Department of Prosthodontics, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, PR China.
Department of Orthodontics, Hebei Key Laboratory of Stomatology, Hebei Clinical Research Center for Oral Diseases, School and Hospital of Stomatology, Hebei Medical University, Shijiazhuang, PR China.
Mol Genet Genomic Med. 2024 Jan;12(1):e2334. doi: 10.1002/mgg3.2334. Epub 2023 Dec 8.
BACKGROUND: MSX1 (OMIM #142983) is crucial to normal dental development, and variants in MSX1 are associated with dental anomalies. The objective of this study was to characterize the pathogenicity of novel MSX1 variants in Chinese families with non-syndromic oligodontia (NSO). METHODS: Genomic DNA was extracted from individuals representing 35 families with non-syndromic oligodontia and was analyzed by Sanger sequencing and whole-exome sequencing. Pathogenic variants were screened via analyses involving PolyPhen-2, Sorting-Intolerant from Tolerant, and MutationTaster, and conservative analysis of variants. Patterns of MSX1-related NSO were analyzed. MSX1 structural changes suggested functional consequences in vitro. RESULTS: Three previously unreported MSX1 heterozygous variants were identified: one insertion variant (c.576_577insTAG; p.Gln193*) and two missense variants (c. 871T>C; p.Tyr291His and c. 644A>C; p.Gln215Pro). Immunofluorescence analysis revealed abnormal subcellular localization of the p.Gln193* MSX1 variant. In addition, we found that these MSX1 variants likely lead to the loss of second premolars. CONCLUSION: Three novel MSX1 variants were identified in Chinese Han families with NSO, expanding the MSX1 variant spectrum and presenting a genetic origin for the pathogenesis detected in patients and their families.
背景:MSX1(OMIM #142983)对正常牙齿发育至关重要,MSX1 中的变体与牙齿异常有关。本研究的目的是描述中国非综合征性少牙(NSO)家系中新型 MSX1 变体的致病性。
方法:从代表 35 个非综合征性少牙家系的个体中提取基因组 DNA,通过 Sanger 测序和全外显子组测序进行分析。通过 PolyPhen-2、Sorting-Intolerant from Tolerant 和 MutationTaster 分析以及变体保守性分析筛选致病性变体。分析 MSX1 相关 NSO 的模式。体外实验分析 MSX1 结构变化提示其功能后果。
结果:发现了三个以前未报道的 MSX1 杂合变体:一个插入变体(c.576_577insTAG;p.Gln193*)和两个错义变体(c.871T>C;p.Tyr291His 和 c.644A>C;p.Gln215Pro)。免疫荧光分析显示 p.Gln193* MSX1 变体的亚细胞定位异常。此外,我们发现这些 MSX1 变体可能导致第二前磨牙缺失。
结论:在中国汉族 NSO 家系中发现了三个新的 MSX1 变体,扩展了 MSX1 变体谱,并为患者及其家系中检测到的发病机制提供了遗传起源。
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