Service de Génétique Médicale, Hôpital Purpan, CHU, Toulouse, France.
Am J Med Genet A. 2013 Apr;161A(4):671-8. doi: 10.1002/ajmg.a.35747. Epub 2013 Feb 7.
Ectodermal dysplasias (ED) are a clinically and genetically heterogeneous group of hereditary disorders that have in common abnormal development of ectodermal derivatives. Hypohidrotic ectodermal dysplasia (HED) is characterized by abnormal development of eccrine sweat glands, hair, and teeth. The X-linked form of the disease, caused by mutations in the EDA gene, represents the majority of patients with the hypohidrotic form. Autosomal dominant and autosomal recessive forms are occasionally seen, and result from mutations in at least three genes (WNT10A, EDAR, or more rarely EDARADD). We have screened for mutations in EDAR (commonly involved in the hypohidrotic form) and WNT10A (involved in a wide spectrum of ED and in isolated hypodontia) in a cohort of 36 patients referred for EDA molecular screening, which failed to identify any mutation. We identified eight EDAR mutations in five patients (two with homozygous mutations, one with compound heterozygous mutations, and two with heterozygous mutation), four of which were novel variants. We identified 28 WNT10A mutations in 16 patients (5 with homozygous mutations, 7 with compound heterozygous mutations, and 4 with heterozygous mutations), seven of which were novel variants. Our study allows a more precise definition of the phenotypic spectrum associated with EDAR and WNT10A mutations and underlines the importance of the implication of WNT10A among patients with ED.
外胚层发育不全症(ED)是一组具有临床和遗传异质性的遗传性疾病,其共同特征是外胚层衍生物的异常发育。少汗型外胚层发育不全症(HED)的特征是外分泌汗腺、毛发和牙齿发育异常。该病的 X 连锁形式是由 EDA 基因突变引起的,代表了大多数少汗型患者。常染色体显性和常染色体隐性形式也偶尔可见,是由至少三个基因(WNT10A、EDAR 或更罕见的 EDARADD)的突变引起的。我们在一组 36 名因 EDA 分子筛查而转诊的患者中筛查了 EDAR(通常与少汗型有关)和 WNT10A(与广泛的 ED 和孤立性缺牙有关)的突变,但未发现任何突变。我们在五名患者中发现了八个 EDAR 突变(两名患者为纯合突变,一名患者为复合杂合突变,两名患者为杂合突变),其中四个是新的变异。我们在 16 名患者中发现了 28 个 WNT10A 突变(5 名患者为纯合突变,7 名患者为复合杂合突变,4 名患者为杂合突变),其中七个是新的变异。我们的研究更精确地定义了与 EDAR 和 WNT10A 突变相关的表型谱,并强调了 WNT10A 在 ED 患者中的重要性。
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