Localisation of a gene for prepubertal periodontitis to chromosome 11q14 and identification of a cathepsin C gene mutation
T C Harta, P S Hartb, M D Michalecb, Y Zhanga, M L Marazitab c, M Cooperc, O M Yassind, M Nusiere, S Walkerf
a Department of Oral
Medicine/Pathology, University of Pittsburgh, School of Dental
Medicine, 614 Salk Hall, 3501 Terrace Street, Pittsburgh, PA 15261, USA, b Department of
Human Genetics, University of Pittsburgh, Graduate School of Public
Health, Pittsburgh, PA 15261, USA, c Cleft Palate- Craniofacial
Center, University of Pittsburgh, School of Dental Medicine,
Pittsburgh, PA 15261, USA, d Department
of Paediatric Dentistry, Al-Amir Rashid Hospital, Royal Medical
Services, Jordan, e Department
of Biochemistry and Molecular Biology, Jordan University of Science and
Technology, School of Medicine, Irbid, Jordan, f Department of Pediatrics, Wake Forest
University, School of Medicine, Winston Salem, NC 27157, USA
Correspondence to: Dr T C Hart
Revised version received 3 December 1999;
Accepted for publication 4 December
1999
Prepubertal periodontitis (PPP) is a rare and rapidly
progressive disease of young children that results in destruction of the periodontal support of the primary dentition. The condition may
occur as part of a recognised syndrome or may occur as an isolated
finding. Both autosomal dominant and recessive forms of Mendelian
transmission have been reported for PPP. We report a consanguineous
Jordanian family with four members affected by PPP in two nuclear
sibships. The parents of the affected subjects are first cousins. We
have localised a gene of major effect for PPP in this kindred
(Zmax=3.55 for D11S901 at
=0.00) to a 14 cM genetic interval on
chromosome 11q14 flanked by D11S916 and D11S1367. This PPP candidate
interval overlaps the region of chromosome 11q14 that contains the
cathepsin C gene responsible for Papillon-Lefèvre and Haim-Munk
syndromes. Sequence analysis of the cathepsin C gene from PPP affected
subjects from this Jordanian family indicated that all were homozygous
for a missense mutation (1040A
G) that changes a tyrosine to a
cysteine. All four parents were heterozygous carriers of this Tyr347Cys
cathepsin C mutation. None of the family members who were heterozygous
carriers for this mutation showed any clinical findings of PPP. None of
the 50 controls tested were found to have this Tyr347Cys mutation. This
is the first reported gene mutation for non-syndromic periodontitis and
shows that non-syndromic PPP is an allelic variant of the type IV
palmoplantar ectodermal dysplasias.
Keywords: prepubertal periodontitis; periodontal disease; cathepsin C; linkage
© 2000 by J Med Genet
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