HGG Advances (Apr 2023)

Clinical, genetic, epidemiologic, evolutionary, and functional delineation of TSPEAR-related autosomal recessive ectodermal dysplasia 14

  • Adam Jackson,
  • Sheng-Jia Lin,
  • Elizabeth A. Jones,
  • Kate E. Chandler,
  • David Orr,
  • Celia Moss,
  • Zahra Haider,
  • Gavin Ryan,
  • Simon Holden,
  • Mike Harrison,
  • Nigel Burrows,
  • Wendy D. Jones,
  • Mary Loveless,
  • Cassidy Petree,
  • Helen Stewart,
  • Karen Low,
  • Deirdre Donnelly,
  • Simon Lovell,
  • Konstantina Drosou,
  • Gaurav K. Varshney,
  • Siddharth Banka,
  • J.C. Ambrose,
  • P. Arumugam,
  • R. Bevers,
  • M. Bleda,
  • F. Boardman-Pretty,
  • C.R. Boustred,
  • H. Brittain,
  • M.A. Brown,
  • M.J. Caulfield,
  • G.C. Chan,
  • A. Giess,
  • J.N. Griffin,
  • A. Hamblin,
  • S. Henderson,
  • T.J.P. Hubbard,
  • R. Jackson,
  • L.J. Jones,
  • D. Kasperaviciute,
  • M. Kayikci,
  • A. Kousathanas,
  • L. Lahnstein,
  • A. Lakey,
  • S.E.A. Leigh,
  • I.U.S. Leong,
  • F.J. Lopez,
  • F. Maleady-Crowe,
  • M. McEntagart,
  • F. Minneci,
  • J. Mitchell,
  • L. Moutsianas,
  • M. Mueller,
  • N. Murugaesu,
  • A.C. Need,
  • P. O‘Donovan,
  • C.A. Odhams,
  • C. Patch,
  • D. Perez-Gil,
  • M.B. Pereira,
  • J. Pullinger,
  • T. Rahim,
  • A. Rendon,
  • T. Rogers,
  • K. Savage,
  • K. Sawant,
  • R.H. Scott,
  • A. Siddiq,
  • A. Sieghart,
  • S.C. Smith,
  • A. Sosinsky,
  • A. Stuckey,
  • M. Tanguy,
  • A.L. Taylor Tavares,
  • E.R.A. Thomas,
  • S.R. Thompson,
  • A. Tucci,
  • M.J. Welland,
  • E. Williams,
  • K. Witkowska,
  • S.M. Wood,
  • M. Zarowiecki,
  • Olaf Riess,
  • Tobias B. Haack,
  • Holm Graessner,
  • Birte Zurek,
  • Kornelia Ellwanger,
  • Stephan Ossowski,
  • German Demidov,
  • Marc Sturm,
  • Julia M. Schulze-Hentrich,
  • Rebecca Schüle,
  • Christoph Kessler,
  • Melanie Wayand,
  • Matthis Synofzik,
  • Carlo Wilke,
  • Andreas Traschütz,
  • Ludger Schöls,
  • Holger Hengel,
  • Peter Heutink,
  • Han Brunner,
  • Hans Scheffer,
  • Nicoline Hoogerbrugge,
  • Alexander Hoischen,
  • Peter A.C. ’t Hoen,
  • Lisenka E.L.M. Vissers,
  • Christian Gilissen,
  • Wouter Steyaert,
  • Karolis Sablauskas,
  • Richarda M. de Voer,
  • Erik-Jan Kamsteeg,
  • Bart van de Warrenburg,
  • Nienke van Os,
  • Iris te Paske,
  • Erik Janssen,
  • Elke de Boer,
  • Marloes Steehouwer,
  • Burcu Yaldiz,
  • Tjitske Kleefstra,
  • Anthony J. Brookes,
  • Colin Veal,
  • Spencer Gibson,
  • Marc Wadsley,
  • Mehdi Mehtarizadeh,
  • Umar Riaz,
  • Greg Warren,
  • Farid Yavari Dizjikan,
  • Thomas Shorter,
  • Ana Töpf,
  • Volker Straub,
  • Chiara Marini Bettolo,
  • Sabine Specht,
  • Jill Clayton-Smith,
  • Siddharth Banka,
  • Elizabeth Alexander,
  • Adam Jackson,
  • Laurence Faivre,
  • Christel Thauvin,
  • Antonio Vitobello,
  • Anne-Sophie Denommé-Pichon,
  • Yannis Duffourd,
  • Emilie Tisserant,
  • Ange-Line Bruel,
  • Christine Peyron,
  • Aurore Pélissier,
  • Sergi Beltran,
  • Ivo Glynne Gut,
  • Steven Laurie,
  • Davide Piscia,
  • Leslie Matalonga,
  • Anastasios Papakonstantinou,
  • Gemma Bullich,
  • Alberto Corvo,
  • Carles Garcia,
  • Marcos Fernandez-Callejo,
  • Carles Hernández,
  • Daniel Picó,
  • Ida Paramonov,
  • Hanns Lochmüller,
  • Gulcin Gumus,
  • Virginie Bros-Facer,
  • Ana Rath,
  • Marc Hanauer,
  • Annie Olry,
  • David Lagorce,
  • Svitlana Havrylenko,
  • Katia Izem,
  • Fanny Rigour,
  • Giovanni Stevanin,
  • Alexandra Durr,
  • Claire-Sophie Davoine,
  • Léna Guillot-Noel,
  • Anna Heinzmann,
  • Giulia Coarelli,
  • Gisèle Bonne,
  • Teresinha Evangelista,
  • Valérie Allamand,
  • Isabelle Nelson,
  • Rabah Ben Yaou,
  • Corinne Metay,
  • Bruno Eymard,
  • Enzo Cohen,
  • Antonio Atalaia,
  • Tanya Stojkovic,
  • Milan Macek, Jr.,
  • Marek Turnovec,
  • Dana Thomasová,
  • Radka Pourová Kremliková,
  • Vera Franková,
  • Markéta Havlovicová,
  • Vlastimil Kremlik,
  • Helen Parkinson,
  • Thomas Keane,
  • Dylan Spalding,
  • Alexander Senf,
  • Peter Robinson,
  • Daniel Danis,
  • Glenn Robert,
  • Alessia Costa,
  • Christine Patch,
  • Mike Hanna,
  • Henry Houlden,
  • Mary Reilly,
  • Jana Vandrovcova,
  • Francesco Muntoni,
  • Irina Zaharieva,
  • Anna Sarkozy,
  • Vincent Timmerman,
  • Jonathan Baets,
  • Liedewei Van de Vondel,
  • Danique Beijer,
  • Peter de Jonghe,
  • Vincenzo Nigro,
  • Sandro Banfi,
  • Annalaura Torella,
  • Francesco Musacchia,
  • Giulio Piluso,
  • Alessandra Ferlini,
  • Rita Selvatici,
  • Rachele Rossi,
  • Marcella Neri,
  • Stefan Aretz,
  • Isabel Spier,
  • Anna Katharina Sommer,
  • Sophia Peters,
  • Carla Oliveira,
  • Jose Garcia Pelaez,
  • Ana Rita Matos,
  • Celina São José,
  • Marta Ferreira,
  • Irene Gullo,
  • Susana Fernandes,
  • Luzia Garrido,
  • Pedro Ferreira,
  • Fátima Carneiro,
  • Morris A. Swertz,
  • Lennart Johansson,
  • Joeri K. van der Velde,
  • Gerben van der Vries,
  • Pieter B. Neerincx,
  • Dieuwke Roelofs-Prins,
  • Sebastian Köhler,
  • Alison Metcalfe,
  • Alain Verloes,
  • Séverine Drunat,
  • Caroline Rooryck,
  • Aurelien Trimouille,
  • Raffaele Castello,
  • Manuela Morleo,
  • Michele Pinelli,
  • Alessandra Varavallo,
  • Manuel Posada De la Paz,
  • Eva Bermejo Sánchez,
  • Estrella López Martín,
  • Beatriz Martínez Delgado,
  • F. Javier Alonso García de la Rosa,
  • Andrea Ciolfi,
  • Bruno Dallapiccola,
  • Simone Pizzi,
  • Francesca Clementina Radio,
  • Marco Tartaglia,
  • Alessandra Renieri,
  • Elisa Benetti,
  • Peter Balicza,
  • Maria Judit Molnar,
  • Ales Maver,
  • Borut Peterlin,
  • Alexander Münchau,
  • Katja Lohmann,
  • Rebecca Herzog,
  • Martje Pauly,
  • Alfons Macaya,
  • Anna Marcé-Grau,
  • Andres Nascimiento Osorio,
  • Daniel Natera de Benito,
  • Hanns Lochmüller,
  • Rachel Thompson,
  • Kiran Polavarapu,
  • David Beeson,
  • Judith Cossins,
  • Pedro M. Rodriguez Cruz,
  • Peter Hackman,
  • Mridul Johari,
  • Marco Savarese,
  • Bjarne Udd,
  • Rita Horvath,
  • Gabriel Capella,
  • Laura Valle,
  • Elke Holinski-Feder,
  • Andreas Laner,
  • Verena Steinke-Lange,
  • Evelin Schröck,
  • Andreas Rump

