Department of Medical Genetics, Experimental Education/Administration Center, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.
Experimental Department of Obstetrics and Gynecology Institute, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Int J Oral Sci. 2023 Sep 26;15(1):46. doi: 10.1038/s41368-023-00244-1.
Hereditary gingival fibromatosis (HGF) is a rare inherited condition with fibromatoid hyperplasia of the gingival tissue that exhibits great genetic heterogeneity. Five distinct loci related to non-syndromic HGF have been identified; however, only two disease-causing genes, SOS1 and REST, inducing HGF have been identified at two loci, GINGF1 and GINGF5, respectively. Here, based on a family pedigree with 26 members, including nine patients with HGF, we identified double heterozygous pathogenic mutations in the ZNF513 (c.C748T, p.R250W) and KIF3C (c.G1229A, p.R410H) genes within the GINGF3 locus related to HGF. Functional studies demonstrated that the ZNF513 p.R250W and KIF3C p.R410H variants significantly increased the expression of ZNF513 and KIF3C in vitro and in vivo. ZNF513, a transcription factor, binds to KIF3C exon 1 and participates in the positive regulation of KIF3C expression in gingival fibroblasts. Furthermore, a knock-in mouse model confirmed that heterozygous or homozygous mutations within Zfp513 (p.R250W) or Kif3c (p.R412H) alone do not led to clear phenotypes with gingival fibromatosis, whereas the double mutations led to gingival hyperplasia phenotypes. In addition, we found that ZNF513 binds to the SOS1 promoter and plays an important positive role in regulating the expression of SOS1. Moreover, the KIF3C p.R410H mutation could activate the PI3K and KCNQ1 potassium channels. ZNF513 combined with KIF3C regulates gingival fibroblast proliferation, migration, and fibrosis response via the PI3K/AKT/mTOR and Ras/Raf/MEK/ERK pathways. In summary, these results demonstrate ZNF513 + KIF3C as an important genetic combination in HGF manifestation and suggest that ZNF513 mutation may be a major risk factor for HGF.
遗传性牙龈纤维瘤病(Hereditary gingival fibromatosis,HGF)是一种罕见的遗传性疾病,表现为牙龈组织的纤维瘤样增生,具有很大的遗传异质性。已经确定了与非综合征性 HGF 相关的五个不同的位点;然而,仅在两个位点 GINGF1 和 GINGF5 中,就 SOS1 和 REST 这两个致病基因已被确定为导致 HGF 的原因。在这里,基于一个包括 26 名成员的家族谱系,其中包括 9 名 HGF 患者,我们在与 HGF 相关的 GINGF3 基因座中发现了 ZNF513(c.C748T,p.R250W)和 KIF3C(c.G1229A,p.R410H)基因的双杂合致病性突变。功能研究表明,ZNF513 p.R250W 和 KIF3C p.R410H 变体在体外和体内显著增加了 ZNF513 和 KIF3C 的表达。转录因子 ZNF513 与 KIF3C 外显子 1 结合,并参与牙龈成纤维细胞中 KIF3C 表达的正向调节。此外,敲入小鼠模型证实,Zfp513(p.R250W)或 Kif3c(p.R412H)中的杂合或纯合突变本身不会导致明显的牙龈纤维瘤病表型,而双突变则导致牙龈增生表型。此外,我们发现 ZNF513 与 SOS1 启动子结合,并在调节 SOS1 表达中发挥重要的正向作用。此外,KIF3C p.R410H 突变可以激活 PI3K 和 KCNQ1 钾通道。ZNF513 与 KIF3C 一起通过 PI3K/AKT/mTOR 和 Ras/Raf/MEK/ERK 通路调节牙龈成纤维细胞的增殖、迁移和纤维化反应。总之,这些结果表明 ZNF513+KIF3C 是 HGF 表现的重要遗传组合,并表明 ZNF513 突变可能是 HGF 的主要危险因素。
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