A novel homozygous PTH1R variant identified through whole-exome sequencing further expands the clinical spectrum of primary failure of tooth eruption in a consanguineous Saudi family

Arch Oral Biol. 2016 Jul;67:28-33. doi: 10.1016/j.archoralbio.2016.03.012. Epub 2016 Mar 23.


Objectives: The present study aimed to identify the genetic cause of non-syndromic primary failure of tooth eruption in a five-generation consanguineous Saudi family using whole-exome sequencing (WES) analysis.

Design: The family pedigree and phenotype were obtained from patient medical records. WES of all four affected family members was performed using the 51 Mb SureSelect V4 library kit and then sequenced using the Illumina HiSeq2000 sequencing system. Sequence alignment, variant calling, and the annotation of single nucleotide polymorphisms and indels were performed using standard bioinformatics pipelines. The genotype of candidate variants was confirmed in all available family members by Sanger sequencing.

Results: Pedigree analysis suggested that the inheritance was autosomal recessive. WES of all affected individuals identified a novel homozygous variant in exon 8 of the parathyroid hormone 1 receptor gene (PTH1R) (NM_000316: c.611T>A: p.Val204Glu).

Conclusion: To the best of our knowledge, this is the first report of primary failure of eruption caused by a homozygous mutation in PTH1R. Our findings prove the application of WES as an efficient molecular diagnostics tool for this rare phenotype and further broaden the clinical spectrum of PTH1R pathogenicity.

Keywords: Autosomal recessive; Consanguineous; Homozygous mutation; PTH1R; Primary failure of tooth eruption; Saudi Arabia.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Base Sequence
  • Child
  • Consanguinity*
  • Exome*
  • Exons
  • Female
  • Genes, Recessive
  • Homozygote
  • Humans
  • INDEL Mutation
  • Male
  • Middle Aged
  • Mutation
  • Pedigree
  • Polymorphism, Single Nucleotide
  • Receptor, Parathyroid Hormone, Type 1 / genetics*
  • Saudi Arabia
  • Tooth Abnormalities / genetics*
  • Tooth Eruption / genetics*
  • Young Adult


  • PTH1R protein, human
  • Receptor, Parathyroid Hormone, Type 1