Department of Prosthodontics, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, China.
Oral and Craniofacial Biomedicine Curriculum, School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Oral Dis. 2019 Apr;25(3):646-651. doi: 10.1111/odi.12931. Epub 2018 Jul 23.
Tooth agenesis (TA) is one of the most common developmental anomalies that affects the number of teeth. An extensive analysis of publicly accessible databases revealed 15 causative genes responsible for nonsyndromic TA, along with their signaling pathways in Wnt/β-catenin, TGF-β/BMP, and Eda/Edar/NF-κB. However, genotype-phenotype correlation analysis showed that most of the causal genes are also responsible for syndromic TA or other conditions. In a total of 198 different mutations of the 15 genes responsible for nonsyndromic TA, 182 mutations (91.9%) are derived from seven genes (AXIN2, EDA, LRP6, MSX1, PAX9, WNT10A, and WNT10B) compared with the remaining 16 mutations (8.1%) identified in the remaining eight genes (BMP4, DKK1, EDAR, EDARADD, GREM2, KREMEN1, LTBP3, and SMOC2). Furthermore, specificity analysis in terms of the ratio of nonsyndromic TA mutations versus syndromic mutations in each of the aforementioned seven genes showed a 98.2% specificity rate in PAX9, 58.9% in WNT10A, 56.6% in MSX1, 41.2% in WNT10B, 31.4% in LRP6, 23.8% in AXIN2%, and 8.4% in EDA. These findings underscore an important role of the Wnt and Wnt-associated pathways in the genetic etiology of this heterozygous disease and shed new lights on the discovery of novel molecular mechanisms associated with tooth agenesis.
牙齿缺失(TA)是最常见的发育异常之一,影响牙齿的数量。对公开可访问数据库的广泛分析揭示了 15 个导致非综合征性 TA 的致病基因,以及它们在 Wnt/β-catenin、TGF-β/BMP 和 Eda/Edar/NF-κB 信号通路中的作用。然而,基因型-表型相关性分析表明,大多数致病基因也与综合征性 TA 或其他疾病有关。在负责非综合征性 TA 的 15 个基因的 198 个不同突变中,与其余 16 个突变(8.1%)相比,182 个突变(91.9%)来自七个基因(AXIN2、EDA、LRP6、MSX1、PAX9、WNT10A 和 WNT10B)。此外,在上述七个基因中,就每种基因的非综合征性 TA 突变与综合征性突变的比例进行特异性分析,结果显示 PAX9 的特异性率为 98.2%,WNT10A 为 58.9%,MSX1 为 56.6%,WNT10B 为 41.2%,LRP6 为 31.4%,AXIN2%为 23.8%,EDA 为 8.4%。这些发现强调了 Wnt 和 Wnt 相关途径在这种杂合疾病遗传病因学中的重要作用,并为发现与牙齿缺失相关的新分子机制提供了新的线索。
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