Hypohidrotic ectodermal dysplasia (HED) is characterized by abnormal development of the teeth, hair, and sweat glands.
Ectodysplasin A (
EDA),
Ectodysplasin A receptor (
EDAR), and
EDAR-associated death domain (
EDARADD) are candidate genes for HED, but the relationship between
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Hypohidrotic ectodermal dysplasia (HED) is characterized by abnormal development of the teeth, hair, and sweat glands.
Ectodysplasin A (
EDA),
Ectodysplasin A receptor (
EDAR), and
EDAR-associated death domain (
EDARADD) are candidate genes for HED, but the relationship between
WNT10A and HED has not yet been validated. In this study, we included patients who presented at least two of the three ectodermal dysplasia features. The four genes were analyzed in seven HED patients by PCR and Sanger sequencing. Five
EDA and one
EDAR heterozygous mutations were identified in families 1–6. Two
WNT10A heterozygous mutations were identified in family 7 as a compound heterozygote. c.662G>A (p.Gly221Asp) in
EDA and c.354T>G (p.Tyr118*) in
WNT10A are novel mutations. Bioinformatics analyses results confirmed the pathogenicity of the two novel mutations. In family 7, we also identified two single-nucleotide polymorphisms (SNPs) that were predicted to affect the splicing of
EDAR. Analysis of the patient’s total RNA revealed normal splicing of
EDAR. This ascertained that the compound heterozygous
WNT10A mutations are the genetic defects that led to the onset of HED. Our data revealed the genetic basis of seven HED patients and expended the mutational spectrum. Interestingly, we confirmed
WNT10A as a candidate gene of HED and we propose
WNT10A to be tested in
EDA-negative HED patients.
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