Journal volume & issue
Vol. 4, no. 2
p. 100186

Abstract

Read online

Summary: TSPEAR variants cause autosomal recessive ectodermal dysplasia (ARED) 14. The function of TSPEAR is unknown. The clinical features, the mutation spectrum, and the underlying mechanisms of ARED14 are poorly understood. Combining data from new and previously published individuals established that ARED14 is primarily characterized by dental anomalies such as conical tooth cusps and hypodontia, like those seen in individuals with WNT10A-related odontoonychodermal dysplasia. AlphaFold-predicted structure-based analysis showed that most of the pathogenic TSPEAR missense variants likely destabilize the β-propeller of the protein. Analysis of 100000 Genomes Project (100KGP) data revealed multiple founder TSPEAR variants across different populations. Mutational and recombination clock analyses demonstrated that non-Finnish European founder variants likely originated around the end of the last ice age, a period of major climatic transition. Analysis of gnomAD data showed that the non-Finnish European population TSPEAR gene-carrier rate is ∼1/140, making it one of the commonest AREDs. Phylogenetic and AlphaFold structural analyses showed that TSPEAR is an ortholog of drosophila Closca, an extracellular matrix-dependent signaling regulator. We, therefore, hypothesized that TSPEAR could have a role in enamel knot, a structure that coordinates patterning of developing tooth cusps. Analysis of mouse single-cell RNA sequencing (scRNA-seq) data revealed highly restricted expression of Tspear in clusters representing enamel knots. A tspeara−/−;tspearb−/− double-knockout zebrafish model recapitulated the clinical features of ARED14 and fin regeneration abnormalities of wnt10a knockout fish, thus suggesting interaction between tspear and wnt10a. In summary, we provide insights into the role of TSPEAR in ectodermal development and the evolutionary history, epidemiology, mechanisms, and consequences of its loss of function variants.

Keywords