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Gabe CM, Bui AT, Lukashova L, Verdelis K, Vasquez B, Beniash E, Margolis HC. Role of amelogenin phosphorylation in regulating dental enamel formation. Matrix Biol 2024; 131:17-29. [PMID: 38759902 DOI: 10.1016/j.matbio.2024.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2024] [Revised: 05/08/2024] [Accepted: 05/14/2024] [Indexed: 05/19/2024]
Abstract
Amelogenin (AMELX), the predominant matrix protein in enamel formation, contains a singular phosphorylation site at Serine 16 (S16) that greatly enhances AMELX's capacity to stabilize amorphous calcium phosphate (ACP) and inhibit its transformation to apatitic enamel crystals. To explore the potential role of AMELX phosphorylation in vivo, we developed a knock-in (KI) mouse model in which AMELX phosphorylation is prevented by substituting S16 with Ala (A). As anticipated, AMELXS16A KI mice displayed a severe phenotype characterized by weak hypoplastic enamel, absence of enamel rods, extensive ectopic calcifications, a greater rate of ACP transformation to apatitic crystals, and progressive cell pathology in enamel-forming cells (ameloblasts). In the present investigation, our focus was on understanding the mechanisms of action of phosphorylated AMELX in amelogenesis. We have hypothesized that the absence of AMELX phosphorylation would result in a loss of controlled mineralization during the secretory stage of amelogenesis, leading to an enhanced rate of enamel mineralization that causes enamel acidification due to excessive proton release. To test these hypotheses, we employed microcomputed tomography (µCT), colorimetric pH assessment, and Fourier Transform Infrared (FTIR) microspectroscopy of apical portions of mandibular incisors from 8-week old wildtype (WT) and KI mice. As hypothesized, µCT analyses demonstrated significantly higher rates of enamel mineral densification in KI mice during the secretory stage compared to the WT. Despite a greater rate of enamel densification, maximal KI enamel thickness increased at a significantly lower rate than that of the WT during the secretory stage of amelogenesis, reaching a thickness in mid-maturation that is approximately half that of the WT. pH assessments revealed a lower pH in secretory enamel in KI compared to WT mice, as hypothesized. FTIR findings further demonstrated that KI enamel is comprised of significantly greater amounts of acid phosphate compared to the WT, consistent with our pH assessments. Furthermore, FTIR microspectroscopy indicated a significantly higher mineral-to-organic ratio in KI enamel, as supported by µCT findings. Collectively, our current findings demonstrate that phosphorylated AMELX plays crucial mechanistic roles in regulating the rate of enamel mineral formation, and in maintaining physico-chemical homeostasis and the enamel growth pattern during early stages of amelogenesis.
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Affiliation(s)
- Claire M Gabe
- Department of Oral and Craniofacial Sciences, University of Pittsburgh School of Dental Medicine, 335 Sutherland Drive (UPSDM), Pittsburgh, PA 15260, USA; Center for Craniofacial Regeneration, UPSDM, Pittsburgh, PA, USA
| | - Ai Thu Bui
- Department of Oral and Craniofacial Sciences, University of Pittsburgh School of Dental Medicine, 335 Sutherland Drive (UPSDM), Pittsburgh, PA 15260, USA; Center for Craniofacial Regeneration, UPSDM, Pittsburgh, PA, USA
| | | | - Kostas Verdelis
- Center for Craniofacial Regeneration, UPSDM, Pittsburgh, PA, USA; Department of Endodontics, UPSDM, Pittsburgh, PA, USA
| | - Brent Vasquez
- Department of Oral and Craniofacial Sciences, University of Pittsburgh School of Dental Medicine, 335 Sutherland Drive (UPSDM), Pittsburgh, PA 15260, USA; Center for Craniofacial Regeneration, UPSDM, Pittsburgh, PA, USA
| | - Elia Beniash
- Department of Oral and Craniofacial Sciences, University of Pittsburgh School of Dental Medicine, 335 Sutherland Drive (UPSDM), Pittsburgh, PA 15260, USA; Center for Craniofacial Regeneration, UPSDM, Pittsburgh, PA, USA
| | - Henry C Margolis
- Department of Oral and Craniofacial Sciences, University of Pittsburgh School of Dental Medicine, 335 Sutherland Drive (UPSDM), Pittsburgh, PA 15260, USA; Center for Craniofacial Regeneration, UPSDM, Pittsburgh, PA, USA; Department of Periodontics and Preventive Dentistry, UPSDM, Pittsburgh, PA, USA.
