Craniofacial and dental characteristics of three Japanese individuals with genetically diagnosed SATB2-associated syndrome

Am J Med Genet A. 2023 Jul;191(7):1984-1989. doi: 10.1002/ajmg.a.63225. Epub 2023 May 4.

Abstract

Craniofacial defects are one of the most frequent phenotypes in syndromic diseases. More than 30% of syndromic diseases are associated with craniofacial defects, which are important for the precise diagnosis of systemic diseases. Special AT-rich sequence-binding protein 2 (SATB2)-associated syndrome (SAS) is a rare syndromic disease associated with a wide variety of phenotypes, including intellectual disability and craniofacial defects. Among them, dental anomalies are the most frequently observed phenotype and thus becomes an important diagnostic criterion for SAS. In this report, we demonstrate three Japanese cases of genetically diagnosed SAS with detailed craniofacial phenotypes. The cases showed multiple dental problems, which have been previously reported to be linked to SAS, including abnormal crown morphologies and pulp stones. One case showed a characteristic enamel pearl at the root furcation. These phenotypes add new insights for differentiating SAS from other disorders.

Keywords: SATB2-associated syndrome; craniofacial defect; tooth anomaly.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • East Asian People
  • Humans
  • Intellectual Disability* / diagnosis
  • Intellectual Disability* / genetics
  • Matrix Attachment Region Binding Proteins* / genetics
  • Phenotype
  • Syndrome
  • Transcription Factors / genetics

Substances

  • Matrix Attachment Region Binding Proteins
  • SATB2 protein, human
  • Transcription Factors

Supplementary concepts

  • enamel pearl