Document Detail


A new hypo/oligodontia syndrome: Carvajal/Naxos syndrome secondary to desmoplakin-dominant mutations.
MedLine Citation:
PMID:  20940358     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dental agenesis is either syndromic or non-syndromic. Here, we describe a familial case with Carvajal/Naxos syndrome associating woolly hair, palmoplantar keratoderma, and biventricular dilated cardiomyopathy. In addition to these signs, all three affected family members had hypo/oligodontia ranging from absence of the lower left second molar to 15 missing teeth, the typical pattern of oligodontia being absent 2nd premolars and absent 2nd and 3rd molars. Mutation screening in the desmoplakin gene (DSP) revealed a de novo missense mutation (c.1790 C>T, p.Ser597Leu) changing a serine residue conserved in all vertebrates. In addition, this variation was absent from 100 control DNA samples. There were no mutations in the plakoglobin gene. This familial case report and two other previous reports demonstrate that autosomal-dominant mutations in the DSP gene are associated with hypo/oligodontia in the setting of Carvajal/Naxos syndrome. This study suggests that dentists discovering oligo/hypodontia should screen for woolly hair and palmoplantar keratoderma because of the probable cardiac involvement with an inherent high risk of severe cardiomyopathy. In addition, this study reveals the role of desmosomes in the development of teeth and suggests that other genes encoding proteins of the desmosome could be involved in oligo/hypodontia.
Authors:
L Chalabreysse; F Senni; P Bruyère; B Aime; C Ollagnier; A Bozio; P Bouvagnet
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2010-10-12
Journal Detail:
Title:  Journal of dental research     Volume:  90     ISSN:  1544-0591     ISO Abbreviation:  J. Dent. Res.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-12-23     Completed Date:  2011-02-04     Revised Date:  2011-03-29    
Medline Journal Info:
Nlm Unique ID:  0354343     Medline TA:  J Dent Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  58-64     Citation Subset:  D; IM    
Affiliation:
Laboratoire Cardiogénétique, Hospices Civils de Lyon, Groupe Hospitalier Est, F-69677, Bron, France.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Amino Acid Sequence / genetics
Anodontia / genetics*
Arrhythmogenic Right Ventricular Dysplasia / genetics
Bicuspid / abnormalities
Cardiomyopathies / genetics
Conserved Sequence / genetics
Cytosine
Desmoplakins / genetics*
Follow-Up Studies
Genes, Dominant / genetics
Hair Diseases / genetics
Humans
Incisor / abnormalities
Keratoderma, Palmoplantar / genetics
Leucine / genetics
Male
Molar / abnormalities
Molar, Third / abnormalities
Mutation, Missense / genetics*
Pedigree
Serine / genetics
Thymine
gamma Catenin / genetics
Chemical
Reg. No./Substance:
0/Desmoplakins; 0/gamma Catenin; 56-45-1/Serine; 61-90-5/Leucine; 65-71-4/Thymine; 71-30-7/Cytosine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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