Department of Pediatric Dentistry, Peking University School and Hospital of Stomatology, Beijing, China.
Central Laboratory, Peking University School and Hospital of Stomatology, Beijing, China.
Oral Dis. 2018 Sep;24(6):1101-1106. doi: 10.1111/odi.12874. Epub 2018 Jun 8.
Hypohidrotic ectodermal dysplasia (HED) is characterized by hypohidrosis, hypodontia, sparse hair, and characteristic facial features. This condition is caused by an ectodysplasin A (EDA) gene mutation. In this study, we examined two HED pedigrees and investigated the molecular genetics of the defect. Direct sequencing analysis revealed a previously unidentified mutation in the EDA splice donor site (c.526 + 1G>A). The function of the mutant EDA gene was predicted through online investigations and subsequently confirmed by splicing analysis in vitro. The mutation resulted in the production of a truncated EDA-A1 protein caused by complete omission of exon 3. This novel functional skipping-splicing EDA mutation was considered to be the cause of HED in the two pedigrees reported here. Our findings, combined with those reported elsewhere, provide an improved understanding of the pathogenic mechanism of HED as well as important information for a genetic diagnosis.
先天性外胚层发育不良(HED)的特征为少汗、缺牙、毛发稀疏和特征性面部特征。这种情况是由外胚层发育不良 A (EDA)基因突变引起的。在这项研究中,我们检查了两个 HED 家系,并研究了该缺陷的分子遗传学。直接测序分析显示在 EDA 剪接受体位点(c.526+1G>A)存在先前未识别的突变。通过在线研究预测突变型 EDA 基因的功能,随后通过体外剪接分析进行了验证。该突变导致完全缺失外显子 3 而产生截短的 EDA-A1 蛋白。这种新型的功能性外显子跳跃剪接 EDA 突变被认为是导致本文报道的两个家系中 HED 的原因。我们的研究结果与其他报道的结果相结合,为 HED 的发病机制提供了更深入的了解,并为遗传诊断提供了重要信息。
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