Department of Maxillofacial Orthognathics, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Department of Human Genetics and Disease Diversity, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
J Hum Genet. 2021 Aug;66(8):769-775. doi: 10.1038/s10038-021-00903-3. Epub 2021 Feb 20.
Tooth agenesis is one of the most frequent congenital abnormalities found in the maxillofacial region. Oligodontia, a severe form of tooth agenesis, occurs as an isolated anomaly or as a syndromic feature. We performed whole exome sequencing analyses to identify causative mutation in a Japanese family with three affected individuals with non-syndromic oligodontia. After variant filtering procedures and validation by Sanger sequencing, we identified one missense mutation (c.668 C > T, p.Gly223Asp) in OPN3 at 1q43, encoding a photosensitive G-protein-coupled receptor (GPCR) expressed in various tissues including brain, liver, and adipose. This mutation was predicted to be pathogenic in silico and was not found in the public databases. We further examined 48 genetically unrelated cases by targeted sequencing of the OPN3 gene region and found one additional missense variant in this gene (c.768 C > T, p.Met256Ile) that was also predicted to be pathogenic. Localization of OPN3 protein by immunohistochemical analysis using mouse embryo revealed its specific expression in the tooth gems from bud to bell stages and their surrounding tissues. These results indicated that OPN3 was involved in non-syndromic oligodontia, which has made an anchoring point for clinical application including DNA diagnostics.
牙齿缺失是颌面区域最常见的先天性畸形之一。少牙症是一种严重的牙齿缺失形式,既可以作为孤立的异常出现,也可以作为综合征的特征出现。我们对一个有三个非综合征性少牙症患者的日本家族进行了全外显子组测序分析,以确定致病突变。经过变异过滤程序和 Sanger 测序验证,我们在 1q43 上的 OPN3 基因中发现了一个错义突变(c.668C>T,p.Gly223Asp),该基因编码一种在包括大脑、肝脏和脂肪在内的各种组织中表达的感光 G 蛋白偶联受体(GPCR)。该突变在计算机预测中被认为是致病的,并且在公共数据库中未发现。我们进一步通过靶向测序 OPN3 基因区域对 48 个无遗传相关性的病例进行了检查,发现该基因中存在另一个错义变异(c.768C>T,p.Met256Ile),也被预测为致病性的。使用小鼠胚胎进行的 OPN3 蛋白免疫组织化学分析表明,其在芽到钟状阶段的牙本质中特异性表达,并且在其周围组织中表达。这些结果表明 OPN3 参与了非综合征性少牙症,为包括 DNA 诊断在内的临床应用提供了一个定位点。
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