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A novel mutation in the DSPP gene associated with dentinogenesis imperfecta type II.
[dentin dysplasia]
Hereditary
dentin
defects
are
divided
into
dentinogenesis
imperfecta
and
dentin
dysplasia
.
We
identified
a
family
segregating
severe
dentinogenesis
imperfecta
.
The
kindred
spanned
four
generations
and
showed
an
autosomal-dominant
pattern
of
inheritance
.
The
proband
was
a
child
presenting
with
a
severely
affected
primary
dentition
,
with
wide
-
open
pulp
chambers
and
multiple
pulp
exposures
,
resembling
a
DGI
type
III
(
DGI
-
III
)
pattern
.
We
hypothesized
that
a
mutation
in
the
DSPP
gene
is
responsible
for
this
severe
phenotype
.
Mutational
analyses
revealed
a
novel
mutation
(
c
.
53
T
>
A
,
p
.
V
18
D
)
near
the
intron-exon
boundary
in
the
third
exon
of
the
DSPP
gene
.
We
analyzed
the
effect
of
the
mutation
by
means
of
an
in
vitro
splicing
assay
,
which
revealed
that
the
mutation
did
not
affect
pre-m
RNA
splicing
.
Further
studies
are
needed
for
a
better
understanding
of
the
nature
of
the
disease
and
the
development
of
an
appropriate
treatment
strategy
.
Diseases
Validation
Diseases presenting
"severe dentinogenesis imperfecta"
symptom
dentin dysplasia
dentinogenesis imperfecta
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