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Clinical and genetic evaluation of a Chinese family with isolated oligodontia.
[oligodontia]
Oligodontia
is
defined
as
the
congenital
absence
of
6
or
more
permanent
teeth
excluding
the
third
molar
.
Tooth
agenesis
may
be
classified
as
syndromic
/
non-syndromic
and
as
familial
/
sporadic
.
To
date
,
more
than
300
genes
have
been
found
to
be
involved
in
tooth
development
,
but
only
a
few
of
these
genes
,
such
as
MSX
1
,
PAX
9
and
AXIN
2
,
are
related
to
the
condition
of
non-syndromic
oligodontia
.
The
objective
of
the
present
work
was
to
investigate
the
disease-causing
gene
of
non-syndromic
oligodontia
in
a
Han
Chinese
family
and
analyse
the
pathogenesis
of
mutations
that
result
in
oligodontia
.
We
examined
all
individuals
of
the
oligodontia
family
by
clinical
and
radiographic
examinations
.
Based
on
the
clinical
manifestations
,
the
candidate
genes
MSX
,
PAX
9
and
AXIN
2
were
selected
to
analyse
and
screen
for
mutations
.
The
clinical
evaluation
suggested
that
the
family
might
show
non-syndromic
oligodontia
.
DNA
sequencing
of
the
MSX
1
gene
revealed
two
mutations
in
the
two
patients
with
oligodontia
:
a
heterozygotic
silent
mutation
,
c
.
348
C
>
T
(
P
.
Gly
116
=
)
,
in
exon
1
and
a
homozygotic
deletion
of
11
nucleotides
(
c
.
469
+
56
delins
GCCGGGTGGGG
)
in
the
intron
.
However
,
the
silent
mutation
and
the
deletion
mutation
were
thought
to
be
known
polymorphisms
(
rs
34165410
and
rs
34341187
)
by
bioinformatics
analysis
.
We
did
not
detect
any
mutations
in
the
PAX
9
and
AXIN
2
genes
of
oligodontia
patients
.
Our
finding
suggests
that
identified
polymorphisms
(
c
.
348
C
>
T
and
c
.
469
+
56
delins
GCCGGGTGGGG
)
may
be
responsible
for
the
oligodontia
phenotype
in
this
Chinese
family
,
but
the
association
requires
further
study
.
Diseases
Validation
Diseases presenting
"c"
symptom
adrenomyeloneuropathy
alexander disease
cadasil
coats disease
cohen syndrome
dedifferentiated liposarcoma
epidermolysis bullosa simplex
erythropoietic protoporphyria
familial hypocalciuric hypercalcemia
gm1 gangliosidosis
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kallmann syndrome
oligodontia
papillon-lefèvre syndrome
phenylketonuria
pyruvate dehydrogenase deficiency
von hippel-lindau disease
x-linked adrenoleukodystrophy
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