1 Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
2 Department of Pediatric Dentistry and Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea.
J Dent Res. 2018 Aug;97(9):1064-1069. doi: 10.1177/0022034518763152. Epub 2018 Mar 19.
Tooth enamel, the hardest tissue in the human body, is formed after a complex series of interactions between dental epithelial tissue and the underlying ectomesenchyme. Nonsyndromic amelogenesis imperfecta (AI) is a rare genetic disorder affecting tooth enamel without other nonoral symptoms. In this study, we identified 2 novel ENAM mutations in 2 families with hypoplastic AI by whole exome sequencing. Family 1 had a heterozygous splicing donor site mutation in intron 4, NM_031889; c.123+2T>G. Affected individuals had hypoplastic enamel with or without the characteristic horizontal hypoplastic grooves in some teeth. Family 2 had a nonsense mutation in the last exon, c.1842C>G, p.(Tyr614*), that was predicted to truncate the protein by 500 amino acids. Participating individuals had at least 1 mutant allele, while the proband had a homozygous mutation. Most interestingly, the clinical phenotype of the individuals harboring the heterozygous mutation varied from a lack of penetrance to a mild hypoplastic enamel defect. We believe that these findings will broaden our understanding of the clinical phenotype of AI caused by ENAM mutations.
牙釉质是人体中最坚硬的组织,它是在牙上皮组织和其下的中胚层组织之间一系列复杂的相互作用下形成的。非综合征性牙釉质不全(AI)是一种罕见的遗传性疾病,影响牙釉质而不影响其他非口腔症状。在这项研究中,我们通过全外显子组测序在 2 个具有牙釉质发育不全的家族中发现了 2 个新的 ENAM 突变。家系 1 存在 NM_031889 第 4 内含子剪接供体位点杂合突变,c.123+2T>G。受影响个体的牙釉质发育不全,有些牙齿有特征性的水平状发育不全沟。家系 2 存在最后一个外显子的无义突变,c.1842C>G,p.(Tyr614*),预测截短蛋白 500 个氨基酸。参与个体至少携带 1 个突变等位基因,而先证者为纯合突变。最有趣的是,携带杂合突变的个体的临床表型从无外显率到轻度牙釉质发育不全缺陷不等。我们相信这些发现将拓宽我们对由 ENAM 突变引起的 AI 临床表型的理解。
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