Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia

Abstract Background The aim of this study was to analyse the differences in the phenotypes of missing teeth between a pair of brothers with hypohidrotic ectodermal dysplasia (HED) and to investigate the underlying mechanism by comparing the mutated gene loci between the brothers with whole-exome seq...

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Main Authors: Yiting Liu, Jing Sun, Caiqi Zhang, Yi Wu, Siyuan Ma, Xuechun Li, Xiaoshan Wu, Qingping Gao
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Oral Health
Subjects:
Online Access:https://doi.org/10.1186/s12903-024-03888-5
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author Yiting Liu
Jing Sun
Caiqi Zhang
Yi Wu
Siyuan Ma
Xuechun Li
Xiaoshan Wu
Qingping Gao
author_facet Yiting Liu
Jing Sun
Caiqi Zhang
Yi Wu
Siyuan Ma
Xuechun Li
Xiaoshan Wu
Qingping Gao
author_sort Yiting Liu
collection DOAJ
description Abstract Background The aim of this study was to analyse the differences in the phenotypes of missing teeth between a pair of brothers with hypohidrotic ectodermal dysplasia (HED) and to investigate the underlying mechanism by comparing the mutated gene loci between the brothers with whole-exome sequencing. Methods The clinical data of the patients and their mother were collected, and genomic DNA was extracted from peripheral blood samples. By Whole-exome sequencing filtered for a minor allele frequency (MAF) ≤0.05 non-synonymous single-nucleotide variations and insertions/deletions variations in genes previously associated with tooth agenesis, and variations considered as potentially pathogenic were assessed by SIFT, Polyphen-2, CADD and ACMG. Sanger sequencing was performed to detect gene variations. The secondary and tertiary structures of the mutated proteins were predicted by PsiPred 4.0 and AlphaFold 2. Results Both brothers were clinically diagnosed with HED, but the younger brother had more teeth than the elder brother. An EDA variation (c.878 T > G) was identified in both brothers. Additionally, compound heterozygous variations of WNT10A (c.511C > T and c.637G > A) were identified in the elder brother. Digenic variations in EDA (c.878 T > G) and WNT10A (c.511C > T and c.637G > A) in the same patient have not been reported previously. The secondary structure of the variant WNT10A protein showed changes in the number and position of α-helices and β-folds compared to the wild-type protein. The tertiary structure of the WNT10A variant and molecular simulation docking showed that the site and direction where WNT10A binds to FZD5 was changed. Conclusions Compound heterozygous WNT10A missense variations may exacerbate the number of missing teeth in HED caused by EDA variation.
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spelling doaj.art-d24b7f9339064e929531dc3e2455c5b42024-03-05T17:07:30ZengBMCBMC Oral Health1472-68312024-01-0124111210.1186/s12903-024-03888-5Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasiaYiting Liu0Jing Sun1Caiqi Zhang2Yi Wu3Siyuan Ma4Xuechun Li5Xiaoshan Wu6Qingping Gao7The Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityThe Stomatology Center of Xiangya Hospital, Central South UniversityAbstract Background The aim of this study was to analyse the differences in the phenotypes of missing teeth between a pair of brothers with hypohidrotic ectodermal dysplasia (HED) and to investigate the underlying mechanism by comparing the mutated gene loci between the brothers with whole-exome sequencing. Methods The clinical data of the patients and their mother were collected, and genomic DNA was extracted from peripheral blood samples. By Whole-exome sequencing filtered for a minor allele frequency (MAF) ≤0.05 non-synonymous single-nucleotide variations and insertions/deletions variations in genes previously associated with tooth agenesis, and variations considered as potentially pathogenic were assessed by SIFT, Polyphen-2, CADD and ACMG. Sanger sequencing was performed to detect gene variations. The secondary and tertiary structures of the mutated proteins were predicted by PsiPred 4.0 and AlphaFold 2. Results Both brothers were clinically diagnosed with HED, but the younger brother had more teeth than the elder brother. An EDA variation (c.878 T > G) was identified in both brothers. Additionally, compound heterozygous variations of WNT10A (c.511C > T and c.637G > A) were identified in the elder brother. Digenic variations in EDA (c.878 T > G) and WNT10A (c.511C > T and c.637G > A) in the same patient have not been reported previously. The secondary structure of the variant WNT10A protein showed changes in the number and position of α-helices and β-folds compared to the wild-type protein. The tertiary structure of the WNT10A variant and molecular simulation docking showed that the site and direction where WNT10A binds to FZD5 was changed. Conclusions Compound heterozygous WNT10A missense variations may exacerbate the number of missing teeth in HED caused by EDA variation.https://doi.org/10.1186/s12903-024-03888-5Hypohidrotic ectodermal dysplasiaEDAWNT10ADigenic variationsTooth agenesisDevelopment
spellingShingle Yiting Liu
Jing Sun
Caiqi Zhang
Yi Wu
Siyuan Ma
Xuechun Li
Xiaoshan Wu
Qingping Gao
Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
BMC Oral Health
Hypohidrotic ectodermal dysplasia
EDA
WNT10A
Digenic variations
Tooth agenesis
Development
title Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
title_full Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
title_fullStr Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
title_full_unstemmed Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
title_short Compound heterozygous WNT10A missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
title_sort compound heterozygous wnt10a missense variations exacerbated the tooth agenesis caused by hypohidrotic ectodermal dysplasia
topic Hypohidrotic ectodermal dysplasia
EDA
WNT10A
Digenic variations
Tooth agenesis
Development
url https://doi.org/10.1186/s12903-024-03888-5
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