Unexpected identification of a recurrent mutation in the DLX3 gene causing amelogenesis imperfecta

Oral Dis. 2016 May;22(4):297-302. doi: 10.1111/odi.12439. Epub 2016 Feb 26.

Abstract

Objective: To identify the molecular genetic aetiology of a family with autosomal dominant amelogenesis imperfecta (AI).

Subjects and methods: DNA samples were collected from a six-generation family, and the candidate gene approach was used to screen for the enamelin (ENAM) gene. Whole-exome sequencing and linkage analysis with SNP array data identified linked regions, and candidate gene screening was performed.

Results: Mutational analysis revealed a mutation (c.561_562delCT and p.Tyr188Glnfs*13) in the DLX3 gene. After finding a recurrent DLX3 mutation, the clinical phenotype of the family members was re-examined. The proband's mother had pulp elongation in the third molars. The proband had not hair phenotype, but her cousin had curly hair at birth.

Conclusions: In this study, we identified a recurrent 2-bp deletional DLX3 mutation in a new family. The clinical phenotype was the mildest one associated with the DLX3 mutations. These results will advance the understanding of the functional role of DLX3 in developmental processes.

Keywords: DLX3; Taurodontism; enamel; genetic diseases; hereditary; tooth.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Amelogenesis Imperfecta / diagnostic imaging
  • Amelogenesis Imperfecta / genetics*
  • Base Sequence*
  • Child
  • DNA Mutational Analysis
  • Exome
  • Female
  • Homeodomain Proteins / genetics*
  • Humans
  • Male
  • Pedigree
  • Phenotype
  • Radiography, Dental
  • Sequence Deletion*
  • Transcription Factors / genetics*

Substances

  • Distal-less homeobox proteins
  • Homeodomain Proteins
  • Transcription Factors