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A novel splice site mutation in the dentin sialophosphoprotein gene in a Chinese family with dentinogenesis imperfecta type II.
[dentinogenesis imperfecta]
Twenty
-
four
individuals
were
investigated
that
spanned
six
generations
in
a
Chinese
family
affected
with
an
apparently
autosomal
dominant
form
of
dentinogenesis
imperfecta
type
II
(
DGI
-
II
,
OMIM
#
125490
)
.
All
affected
individuals
presented
with
typical
,
clinical
and
radiographic
features
of
DGI
-
II
,
but
without
bilateral
progressive
high
-frequency
sensorineural
hearing
loss
.
To
investigate
the
mutated
molecule
,
a
positional
candidate
approach
was
used
to
determine
the
mutated
gene
in
this
family
.
Genomic
DNA
was
obtained
from
24
affected
individuals
,
18
unaffected
relatives
of
the
family
and
50
controls
.
Haplotype
analysis
was
performed
using
leukocyte
DNA
for
6
short
tandem
repeat
(
STR
)
markers
present
in
chromosome
4
(
D
4
S
1534
,
GATA
6
2
A
11
,
DSPP
,
DMP
1
,
SPP
1
and
D
4
S
1563
)
.
In
the
critical
region
between
D
4
S
1534
and
DMP
1
,
the
dentin
sialophosphoprotein
(
DSPP
)
gene
(
OMIM
*
125485
)
was
considered
as
the
strongest
candidate
gene
.
The
first
four
exons
and
exon
/
intron
boundaries
of
the
gene
were
analyzed
using
DNA
from
24
affected
individuals
and
18
unaffected
relatives
of
the
same
family
.
DNA
sequencing
revealed
a
heterozygous
deletion
mutation
in
intron
2
(
at
positions
-
3
to
-
25
)
,
which
resulted
in
a
frameshift
mutation
,
that
changed
the
acceptor
site
sequence
from
CAG
to
AAG
(
IVS
2
-
3
C--
>
A
)
and
may
also
have
disrupted
the
branch
point
consensus
sequence
in
intron
2
.
The
mutation
was
found
in
the
24
affected
individuals
,
but
not
in
the
18
unaffected
relatives
and
50
controls
.
The
deletion
was
identified
by
allele-
specific
sequencing
and
denaturing
high
-performance
liquid
chromatography
(
DHPLC
)
analysis
.
We
conclude
that
the
heterozygous
deletion
mutation
contributed
to
the
pathogenesis
of
DGI
-
II
.
Diseases
Validation
Diseases presenting
"sensorineural hearing loss"
symptom
canavan disease
congenital diaphragmatic hernia
dentin dysplasia
dentinogenesis imperfecta
hirschsprung disease
holt-oram syndrome
monosomy 21
pendred syndrome
triple a syndrome
This symptom has already been validated