Ruf Sabine, Klimas Dana, Hönemann Mario, Jabir Sarah
Department of Orthodontics, Medical Center for Dental and Oral Medicine, Justus-Liebig-Universität Gießen, Germany.
J Orofac Orthop. 2013 Jul;74(4):295-308. doi: 10.1007/s00056-013-0138-z. Epub 2013 Jul 5.
OBJECTIVES: The goal of this work was to identify all known gene mutations that have been associated with the development of nonsyndromic oligodontia. METHODS: A systematic literature search was performed electronically in two databases (PubMed, Medpilot) supplemented by a hand search. Articles published up to March 2012 were considered. Search terms were combined as follows: oligodontia and genes, oligodontia and mutations, tooth agenesis and genes, and tooth agenesis and mutations. A meta-analysis of the data was conducted based on the Tooth Agenesis Code (TAC). RESULTS: Seven genes are currently known to have a potential for causing nonsyndromic oligodontia. All these genes vary both in terms of number of identified mutations and in terms of number of documented patients: 33 mutations and 93 patients are on record for PAX9, 10 mutations and 51 patients for EDA, 12 mutations and 33 patients for MSX1, 6 mutations and 17 patients for AXIN2, and 1 mutation in 1 patient for EDARADD, NEMO, and KRT17 each. A total TAC score of 250 was found to have cutoff properties, as 100% of MSX1 and 80% of EDA patients exhibited TAC ≤ 250, whereas 96.9% of PAX9 and 90% of AXIN2 patients exhibited TAC >250. Furthermore, 94.3% of EDA patients but only 28.6% of MSX1 patients exhibited odd-numbered TAC scores in at least one quadrant, and 72.7% of PAX9 but none of the AXIN2 patients were found to show TAC scores of 112 in at least one quadrant. CONCLUSION: In order of decreasing frequency, PAX9, EDA, MSX1, AXIN2, EDARADD, NEMO, and KRT17 are the seven genes currently known to have a potential for causing nonsyndromic oligodontia. TAC scores enabled us to identify an association between oligodontia phenotypes and genotypes in the patients covered by this meta-analysis.
目的:本研究旨在确定所有已知的与非综合征性少牙症发生相关的基因突变。 方法:通过在两个数据库(PubMed、Medpilot)中进行电子系统文献检索,并辅以手工检索。纳入截至2012年3月发表的文章。检索词组合如下:少牙症与基因、少牙症与突变、牙齿发育不全与基因、牙齿发育不全与突变。基于牙齿发育不全编码(TAC)对数据进行荟萃分析。 结果:目前已知有7个基因可能导致非综合征性少牙症。所有这些基因在已鉴定的突变数量和记录的患者数量方面均有所不同:PAX9有33个突变和93例患者记录,EDA有10个突变和51例患者,MSX1有12个突变和33例患者,AXIN2有6个突变和17例患者,EDARADD、NEMO和KRT17各有1个突变且各涉及1例患者。发现总TAC评分250具有分界特性,因为100%的MSX1患者和80%的EDA患者TAC≤250,而96.9%的PAX9患者和90%的AXIN2患者TAC>250。此外,94.3%的EDA患者但只有28.6%的MSX1患者在至少一个象限中表现为奇数TAC评分,72.7%的PAX9患者但没有AXIN2患者在至少一个象限中TAC评分为112。 结论:按频率递减顺序,PAX9、EDA、MSX1、AXIN2、EDARADD、NEMO和KRT17是目前已知的可能导致非综合征性少牙症的7个基因。TAC评分使我们能够在本荟萃分析涵盖的患者中确定少牙症表型与基因型之间的关联。
J Orofac Orthop. 2013-7
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