Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation

Background Cleidocranial dysplasia (CCD, #MIM119600) is an autosomal-dominant skeletal dysplasia characterized by delayed closure of the cranial sutures, aplasia, or hypoplasia of the clavicles and dental abnormalities. These findings were accompanied by mobile and drooping shoulders, frontal and pa...

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Autores principales: Aysel Kalayci Yigin, Mehmet Bugrahan Duz, Mehmet Seven
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Publicado: Georg Thieme Verlag KG 2021
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spelling oai:doaj.org-article:b7cd01c46e9a473bbc850a9d9ddaa0da2021-11-10T00:18:06ZRare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation2699-940410.1055/s-0041-1736482https://doaj.org/article/b7cd01c46e9a473bbc850a9d9ddaa0da2021-10-01T00:00:00Zhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1736482https://doaj.org/toc/2699-9404Background Cleidocranial dysplasia (CCD, #MIM119600) is an autosomal-dominant skeletal dysplasia characterized by delayed closure of the cranial sutures, aplasia, or hypoplasia of the clavicles and dental abnormalities. These findings were accompanied by mobile and drooping shoulders, frontal and parietal bossing, hypertelorism, brachycephaly, short stature, supernumerary, and late erupting teeth. Radiographic studies can reveal involvement of multiple bones including skull, chest, pelvis, and limbs. CCD can be diagnosed with clinical and radiological evaluation and validated by molecular studies. Heterozygous loss of function RUNX2 gene, which plays an important role in osteogenesis and differentiation of precursor cells, causes CCD phenotype. Methods We report five cases from three unrelated families with CCD phenotype. All exons and exonic–intronic boundary regions of RUNX2 gene from five patients were analyzed by polymerase chain reaction amplification and direct Sanger-sequencing. Results Our patients had classical CCD phenotype and we detected three different previously described mutations including c.1171C > T, IVS4 + 4delAAGT and c.676G > A. However, nail dysplasia has never been associated with these mutations. Our patients had varying degrees of nail dysplasia. Two of three mutations are related with Runt DNA-binding domain of RUNX2 protein in Wnt signaling and c.1171C > T had effect on proline/serine/threonine-rich (PST) domain. Recently, Wnt signaling pathway was presented as a key regulator of digit and nail differentiation. Our data suggest that RUNX2 gene may have an essential role on embryogenesis of nails, probably by protecting their integrity.Aysel Kalayci YiginMehmet Bugrahan DuzMehmet SevenGeorg Thieme Verlag KGarticlecleidocranial dysplasiarunx mutationsanger sequencingrare findingsGeneticsQH426-470Neoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENGlobal Medical Genetics (2021)
institution DOAJ
collection DOAJ
language EN
topic cleidocranial dysplasia
runx mutation
sanger sequencing
rare findings
Genetics
QH426-470
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle cleidocranial dysplasia
runx mutation
sanger sequencing
rare findings
Genetics
QH426-470
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Aysel Kalayci Yigin
Mehmet Bugrahan Duz
Mehmet Seven
Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation
description Background Cleidocranial dysplasia (CCD, #MIM119600) is an autosomal-dominant skeletal dysplasia characterized by delayed closure of the cranial sutures, aplasia, or hypoplasia of the clavicles and dental abnormalities. These findings were accompanied by mobile and drooping shoulders, frontal and parietal bossing, hypertelorism, brachycephaly, short stature, supernumerary, and late erupting teeth. Radiographic studies can reveal involvement of multiple bones including skull, chest, pelvis, and limbs. CCD can be diagnosed with clinical and radiological evaluation and validated by molecular studies. Heterozygous loss of function RUNX2 gene, which plays an important role in osteogenesis and differentiation of precursor cells, causes CCD phenotype. Methods We report five cases from three unrelated families with CCD phenotype. All exons and exonic–intronic boundary regions of RUNX2 gene from five patients were analyzed by polymerase chain reaction amplification and direct Sanger-sequencing. Results Our patients had classical CCD phenotype and we detected three different previously described mutations including c.1171C > T, IVS4 + 4delAAGT and c.676G > A. However, nail dysplasia has never been associated with these mutations. Our patients had varying degrees of nail dysplasia. Two of three mutations are related with Runt DNA-binding domain of RUNX2 protein in Wnt signaling and c.1171C > T had effect on proline/serine/threonine-rich (PST) domain. Recently, Wnt signaling pathway was presented as a key regulator of digit and nail differentiation. Our data suggest that RUNX2 gene may have an essential role on embryogenesis of nails, probably by protecting their integrity.
format article
author Aysel Kalayci Yigin
Mehmet Bugrahan Duz
Mehmet Seven
author_facet Aysel Kalayci Yigin
Mehmet Bugrahan Duz
Mehmet Seven
author_sort Aysel Kalayci Yigin
title Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation
title_short Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation
title_full Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation
title_fullStr Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation
title_full_unstemmed Rare Findings in Cleidocranial Dysplasia Caused by RUNX Mutation
title_sort rare findings in cleidocranial dysplasia caused by runx mutation
publisher Georg Thieme Verlag KG
publishDate 2021
url https://doaj.org/article/b7cd01c46e9a473bbc850a9d9ddaa0da
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