Mutations in COL1A1 and COL1A2 and dental aberrations in children and adolescents with osteogenesis imperfecta - A retrospective cohort study

PLoS One. 2017 May 12;12(5):e0176466. doi: 10.1371/journal.pone.0176466. eCollection 2017.

Abstract

Osteogenesis imperfecta (OI) is a heterogeneous group of disorders of connective tissue, caused mainly by mutations in the collagen I genes (COL1A1 and COL1A2). Dentinogenesis imperfecta (DGI) and other dental aberrations are common features of OI. We investigated the association between collagen I mutations and DGI, taurodontism, and retention of permanent second molars in a retrospective cohort of 152 unrelated children and adolescents with OI. The clinical examination included radiographic evaluations. Teeth from 81 individuals were available for histopathological evaluation. COL1A1/2 mutations were found in 104 individuals by nucleotide sequencing. DGI was diagnosed clinically and radiographically in 29% of the individuals (44/152) and through isolated histological findings in another 19% (29/152). In the individuals with a COL1A1 mutation, 70% (7/10) of those with a glycine substitution located C-terminal of p.Gly305 exhibited DGI in both dentitions while no individual (0/7) with a mutation N-terminal of this point exhibited DGI in either dentition (p = 0.01). In the individuals with a COL1A2 mutation, 80% (8/10) of those with a glycine substitution located C terminal of p.Gly211 exhibited DGI in both dentitions while no individual (0/5) with a mutation N-terminal of this point (p = 0.007) exhibited DGI in either dentition. DGI was restricted to the deciduous dentition in 20 individuals. Seventeen had missense mutations where glycine to serine was the most prevalent substitution (53%). Taurodontism occurred in 18% and retention of permanent second molars in 31% of the adolescents. Dental aberrations are strongly associated with qualitatively changed collagen I. The varying expressivity of DGI is related to the location of the collagen I mutation. Genotype information may be helpful in identifying individuals with OI who have an increased risk of dental aberrations.

MeSH terms

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Collagen Type I / genetics*
  • Collagen Type I, alpha 1 Chain
  • Dental Pulp Cavity / abnormalities
  • Dentinogenesis Imperfecta / etiology*
  • Dentinogenesis Imperfecta / genetics
  • Female
  • Genotype
  • Humans
  • Infant
  • Male
  • Mutation / genetics*
  • Mutation, Missense / genetics
  • Osteogenesis Imperfecta / complications*
  • Osteogenesis Imperfecta / genetics*
  • Phenotype
  • Retrospective Studies
  • Tooth Abnormalities / genetics
  • Young Adult

Substances

  • COL1A2 protein, human
  • Collagen Type I
  • Collagen Type I, alpha 1 Chain

Supplementary concepts

  • Taurodontism

Grants and funding

KA has been supported by grants from the American Dental Society of Sweden (ADSS) (http://www.adss.se/) and Svenska Tandläkare-Sällskapet (https://tandlakarforbundet.se/forskning/svenska-tandlakare-sallskapet/); and KL was supported by the Swedish Endocrine Society (http://endokrinologforeningen.se/). AK received grants from Uppsala County Council (ALF project). GG has been supported by Stiftelsen Promobilia (http://www.promobilia.se) and Stockholm County Council (ALF project). EÅ has been supported by Stockholm County Council (ALF project). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.