Mutations in AXIN2 Cause Familial Tooth Agenesis and Predispose to Colorectal Cancer

Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and...

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Published inAmerican journal of human genetics Vol. 74; no. 5; pp. 1043 - 1050
Main Authors Lammi, Laura, Arte, Sirpa, Somer, Mirja, Järvinen, Heikki, Lahermo, Päivi, Thesleff, Irma, Pirinen, Sinikka, Nieminen, Pekka
Format Journal Article
LanguageEnglish
Published Chicago, IL Elsevier Inc 01.05.2004
University of Chicago Press
The American Society of Human Genetics
Subjects
Online AccessGet full text
ISSN0002-9297
1537-6605
DOI10.1086/386293

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Abstract Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and colorectal neoplasia segregate with dominant inheritance. Eleven members of the family lacked at least eight permanent teeth, two of whom developed only three permanent teeth. Colorectal cancer or precancerous lesions of variable types were found in eight of the patients with oligodontia. We show that oligodontia and predisposition to cancer are caused by a nonsense mutation, Arg656Stop, in the Wnt-signaling regulator AXIN2. In addition, we identified a de novo frameshift mutation 1994-1995insG in AXIN2 in an unrelated young patient with severe tooth agenesis. Both mutations are expected to activate Wnt signaling. The results provide the first evidence of the importance of Wnt signaling for the development of dentition in humans and suggest that an intricate control of Wnt-signal activity is necessary for normal tooth development, since both inhibition and stimulation of Wnt signaling may lead to tooth agenesis. Our findings introduce a new gene for hereditary colorectal cancer and suggest that tooth agenesis may be an indicator of cancer susceptibility.
AbstractList Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and colorectal neoplasia segregate with dominant inheritance. Eleven members of the family lacked at least eight permanent teeth, two of whom developed only three permanent teeth. Colorectal cancer or precancerous lesions of variable types were found in eight of the patients with oligodontia. We show that oligodontia and predisposition to cancer are caused by a nonsense mutation, Arg656Stop, in the Wnt-signaling regulator AXIN2. In addition, we identified a de novo frameshift mutation 1994-1995insG in AXIN2 in an unrelated young patient with severe tooth agenesis. Both mutations are expected to activate Wnt signaling. The results provide the first evidence of the importance of Wnt signaling for the development of dentition in humans and suggest that an intricate control of Wnt-signal activity is necessary for normal tooth development, since both inhibition and stimulation of Wnt signaling may lead to tooth agenesis. Our findings introduce a new gene for hereditary colorectal cancer and suggest that tooth agenesis may be an indicator of cancer susceptibility.
Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and colorectal neoplasia segregate with dominant inheritance. Eleven members of the family lacked at least eight permanent teeth, two of whom developed only three permanent teeth. Colorectal cancer or precancerous lesions of variable types were found in eight of the patients with oligodontia. We show that oligodontia and predisposition to cancer are caused by a nonsense mutation, Arg656Stop, in the Wnt-signaling regulator AXIN2. In addition, we identified a de novo frameshift mutation 1994-1995insG in AXIN2 in an unrelated young patient with severe tooth agenesis. Both mutations are expected to activate Wnt signaling. The results provide the first evidence of the importance of Wnt signaling for the development of dentition in humans and suggest that an intricate control of Wnt-signal activity is necessary for normal tooth development, since both inhibition and stimulation of Wnt signaling may lead to tooth agenesis. Our findings introduce a new gene for hereditary colorectal cancer and suggest that tooth agenesis may be an indicator of cancer susceptibility.
Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and colorectal neoplasia segregate with dominant inheritance. Eleven members of the family lacked at least eight permanent teeth, two of whom developed only three permanent teeth. Colorectal cancer or precancerous lesions of variable types were found in eight of the patients with oligodontia. We show that oligodontia and predisposition to cancer are caused by a nonsense mutation, Arg656Stop, in the Wnt-signaling regulator AXIN2. In addition, we identified a de novo frameshift mutation 1994-1995insG in AXIN2 in an unrelated young patient with severe tooth agenesis. Both mutations are expected to activate Wnt signaling. The results provide the first evidence of the importance of Wnt signaling for the development of dentition in humans and suggest that an intricate control of Wnt-signal activity is necessary for normal tooth development, since both inhibition and stimulation of Wnt signaling may lead to tooth agenesis. Our findings introduce a new gene for hereditary colorectal cancer and suggest that tooth agenesis may be an indicator of cancer susceptibility.Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and colorectal neoplasia segregate with dominant inheritance. Eleven members of the family lacked at least eight permanent teeth, two of whom developed only three permanent teeth. Colorectal cancer or precancerous lesions of variable types were found in eight of the patients with oligodontia. We show that oligodontia and predisposition to cancer are caused by a nonsense mutation, Arg656Stop, in the Wnt-signaling regulator AXIN2. In addition, we identified a de novo frameshift mutation 1994-1995insG in AXIN2 in an unrelated young patient with severe tooth agenesis. Both mutations are expected to activate Wnt signaling. The results provide the first evidence of the importance of Wnt signaling for the development of dentition in humans and suggest that an intricate control of Wnt-signal activity is necessary for normal tooth development, since both inhibition and stimulation of Wnt signaling may lead to tooth agenesis. Our findings introduce a new gene for hereditary colorectal cancer and suggest that tooth agenesis may be an indicator of cancer susceptibility.
Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we have used positional cloning to identify the causative mutation in a Finnish family in which severe permanent tooth agenesis (oligodontia) and colorectal neoplasia segregate with dominant inheritance. Eleven members of the family lacked at least eight permanent teeth, two of whom developed only three permanent teeth. Colorectal cancer or precancerous lesions of variable types were found in eight of the patients with oligodontia. We show that oligodontia and predisposition to cancer are caused by a nonsense mutation, Arg656Stop, in the Wnt-signaling regulator AXIN2. In addition, we identified a de novo frameshift mutation 1994-1995insG in AXIN2 in an unrelated young patient with severe tooth agenesis. Both mutations are expected to activate Wnt signaling. The results provide the first evidence of the importance of Wnt signaling for the development of dentition in humans and suggest that an intricate control of Wnt-signal activity is necessary for normal tooth development, since both inhibition and stimulation of Wnt signaling may lead to tooth agenesis. Our findings introduce a new gene for hereditary colorectal cancer and suggest that tooth agenesis may be an indicator of cancer susceptibility.
Author Thesleff, Irma
Somer, Mirja
Järvinen, Heikki
Lammi, Laura
Arte, Sirpa
Lahermo, Päivi
Pirinen, Sinikka
Nieminen, Pekka
AuthorAffiliation Institutes of 1 Dentistry and 2 Biotechnology and 3 Finnish Genome Center, University of Helsinki; Departments of 4 Oral and Maxillofacial Diseases and 5 Surgery, Helsinki University Central Hospital; and 6 Family Federation of Finland, Helsinki
AuthorAffiliation_xml – name: Institutes of 1 Dentistry and 2 Biotechnology and 3 Finnish Genome Center, University of Helsinki; Departments of 4 Oral and Maxillofacial Diseases and 5 Surgery, Helsinki University Central Hospital; and 6 Family Federation of Finland, Helsinki
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  surname: Lammi
  fullname: Lammi, Laura
  organization: Institute of Dentistry, University of Helsinki, Helsinki
– sequence: 2
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  fullname: Arte, Sirpa
  organization: Department of Oral and Maxillofacial Diseases, Helsinki University Central Hospital, Helsinki
– sequence: 3
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  surname: Somer
  fullname: Somer, Mirja
  organization: Family Federation of Finland, Helsinki
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  fullname: Järvinen, Heikki
  organization: Department of Surgery, Helsinki University Central Hospital, Helsinki
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  surname: Lahermo
  fullname: Lahermo, Päivi
  organization: Finnish Genome Center, University of Helsinki, Helsinki
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  givenname: Irma
  surname: Thesleff
  fullname: Thesleff, Irma
  organization: Institute of Biotechnology, University of Helsinki, Helsinki
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  givenname: Pekka
  surname: Nieminen
  fullname: Nieminen, Pekka
  email: pekka.nieminen@helsinki.fi
  organization: Institute of Dentistry, University of Helsinki, Helsinki
BackLink http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15725967$$DView record in Pascal Francis
https://www.ncbi.nlm.nih.gov/pubmed/15042511$$D View this record in MEDLINE/PubMed
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Keywords Colonic disease
Agenesis
Rectal disease
Malformation
Family study
Colorectal cancer
Teeth
Digestive diseases
Intestinal disease
Malignant tumor
Tooth
Mutation
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Snippet Wnt signaling regulates embryonic pattern formation and morphogenesis of most organs. Aberrations of regulation of Wnt signaling may lead to cancer. Here, we...
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SubjectTerms Anodontia - diagnosis
Anodontia - genetics
Axin Protein
Biological and medical sciences
Codon, Nonsense - genetics
Colorectal Neoplasms - genetics
Colorectal Neoplasms - pathology
Cytoskeletal Proteins - genetics
Female
Frameshift Mutation - genetics
Gastroenterology. Liver. Pancreas. Abdomen
Genetic Predisposition to Disease
Humans
Lod Score
Male
Medical sciences
Pedigree
Signal Transduction - physiology
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Tumors
Title Mutations in AXIN2 Cause Familial Tooth Agenesis and Predispose to Colorectal Cancer
URI https://dx.doi.org/10.1086/386293
https://www.ncbi.nlm.nih.gov/pubmed/15042511
https://www.proquest.com/docview/71837740
https://pubmed.ncbi.nlm.nih.gov/PMC1181967
Volume 74
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