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Ghoul S, Kammoun R. Comment on: Deep dental phenotyping and a novel FAM20A variant in patients with amelogenesis imperfecta type IG. Oral Dis 2024; 30:3529-3530. [PMID: 37743631 DOI: 10.1111/odi.14751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 08/25/2023] [Accepted: 09/05/2023] [Indexed: 09/26/2023]
Affiliation(s)
- Sonia Ghoul
- BioMed Unit, International Faculty of Dental Medicine, College of Health Sciences, International University of Rabat, Sala-Al Jadida, Morocco
- ABCDF Laboratory, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
| | - Rym Kammoun
- ABCDF Laboratory, Faculty of Dental Medicine, University of Monastir, Monastir, Tunisia
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Zhang Y, Sun Q, Liang Y, Yang X, Wang H, Song S, Wang Y, Feng Y. FAM20A: a potential diagnostic biomarker for lung squamous cell carcinoma. Front Immunol 2024; 15:1424197. [PMID: 38983866 PMCID: PMC11231076 DOI: 10.3389/fimmu.2024.1424197] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2024] [Accepted: 06/04/2024] [Indexed: 07/11/2024] Open
Abstract
Background Lung squamous cell carcinoma (LUSC) ranks among the carcinomas with the highest incidence and dismal survival rates, suffering from a lack of effective therapeutic strategies. Consequently, biomarkers facilitating early diagnosis of LUSC could significantly enhance patient survival. This study aims to identify novel biomarkers for LUSC. Methods Utilizing the TCGA, GTEx, and CGGA databases, we focused on the gene encoding Family with Sequence Similarity 20, Member A (FAM20A) across various cancers. We then corroborated these bioinformatic predictions with clinical samples. A range of analytical tools, including Kaplan-Meier, MethSurv database, Wilcoxon rank-sum, Kruskal-Wallis tests, Gene Set Enrichment Analysis, and TIMER database, were employed to assess the diagnostic and prognostic value of FAM20A in LUSC. These tools also helped evaluate immune cell infiltration, immune checkpoint genes, DNA repair-related genes, DNA methylation, and tumor-related pathways. Results FAM20A expression was found to be significantly reduced in LUSC, correlating with lower survival rates. It exhibited a negative correlation with key proteins in DNA repair signaling pathways, potentially contributing to LUSC's radiotherapy resistance. Additionally, FAM20A showed a positive correlation with immune checkpoints like CTLA-4, indicating potential heightened sensitivity to immunotherapies targeting these checkpoints. Conclusion FAM20A emerges as a promising diagnostic and prognostic biomarker for LUSC, offering potential clinical applications.
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Affiliation(s)
- Yalin Zhang
- Center for Critical Care Medicine, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
| | - Qin Sun
- Center for Critical Care Medicine, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
| | - Yangbo Liang
- Center for Critical Care Medicine, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
| | - Xian Yang
- Center for Critical Care Medicine, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
| | - Hailian Wang
- Clinical Immunology Translational Medicine Key Laboratory of Sichuan Province, Center of Organ Transplantation, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, Chengdu, Sichuan, China
| | - Siyuan Song
- Department of Neuroscience, Baylor College of Medicine, Houston, TX, United States
| | - Yi Wang
- Center for Critical Care Medicine, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China
- Clinical Immunology Translational Medicine Key Laboratory of Sichuan Province, Center of Organ Transplantation, Sichuan Academy of Medical Science and Sichuan Provincial People's Hospital, Chengdu, Sichuan, China
| | - Yong Feng
- Department of Otorhinolaryngology Head and Neck Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, China
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Sriwattanapong K, Theerapanon T, Khamwachirapitak C, Sae-Ear P, Srijunbarl A, Porntaveetus T, Shotelersuk V. Deep dental phenotyping and a novel FAM20A variant in patients with amelogenesis imperfecta type IG. Oral Dis 2024; 30:537-550. [PMID: 36650945 DOI: 10.1111/odi.14510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 12/18/2022] [Accepted: 01/09/2023] [Indexed: 01/19/2023]
Abstract
OBJECTIVES To identify etiologic variants and perform deep dental phenotyping in patients with amelogenesis imperfecta (AI). METHODS Three patients of two unrelated families were evaluated. Genetic variants were investigated by exome and Sanger sequencing. An unerupted permanent third molar (AI1) from Patient1 and a deciduous first molar (AI2) from Patient2, along with three tooth-type matched controls for each were characterized. RESULTS All three patients harbored biallelic pathogenic variants in FAM20A, indicating AI1G. Of the four identified variants, one, c.1231C > T p.(Arg411Trp), was novel. Patient1 possessed the largest deletion, 7531 bp, ever identified in FAM20A. In addition to hypoplastic enamel, multiple impacted teeth, intrapulpal calcification, pericoronal radiolucencies, malocclusion, and periodontal infections were found in all three patients, gingival hyperplasia in Patient1 and Patient2, and alveolar bone exostosis in Patient3. Surface roughness was increased in AI1 but decreased in AI2. Decreased enamel mineral density, hardness, and elastic modulus were observed in AI1 enamel and dentin and AI2 dentin, along with decreased phosphorus, increased carbon, and increased calcium/phosphorus and carbon/oxygen ratios. Severely collapsed enamel rods and disorganized dentin-enamel junction were observed. CONCLUSIONS We report a novel FAM20A variant and, for the first time, the defective mineral composition and physical/mechanical properties of AI1G teeth.
