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Mutational hot spot in the DSPP gene causing dentinogenesis imperfecta type II

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The current system for the classification of hereditary defects of tooth dentin is based upon clinical and radiographic findings and consists of two types of dentin dysplasia (DD) and three types of dentinogenesis imperfecta (DGI). However, whether DGI type III should be considered a distinct phenotype or a variation of DGI type II is debatable. In the 30 years since the classification system was first proposed, significant advances have been made regarding the genetic etiologies of inherited dentin defects. DGI type II is recognized as an autosomal dominant disorder with almost complete penetrance and a low frequency of de novo mutations. We have identified a mutation (c.52G→T, p.V18F) at the first nucleotide of exon 3 of the DSPP (dentin sialophosphoprotein) gene in a Korean family (de novo) and a Caucasian family. This mutation has previously been reported as causing DGI type II in a Chinese family. These findings suggest that this mutation site represents a mutational “hot spot” in the DSPP gene. The clinical and radiographic features of these two families include the classic phenotypes associated with both DGI type II and type III. Finding that a single mutation causes both phenotypic patterns strongly supports the conclusion that DGI type II and DGI type III are not separate diseases but rather the phenotypic variation of a single disease. We propose a modification of the current classification system such that the designation “hereditary opalescent dentin” or “DGI type II” should be used to describe both the DGI type II and type III phenotypes.

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  • Bixler D, Conneally PM, Christen AG (1969) Dentinogenesis imperfecta: genetic variations in a six-generation family. J Dent Res 48:1196–1199

    CAS  PubMed  Google Scholar 

  • Clark F, Thanaraj TA (2002) Categorization and characterization of transcript-confirmed constitutively and alternatively spliced introns and exons from human. Hum Mol Genet 11:451–464

    Article  CAS  PubMed  Google Scholar 

  • Esposito S, Vergo TJ Jr (1978) Removable overdentures in the oral rehabilitation of patients with dentinogenesis imperfecta. J Pedod 2:304–315

    CAS  PubMed  Google Scholar 

  • Heimler A, Sciubba J, Lieber E, Kamen S (1985) An unusual presentation of opalescent dentin and Brandywine isolate hereditary opalescent dentin in an Ashkenazic Jewish family. Oral Surg Oral Med Oral Pathol 59:608–615

    CAS  PubMed  Google Scholar 

  • Kim J-W, Nam S-H, Jang K-T, Lee S-H, Kim C-C, Hahn S-H, Hu JC-C, Simmer JP (2004) A novel splice acceptor mutation in the DSPP gene causing dentinogenesis imperfecta type II. Hum Genet 115:248–254

    CAS  PubMed  Google Scholar 

  • Malmgren B, Lundberg M, Lindskog S (1988) Dentinogenesis imperfecta in a six-generation family. A clinical, radiographic and histologic comparison of two branches through three generations. Swed Dent J 12:73–84

    CAS  PubMed  Google Scholar 

  • Malmgren B, Lindskog S, Elgadi A, Norgren S (2004) Clinical, histopathologic, and genetic investigation in two large families with dentinogenesis imperfecta type II. Hum Genet 114:491–498

    Article  CAS  PubMed  Google Scholar 

  • Rajpar MH, Koch MJ, Davies RM, Mellody KT, Kielty CM, Dixon MJ (2002) Mutation of the signal peptide region of the bicistronic gene DSPP affects translocation to the endoplasmic reticulum and results in defective dentine biomineralization. Hum Mol Genet 11:2559–2565

    Article  CAS  PubMed  Google Scholar 

  • Reiskin A (1981) Dentinogenesis imperfecta. Quintessence Int 12:617–622

    CAS  PubMed  Google Scholar 

  • Roberts E, Schour I (1939) Hereditary opalescent dentine (dentinogenesis imperfecta). Am J Orthod Oral Surg 25:267–276

    Google Scholar 

  • Sapir S, Shapira J (2001) Dentinogenesis imperfecta: an early treatment strategy. Pediatr Dent 23:232–237

    CAS  PubMed  Google Scholar 

  • Shields ED, Bixler D, el-Kafrawy AM (1973) A proposed classification for heritable human dentine defects with a description of a new entity. Arch Oral Biol 18:543–553

    Article  CAS  PubMed  Google Scholar 

  • Skillen WG (1937) Histologic and clinical study of hereditary opalescent dentin. J Am Dent Assoc 24:1426–1433

    Google Scholar 

  • Sreenath T, Thyagarajan T, Hall B, Longenecker G, D’Souza R, Hong S, Wright JT, MacDougall M, Sauk J, Kulkarni AB (2003) Dentin sialophosphoprotein knockout mouse teeth display widened predentin zone and develop defective dentin mineralization similar to human dentinogenesis imperfecta type III. J Biol Chem 278:24874–24880

    Article  CAS  PubMed  Google Scholar 

  • Witkop CJ Jr (1957) Hereditary defects in enamel and dentin. Acta Genet Stat Med 7:236–239

    CAS  Google Scholar 

  • Witkop C Jr (1965) Genetic diseases of the oral cavity. In: Tiecke RW (ed) Oral pathology. McGraw Hill, New York, pp 786–843

    Google Scholar 

  • Witkop CJ Jr (1971) Manifestations of genetic diseases in the human pulp. Oral Surg Oral Med Oral Pathol 32:278–316

    PubMed  Google Scholar 

  • Witkop CJ Jr (1989) Amelogenesis imperfecta, dentinogenesis imperfecta and dentin dysplasia revisited: problems in classification. J Oral Path 17:547–553

    Google Scholar 

  • Xiao S, Yu C, Chou X, Yuan W, Wang Y, Bu L, Fu G, Qian M, Yang J, Shi Y, Hu L, Han B, Wang Z, Huang W, Liu J, Chen Z, Zhao G, Kong X (2001) Dentinogenesis imperfecta 1 with or without progressive hearing loss is associated with distinct mutations in DSPP (erratum appears in Nat Genet 2001, 27(3):345). Nat Genet 27:201–204

    Article  CAS  PubMed  Google Scholar 

  • Zhang X, Zhao J, Li C, Gao S, Qiu C, Liu P, Wu G, Qiang B, Lo WH, Shen Y (2001) DSPP mutation in dentinogenesis imperfecta Shields type II. Nat Genet 27:151–152

    Article  CAS  PubMed  Google Scholar 

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We thank all the family members for their cooperation. This investigation was supported in part by the Foundation of the American Academy of Pediatric Dentistry, and USPHS Research Grants DE15846 and DE11301 from the National Institute of Dental and Craniofacial Research, National Institutes of Health, Bethesda, MD 29892.

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Correspondence to James P. Simmer.

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Kim, JW., Hu, J.CC., Lee, JI. et al. Mutational hot spot in the DSPP gene causing dentinogenesis imperfecta type II. Hum Genet 116, 186–191 (2005).

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