Evidence map›Paper›PMID 27066511›Full record

ArticleMolecular genetics & genomic medicine2016

MMP20, KLK4, and MMP20/KLK4 double null mice define roles for matrix proteases during dental enamel formation.

Yuanyuan Hu, Charles E Smith, Amelia S Richardson, John D Bartlett, Jan C C Hu, James P Simmer

Open access · goldAbstract read
In one paragraph

Article in Molecular genetics & genomic medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 42 citations in OpenAlex.

  1. Integrative multi-omics and bioinformatic analysis ofThe Japanese dental science review · 2026
    Review
  2. NovelGenes · 2026
    Article
  3. NovelJournal of dental sciences · 2026
    Article
  4. Article
  5. Article
  6. Expression ofInternational journal of molecular sciences · 2025
    Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Enamel defects in Acp4Scientific reports · 2022
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Dental malformations associated with biallelic MMP20 mutations.Molecular genetics & genomic medicine · 2020
    Article
  20. Tooth Enamel and its Dynamic Protein Matrix.International journal of molecular sciences · 2020
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Yuanyuan HuDepartments of Biologic and Materials Sciences University of Michigan School of Dentistry 1210 Eisenhower Place Ann Arbor Michigan 48108.
Charles E SmithDepartments of Biologic and Materials SciencesUniversity of Michigan School of Dentistry1210 Eisenhower PlaceAnn ArborMichigan48108; Facility for Electron Microscopy ResearchDepartment of Anatomy and Cell Biology and Faculty of DentistryMcGill UniversityMontrealQuebecH3A 2B2Canada.
Amelia S RichardsonDepartments of Biologic and Materials Sciences University of Michigan School of Dentistry 1210 Eisenhower Place Ann Arbor Michigan 48108.
John D BartlettOffice of Research College of Dentistry Ohio State University 4139 Postle Hall, 305 W. 12th Ave. Columbus Ohio 43210.
Jan C C HuDepartments of Biologic and Materials Sciences University of Michigan School of Dentistry 1210 Eisenhower Place Ann Arbor Michigan 48108.
James P SimmerDepartments of Biologic and Materials Sciences University of Michigan School of Dentistry 1210 Eisenhower Place Ann Arbor Michigan 48108.
University of Michigan–Ann Arbor · USThe Ohio State University · US

Funding

Proteomics and Genetics of Enamel and DentinR01DE015846 · NIDCR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI HU, JAN CHING CHUN · 2004 to 2019
$5.7M
Enamelysin Processing Mechanisms in AmelogenesisR01DE016276 · NIDCR · OHIO STATE UNIVERSITY · PI BARTLETT, JOHN D · 2006 to 2014
$4.4M
ENAMEL MATRIX SERINE PROTEINASE 1R01DE012769 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR SAN ANT · PI SIMMER, JAMES P · 2000 to 2004
$1.0M
Enamelysin Processing Mechanisms in AmelogenesisR56DE016276 · NIDCR · ADA FORSYTH INSTITUTE, INC. · PI BARTLETT, JOHN D · 2011 to 2011
$498k
NIDCR NIH HHS R01 DE012769NIDCR NIH HHS R01 DE015846NIDCR NIH HHS R01 DE016276NIDCR NIH HHS R56 DE016276
6 · The paper itself

Abstract

Matrix metalloproteinase 20 (MMP20) and kallikrein-related peptidase 4 (KLK4) are secreted proteinases that are essential for proper dental enamel formation. We characterized and compared enamel formed in wild-type, Mmp20 (-/-), Klk4 (-/-), Mmp20 (+/-) Klk4 (+/-), and Mmp20 (-/-) Klk4 (-/-) mice using dissecting and light microscopy, backscattered scanning electron microscopy (bSEM), SEM, microcomputed tomography (μCT), and energy-dispersive X-ray analysis (EDX). Following eruption, fractures were observed on Mmp20 (-/-), Klk4 (-/-), Mmp20 (+/-) Klk4 (+/-), and Mmp20 (-/-) Klk4 (-/-) molars. Failure of the enamel in the Mmp20 (+/-) Klk4 (+/-) molars was unexpected and suggested that digenic effects could contribute to the etiology of amelogenesis imperfecta in humans. Micro-CT analyses of hemimandibles demonstrated significantly reduced high-density enamel volume in the Mmp20 (-/-) and Klk4 (-/-) mice relative to the wild-type, which was further reduced in Mmp20 (-/-) Klk4 (-/-) mice. bSEM images of 7-week Mmp20 (-/-) and Mmp20 (-/-) Klk4 (-/-) mandibular incisors showed rough, pitted enamel surfaces with numerous indentations and protruding nodules. The Mmp20 (+/-) and Mmp20 (+/-) Klk4 (+/-) incisors showed prominent, evenly spaced, horizontal ridges that were more distinct in Mmp20 (+/-) Klk4 (+/-) incisors relative to Mmp20 (+/-) incisors due to the darkening of the valleys between the ridges. In cross sections, the Mmp20 (-/-) and Mmp20 (-/-) Klk4 (-/-) exhibited three distinct layers. The outer layer exhibited a disturbed elemental composition and an irregular enamel surface covered with nodules. The Mmp20 null enamel was apparently unable to withstand the sheer forces associated with eruption and separated from dentin during development. Cells invaded the cracks and interposed between the dentin and enamel layers. MMP20 and KLK4 serve overlapping and complementary functions to harden enamel by removing protein, but MMP20 potentially serves multiple additional functions necessary for the adherence of enamel to dentin, the release of intercellular protein stores into the enamel matrix, the retreat of ameloblasts to facilitate thickening of the enamel layer, and the timely transition of ameloblasts to maturation.

Indexed as

Amelogenesis imperfectaenamelysinFAM83HKallikrein‐related peptidase 4matrix metalloproteinase 20

Identifiers

PMID27066511
PMCPMC4799876
OpenAlexW2290721078

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.