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Affiliation(s)
- Kanokwan Sriwattanapong
- Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Thanakorn Theerapanon
- Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Chompak Khamwachirapitak
- Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Pannagorn Sae-Ear
- Oral Biology Research Center, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Anucharte Srijunbarl
- Dental Materials R&D Center, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Thantrira Porntaveetus
- Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Vorasuk Shotelersuk
- Center of Excellence for Medical Genomics, Medical Genomics Cluster, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand
- Excellence Center for Genomics and Precision Medicine, King Chulalongkorn Memorial Hospital, The Thai Red Cross Society, Bangkok, Thailand
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Dong J, Ruan W, Duan X. Molecular-based phenotype variations in amelogenesis imperfecta. Oral Dis 2023; 29:2334-2365. [PMID: 37154292 DOI: 10.1111/odi.14599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 04/03/2023] [Accepted: 04/15/2023] [Indexed: 05/10/2023]
Abstract
Amelogenesis imperfecta (AI) is one of the typical dental genetic diseases in human. It can occur isolatedly or as part of a syndrome. Previous reports have mainly clarified the types and mechanisms of nonsyndromic AI. This review aimed to compare the phenotypic differences among the hereditary enamel defects with or without syndromes and their underlying pathogenic genes. We searched the articles in PubMed with different strategies or keywords including but not limited to amelogenesis imperfecta, enamel defects, hypoplastic/hypomaturation/hypocalcified, syndrome, or specific syndrome name. The articles with detailed clinical information about the enamel and other phenotypes and clear genetic background were used for the analysis. We totally summarized and compared enamel phenotypes of 18 nonsyndromic AI with 17 causative genes and 19 syndromic AI with 26 causative genes. According to the clinical features, radiographic or ultrastructural changes in enamel, the enamel defects were basically divided into hypoplastic and hypomineralized (hypomaturated and hypocalcified) and presented a higher heterogeneity which were closely related to the involved pathogenic genes, types of mutation, hereditary pattern, X chromosome inactivation, incomplete penetrance, and other mechanisms.The gene-specific enamel phenotypes could be an important indicator for diagnosing nonsyndromic and syndromic AI.
