Mutation in kallikrein 4 causes autosomal recessive hypomaturation amelogenesis imperfecta

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Abstract
The amelogenesis imperfectas are a clinically and genetically heterogeneous group of disorders characterised by faulty development of the tooth enamel due to hypoplasia or hypomineralisation.5 The amelogenesis imperfecta phenotypes vary widely depending on the specific gene involved, the location and type of mutation, and the corresponding putative change at the protein level.6, 7 The amelogenesis imperfecta enamel defects can be broadly divided into hypoplastic (enamel crystallites do not grow to the correct length) and hypomineralised (crystallites fail to grow in thickness or width) phenotypes. The prevalence of amelogenesis imperfecta varies in different countries (ranging from 1 in 700 in Sweden to 1 in 14 000 in the United States) suggesting allele frequency differences between populations.8– 11 Amelogenesis imperfecta can be inherited as an autosomal dominant, autosomal recessive, or X-linked Mendelian trait. While autosomal dominant amelogenesis imperfecta types are most common in the United States and Europe, autosomal recessive amelogenesis imperfecta types are more common in the Middle East.8, 10, 11