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Published on: August 15, 2019
Mutational analysis of AXIN2, MSX1, and PAX9 in two Mexican oligodontia families
1Department of Developmental Dentistry, Dental School, University of Texas Health Science Center, San Antonio, Texas, USA.
Abstract:
The genes for axin inhibition protein 2 (AXIN2), msh homeobox 1 (MSX1), and paired box gene 9 (PAX9) are involved in tooth root formation and tooth development. Mutations of the AXIN2, MSX1, and PAX9 genes are associated with non-syndromic oligodontia. In this study, we investigated phenotype and AXIN2, MSX1, and PAX9 gene variations in two Mexican families with non-syndromic oligodontia. Individuals from two families underwent clinical examinations, including an intra-oral examination and panoramic radiograph. Retrospective data were reviewed, and peripheral blood samples were collected. The exons and exon-intronic boundaries of the AXIN2, MSX1, and PAX9 genes were sequenced and analyzed. Protein and messenger RNA structures were predicted using bioinformative software programs. Clinical and oral examinations revealed isolated non-syndromic oligodontia in the two Mexican families. The average number of missing teeth was 12. The sequence analysis of exons and exon-intronic regions of AXIN2, MSX1, and PAX9 revealed 11 single-nucleotide polymorphisms (SNPs), including seven in AXIN2, two in MSX1, and three in PAX9. One novel SNP of MSX1, c.476T>G (Leu159Arg), was found in all of the studied patients in the families. MSX1 Leu159Arg and PAX9 Ala240Pro change protein and messenger RNA structures. Our findings suggested that a combined reduction of MSX1 and PAX9 gene dosages increased the risk for oligodontia in the Mexican families, as in vivo investigation has indicated that interaction between Msx1 and Pax9 is required for tooth development.
Insights
Genetic variations in AXIN2, MSX1, and PAX9 are linked to non-syndromic oligodontia. A novel MSX1 variation was identified in Mexican families, suggesting gene dosage impacts tooth development.
Area of Science:
- Genetics
- Developmental Biology
- Oral Health
Background:
- Non-syndromic oligodontia is a congenital condition characterized by the absence of multiple teeth.
- Genes such as AXIN2, MSX1, and PAX9 play crucial roles in tooth root formation and development.
- Mutations in these genes are associated with oligodontia, highlighting their importance in dental development.
Purpose of the Study:
- To investigate the phenotype and genetic variations of AXIN2, MSX1, and PAX9 in two Mexican families with non-syndromic oligodontia.
- To identify potential genetic factors contributing to tooth agenesis in the studied population.
- To analyze the impact of identified genetic variations on protein and mRNA structures.
Main Methods:
- Clinical examinations including intra-oral assessment and panoramic radiography.
- Genetic analysis involving sequencing of exons and exon-intronic boundaries of AXIN2, MSX1, and PAX9 genes.
- Bioinformatic prediction of protein and mRNA structures for identified variants.
Main Results:
- Clinical findings confirmed isolated non-syndromic oligodontia with an average of 12 missing teeth in the affected individuals.
- Sequence analysis revealed 11 single-nucleotide polymorphisms (SNPs) across the three genes, with seven in AXIN2, two in MSX1, and three in PAX9.
- A novel MSX1 SNP (c.476T>G, Leu159Arg) was identified in all patients, and MSX1 Leu159Arg and PAX9 Ala240Pro variants altered protein and mRNA structures.
Conclusions:
- The study identified genetic variations in AXIN2, MSX1, and PAX9 associated with non-syndromic oligodontia in Mexican families.
- A novel MSX1 variant (Leu159Arg) may contribute to oligodontia pathogenesis.
- Combined reduction in MSX1 and PAX9 gene dosage is suggested to increase the risk for oligodontia, supported by known interactions required for tooth development.
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