidrotic ectodermal dysplasia and genotype-phenotype correlation.

Oral Dis. 2015-11

[5]
Non-syndromic tooth agenesis associated with a nonsense mutation in ectodysplasin-A (EDA).

J Dent Res. 2013-4-19

[6]
A new mutation in EDA gene in X-linked hypohidrotic ectodermal dysplasia associated with keratoconus.

Minerva Pediatr. 2012-2

[7]
X-linked and autosomal recessive Hypohidrotic Ectodermal Dysplasia: genotypic-dental phenotypic findings.

Clin Genet. 2010-2-24

[8]
Novel and Private EDA Mutations and Clinical Phenotypes of Korean Patients with X-Linked Hypohidrotic Ectodermal Dysplasia.

Cytogenet Genome Res. 2019

[9]
Mutations in the EDA gene are responsible for X-linked hypohidrotic ectodermal dysplasia and hypodontia in Chinese kindreds.

Eur J Oral Sci. 2008-10

[10]
Novel EDA mutation resulting in X-linked non-syndromic hypodontia and the pattern of EDA-associated isolated tooth agenesis.

Eur J Med Genet. 2008

引用本文的文献

[1]
Clinical application of polar body-based preimplantation genetic testing for maternal mutations in women with a limited number of oocytes.

Orphanet J Rare Dis. 2025-4-1

[2]
Mutations Causing X-Linked Recessive Oligodontia with Variable Expression.

Genes (Basel). 2024-12-26

[3]
Novel Gene Variants in Chinese Children with Non-Syndromic Tooth Agenesis: A Clinical and Genetic Analysis.

Children (Basel). 2024-11-24

[4]
Variants Are Responsible for Approximately 90% of Deciduous Tooth Agenesis.

Int J Mol Sci. 2024-9-27

[5]
A Novel Ectodysplasin a Gene mutation of X-Linked Hypohidrotic Ectodermal Dysplasia.

Clin Cosmet Investig Dermatol. 2024-6-25

[6]
The EDA/EDAR/NF-κB pathway in non-syndromic tooth agenesis: A genetic perspective.

Front Genet. 2023-4-3

[7]
Dose Dependence Effect in Biallelic Variant-Associated Tooth Agenesis Phenotype.

Diagnostics (Basel). 2022-12-7

[8]
Rare X-Linked Hypohidrotic Ectodermal Dysplasia in Females Associated with Variants and the X-Chromosome Inactivation Pattern.

Diagnostics (Basel). 2022-9-23

[9]
Two novel ectodysplasin A gene mutations and prenatal diagnosis of X-linked hypohidrotic ectodermal dysplasia.

Mol Genet Genomic Med. 2021-11

[10]
A novel EDAR missense mutation identified by whole-exome sequencing with non-syndromic tooth agenesis in a Chinese family.

Mol Genet Genomic Med. 2021-6

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