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Affiliation(s)
- Jing Dong
- State Key Laboratory of Military Stomatology, Shaanxi Key Laboratory of Stomatology, Department of Oral Biology & Clinic of Oral Rare Diseases and Genetic Diseases, School of Stomatology, National Clinical Research Center for Oral Disease, The Fourth Military Medical University, Xi'an, China
- College of Life Sciences, Northwest University, Xi'an, China
| | - Wenyan Ruan
- State Key Laboratory of Military Stomatology, Shaanxi Key Laboratory of Stomatology, Department of Oral Biology & Clinic of Oral Rare Diseases and Genetic Diseases, School of Stomatology, National Clinical Research Center for Oral Disease, The Fourth Military Medical University, Xi'an, China
| | - Xiaohong Duan
- State Key Laboratory of Military Stomatology, Shaanxi Key Laboratory of Stomatology, Department of Oral Biology & Clinic of Oral Rare Diseases and Genetic Diseases, School of Stomatology, National Clinical Research Center for Oral Disease, The Fourth Military Medical University, Xi'an, China
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Wang SK, Zhang H, Wang YL, Lin HY, Seymen F, Koruyucu M, Wright JT, Kim JW, Simmer JP, Hu JCC. FAM20A mutations and transcriptome analyses of dental pulp tissues of enamel renal syndrome. Int Endod J 2023; 56:943-954. [PMID: 37159186 PMCID: PMC10524697 DOI: 10.1111/iej.13928] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 05/01/2023] [Accepted: 05/02/2023] [Indexed: 05/10/2023]
Abstract
AIM Biallelic loss-of-function FAM20A mutations cause amelogenesis imperfecta (AI) type IG, better known as enamel renal syndrome (ERS), characterized by severe enamel hypoplasia, delayed/failed tooth eruption, intrapulpal calcifications, gingival hyperplasia and nephrocalcinosis. FAM20A binds to FAM20C, the Golgi casein kinase (GCK) and potentiates its function to phosphorylate secreted proteins critical for biomineralization. While many FAM20A pathogenic mutations have been reported, the pathogeneses of orodental anomalies in ERS remain to be elucidated. This study aimed to identify disease-causing mutations for patients with ERS phenotypes and to discern the molecular mechanism underlying ERS intrapulpal calcifications. METHODOLOGY Phenotypic characterization and whole exome analyses were conducted for 8 families and 2 sporadic cases with hypoplastic AI. A minigene assay was performed to investigate the molecular consequences of a FAM20A splice-site variant. RNA sequencing followed by transcription profiling and gene ontology (GO) analyses were carried out for dental pulp tissues of ERS and the control. RESULTS Biallelic FAM20A mutations were demonstrated for each affected individual, including 7 novel pathogenic variants: c.590-5T>A, c.625T>A (p.Cys209Ser), c.771del (p.Gln258Argfs*28), c.832_835delinsTGTCCGACGGTGTCCGACGGTGTC CA (p.Val278Cysfs*29), c.1232G>A (p.Arg411Gln), c.1297A>G (p.Arg433Gly) and c.1351del (p.Gln451Serfs*4). The c.590-5T>A splice-site mutation caused Exon 3 skipping, which resulted in an in-frame deletion of a unique region of the FAM20A protein, p.(Asp197_Ile214delinsVal). Analyses of differentially expressed genes in ERS pulp tissues demonstrated that genes involved in biomineralization, particularly dentinogenesis, were significantly upregulated, such as DSPP, MMP9, MMP20 and WNT10A. Enrichment analyses indicated overrepresentation of gene sets associated with BMP and SMAD signalling pathways. In contrast, GO terms related to inflammation and axon development were underrepresented. Among BMP signalling genes, BMP agonists GDF7, GDF15, BMP3, BMP8A, BMP8B, BMP4 and BMP6 were upregulated, while BMP antagonists GREM1, BMPER and VWC2 showed decreased expression in ERS dental pulp tissues. CONCLUSIONS Upregulation of BMP signalling underlies intrapulpal calcifications in ERS. FAM20A plays an essential role in pulp tissue homeostasis and prevention of ectopic mineralization in soft tissues. This critical function probably depends upon MGP (matrix Gla protein), a potent mineralization inhibitor that must be properly phosphorylated by FAM20A-FAM20C kinase complex.
