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Amelogenesis imperfecta caused by N-terminal enamelin point mutations in mice and men is driven by endoplasmic reticulum stress

Title: Amelogenesis imperfecta caused by N-terminal enamelin point mutations in mice and men is driven by endoplasmic reticulum stress
Authors: Brookes, Steven J.; Barron, Martin J.; Smith, Claire E.L.; Poulter, James A.; Mighell, Alan J; Inglehearn, Chris F; Brown, Catriona J.; Rodd, Helen; Kirkham, Jennifer; Dixon, Michael J.
Source: Brookes, S J, Barron, M J, Smith, C E L, Poulter, J A, Mighell, A J, Inglehearn, C F, Brown, C J, Rodd, H, Kirkham, J & Dixon, M J 2017, 'Amelogenesis imperfecta caused by N-terminal enamelin point mutations in mice and men is driven by endoplasmic reticulum stress', Human Molecular Genetics, vol. 26, no. 10, pp. 1863-1876. https://doi.org/10.1093/hmg/ddx090
Publication Year: 2017
Collection: The University of Manchester: Research Explorer - Publications
Description: 'Amelogenesis imperfecta' (AI) describes a group of inherited diseases of dental enamel that have major clinical impact. Here, we identify the aetiology driving AI in mice carrying a p.S55I mutation in enamelin; one of the most commonly mutated proteins underlying AI in humans. Our data indicate that the mutation inhibits the ameloblast secretory pathway leading to ER stress and an activated unfolded protein response (UPR). Initially, with the support of the UPR acting in pro-survival mode, Enam p.S55I heterozygous mice secreted structurally normal enamel. However, enamel secreted thereafter was structurally abnormal; presumably due to the UPR modulating ameloblast behaviour and function in an attempt to relieve ER stress. Homozygous mutant mice failed to produce enamel. We also identified a novel heterozygous ENAM p.L31R mutation causing AI in humans. We hypothesize that ER stress is the aetiological factor in this case of human AI as it shared the characteristic phenotype described above for the Enam p.S55I mouse. We previously demonstrated that AI in mice carrying the Amelxp.Y64H mutation is a proteinopathy. The current data indicate that AI in Enam p.S55I mice is also a proteinopathy, and based on comparative phenotypic analysis, we suggest that human AI resulting from the ENAM p.L31R mutation is another proteinopathic disease. Identifying a common aetiology for AI resulting from mutations in two different genes opens the way for developing pharmaceutical interventions designed to relieve ER stress or modulate the UPR during enamel development to ameliorate the clinical phenotype.
Document Type: article in journal/newspaper
Language: English
ISSN: 0964-6906; 1460-2083
Relation: info:eu-repo/semantics/altIdentifier/pissn/0964-6906; info:eu-repo/semantics/altIdentifier/eissn/1460-2083
DOI: 10.1093/hmg/ddx090
Availability: https://research.manchester.ac.uk/en/publications/6c8ca9e6-bce7-4234-a606-8eced6c805eb; https://doi.org/10.1093/hmg/ddx090; https://www.scopus.com/pages/publications/85020106387
Rights: info:eu-repo/semantics/openAccess ; http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.C60B5A2F
Database: BASE