National Oral Disability Centre, The Institute for Postgraduate Dental Education, Jönköping, Sweden.
Am J Med Genet A. 2011 Jul;155A(7):1616-22. doi: 10.1002/ajmg.a.34045. Epub 2011 May 27.
Oligodontia is defined as the congenital lack of six or more permanent teeth, excluding third molars. Oligodontia as well as hypodontia (lack of one or more permanent teeth) are highly heritable conditions associated with mutations in the AXIN2, MSX1, PAX9, EDA, and EDAR genes. Here we define the prevalence of mutations in the AXIN2, MSX1, PAX9, EDA, and EDAR genes, and the novel candidate gene EDARADD in a cohort of 93 Swedish probands with non-syndromic, isolated oligodontia. Mutation screening was performed using denaturing gradient gel electrophoresis and DNA sequence analysis. Analyses of the coding sequences of the six genes showed sequence alterations predicted to be damaging or potentially damaging in ten of 93 probands (10.8%). Mutations were identified in the EDARADD (n = 1), AXIN2 (n = 3), MSX1 (n = 2), and PAX9 (n = 4) genes, respectively. None of the 10 probands with mutations had other self-reported symptoms from ectodermal tissues. The oral parameters were similar when comparing individuals with and without mutations but a family history of oligodontia was three times more frequent for probands with mutations. EDARADD mutations have previously been reported in a few families segregating hypohidrotic ectodermal dysplasia and this is, to our knowledge, the first report of an EDARADD mutation associated with isolated oligodontia.
少牙症定义为先天性缺少 6 颗或更多的恒牙,不包括第三磨牙。少牙症以及缺牙症(缺少 1 颗或更多恒牙)是高度遗传性疾病,与 AXIN2、MSX1、PAX9、EDA 和 EDAR 基因突变有关。在这里,我们在一个由 93 名瑞典非综合征性孤立性少牙症患者组成的队列中定义了 AXIN2、MSX1、PAX9、EDA 和 EDAR 基因突变以及新的候选基因 EDARADD 的患病率。使用变性梯度凝胶电泳和 DNA 序列分析进行突变筛选。对这 6 个基因的编码序列进行分析,在 93 名先证者中有 10 名(10.8%)发现了预测为有害或潜在有害的序列改变。在 EDARADD(n=1)、AXIN2(n=3)、MSX1(n=2)和 PAX9(n=4)基因中分别鉴定到突变。在有突变的 10 名先证者中均未发现其他来自外胚层组织的自述症状。在比较有突变和无突变的个体时,口腔参数相似,但有突变的先证者的少牙症家族史更为常见,其频率是无突变先证者的三倍。EDARADD 突变先前已在几个常染色体隐性遗传的少汗型外胚层发育不良的家族中报道过,据我们所知,这是首次报道 EDARADD 突变与孤立性少牙症有关。
Am J Med Genet A. 2011-5-27
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