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Hereditary dentine diseases resulting from mutations in DSPP gene.
[dentin dysplasia]
This
review
groups
the
newest
results
of
molecular
analyses
of
DSPP
gene
for
patients
diagnosed
either
with
dentinogenesis
imperfecta
type
II
/
III
or
dentine
dysplasia
and
tries
to
link
the
phenotypes
with
specific
mutations
in
the
DSPP
gene
.
T
he
review
includes
biochemical
data
introducing
a
specificity
of
DSPP
protein
which
justifies
it
as
a
critical
factor
for
dentine
mineralization
and
maturation
.
The
majority
of
the
review
analyzes
mutations
in
the
DSPP
gene
which
result
in
phenotypes
of
dentinogenesis
imperfecta
types
II
or
/
and
III
or
dentine
dysplasia
.
An
electronic
search
was
conducted
in
the
databases
of
Pub
Med
and
supplemented
by
manual
study
of
relevant
references
.
52
out
of
108
references
were
finally
selected
for
the
review
based
on
the
novelty
and
/
or
originality
of
data
.
Hereditary
dentine
disorders
dentinogenesis
imperfecta
type
II
/
III
and
dentine
dysplasia
are
currently
proposed
to
be
one
disease
with
distinct
clinical
manifestations
reflecting
various
mutations
in
the
same
DSPP
gene
.
For
years
both
disorders
were
linked
exclusively
to
mutations
in
the
DSP
code
but
a
growing
number
of
papers
describe
mutations
which
manifest
a
similar
phenotype
but
are
localized
in
the
strongly
repetitive
sequence
of
the
3
'
terminus
of
the
DSPP
which
codes
DPP
protein
.
Our
search
suggests
that
the
localization
of
mutation
in
the
sequence
of
the
DSPP
gene
might
result
in
a
different
phenotype
due
to
the
diverse
cellular
fate
of
the
mutated
protein
.
Thus
comprehensive
research
on
the
cellular
fate
and
processing
of
both
normal
and
mutated
DSPP
is
still
required
.
Diseases
Validation
Diseases presenting
"distinct clinical manifestations"
symptom
dentin dysplasia
dentinogenesis imperfecta
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