Laugel-Haushalter Virginie, Bär Séverine, Schaefer Elise, Stoetzel Corinne, Geoffroy Véronique, Alembik Yves, Kharouf Naji, Huckert Mathilde, Hamm Pauline, Hemmerlé Joseph, Manière Marie-Cécile, Friant Sylvie, Dollfus Hélène, Bloch-Zupan Agnès
Laboratoire de Génétique Médicale, UMR_S INSERM U1112, Faculté de Médecine, FMTS, Institut Génétique Médicale d'Alsace (IGMA), Université de Strasbourg, Strasbourg, France.
Laboratoire de Génétique Moléculaire, Génomique, Microbiologie (GMGM), UMR7156, Centre National de Recherche Scientifique (CNRS), Université de Strasbourg, Strasbourg, France.
Front Genet. 2019 May 28;10:504. doi: 10.3389/fgene.2019.00504. eCollection 2019.
Amelogenesis imperfecta (AI) is a heterogeneous group of rare inherited diseases presenting with enamel defects. More than 30 genes have been reported to be involved in syndromic or non-syndromic AI and new genes are continuously discovered (Smith et al., 2017). Whole-exome sequencing was performed in a consanguineous family. The affected daughter presented with intra-uterine and postnatal growth retardation, skeletal dysplasia, macrocephaly, blue sclerae, and hypoplastic AI. We identified a homozygous missense mutation in exon 11 of (NM_001300842.2: c.908C>T; p.Pro303Leu) segregating with the disease phenotype. We found that transcripts were expressed in the epithelium of the developing mouse tooth, bones undergoing ossification, and in vertebrae. Our results revealed that SLC10A7 is overexpressed in patient fibroblasts. Patient cells display altered intracellular calcium localization suggesting that SLC10A7 regulates calcium trafficking. Mutations in this gene were previously reported to cause a similar syndromic phenotype, but with more severe skeletal defects (Ashikov et al., 2018;Dubail et al., 2018). Therefore, phenotypes resulting from a mutation in can vary in severity. However, AI is the key feature indicative of mutations in patients with skeletal dysplasia. Identifying this important phenotype will improve clinical diagnosis and patient management.
釉质发育不全(AI)是一组表现为釉质缺陷的罕见遗传性疾病。据报道,超过30个基因与综合征性或非综合征性AI有关,并且新的基因不断被发现(史密斯等人,2017年)。对一个近亲家庭进行了全外显子组测序。患病女儿表现为宫内和出生后生长发育迟缓、骨骼发育不良、巨头畸形、蓝色巩膜和发育不全的AI。我们在(NM_001300842.2:c.908C>T;p.Pro303Leu)的第11外显子中鉴定出一个纯合错义突变,该突变与疾病表型共分离。我们发现该转录本在发育中的小鼠牙齿上皮、正在骨化的骨骼和椎骨中表达。我们的结果显示,SLC10A7在患者成纤维细胞中过表达。患者细胞显示细胞内钙定位改变,提示SLC10A7调节钙转运。此前报道该基因的突变会导致类似的综合征表型,但骨骼缺陷更严重(阿希科夫等人,2018年;杜拜尔等人,2018年)。因此,该基因突变导致的表型严重程度可能不同。然而,AI是骨骼发育不良患者中该基因突变的关键特征。识别这一重要表型将改善临床诊断和患者管理。
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