Kantaputra Piranit Nik, Tripuwabhrut Kanich, Anthonappa Robert P, Chintakanon Kanoknart, Ngamphiw Chumpol, Adisornkanj Ploy, Porntrakulseree Nop, Olsen Bjorn, Intachai Worrachet, Hennekam Raoul C, Vieira Alexandre R, Tongsima Sissades
Center of Excellence in Medical Genetics Research, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand.
Division of Pediatric Dentistry, Department of Orthodontics and Pediatric Dentistry, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand.
Diagnostics (Basel). 2023 Mar 23;13(7):1214. doi: 10.3390/diagnostics13071214.
BACKGROUND: Supernumerary teeth refer to extra teeth that exceed the usual number of dentitions. A mesiodens is a particular form of supernumerary tooth, which is located in the premaxilla region. The objective of the study was to investigate the genetic etiology of extra tooth phenotypes, including mesiodens and isolated supernumerary teeth. METHODS: Oral and radiographic examinations and whole-exome sequencing were performed on every patient in our cohort of 122 patients, including 27 patients with isolated supernumerary teeth and 94 patients with mesiodens. A patient who had multiple supernumerary teeth also had odontomas. RESULTS: We identified a novel (c.8498A>G; p.Asn2833Ser) and six recurrent (c.1603C>T; p.Arg535Cys, c.5852G>A; p.Arg1951His, c.6949A>T; p.Thr2317Ser; c.1549G>A; p.Val517Met, c.1921A>G; p.Thr641Ala, and c.850G>C; p.Val284Leu) heterozygous missense variants in in eight patients with extra tooth phenotypes. CONCLUSIONS: Biallelic variants in are implicated in autosomal recessive Fraser syndrome with or without dental anomalies. Here, we report for the first time that heterozygous carriers of variants have phenotypes including oral exostoses, mesiodens, and isolated supernumerary teeth.
背景:额外牙是指超过正常牙列数量的多余牙齿。正中多生牙是额外牙的一种特殊形式,位于上颌前部区域。本研究的目的是调查额外牙表型的遗传病因,包括正中多生牙和孤立性额外牙。 方法:对我们队列中的122例患者进行了口腔和影像学检查以及全外显子测序,其中包括27例孤立性额外牙患者和94例正中多生牙患者。一名有多颗额外牙的患者还患有牙瘤。 结果:我们在8例有额外牙表型的患者中鉴定出一个新的(c.8498A>G;p.Asn2833Ser)和六个复发性(c.1603C>T;p.Arg535Cys,c.5852G>A;p.Arg1951His,c.6949A>T;p.Thr2317Ser;c.1549G>A;p.Val517Met,c.1921A>G;p.Thr641Ala,以及c.850G>C;p.Val284Leu)杂合错义变异。 结论:双等位基因变异与伴有或不伴有牙齿异常的常染色体隐性弗雷泽综合征有关。在此,我们首次报告变异的杂合携带者具有包括口腔外生骨疣、正中多生牙和孤立性额外牙在内的表型。
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