How Do Mutations Affect Health and Tooth Development Flashcards
continuum of diseases
environmental to genetic
The new HGMD professional release becomes available with a total of 170,118 — —
mutation entries
Loss-of-function mutation
Absence results in dysfunction
what do loss of function mutations result in?
less or no function of certain proteins
loss of function mutations constitute many — — cases in enzyme deficiency
autosomal recessive
two subtypes of loss of function
halpoinsuffciency
dominant negative
haploinsufficiency
reduced gene dosage is not sufficient to permit the cell to function properly
example of haploinsufficiency
Marfan syndrome with fibrillar mutation
dominant negative
A mutation whose gene product adversely affects (like an antagonist) the normal,
wild-type gene product within the same cell, usually by dimerizing (combining)
with it
In cases of polymeric molecules, such as collagen, dominant negative
mutations are often more
deleterious than mutations causing the production of
no gene product (cancer)
example of dominant negative
osteogenesis imperfecta
with dominant negative, the mutant protein is happy, but
annoying and disturbing other good protein function
Gain-of-function mutation
Increased function results in dysfunction
with gain of function mutations, mutations in certain genes gain a
new and abnormal function of the protein
example of gain of function mutation (2)
Charcot-Marie-Tooth sensory neuropathy, Cherubism
Over 300 genes identified that have
mutations associated with (3)
tooth patterning,
morphogenesis defects and cell differentiation defects
As a collective group craniofacial genetic
diseases are the
most common, 1/3 of diseases involve the craniofacial region
Double Bar indicates
consanguineous mating
— — diseases often present in
consanguineous marriages
Autosomal recessive
—- is a deeply rooted social trend among one-fifth of the world population
mostly residing in the Middle East, West Asia and North Africa, as well as among
emigrants from these communities now residing in North America, Europe and Australia
Consanguinity
The developmental signaling pathways that drive
tooth development are also critical in the
development of many other organs
Tooth developmental defects should perhaps be
thought of as a
potential risk factor for other
diseases that manifest later in life
genetic diseases and the dentition (6)
malocclusion syndromes craniofacial malformations bone mass traits tooth genesis tooth movement tooth development disorders
malocclusion syndromes (3)
– Pierre-Robin
– Treacher Collins
– Marfan syndrome
Craniofacial malformations (4)
– Crouson
– Apert
– Pfeiffer
– Clefting syndromes (lip and palate)
Bone Mass Traits (3)
– Sclerosteosis and van Buschem’s
– High Bone Mass and OPPG
– Paget’s Disease
Tooth Development Disorders (2)
– Dentinogenesis Imperfecta
– Amelogenesis Imperfecta
symptoms of ectodermal dysplasia
- Abnormal nails
- Abnormal and missing teeth
- Absent or very thin hair
- Absent tears (occasional)
- Decreased skin color (pigment)
- Foul-smelling nasal discharge
- Heat intolerance
- Inability to sweat
- Large forehead
- Light coloring
- Lower-than-normal number of teeth
- Low nasal bridge
- Poor temperature regulation
- Thin hair
- Thin skin
- – — is fairly common, but
- – — — is rare
Tooth impaction
multiple impacted teeth
supernumerary teeth (2)
Syndromic and non-syndromic diseases
Syndromic associated diseases (4)
– Cleidocranial dysplasia
– Gardner’s syndrome
– Trichorhino phalangic syndrome
– Cleft Lip and palate
Mutations in — gene identified as causal
RUNX2
RUNX2 is a master regulator of
osteoblastogenesis and bone formation
Characterized by (3)
delayed closure of the sutures, aplastic or hypoplastic
clavicle formation, short stature and dental abnormalities
Most common human developmental
craniofacial anomaly
tooth angiogenesis
Hypodontia
Missing one to five teeth (excluding 3rd
molars)