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Affiliation(s)
- Shih-Kai Wang
- Department of Dentistry, National Taiwan University School of Dentistry, No.1, Changde St., Taipei City 100229, Taiwan
- Department of Pediatric Dentistry, National Taiwan University Children’s Hospital, No.8, Zhongshan S. Rd., Taipei City 100226, Taiwan
| | - Hong Zhang
- Department of Biologic and Materials Sciences, University of Michigan School of Dentistry, 1011 North University Ave., Ann Arbor, MI 48108, USA
| | - Yin-Lin Wang
- Department of Dentistry, National Taiwan University School of Dentistry, No.1, Changde St., Taipei City 100229, Taiwan
- Department of Pediatric Dentistry, National Taiwan University Children’s Hospital, No.8, Zhongshan S. Rd., Taipei City 100226, Taiwan
| | - Hung-Ying Lin
- Department of Oral and Maxillofacial Surgery, National Taiwan University Hospital; No.1, Changde St., Taipei City 100229, Taiwan
| | - Figen Seymen
- Department of Pedodontics, Faculty of Dentistry, Altinbas University, Istanbul, 34147, Turkey
| | - Mine Koruyucu
- Department of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul, 34116, Turkey
| | - J Timothy Wright
- Department of Pediatric Dentistry, University of North Carolina School of Dentistry, CB 7450, 228 Brauer Hall, Chapel Hill, NC 27599, USA
| | - Jung-Wook Kim
- Department of Molecular Genetics & Dental Research Institute, School of Dentistry, Seoul National University, Seoul 03080, Republic of Korea
- Department of Pediatric Dentistry & Dental Research Institute, School of Dentistry, Seoul National University, Seoul 03080, Republic of Korea
| | - James P. Simmer
- Department of Biologic and Materials Sciences, University of Michigan School of Dentistry, 1011 North University Ave., Ann Arbor, MI 48108, USA
| | - Jan C.-C. Hu
- Department of Biologic and Materials Sciences, University of Michigan School of Dentistry, 1011 North University Ave., Ann Arbor, MI 48108, USA
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Besnard C, Marie A, Sasidharan S, Harper RA, Shelton RM, Landini G, Korsunsky AM. Synchrotron X-ray Studies of the Structural and Functional Hierarchies in Mineralised Human Dental Enamel: A State-of-the-Art Review. Dent J (Basel) 2023; 11:98. [PMID: 37185477 PMCID: PMC10137518 DOI: 10.3390/dj11040098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Revised: 03/19/2023] [Accepted: 03/28/2023] [Indexed: 05/17/2023] Open
Abstract
Hard dental tissues possess a complex hierarchical structure that is particularly evident in enamel, the most mineralised substance in the human body. Its complex and interlinked organisation at the Ångstrom (crystal lattice), nano-, micro-, and macro-scales is the result of evolutionary optimisation for mechanical and functional performance: hardness and stiffness, fracture toughness, thermal, and chemical resistance. Understanding the physical-chemical-structural relationships at each scale requires the application of appropriately sensitive and resolving probes. Synchrotron X-ray techniques offer the possibility to progress significantly beyond the capabilities of conventional laboratory instruments, i.e., X-ray diffractometers, and electron and atomic force microscopes. The last few decades have witnessed the accumulation of results obtained from X-ray scattering (diffraction), spectroscopy (including polarisation analysis), and imaging (including ptychography and tomography). The current article presents a multi-disciplinary review of nearly 40 years of discoveries and advancements, primarily pertaining to the study of enamel and its demineralisation (caries), but also linked to the investigations of other mineralised tissues such as dentine, bone, etc. The modelling approaches informed by these observations are also overviewed. The strategic aim of the present review was to identify and evaluate prospective avenues for analysing dental tissues and developing treatments and prophylaxis for improved dental health.
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Affiliation(s)
- Cyril Besnard
- MBLEM, Department of Engineering Science, University of Oxford, Parks Road, Oxford OX1 3PJ, Oxfordshire, UK
| | - Ali Marie
- MBLEM, Department of Engineering Science, University of Oxford, Parks Road, Oxford OX1 3PJ, Oxfordshire, UK
| | - Sisini Sasidharan
- MBLEM, Department of Engineering Science, University of Oxford, Parks Road, Oxford OX1 3PJ, Oxfordshire, UK
| | - Robert A. Harper
- School of Dentistry, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, West Midlands, UK
| | - Richard M. Shelton
- School of Dentistry, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, West Midlands, UK
| | - Gabriel Landini
- School of Dentistry, University of Birmingham, 5 Mill Pool Way, Edgbaston, Birmingham B5 7EG, West Midlands, UK
| | - Alexander M. Korsunsky
- MBLEM, Department of Engineering Science, University of Oxford, Parks Road, Oxford OX1 3PJ, Oxfordshire, UK
