成骨不全儿童和青少年中COL1A1和COL1A2突变与牙齿异常——一项回顾性队列研究

Mutations in COL1A1 and COL1A2 and dental aberrations in children and adolescents with osteogenesis imperfecta - A retrospective cohort study.

作者信息

Andersson Kristofer, Dahllöf Göran, Lindahl Katarina, Kindmark Andreas, Grigelioniene Giedre, Åström Eva, Malmgren Barbro

机构信息

Department of Dental Medicine, Division of Pediatric Dentistry, Karolinska Institutet, Huddinge, Sweden.

Center for Pediatric Oral Health Research, Stockholm, Sweden.

出版信息

PLoS One. 2017 May 12;12(5):e0176466. doi: 10.1371/journal.pone.0176466. eCollection 2017.

Abstract

Osteogenesis imperfecta (OI) is a heterogeneous group of disorders of connective tissue, caused mainly by mutations in the collagen I genes (COL1A1 and COL1A2). Dentinogenesis imperfecta (DGI) and other dental aberrations are common features of OI. We investigated the association between collagen I mutations and DGI, taurodontism, and retention of permanent second molars in a retrospective cohort of 152 unrelated children and adolescents with OI. The clinical examination included radiographic evaluations. Teeth from 81 individuals were available for histopathological evaluation. COL1A1/2 mutations were found in 104 individuals by nucleotide sequencing. DGI was diagnosed clinically and radiographically in 29% of the individuals (44/152) and through isolated histological findings in another 19% (29/152). In the individuals with a COL1A1 mutation, 70% (7/10) of those with a glycine substitution located C-terminal of p.Gly305 exhibited DGI in both dentitions while no individual (0/7) with a mutation N-terminal of this point exhibited DGI in either dentition (p = 0.01). In the individuals with a COL1A2 mutation, 80% (8/10) of those with a glycine substitution located C terminal of p.Gly211 exhibited DGI in both dentitions while no individual (0/5) with a mutation N-terminal of this point (p = 0.007) exhibited DGI in either dentition. DGI was restricted to the deciduous dentition in 20 individuals. Seventeen had missense mutations where glycine to serine was the most prevalent substitution (53%). Taurodontism occurred in 18% and retention of permanent second molars in 31% of the adolescents. Dental aberrations are strongly associated with qualitatively changed collagen I. The varying expressivity of DGI is related to the location of the collagen I mutation. Genotype information may be helpful in identifying individuals with OI who have an increased risk of dental aberrations.

摘要

成骨不全症(OI)是一组结缔组织疾病的异质性群体,主要由I型胶原蛋白基因(COL1A1和COL1A2)的突变引起。牙本质发育不全(DGI)和其他牙齿异常是OI的常见特征。我们在一个由152名无亲缘关系的患有OI的儿童和青少年组成的回顾性队列中,研究了I型胶原蛋白突变与DGI、牛牙症以及恒牙第二磨牙滞留之间的关联。临床检查包括影像学评估。81名个体的牙齿可供组织病理学评估。通过核苷酸测序在104名个体中发现了COL1A1/2突变。29%(44/152)的个体通过临床和影像学诊断为DGI,另有19%(29/152)通过单独的组织学检查结果诊断为DGI。在携带COL1A1突变的个体中,在p.Gly305 C末端发生甘氨酸替代的个体中有70%(7/10)在两副牙列中均表现为DGI,而在该位点N末端发生突变的个体中没有一个(0/7)在任何一副牙列中表现为DGI(p = 0.01)。在携带COL1A2突变的个体中,在p.Gly211 C末端发生甘氨酸替代的个体中有80%(8/10)在两副牙列中均表现为DGI,而在该位点N末端发生突变的个体中没有一个(0/5)在任何一副牙列中表现为DGI(p = 0.007)。20名个体的DGI仅限于乳牙列。17名个体有错义突变,其中甘氨酸到丝氨酸的替代最为常见(53%)。18%的青少年发生牛牙症,31%的青少年恒牙第二磨牙滞留。牙齿异常与I型胶原蛋白的质性改变密切相关。DGI的不同表达与I型胶原蛋白突变的位置有关。基因型信息可能有助于识别患有OI且牙齿异常风险增加的个体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/99dc/5428910/a710572b7749/pone.0176466.g001.jpg

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