Department of Stomatology, Nanfang Hospital, College of Stomatology, Southern Medical University, Guangzhou, Guangdong, China.
Department of Medical Genetics, School of Basic Medicine Sciences, Southern Medical University, Guangzhou, Guangdong, China.
Int J Oral Sci. 2018 Sep 3;10(3):26. doi: 10.1038/s41368-018-0027-9.
Tooth development is a complex process that involves precise and time-dependent orchestration of multiple genetic, molecular, and cellular interactions. Ameloblastin (AMBN, also named "amelin" or "sheathlin") is the second most abundant enamel matrix protein known to have a key role in amelogenesis. Amelogenesis imperfecta (AI [MIM: 104500]) refers to a genetically and phenotypically heterogeneous group of conditions characterized by inherited developmental enamel defects. The hereditary dentin disorders comprise a variety of autosomal-dominant genetic symptoms characterized by abnormal dentin structure affecting either the primary or both the primary and secondary teeth. The vital role of Ambn in amelogenesis has been confirmed experimentally using mouse models. Only two cases have been reported of mutations of AMBN associated with non-syndromic human AI. However, no AMBN missense mutations have been reported to be associated with both human AI and dentin disorders. We recruited one kindred with autosomal-dominant amelogenesis imperfecta (ADAI) and dentinogenesis imperfecta/dysplasia characterized by generalized severe enamel and dentin defects. Whole exome sequencing of the proband identified a novel heterozygous C-T point mutation at nucleotide position 1069 of the AMBN gene, causing a Pro to Ser mutation at the conserved amino acid position 357 of the protein. Exfoliated third molar teeth from the affected family members were found to have enamel and dentin of lower mineral density than control teeth, with thinner and easily fractured enamel, short and thick roots, and pulp obliteration. This study demonstrates, for the first time, that an AMBN missense mutation causes non-syndromic human AI and dentin disorders.
牙齿发育是一个复杂的过程,涉及到多个基因、分子和细胞相互作用的精确和时间依赖性协调。釉原蛋白(AMBN,也称为“amelin”或“sheathlin”)是已知在釉质发生中起关键作用的第二丰富的釉质基质蛋白。釉质不全(AI [MIM:104500])是指一组具有遗传性发育性釉质缺陷的遗传和表型异质性疾病。遗传性牙本质疾病包括多种常染色体显性遗传症状,其特征是异常的牙本质结构,影响原发性或原发性和继发性牙齿。使用小鼠模型实验证实了 Ambn 在釉质发生中的重要作用。仅报道了两种与非综合征性人类 AI 相关的 AMBN 突变病例。然而,尚未报道与人类 AI 和牙本质疾病相关的 AMBN 错义突变。我们招募了一个具有常染色体显性遗传性釉质不全(ADAI)和牙本质生成不全/发育不良的家族,其特征是广泛严重的釉质和牙本质缺陷。先证者的全外显子组测序发现 AMBN 基因核苷酸位置 1069 处的杂合 C-T 点突变,导致蛋白保守氨基酸位置 357 的脯氨酸到丝氨酸突变。受影响的家庭成员的脱落第三磨牙的釉质和牙本质的矿物质密度低于对照牙齿,釉质更薄且易碎,根更短且更厚,牙髓消失。这项研究首次证明,AMBN 错义突变导致非综合征性人类 AI 和牙本质疾病。