Institute of Molecular and Cell Biology, University of Tartu, Estonia.
J Dent Res. 2013 Jun;92(6):507-11. doi: 10.1177/0022034513487210. Epub 2013 Apr 19.
Mutations in the ectodysplasin-A (EDA) gene have been generally associated with X-linked hypohidrotic ectodermal dysplasia (XLHED). Recently, missense mutations in EDA have been reported to cause familial non-syndromic tooth agenesis. In this study, we report a novel EDA mutation in an Estonian family segregating non-syndromic tooth agenesis with variable expressivity. Affected individuals had no associated defects in other ectodermal organs. Using whole-exome sequencing, we identified a heterozygous nonsense mutation c.874G>T (p.Glu292X) in the TNF homology domain of EDA in all affected female patients. This protein-altering variant arose de novo, and the potentially causative allele was transmitted to affected offspring from the affected mother. We suggest that the dental phenotype variability described in heterozygous female carriers of EDA mutation may occur because of the differential pattern of X-chromosome inactivation, which retains reduced levels of EDA-receptor signaling in tissues involved in tooth morphogenesis. This results in selective tooth agenesis rather than XLHED phenotype. The present study broadens the mutation spectrum for this locus and demonstrates that EDA mutations may result in non-syndromic tooth agenesis in heterozygous females.
EDA 基因突变通常与 X 连锁性少汗型外胚层发育不良(XLHED)相关。最近,EDA 的错义突变被报道可导致家族性非综合征性牙齿缺失。在这项研究中,我们报道了一个在爱沙尼亚家系中分离的 EDA 新突变,其表现度可变。受影响的个体在外胚层器官无相关缺陷。通过全外显子组测序,我们在所有受影响的女性患者的 TNF 同源结构域中发现了 EDA 的杂合无义突变 c.874G>T(p.Glu292X)。这种蛋白改变的变体是新生的,受影响的母亲将潜在的致病等位基因传递给受影响的后代。我们推测,EDA 突变杂合女性携带者描述的牙齿表型变异性可能是由于 X 染色体失活的不同模式所致,该模式在涉及牙齿形态发生的组织中保留了 EDA 受体信号的降低水平。这导致选择性牙齿缺失,而不是 XLHED 表型。本研究拓宽了该基因座的突变谱,并证明 EDA 突变可能导致杂合女性的非综合征性牙齿缺失。
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