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Bazin D, Foy E, Reguer S, Rouzière S, Fayard B, Colboc H, Haymann JP, Daudon M, Mocuta C. The crucial contribution of X-ray fluorescence spectroscopy in medicine. CR CHIM 2022. [DOI: 10.5802/crchim.103] [Citation(s) in RCA: 6] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Desoutter A, Cases O, Collart Dutilleul PY, Simancas Escorcia V, Cannaya V, Cuisinier F, Kozyraki R. Enamel and dentin in Enamel renal syndrome: A confocal Raman microscopy view. Front Physiol 2022; 13:957110. [PMID: 36091358 PMCID: PMC9453029 DOI: 10.3389/fphys.2022.957110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Accepted: 08/01/2022] [Indexed: 11/13/2022] Open
Abstract
Enamel Renal Syndrome (ERS) is a rare genetic disorder caused by biallelic mutations in Family with sequence similarity 20A (FAM20A) gene encoding the secretory pathway pseudokinase FAM20A. ERS is characterized by hypoplastic amelogenesis imperfecta (AI), impaired tooth eruption, intra-pulpal calcifications, gingival fibromatosis and nephrocalcinosis of various severity. Previous studies showed that the hypoplastic enamel was also hypomineralized but its chemical composition has not been extensively studied. Furthermore it is currently unclear whether dentinal defects are associated with AI in ERS patients. The objective of the study was to provide a structural and chemical analysis of enamel, dentin and dentin enamel junction (DEJ) in ERS patients carrying four, previously reported, distinct mutations in FAM20A. Chemical cartography obtained with Raman microscopy showed that compared to control samples, ERS enamel composition was severely altered and a cementum-like structure was observed in some cases. Chemical composition of peripulpal dentin was also affected and usual gradient of phosphate intensity, shown in DEJ profile, was absent in ERS samples. DEJ and dentinal anomalies were further confirmed by scanning electron microscopy analysis. In conclusion, our study shows that enamel formation is severely compromised in ERS patients and provides evidence that dentinal defects are an additional feature of the ERS dental phenotype.
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Affiliation(s)
- Alban Desoutter
- Laboratoire Bioingénierie et Nanosciences LBN, Université de Montpellier, Montpellier, France
- *Correspondence: Alban Desoutter,
| | - Olivier Cases
- Centre de Recherche des Cordeliers, Sorbonne Université, INSERM, Université de Paris Cité, Laboratory of Oral Molecular Pathophysiology, Paris, France
| | | | - Victor Simancas Escorcia
- Centre de Recherche des Cordeliers, Sorbonne Université, INSERM, Université de Paris Cité, Laboratory of Oral Molecular Pathophysiology, Paris, France
- Facultad de Odontología, Universidad de Cartagena, Grupo Interdisciplinario de Investigaciones y Tratamientos Odontológicos Universidad de Cartagena (GITOUC), Cartagena, Colombia
| | - Vidjea Cannaya
- Centre de Recherche des Cordeliers, Sorbonne Université, INSERM, Université de Paris Cité, Laboratory of Oral Molecular Pathophysiology, Paris, France
| | - Frédéric Cuisinier
- Laboratoire Bioingénierie et Nanosciences LBN, Université de Montpellier, Montpellier, France
| | - Renata Kozyraki
- Centre de Recherche des Cordeliers, Sorbonne Université, INSERM, Université de Paris Cité, Laboratory of Oral Molecular Pathophysiology, Paris, France
- CRMR O-RARES, Hôpital Rothshild, UFR d’Odontologie-Garancière, Université de Paris Cité, Paris, France
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Zeng Y, Pan Y, Mo J, Ling Z, Jiang L, Xiong F, Yan W. Case Report: A Novel COL1A1 Missense Mutation Associated With Dentineogenesis Imperfecta Type I. Front Genet 2021; 12:699278. [PMID: 34249109 PMCID: PMC8260930 DOI: 10.3389/fgene.2021.699278] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2021] [Accepted: 05/27/2021] [Indexed: 11/13/2022] Open
Abstract
Background: Osteogenesis imperfecta (OI) is a clinical and genetic disorder that results in bone fragility, blue sclerae and dentineogenesis imperfecta (DGI), which is mainly caused by a mutation in the COL1A1 or COL1A2 genes, which encode type I procollagen. Case Report: A missense mutation (c.1463G > C) in exon 22 of the COL1A1 gene was found using whole-exome sequencing. However, the cases reported herein only exhibited a clinical DGI-I phenotype. There were no cases of bone disease or any other common abnormal symptom caused by a COL1A1 mutation. In addition, the ultrastructural analysis of the tooth affected with non-syndromic DGI-I showed that the abnormal dentine was accompanied by the disruption of odontoblast polarization, a reduced number of odontoblasts, a reduction in hardness and elasticity, and the loss of dentinal tubules, suggesting a severe developmental disorder. We also investigated the odontoblast differentiation ability using dental pulp stem cells (DPSCs) that were isolated from a patient with DGI-I and cultured. Stem cells isolated from patients with DGI-I are important to elucidate their pathogenesis and underlying mechanisms to develop regenerative therapies. Conclusion: This study can provide new insights into the phenotype-genotype association in collagen-associated diseases and improve the clinical diagnosis of OI/DGI-I.
