The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations

Mutations in Dentin Sialophosphoprotein (<i>DSPP</i>) are known to cause, in order of increasing severity, dentin dysplasia type-II (DD-II), dentinogenesis imperfecta type-II (DGI-II), and dentinogenesis imperfecta type-III (DGI-III). <i>DSPP</i> mutations fall into two group...

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Main Authors: James P. Simmer, Hong Zhang, Sophie J. H. Moon, Lori A-J. Donnelly, Yuan-Ling Lee, Figen Seymen, Mine Koruyucu, Hui-Chen Chan, Kevin Y. Lee, Suwei Wu, Chia-Lan Hsiang, Anthony T. P. Tsai, Rebecca L. Slayton, Melissa Morrow, Shih-Kai Wang, Edward D. Shields, Jan C.-C. Hu
Format: Article
Language:English
Published: MDPI AG 2022-05-01
Series:Genes
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Online Access:https://www.mdpi.com/2073-4425/13/5/858
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author James P. Simmer
Hong Zhang
Sophie J. H. Moon
Lori A-J. Donnelly
Yuan-Ling Lee
Figen Seymen
Mine Koruyucu
Hui-Chen Chan
Kevin Y. Lee
Suwei Wu
Chia-Lan Hsiang
Anthony T. P. Tsai
Rebecca L. Slayton
Melissa Morrow
Shih-Kai Wang
Edward D. Shields
Jan C.-C. Hu
author_facet James P. Simmer
Hong Zhang
Sophie J. H. Moon
Lori A-J. Donnelly
Yuan-Ling Lee
Figen Seymen
Mine Koruyucu
Hui-Chen Chan
Kevin Y. Lee
Suwei Wu
Chia-Lan Hsiang
Anthony T. P. Tsai
Rebecca L. Slayton
Melissa Morrow
Shih-Kai Wang
Edward D. Shields
Jan C.-C. Hu
author_sort James P. Simmer
collection DOAJ
description Mutations in Dentin Sialophosphoprotein (<i>DSPP</i>) are known to cause, in order of increasing severity, dentin dysplasia type-II (DD-II), dentinogenesis imperfecta type-II (DGI-II), and dentinogenesis imperfecta type-III (DGI-III). <i>DSPP</i> mutations fall into two groups: a 5′-group that affects protein targeting and a 3′-group that shifts translation into the −1 reading frame. Using whole-exome sequence (WES) analyses and Single Molecule Real-Time (SMRT) sequencing, we identified disease-causing <i>DSPP</i> mutations in 12 families. Three of the mutations are novel: c.53T>C/p.(Val18Ala); c.3461delG/p.(Ser1154Metfs*160); and c.3700delA/p.(Ser1234Alafs*80). We propose genetic analysis start with WES analysis of proband DNA to identify mutations in <i>COL1A1</i> and <i>COL1A2</i> causing dominant forms of osteogenesis imperfecta, 5′-<i>DSPP</i> mutations, and 3′-<i>DSPP</i> frameshifts near the margins of the <i>DSPP</i> repeat region, and SMRT sequencing when the disease-causing mutation is not identified. After reviewing the literature and incorporating new information showing distinct differences in the cell pathology observed between knockin mice with 5′-<i>Dspp</i> or 3′-<i>Dspp</i> mutations, we propose a modified Shields Classification based upon the causative mutation rather than phenotypic severity such that patients identified with 5′-<i>DSPP</i> defects be diagnosed as DGI-III, while those with 3′-<i>DSPP</i> defects be diagnosed as DGI-II.
