1. Academic Validation
  2. REST Final-Exon-Truncating Mutations Cause Hereditary Gingival Fibromatosis

REST Final-Exon-Truncating Mutations Cause Hereditary Gingival Fibromatosis

  • Am J Hum Genet. 2017 Jul 6;101(1):149-156. doi: 10.1016/j.ajhg.2017.06.006.
Yavuz Bayram 1 Janson J White 1 Nursel Elcioglu 2 Megan T Cho 3 Neda Zadeh 4 Asuman Gedikbasi 5 Sukru Palanduz 5 Sukru Ozturk 5 Kivanc Cefle 5 Ozgur Kasapcopur 6 Zeynep Coban Akdemir 1 Davut Pehlivan 7 Amber Begtrup 3 Claudia M B Carvalho 1 Ingrid Sophie Paine 1 Ali Mentes 8 Kivanc Bektas-Kayhan 9 Ender Karaca 1 Shalini N Jhangiani 10 Donna M Muzny 10 Baylor-Hopkins Center for Mendelian Genomics Richard A Gibbs 11 James R Lupski 12
Affiliations

Affiliations

  • 1 Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA.
  • 2 Department of Pediatric Genetics, Marmara University School of Medicine, Istanbul 34899, Turkey; Eastern Mediterranean University School of Medicine, Cyprus, Mersin 10 99628, Turkey.
  • 3 GeneDx, 207 Perry Parkway, Gaithersburg, MD 20877, USA.
  • 4 Genetics Center, Orange, CA 92868, USA; Division of Medical Genetics, Children's Hospital of Orange County, Orange, CA 92868, USA.
  • 5 Department of Internal Medicine, Division of Medical Genetics, Istanbul Medical Faculty, Istanbul University, Istanbul 34093, Turkey.
  • 6 Department of Child Rheumatology, Cerrahpasa Medical School, Istanbul University, Istanbul 34093, Turkey.
  • 7 Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Texas Children's Hospital, Houston, TX 77030, USA.
  • 8 Department of Pediatric Dentistry, Faculty of Dentistry, Marmara University, Istanbul 34854, Turkey.
  • 9 Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Istanbul University, Istanbul 34899, Turkey.
  • 10 Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
  • 11 Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA.
  • 12 Department of Molecular and Human Genetics, Baylor College of Medicine, Houston, TX 77030, USA; Texas Children's Hospital, Houston, TX 77030, USA; Human Genome Sequencing Center, Baylor College of Medicine, Houston, TX 77030, USA; Department of Pediatrics, Baylor College of Medicine, Houston, TX 77030, USA. Electronic address: [email protected].
Abstract

Hereditary gingival fibromatosis (HGF) is the most common genetic form of gingival fibromatosis that develops as a slowly progressive, benign, localized or generalized enlargement of keratinized gingiva. HGF is a genetically heterogeneous disorder and can be transmitted either as an autosomal-dominant or autosomal-recessive trait or appear sporadically. To date, four loci (2p22.1, 2p23.3-p22.3, 5q13-q22, and 11p15) have been mapped to autosomes and one gene (SOS1) has been associated with the HGF trait observed to segregate in a dominant inheritance pattern. Here we report 11 individuals with HGF from three unrelated families. Whole-exome sequencing (WES) revealed three different truncating mutations including two frameshifts and one nonsense variant in RE1-silencing transcription factor (REST) in the probands from all families and further genetic and genomic analyses confirmed the WES-identified findings. REST is a transcriptional repressor that is expressed throughout the body; it has different roles in different cellular contexts, such as oncogenic and tumor-suppressor functions and hematopoietic and cardiac differentiation. Here we show the consequences of germline final-exon-truncating mutations in REST for organismal development and the association with the HGF phenotype.

Keywords

RE1-silencing transcription factor; REST; gingival fibromatosis; mosaic mutation; nonsense-mediated decay; whole-exome sequencing.

Figures