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Affiliation(s)
- Yuting Zeng
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Yuhua Pan
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Jiayao Mo
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Zhiting Ling
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Lifang Jiang
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
| | - Fu Xiong
- Department of Medical Genetics, School of Basic Medical Sciences, Southern Medical University, Guangzhou, China.,Guangdong Provincial Key Laboratory of Single Cell Technology and Application, Guangzhou, Guangdong, China
| | - Wenjuan Yan
- Department of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, China
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Two new families with enamel renal syndrome: A novel FAM20A gene mutation and review of literature. Eur J Med Genet 2020; 63:104045. [PMID: 32835847 DOI: 10.1016/j.ejmg.2020.104045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2019] [Revised: 07/31/2020] [Accepted: 08/20/2020] [Indexed: 02/06/2023]
Abstract
Enamel renal syndrome (ERS) or so-called amelogenesis imperfecta type IG is a very rare disorder characterized by the triad of amelogenesis imperfecta, gingival enlargement and nephrocalcinosis. It is caused by biallelic mutations in the FAM20A gene. Herein, we report two unrelated patients with ERS. Our patients presented with the characteristic features of the syndrome, and amelogenesis imperfecta and gingival hyperplasia were the main complaint. Strikingly, they both had long face, thick lips, notched upper central incisors, and thick alveolar ridge which have never been reported before in patients with ERS. Gingival biopsy showed psammomatous calcifications, and renal ultrasound revealed bilateral nephrocalcinosis in the two patients. Mutational analysis of the FAM20A gene identified two homozygous mutations including a novel one (c.915_918delCTTT, p.Phe305Leufs*76 and c.1219 + 3_1219+6delAGGT). Our data expand the phenotypic and mutational spectrum of FAM20A gene and reinforce the importance of kidney examination and follow up for all patients with amelogenesis imperfecta unless FAM20A mutations were ruled out.
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Shin NY, Yamazaki H, Beniash E, Yang X, Margolis SS, Pugach MK, Simmer JP, Margolis HC. Amelogenin phosphorylation regulates tooth enamel formation by stabilizing a transient amorphous mineral precursor. J Biol Chem 2020; 295:1943-1959. [PMID: 31919099 DOI: 10.1074/jbc.ra119.010506] [Citation(s) in RCA: 36] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2019] [Revised: 12/30/2019] [Indexed: 11/06/2022] Open
Abstract
Dental enamel comprises interwoven arrays of extremely long and narrow crystals of carbonated hydroxyapatite called enamel rods. Amelogenin (AMELX) is the predominant extracellular enamel matrix protein and plays an essential role in enamel formation (amelogenesis). Previously, we have demonstrated that full-length AMELX forms higher-order supramolecular assemblies that regulate ordered mineralization in vitro, as observed in enamel rods. Phosphorylation of the sole AMELX phosphorylation site (Ser-16) in vitro greatly enhances its capacity to stabilize amorphous calcium phosphate (ACP), the first mineral phase formed in developing enamel, and prevents apatitic crystal formation. To test our hypothesis that AMELX phosphorylation is critical for amelogenesis, we generated and characterized a hemizygous knockin (KI) mouse model with a phosphorylation-defective Ser-16 to Ala-16 substitution in AMELX. Using EM analysis, we demonstrate that in the absence of phosphorylated AMELX, KI enamel lacks enamel rods, the hallmark component of mammalian enamel, and, unlike WT enamel, appears to be composed of less organized arrays of shorter crystals oriented normal to the dentinoenamel junction. KI enamel also exhibited hypoplasia and numerous surface defects, whereas heterozygous enamel displayed highly variable mosaic structures with both KI and WT features. Importantly, ACP-to-apatitic crystal transformation occurred significantly faster in KI enamel. Secretory KI ameloblasts also lacked Tomes' processes, consistent with the absence of enamel rods, and underwent progressive cell pathology throughout enamel development. In conclusion, AMELX phosphorylation plays critical mechanistic roles in regulating ACP-phase transformation and enamel crystal growth, and in maintaining ameloblast integrity and function during amelogenesis.