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spelling doaj.art-b20debd90ff74382b3797846fb3608b52023-11-23T11:10:35ZengMDPI AGGenes2073-44252022-05-0113585810.3390/genes13050858The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> MutationsJames P. Simmer0Hong Zhang1Sophie J. H. Moon2Lori A-J. Donnelly3Yuan-Ling Lee4Figen Seymen5Mine Koruyucu6Hui-Chen Chan7Kevin Y. Lee8Suwei Wu9Chia-Lan Hsiang10Anthony T. P. Tsai11Rebecca L. Slayton12Melissa Morrow13Shih-Kai Wang14Edward D. Shields15Jan C.-C. Hu16Department of Biologic and Materials Sciences & Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USADepartment of Biologic and Materials Sciences & Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USADepartment of Biologic and Materials Sciences & Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USADepartment of Oral and Maxillofacial Surgery, Adams School of Dentistry, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USAGraduate Institute of Clinical Dentistry, National Taiwan University, No.1, Chang-de St., Zhongzheng Dist., Taipei City 100, TaiwanDepartment of Pedodontics, Faculty of Dentistry, Altinbas University, Istanbul 34147, TurkeyDepartment of Pedodontics, Faculty of Dentistry, Istanbul University, Istanbul 34116, TurkeyTaipei Municipal WanFang Hospital, Xinglong Rd. 111, Taipei City 100, TaiwanTaipei Municipal WanFang Hospital, Xinglong Rd. 111, Taipei City 100, TaiwanTaipei Municipal WanFang Hospital, Xinglong Rd. 111, Taipei City 100, TaiwanTaipei Municipal WanFang Hospital, Xinglong Rd. 111, Taipei City 100, TaiwanTaipei Municipal WanFang Hospital, Xinglong Rd. 111, Taipei City 100, TaiwanDepartment of Pediatric Dentistry, University of Washington School of Dentistry, 1959 NE Pacific St., B-307, Seattle, WA 98195, USADepartment of Orthodontic and Pediatric Dentistry, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USADepartment of Dentistry, National Taiwan University School of Dentistry, No. 1, Changde St., Zhongzheng Dist., Taipei City 100, Taiwan2161 Pardee Road, Neebing, Ontario, CA P7L 0G7, CanadaDepartment of Biologic and Materials Sciences & Prosthodontics, School of Dentistry, University of Michigan, Ann Arbor, MI 48109, USAMutations in Dentin Sialophosphoprotein (<i>DSPP</i>) are known to cause, in order of increasing severity, dentin dysplasia type-II (DD-II), dentinogenesis imperfecta type-II (DGI-II), and dentinogenesis imperfecta type-III (DGI-III). <i>DSPP</i> mutations fall into two groups: a 5′-group that affects protein targeting and a 3′-group that shifts translation into the −1 reading frame. Using whole-exome sequence (WES) analyses and Single Molecule Real-Time (SMRT) sequencing, we identified disease-causing <i>DSPP</i> mutations in 12 families. Three of the mutations are novel: c.53T>C/p.(Val18Ala); c.3461delG/p.(Ser1154Metfs*160); and c.3700delA/p.(Ser1234Alafs*80). We propose genetic analysis start with WES analysis of proband DNA to identify mutations in <i>COL1A1</i> and <i>COL1A2</i> causing dominant forms of osteogenesis imperfecta, 5′-<i>DSPP</i> mutations, and 3′-<i>DSPP</i> frameshifts near the margins of the <i>DSPP</i> repeat region, and SMRT sequencing when the disease-causing mutation is not identified. After reviewing the literature and incorporating new information showing distinct differences in the cell pathology observed between knockin mice with 5′-<i>Dspp</i> or 3′-<i>Dspp</i> mutations, we propose a modified Shields Classification based upon the causative mutation rather than phenotypic severity such that patients identified with 5′-<i>DSPP</i> defects be diagnosed as DGI-III, while those with 3′-<i>DSPP</i> defects be diagnosed as DGI-II.https://www.mdpi.com/2073-4425/13/5/858dentinogenesis imperfectaShields Classification<i>DSPP</i> mutationsdentin dysplasiaenamel malformationswhole-exome sequencing (WES)
spellingShingle James P. Simmer
Hong Zhang
Sophie J. H. Moon
Lori A-J. Donnelly
Yuan-Ling Lee
Figen Seymen
Mine Koruyucu
Hui-Chen Chan
Kevin Y. Lee
Suwei Wu
Chia-Lan Hsiang
Anthony T. P. Tsai
Rebecca L. Slayton
Melissa Morrow
Shih-Kai Wang
Edward D. Shields
Jan C.-C. Hu
The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations
Genes
dentinogenesis imperfecta
Shields Classification
<i>DSPP</i> mutations
dentin dysplasia
enamel malformations
whole-exome sequencing (WES)
title The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations
title_full The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations
title_fullStr The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations
title_full_unstemmed The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations
title_short The Modified Shields Classification and 12 Families with Defined <i>DSPP</i> Mutations
title_sort modified shields classification and 12 families with defined i dspp i mutations
topic dentinogenesis imperfecta
Shields Classification
<i>DSPP</i> mutations
dentin dysplasia
enamel malformations
whole-exome sequencing (WES)
url https://www.mdpi.com/2073-4425/13/5/858
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