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DMP1 C-terminal mutant mice recapture the human ARHR tooth phenotype.
[dentinogenesis imperfecta]
DMP
1
mutations
in
autosomal
recessive
hypophosphatemic
rickets
(
ARHR
)
patients
and
mice
lacking
Dmp
1
display
an
overlapping
pathophysiology
,
such
as
hypophosphatemia
.
However
,
subtle
differences
exist
between
the
mouse
model
and
human
ARHR
patients
.
These
differences
could
be
due
to
a
species
specificity
of
human
versus
mouse
,
or
it
may
be
that
the
mutant
DMP
1
in
humans
maintains
partial
function
of
DMP
1
.
In
this
study
we
report
a
deformed
tooth
phenotype
in
a
human
DMP
1
deletion
mutation
case
.
Unexpectedly
,
the
deletion
of
nucleotides
1484
to
1490
(
c
.
1484
_
1490
delCTATCAC
,
delMut
,
resulting
in
replacement
of
the
last
18
residues
with
33
random
amino
acids
)
showed
a
severe
dentin
and
enamel
defect
similar
to
a
dentinogenesis
imperfecta
(
DI
)
III
-like
phenotype
.
To
address
the
molecular
mechanism
behind
this
phenotype
,
we
generated
delMut
transgenic
mice
with
the
endogenous
Dmp
1
gene
removed
.
These
mutant
mice
did
not
recapture
the
abnormal
phenotype
observed
in
the
human
patient
but
displayed
a
mild
rachitic
tooth
phenotype
in
comparison
with
that
in
the
Dmp
1
-
null
mice
,
suggesting
that
the
DI
III
-like
phenotype
may
be
due
to
an
as
-yet-undetermined
acquired
gene
modifier
.
The
mechanism
studies
showed
that
the
mutant
fragment
maintains
partial
function
of
DMP
1
such
as
stimulating
MAP
kinase
signaling
in
vitro
.
Last
,
the
in
vitro
and
in
vivo
data
support
a
role
of
odontoblasts
in
the
control
of
fibroblast
growth
factor
23
(
FGF-
23
)
regulation
during
early
postnatal
development
,
although
this
regulation
on
Pi
homeostasis
is
likely
limited
.
Diseases
Validation
Diseases presenting
"recessive hypophosphatemic rickets"
symptom
dentinogenesis imperfecta
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