RUNX2 mutations in cleidocranial dysplasia

Genet Mol Res. 2013 Oct 15;12(4):4567-74. doi: 10.4238/2013.October.15.5.

Abstract

The runt-related transcription factor 2 gene (RUNX2), which is also known as CBFA1, is a master regulatory gene in bone formation. Mutations in RUNX2 have been identified in cleidocranial dysplasia (CCD) patients. CCD is a rare autosomal dominant skeletal dysplasia that is characterized by delayed closure of cranial sutures, aplastic or hypoplastic clavicle formation, short stature, and dental anomalies, including malocclusion, supernumerary teeth, and delayed eruption of permanent teeth. In this study, we recruited three de novo CCD families and performed mutational analysis of the RUNX2 gene as a candidate gene approach. The mutational study revealed three disease-causing mutations: a missense mutation (c.674G>A, p.Arg225Gln), a frameshift mutation (c.1119delC, p.Arg374Glyfs*), and a nonsense mutation (c.1171C>T, p.Arg391*). Clinical examination revealed a unique dental phenotype (no typical supernumerary teeth, but duplication of anterior teeth) in one patient. We believe that this finding will broaden the understanding of the mechanism of supernumerary teeth formation and CCD-related phenotypes.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Base Sequence
  • Child
  • Cleidocranial Dysplasia / diagnostic imaging
  • Cleidocranial Dysplasia / genetics*
  • Codon, Nonsense
  • Core Binding Factor Alpha 1 Subunit / genetics*
  • DNA Mutational Analysis
  • Female
  • Frameshift Mutation
  • Genetic Association Studies
  • Humans
  • Jaw / diagnostic imaging
  • Male
  • Mutation, Missense
  • Radiography
  • Tooth Abnormalities / diagnostic imaging
  • Tooth Abnormalities / genetics

Substances

  • Codon, Nonsense
  • Core Binding Factor Alpha 1 Subunit
  • RUNX2 protein, human