Dominant De Novo Mutations in GJA1 Cause Erythrokeratodermia Variabilis et Progressiva, without Features of Oculodentodigital Dysplasia

Autor: Richard P. Lifton, Lynn M. Boyden, Christine T. Lauren, Kimberly D. Morel, Brittany G. Craiglow, Erin C. Loring, Kaya Bilguvar, Keith A. Choate, Jing Zhou, Ronghua Hu, Amy S. Paller
Jazyk: angličtina
Předmět:
Male
Pathology
Golgi Apparatus
Connexin
Oculodentodigital dysplasia
medicine.disease_cause
Biochemistry
Connexins
Craniofacial Abnormalities
030207 dermatology & venereal diseases
0302 clinical medicine
Erythrokeratodermia variabilis
Missense mutation
Exome
Erythrokeratodermia Variabilis
Eye Abnormalities
Child
Exome sequencing
Genetics
0303 health sciences
Mutation
integumentary system
Immunohistochemistry
3. Good health
Phenotype
Child
Preschool

Disease Progression
Female
medicine.medical_specialty
Foot Deformities
Congenital

Molecular Sequence Data
Dermatology
Biology
Skin Diseases
Article
03 medical and health sciences
medicine
Humans
Amino Acid Sequence
Molecular Biology
030304 developmental biology
Sequence Homology
Amino Acid

Tooth Abnormalities
Cell Membrane
Sequence Analysis
DNA

Cell Biology
medicine.disease
Palmoplantar keratoderma
Connexin 43
Mutagenesis
Site-Directed

Syndactyly
HeLa Cells
Zdroj: The Journal of investigative dermatology
ISSN: 0022-202X
DOI: 10.1038/jid.2014.485
Popis: Genetic investigation of inherited skin disorders has informed the understanding of skin self-renewal, differentiation, and barrier function. Erythrokeratodermia variabilis et progressiva (EKVP) is a rare, inherited skin disease that is characterized by transient figurate patches of erythema, localized or generalized scaling, and frequent palmoplantar keratoderma. By using exome sequencing, we show that de novo missense mutations in GJA1 (gap junction protein alpha 1) cause EKVP. The severe, progressive skin disease in EKVP subjects with GJA1 mutations is distinct from limited cutaneous findings rarely found in the systemic disorder oculodentodigital dysplasia, also caused by dominant GJA1 mutations. GJA1 encodes connexin 43 (Cx43), the most widely expressed gap junction protein. We show that the GJA1 mutations in EKVP subjects lead to disruption of Cx43 membrane localization and aggregation within the Golgi. These findings reveal a critical role for Cx43 in epidermal homeostasis, and they provide evidence of organ-specific pathobiology resulting from different mutations within GJA1.
Databáze: OpenAIRE