TY - JOUR
T1 - Expanding the oro-dental and mutational spectra of kabuki syndrome and expression of KMT2D and KDM6A in human tooth germs
AU - Porntaveetus, Thantrira
AU - Abid, Mushriq F.
AU - Theerapanon, Thanakorn
AU - Srichomthong, Chalurmpon
AU - Ohazama, Atsushi
AU - Kawasaki, Katsushige
AU - Kawasaki, Maiko
AU - Suphapeetiporn, Kanya
AU - Sharpe, Paul T.
AU - Shotelersuk, Vorasuk
PY - 2018/3/9
Y1 - 2018/3/9
N2 - Kabuki syndrome is a rare genetic disorder characterized by distinct dysmorphic facial features, intellectual disability, and multiple developmental abnormalities. Despite more than 350 documented cases, the oro-dental spectrum associated with kabuki syndrome and expression of KMT2D (histone-lysine N-methyltransferase 2D) or KDM6A (lysine-specific demethylase 6A) genes in tooth development have not been well defined. Here, we report seven unrelated Thai patients with Kabuki syndrome having congenital absence of teeth, malocclusion, high-arched palate, micrognathia, and deviated tooth shape and size. Exome sequencing successfully identified that six patients were heterozygous for mutations in KMT2D, and one in KDM6A. Six were novel mutations, of which five were in KMT2D and one in KDM6A. They were truncating mutations including four frameshift deletions and two nonsense mutations. The predicted non-functional KMT2D and KDM6A proteins are expected to cause disease by haploinsufficiency. Our study expands oro-dental, medical, and mutational spectra associated with Kabuki syndrome. We also demonstrate for the first time that KMT2D and KDM6A are expressed in the dental epithelium of human tooth germs.
AB - Kabuki syndrome is a rare genetic disorder characterized by distinct dysmorphic facial features, intellectual disability, and multiple developmental abnormalities. Despite more than 350 documented cases, the oro-dental spectrum associated with kabuki syndrome and expression of KMT2D (histone-lysine N-methyltransferase 2D) or KDM6A (lysine-specific demethylase 6A) genes in tooth development have not been well defined. Here, we report seven unrelated Thai patients with Kabuki syndrome having congenital absence of teeth, malocclusion, high-arched palate, micrognathia, and deviated tooth shape and size. Exome sequencing successfully identified that six patients were heterozygous for mutations in KMT2D, and one in KDM6A. Six were novel mutations, of which five were in KMT2D and one in KDM6A. They were truncating mutations including four frameshift deletions and two nonsense mutations. The predicted non-functional KMT2D and KDM6A proteins are expected to cause disease by haploinsufficiency. Our study expands oro-dental, medical, and mutational spectra associated with Kabuki syndrome. We also demonstrate for the first time that KMT2D and KDM6A are expressed in the dental epithelium of human tooth germs.
KW - Craniofacial anomalies
KW - Genetics
KW - Hypodontia
KW - Tooth development
UR - http://www.scopus.com/inward/record.url?scp=85045193269&partnerID=8YFLogxK
U2 - 10.7150/ijbs.23517
DO - 10.7150/ijbs.23517
M3 - Article
AN - SCOPUS:85045193269
SN - 1449-2288
VL - 14
SP - 381
EP - 389
JO - International Journal of Biological Sciences
JF - International Journal of Biological Sciences
IS - 4
ER -