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Table 4 Suggestive loci observed for dft

From: Pilot GWAS of caries in African-Americans shows genetic heterogeneity

Lead SNP

CHR

BP

African-American cohort

Caucasian cohort

Q Statistic P-value

Nearby Gene(s) and Corroborating Evidence

Effect Size

SE

P-value

Effect Size

 

12,125,935

1

158,438,592

2.263

0.428

2.78E-06

   

CD1D Gene product mediates mucosal immunity [90].

CD1A Encodes antigen-presenting protein expressed in oral epithelial cells [91].

CD1C Expressed in gingival environment on dendritic cells [92].

Locus contains clusters of OR6 and OR10 olfactory receptor family members [93].

PYHIN1 Involved in inflammasome activation in host response to pathogens [94]. Asthma susceptibility locus specific to African-American ancestry [95].

rs11718323

3

20,915,514

9.527

1.462

2.37E-06

0.44

0.285

1.06E-09

 

rs78777602

3

24,821,055

9.482

1.438

1.29E-06

−0.1403

0.2646

4.67E-11

RARB Likely targeted by miRNAs involved in tooth morphogenesis and differentiation of dental cells [96]. Upregulated in ameloblastoma [53]. Has increased methylation in context of/is associated with head and neck squamous cell carcinoma, which is associated with dental hygiene and inflammation due to microbial factors [97].

rs1568206

3

106,639,719

3.087

0.505

9.33E-07

0.04032

0.2202

3.25E-08

 

rs1505809

3

131,901,392

1.867

0.588

4.99E-06

    

rs11932181

4

17,279,517

−2.104

0.410

2.18E-06

    

rs1352733

4

112,280,742

2.372

0.443

3.47E-06

−0.1662

0.149

5.51E-08

 

rs62316615

4

113,527,072

8.023

1.264

2.68E-06

−0.1937

0.2483

1.79E-10

GWAS signal is near gene desert that contains several enhancer elements that influence PITX2 expression involved in Axenfeld-Rieger syndrome, which presents with dental anomalies (hypodontia, delayed primary tooth eruption, retrognathia of maxilla and mandible) [98].

LARP7 Homozygous mutations cause Alazami syndrome, a feature of which is craniofacial dysmorphism [99].

MIR302A Promotes osteoblast differentiation [100].

rs57805404

4

190,403,652

3.667

0.608

1.54E-06

    

rs11741099

5

178,664,463

1.96

0.400

2.93E-06

0.01215

0.1403

4.22E-06

RUFY1 Encodes protein that is part of the machinery that addresses periodontal pathogen intrusions in oral epithelial barriers [101].

MAML1 Part of Notch signaling pathway, plays role in bone development [102].

GRM6 Transcribed in a healthy gingival state [103].

GWAS signal is intronic variant to ADAMTS2; homozygous mutations cause Ehlers-Danlos syndrome type VIIC, features of which include multiple tooth agenesis and dentin defects [104]. ADAMTS proteins are believed to play a role in various airway pathologies, including asthma [105].

rs61497549

7

5,842,842

2.343

0.448

2.78E-06

   

MIR6874 Upregulated in periodontal ligament cells when exposed to LPS of P. gingivalis [106].

rs1235058

7

54,614,145

2.256

0.425

3.14E-06

0.2763

0.1708

1.53E-05

HPVC1 Candidate gene for a complex chronic periodontitis trait involving a mixed infection bacterial community [107].

VSTM2A Exhibits high expression in mandibular molars relative to incisors [108].

EGFR EGF-receptors are found on the dental follicle, alceolar bone, and ameloblasts before and during tooth eruption [109, 110]. EGFR is a biomarker for neoplastic potential of dysplastic oral tissues [111]. Product mediates proliferation of gingival fibroblasts [112].

rs2515501

8

6,412,625

6.477

0.722

4.54E-06

−0.1906

0.1931

4.39E-10

ANGPT2 Upregulated in response to P. gingivalis; elevated levels are associated with oral squamous cell carcinoma [113]).

