Evidence map›Paper›PMID 40693438›Full record

ArticleCell proliferation2026

FAM20A Deficiency Drives Transcriptomic Dysregulation and Functional Impairment in Gingival Fibroblasts.

Kanokwan Sriwattanapong, Sermporn Thaweesapphithak, Chompak Khamwachirapitak, Pannagorn Sae-Ear, Sasiprapa Prommanee, Noppadol Sa-Ard-Iam, Suphalak Phothichailert, Han Sung Jung, Vorasuk Shotelersuk, Thantrira Porntaveetus

Abstract read
In one paragraph

Article in Cell proliferation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

10 authors.

Kanokwan SriwattanapongCenter of Excellence in Precision Medicine and Digital Health, Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-1133-1983
Sermporn ThaweesapphithakCenter of Excellence in Precision Medicine and Digital Health, Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-0327-5320
Chompak KhamwachirapitakCenter of Excellence in Precision Medicine and Digital Health, Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-4718-0208
Pannagorn Sae-EarOral Biology Research Center, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.
Sasiprapa PrommaneeCenter of Excellence in Precision Medicine and Digital Health, Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0009-0007-1557-388X
Noppadol Sa-Ard-IamCenter of Excellence in Periodontal Disease and Dental Implant, Immunology Research Center, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0001-5418-0092
Suphalak PhothichailertCenter of Excellence in Precision Medicine and Digital Health, Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0009-0001-1581-634X
Han Sung JungDepartment of Oral Biology, Yonsei University College of Dentistry, Seoul, Republic of Korea.ORCID https://orcid.org/0000-0003-2795-531X
Vorasuk ShotelersukCenter of Excellence for Medical Genomics, Department of Pediatrics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0002-1856-0589
Thantrira PorntaveetusCenter of Excellence in Precision Medicine and Digital Health, Center of Excellence in Genomics and Precision Dentistry, Department of Physiology, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.ORCID https://orcid.org/0000-0003-0145-9801

Funding

Faculty of Dentistry, Chulalongkorn University DRF 68_006Health Systems Research Institute 68-032Health Systems Research Institute 68-059Health Systems Research Institute HSRI68-082Ratchadaphisek Somphot Fund, Chulalongkorn University DNS_67_042_3200_002Thailand Science Research and Innovation Fund Chulalongkorn University HEA_FF_68_008_3200_001
6 · The paper itself

Abstract

Amelogenesis imperfecta type 1G (AI1G), also known as Enamel-Renal-Gingival Syndrome (ERGS), is an autosomal recessive disorder caused by variants in FAM20A, encoding a Golgi apparatus protein crucial for protein processing and secretion. AI1G presents with enamel defects, nephrocalcinosis and gingival overgrowth. Building upon our previous findings demonstrating the impact of FAM20A insufficiency on deciduous dental pulp cells, this study investigated the molecular mechanisms underlying gingival fibromatosis in AI1G. RNA sequencing of gingival fibroblasts from an AI1G patient revealed widespread differential gene expression (DEG). Gene Ontology (GO) analysis demonstrated enrichment of DEGs in biological processes related to cell adhesion, differentiation, proliferation (including positive regulation and cell division), cell cycle regulation, apoptosis and signal transduction. Pathway analysis (Reactome and KEGG) further highlighted the dysregulation of signalling pathways, including Wnt, TGF-β, cell cycle, DNA replication, Rho GTPase signalling and extracellular matrix organisation. Functional assays confirmed these findings, revealing delayed initial attachment and spreading, impaired osteogenic differentiation (evidenced by reduced mineralization and downregulation of DLX5, OCN, RUNX2 and OPN), enhanced cell cycle progression and proliferation (increased colony size and proliferation rates, along with a shift from G0/G1 to G2/M phase) and suppressed apoptosis in FAM20A-insufficient fibroblasts. These results suggest that FAM20A plays a critical role in regulating fundamental processes in gingival fibroblasts, and its insufficiency contributes to the gingival fibromatosis phenotype observed in AI1G through the disruption of cell adhesion, differentiation, proliferation and apoptosis. This study proposes novel insights into the pathogenesis of AI1G and highlights potential therapeutic targets for this complex disorder.

Indexed as

Dental Enamel ProteinsFibroblastsGingivaTranscriptomeApoptosisCell DifferentiationCell ProliferationCells, CulturedFibromatosis, GingivalHumansSignal TransductionDental Enamel ProteinsFAM20A protein, humandiagnosishealthcarerenal stonesstem cellstherapytooth eruption

Identifiers

PMID40693438
PMCPMC12877953

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Registered trials

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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.