牙发育不完善的诊断复杂性涉及DSPP遗传变异
Gaétan Caravello1,2, Alexandra Jiménez-Armijo1,3, Marzena Kawczynski1,3
1Pôle de Médecine et Chirurgie Bucco-dentaires, Hôpital Civil, Centre de Référence des Maladies Rares Orales et Dentaires, O-Rares, Filière Santé Maladies Rares TETECOU, European Reference Network ERN CRANIO, Les Hopitaux Universitaires de Strasbourg, Strasbourg, France.
Journal of medical genetics
|March 12, 2026
概括
牙硫蛋白 (DSPP) 基因中的遗传变异会导致罕见的牙疾病. 长读测序有效地识别了新的DSPP变体,扩大了我们对这些条件的理解.
科学领域:
- 遗传学 是一个遗传学.
- 口腔生物学 口腔生物学
- 分子诊断学 分子诊断学
背景情况:
- 牙光蛋白 (DSPP) 基因的变异与牙发育不良II型和牙发育不完善II和III型有关.
- DSPP基因编码关键牙矩阵蛋白质,但其重复的外5区域带来了测序挑战.
研究的目的:
- 在患有牙生殖不完善 (DI) 或牙发育不良 (DD) 的个体中研究DSPP基因变异.
- 评估长读测序对分析复杂的DSPP基因区域的有用性.
主要方法:
- 研究了112个人 (42个指数病例,70个亲属) 具有DI或DD的临床症状.
- 使用下一代测序 (GenoDENT面板),对于复杂的病例,使用牛津纳米孔技术 (ONT) 的长距离PCR进行长读测序.
主要成果:
- 在41个家族中确定了致病或可能致病的DSPP变体,其中包括14种新型变体.
- 大多数变体都在第5个外显子中,导致移和改变蛋白质序列.
- 在ONT测序中,成功检测出短读方法遗漏的变异,显示出家族分离和可变表达性.
结论:
- 长读测序对于解决复杂的DSPP基因区域和识别新变异非常有价值.
- 临床表现的变异性表明潜在的修饰因素,需要进一步的基因型-表型相关性研究.
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