DEFB1 Encodes anti-microbial peptide; polymorphisms in DEFB1 are associated with > 5 fold increase in DMFT/DMFS scores [114] and general DMFT index [115].

DEFB1, −A1, −A1B, −A1P, −A3, −A4, −A6, −A8P, −9P, −A10, −T1P2 The defensin family (DEF-) of antimicrobial peptides (Ganz 2003), is involved in chronic periodontal inflammation [116], and oral carcinogenesis [117].

rs10504504

8

72,185,924

4.625

0.771

3.23E-06

−0.06708

0.2221

4.98E-09

 

rs74949229

10

9,526,946

7.142

0.455

4.38E-06

0.2898

0.2229

2.53E-09

 

rs6585998

10

87,943,609

− 2.107

0.428

2.78E-06

−0.18

0.1382

1.79E-05

MIR346 Involved in osteogenic differentiation of human bone marrow mesenchymal stem cells [118].

rs11020123

11

92,689,278

−2.269

0.991

4.10E-06

0.13

0.1328

4.16E-07

FAT3 One of genes enriched in the GO category “calcium ion binding” that are differentially expressed throughout different stages of tooth development [119].

MTNR1B Locus associated with type II diabetes [120].

rs79812076

12

102,989,156

6.012

0.967

2.17E-06

0.5207

0.2254

3.16E-08

IGF1 Encodes metabolism regulator of hard dental tissue through action on IGF1-receptor; is involved in later stages of tooth development and pulpal differentiation [121].

rs9630337

13

68,582,970

6.97

1.128

4.47E-06

−0.5214

0.2149

3.07E-11

 

chr13:96271864

13

96,271,864

8.184

1.308

3.62E-06

   

CLDN10 Expressed in preodontoblasts, and restricted to the lingual basal epithelium of the tooth bud [122].

HS6ST3 Associated with obesity (BMI ≥ 35 kg/m2) [123].

rs422342

15

67,347,686

2.865

0.543

2.39E-06

0.31

0.2138

1.20E-05

SMAD6 Highly expressed in bone, including mandible and palatal bone [124].

SMAD3 Expressed in intramembranous bones and submandibular salivary gland [124].

MAP 2 K5 Associated with BMI [125].

rs7174369

15

99,830,322

2.586

0.482

1.72E-06

0.1903

0.1358

1.68E-06

MEF2A Regulates osteogenic differentiation of dental pulp stem cells [126].

IGF1R IGF-receptor; involved in signaling in dental fibroblast apoptosis [127].

rs9915753

17

73,011,448

3.814

1.107

4.50E-06

−0.02813

0.143

1.81E-07

SLC9A3R1 Mutations cause hypophosphatemic nephrolithiasis/osteoporosis 2, features of which can include skeletal defects, fractures, and osteoporosis/osteopenia [128].

rs2012033

19

34,163,298

2.248

0.424

8.21E-07

0.1823

0.1637

5.37E-06

CHST8 Candidate gene for hypodontia [129].

KCTD15 Associated with obesity and preference for carbohydrates [130].

rs55928325

19

56,507,948

3.22

1.051

4.70E-06

0.06884

0.2314

6.11E-07

NLRP5 Increased expression in mucosa in state of periodontitis [131], and part of gene expression network preferentially expressed in lower incisors [108].

ZNF582 Hypermethylation is associated with oral dysplasia and cancer [132].

  1. Loci associated with caries, and genes within +/− 500 kb of the GWAS signal that have supporting evidence for a putative role in dental caries. Shown are lead SNPs of all loci meeting suggestive significance (p-value < 5 × 10− 6), their effect size in the Caucasian cohort and heterogeneity test p-value. Loci associated in the African-American cohort, but not found in the Caucasian GWAS don’t have values in the Caucasian cohort columns. Note: not all genes near GWAS signal are listed. CHR Chromosome, BP Basepair position. Bolded p-values are statistically significant (p ≤ 5 × 10− 8).