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Deleterious Variants in WNT10A, EDAR, and EDA Causing Isolated and Syndromic Tooth Agenesis: A Structural Perspective from Molecular Dynamics Simulations

Authors: Muhammad Usman Mirza; Saadullah Khan; Ahsan Wahab; Amal Fiaz; Matheus Froeyen; Salman Aziz; Fatima Arshad; +18 Authors

Deleterious Variants in WNT10A, EDAR, and EDA Causing Isolated and Syndromic Tooth Agenesis: A Structural Perspective from Molecular Dynamics Simulations

Abstract

The dental abnormalities are the typical features of many ectodermal dysplasias along with congenital malformations of nails, skin, hair, and sweat glands. However, several reports of non-syndromic/isolated tooth agenesis have also been found in the literature. The characteristic features of hypohidrotic ectodermal dysplasia (HED) comprise of hypodontia/oligodontia, along with hypohidrosis/anhidrosis, and hypotrichosis. Pathogenic variants in EDA, EDAR, EDARADD, and TRAF6, cause the phenotypic expression of HED. Genetic alterations in EDA and WNT10A cause particularly non-syndromic/isolated oligodontia. In the current project, we recruited 57 patients of 17 genetic pedigrees (A-Q) from different geographic regions of the world, including Pakistan, Egypt, Saudi Arabia, and Syria. The molecular investigation of different syndromic and non-syndromic dental conditions, including hypodontia, oligodontia, generalized odontodysplasia, and dental crowding was carried out by using exome and Sanger sequencing. We have identified a novel missense variant (c.311G>A; p.Arg104His) in WNT10A in three oligodontia patients of family A, two novel sequence variants (c.207delinsTT, p.Gly70Trpfs*25 and c.1300T>G; p.Try434Gly) in EDAR in three patients of family B and four patients of family C, respectively. To better understand the structural and functional consequences of missense variants in WNT10A and EDAR on the stability of the proteins, we have performed extensive molecular dynamic (MD) simulations. We have also identified three previously reported pathogenic variants (c.1076T>C; p.Met359Thr), (c.1133C>T; p.Thr378Met) and (c.594_595insC; Gly201Argfs*39) in EDA in family D (four patients), E (two patients) and F (one patient), correspondingly. Presently, our data explain the genetic cause of 18 syndromic and non-syndromic tooth agenesis patients in six autosomal recessive and X-linked pedigrees (A-F), which expand the mutational spectrum of these unique clinical manifestations.

Keywords

Exome sequencing, Chemistry, Multidisciplinary, Oligodontie, OLIGODONTIA, OF-FUNCTION MUTATIONS, Ectodermal dysplasia; Genetics, Odontodysplasia, oligodontia, PAKISTANI FAMILIES, info:eu-repo/classification/ddc/610, MD simulations, HYPOHIDROTIC ECTODERMAL DYSPLASIA, Edar Receptor, Protein Stability, ECTODYSPLASIN-A RECEPTOR, Ectodysplasins, Hypodontia/oligodontia, Pedigree, Chemistry, <i>EDA</i>, Phenotype, Physical Sciences, Life Sciences & Biomedicine, Biochemistry & Molecular Biology, 3101 Biochemistry and cell biology, ALPHA-HELIX, 0699 Other Biological Sciences, Mutation, Missense, Molecular Dynamics Simulation, Article, MISSENSE MUTATION, 0399 Other Chemical Sciences, Exome Sequencing, Humans, 3404 Medicinal and biomolecular chemistry, Ektodermaldysplasie, 0604 Genetics, Science & Technology, Chemical Physics, Ectodermal Dysplasia 1, Anhidrotic, Hypohidrotic ectodermal dysplasia, Hypodontia, <i>WNT10A</i>, <i>EDAR</i>, RAS-RAF, Tooth abnormalities, EDAR, GENE, Protein Structure, Tertiary, WNT10A, Wnt Proteins, 3107 Microbiology, DEATH DOMAIN, EDA, exome sequencing

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citations
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
23
Top 10%
Average
Top 10%
Green
gold