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Affiliation(s)
- Nah-Young Shin
- The Forsyth Institute, Cambridge, Massachusetts 02142; Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts 02115
| | - Hajime Yamazaki
- The Forsyth Institute, Cambridge, Massachusetts 02142; Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts 02115; Department of Oral Biology, Center for Craniofacial Regeneration, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania 15213
| | - Elia Beniash
- Department of Oral Biology, Center for Craniofacial Regeneration, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania 15213
| | - Xu Yang
- Department of Oral Biology, Center for Craniofacial Regeneration, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania 15213
| | - Seth S Margolis
- Department of Biological Chemistry, Johns Hopkins University School of Medicine, Baltimore, Maryland 21205
| | - Megan K Pugach
- The Forsyth Institute, Cambridge, Massachusetts 02142; Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts 02115
| | - James P Simmer
- Department of Biologic and Material Sciences, University of Michigan School of Dentistry, Ann Arbor, Michigan 48108
| | - Henry C Margolis
- The Forsyth Institute, Cambridge, Massachusetts 02142; Department of Developmental Biology, Harvard School of Dental Medicine, Boston, Massachusetts 02115; Department of Periodontics and Preventive Dentistry, Center for Craniofacial Regeneration, University of Pittsburgh, School of Dental Medicine, Pittsburgh, Pennsylvania 15213.
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Enamel renal syndrome: A novel homozygous FAM20A founder mutation in 5 new Brazilian families. Eur J Med Genet 2019; 62:103561. [DOI: 10.1016/j.ejmg.2018.10.013] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 09/07/2018] [Accepted: 10/24/2018] [Indexed: 12/14/2022]
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Berès F, Lignon G, Rouzière S, Mauprivez C, Simon S, Berdal A, Dessombz A. Physicochemical analysis of human pulpal mineralization secondary to FAM20A mutations. Connect Tissue Res 2018; 59:46-51. [PMID: 29745815 DOI: 10.1080/03008207.2018.1435644] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Affiliation(s)
- Fleur Berès
- a Laboratoire de Physiopathologie Orale Moléculaire, Centre de Recherche des Cordeliers, UMRS 1138 Institut National de la Santé et de la Recherche Médicale , Universités Paris-Descartes , Pierre-et-Marie-Curie, Paris-Diderot, Paris , France.,b UFR d'Odontologie , Université Paris-Descartes , Paris , France ; Service d'Odontologie, Hôpital Bretonneau, HUPNVS, AP-HP, Paris, France
| | - Guilhem Lignon
- a Laboratoire de Physiopathologie Orale Moléculaire, Centre de Recherche des Cordeliers, UMRS 1138 Institut National de la Santé et de la Recherche Médicale , Universités Paris-Descartes , Pierre-et-Marie-Curie, Paris-Diderot, Paris , France
| | - Stéphan Rouzière
- c Laboratoire de Physique des Solides, Centre National de la Recherche Scientifique , Université Paris-Sud, Université Paris-Saclay Orsay Cedex , France
| | - Cédric Mauprivez
- d Faculté de chirurgie dentaire , Université de Reims , Champagne Ardenne France
| | - Stéphane Simon
- a Laboratoire de Physiopathologie Orale Moléculaire, Centre de Recherche des Cordeliers, UMRS 1138 Institut National de la Santé et de la Recherche Médicale , Universités Paris-Descartes , Pierre-et-Marie-Curie, Paris-Diderot, Paris , France.,e UFR d'Odontologie-Garancière , Université Paris-Diderot, Paris, France; Groupe Hospitalier Pitié Salpêtrière-Charles Foix , Paris , France
| | - Ariane Berdal
- a Laboratoire de Physiopathologie Orale Moléculaire, Centre de Recherche des Cordeliers, UMRS 1138 Institut National de la Santé et de la Recherche Médicale , Universités Paris-Descartes , Pierre-et-Marie-Curie, Paris-Diderot, Paris , France.,f Centre de Référence Maladies Rares Orales et Dentaires ORares - Hôpital Rothschild , HUEP , AP-HP Paris , France
| | - Arnaud Dessombz
- a Laboratoire de Physiopathologie Orale Moléculaire, Centre de Recherche des Cordeliers, UMRS 1138 Institut National de la Santé et de la Recherche Médicale , Universités Paris-Descartes , Pierre-et-Marie-Curie, Paris-Diderot, Paris , France
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