Department of Pediatric Dentistry & Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Korea.
J Dent Res. 2014 Apr;93(4):371-5. doi: 10.1177/0022034514522059. Epub 2014 Jan 31.
Oligodontia is the developmental absence of more than 5 permanent teeth except for the third molar. Familial oligodontia can occur as an isolated form or as part of a genetic syndrome. Mutations in the MSX1, PAX9, AXIN2, EDA, and WNT10A genes have been identified in familial non-syndromic oligodontia. Ectodermal dysplasia is a group of syndromes involving abnormalities of the ectodermal structures and is comprised of more than 150 different forms. Mutations in the ectodysplasin-A (EDA) gene have been associated with X-linked hypohidrotic ectodermal dysplasia, and partial disruption of the EDA signaling pathway has been shown to cause an isolated form of oligodontia. We identified 2 X-linked oligodontia families and performed mutational analysis of the EDA gene. The mutational analysis revealed 2 novel EDA mutations: c.866G>T, p.Arg289Leu and c.1135T>G, p.Phe379Val (reference sequence NM_001399.4). These mutations were perfectly segregated with oligodontia and curly hair within each family and were not found in the 150 control X-chromosomes with the same ethnic background and in the exome variant server. This study broadens the mutational spectrum of the EDA gene and the understanding of X-linked oligodontia with curly hair.
少牙症是指除第三磨牙外,超过 5 颗恒牙缺失的发育性缺失。家族性少牙症可表现为孤立型,也可作为遗传综合征的一部分。在家族性非综合征性少牙症中,已经发现 MSX1、PAX9、AXIN2、EDA 和 WNT10A 基因的突变。外胚层发育不全是一组涉及外胚层结构异常的综合征,由 150 多种不同形式组成。EDA 基因的突变与 X 连锁性少汗性外胚层发育不全有关,EDA 信号通路的部分破坏已被证明可导致孤立型少牙症。我们鉴定了 2 个 X 连锁少牙症家系,并对 EDA 基因进行了突变分析。突变分析显示 2 个新的 EDA 突变:c.866G>T,p.Arg289Leu 和 c.1135T>G,p.Phe379Val(参考序列 NM_001399.4)。这些突变在家系中与少牙症和卷发完全分离,并且在具有相同种族背景的 150 个对照 X 染色体和外显子变体服务器中未发现。本研究拓宽了 EDA 基因突变谱,并加深了对伴有卷发的 X 连锁少牙症的认识。
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