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Mutations in the rod domain of keratin 2e in patients with ichthyosis bullosa of Siemens

Abstract

Ichthyosis bullosa of Siemens (IBS) is an autosomal dominant skin disorder that resembles epidermolytic hyperkeratosis (EHK). We have indentified mutations in two families originally diagnosed with EHK and in four families diagnosed with IBS at the same codon in the highly conserved carboxy terminal of the rod domain of keratin 2e, thus revealing a mutational hot spot. Our results allow a differential diagnosis to be made between IBS and EHK at the genetic level and we suggest that patients diagnosed with EHK, but lacking keratin K1 or K10 mutations, should be re–examined for mutations in their K2e genes.

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References

  1. McKusick, V.A. Catalogs of autosomal dominant, autosomal recessive, and X-linked phenotypes. In Mendelien inheritance in man 10th edn (Johns Hopkins University Press, Baltimore, 1992).

    Google Scholar 

  2. Siemens, H.W. Dichtung und Wahrheit über die “Ichthyosis bullosa” mit Bemerkungen zur Systematik der Epidermolysen. Arch. Dermatol. Syph. (Berl.) 175, 590–608 (1937).

    Article  Google Scholar 

  3. Traupe, H., Kolde, G., Hamm, H. & Happle, R. Ichthyosis bullosa of Siemens: a unique type of epidermolytic hyperkeratosis. J. Am. Acad. Dermatol. 14, 1000–1005 (1986).

    Article  CAS  Google Scholar 

  4. Steijlen, P.M., Perret, C.M., Schuurmans-Stekhoven, J.H., Ruiter, D.J. & Happle, R. Ichthyosis bullosa of Siemens: further delineation of the phenotype. Arch. Dermatol. Res. 282, 1–5 (1990).

    Article  CAS  Google Scholar 

  5. Traupe, H. The epidermolytic (acanthokeratolytic) ichthyoses in The ichthyoses: a guide to clinical diagnosis, genetic counseling and therapy 139–153 (Springer, Berlin, 1989).

    Chapter  Google Scholar 

  6. Anton-Lamprecht, I. Genetically induced abnormalities of epidermal differentiation and ultrastructure in ichthyoses and epidermolyses: pathogenesis, heterogeneity, fetal manifestation, and prenatal diagnosis. J. invest. Dermatol. 81, 149s–156s (1983).

    Article  CAS  Google Scholar 

  7. Requena, L., Schoendorff, C. & Sanchez-Yus, E. Hereditary epidermolytic palmo-plantar keratoderma (Vömer type)-report of a family and review of the literature. Clin. exp. Dermatol. 16, 383–388 (1991).

    Article  CAS  Google Scholar 

  8. Steinert, P.M. & Roop, D.R. Molecular and cellular biology of intermediate filaments. A. Rev. Blochem. 57, 593–625 (1988).

    Article  CAS  Google Scholar 

  9. Moll, R., Franke, W.W., Schiller, D., Geiger, B. & Krepler, R. The catalog of human cytokeratins: patterns of expression in normal epithelia, tumors and cultured cells. Cell 31, 11–24 (1982).

    Article  CAS  Google Scholar 

  10. Steinert, P.M. Structure, function, and dynamics of keratin Intermediate filaments. J. invest. Dermatol. 100, 729–734 (1993).

    Article  CAS  Google Scholar 

  11. Fuchs, E. Epidermal differentiation: the bare essentials. J. Cell Biol. 111, 2807–2814 (1990).

    Article  CAS  Google Scholar 

  12. Collin, C., Moll, R., Kubicka, S., Ouhayoun, J.P. & Franke, W.W. Characterization of human cytokeratin 2, an epidermal cytoskeletal protein synthesized late during differentiation. Exp. Cell Res. 202, 132–141 (1992).

    Article  CAS  Google Scholar 

  13. Langbein, L., Heid, H.W., Moll, I. & Franke, W.W. Molecular characterization of the body site-specific human epidermal cytokeratin 9: cDNA cloning, amino acid sequence, and tissue specificity of gene expression. Differentiation 55, 57–71 (1993).

    Article  CAS  Google Scholar 

  14. Quinlan, R.A. et al. Patterns of expression and organization of cytokeratin Intermediate filaments. Am. N.Y. Acad. Sci. 455, 282–306 (1985).

    Article  CAS  Google Scholar 

  15. Compton, J.G. Epidermal disease: faulty keratin filaments take their toll. Nature Genet. 6, 6–7 (1994).

    Article  CAS  Google Scholar 

  16. Rothnagel, J.A. & Roop, D.R. Analysis, diagnosis and molecular genetics of keratin disorders. Curr. Op. Dermatol. 2, 211–218 (1995).

    Google Scholar 

  17. Steinert, P.M., Marekov, L.N., Fraser, R.D.B. & Parry, D.A.D. Keratin intermediate filament structure. Crosslinking studies yield quantitative information on molecular dimensions and mechanism of assembly. J. molec. Biol. 230, 436–452 (1993).

    Article  CAS  Google Scholar 

  18. Letai, A. et al. Disease severity correlates with position of keratin point mutations In patients with epldermolysis bullosa simplex. Proc. natn. Acad. Sci. U.S.A. 90, 3197–3201 (1993).

    Article  CAS  Google Scholar 

  19. Letai, A., Coulombe, P.A. & Fuchs, E. Do the ends justify the mean? Proline mutations at the ends of the keratin coiled-coil rod segment are more disruptive than internal mutations. J. Cell Biol. 116, 1181–1195 (1992).

    Article  CAS  Google Scholar 

  20. Wilson, A.K., Coulombe, P.A. & Fuchs, E. The roles of K5 and K14 head, tail and R/KLLEGE domains in keratin filament assembly in vitro. J. Cell Biol. 119, 401–414 (1992).

    Article  CAS  Google Scholar 

  21. Hatzfeld, M. & Weber, K. Modulation of keratin intermediate filament assembly by single amino acid exchanges In the consensus sequence at the C-terminal end of the rod domains. J. Cell Sci. 99, 351–362 (1991).

    CAS  PubMed  Google Scholar 

  22. Syder, A.J. et al. Genetic mutations in the K1 and K10 genes of patients with epidermolytic hyperkeratosis. J. clin. Invest. 93, 1533–1542 (1994).

    Article  CAS  Google Scholar 

  23. Lane, E.B. et al. A mutation in the conserved helix termination peptide of keratin 5 in hereditary skin blistering. Nature 356, 244–246 (1992).

    Article  CAS  Google Scholar 

  24. Rothnagel, J.A. et al. Mutations in the rod domains of Keratins 1 and 10 in epidermolytic hyperkeratosis. Science 257, 1128–1130 (1992).

    Article  CAS  Google Scholar 

  25. Conway, J.F. & Parry, D.A.D. Intermediate filament structure: 3. Analysis of sequence homologies. Int. J. Biol. Macomol. 10, 79–98 (1988).

    Article  CAS  Google Scholar 

  26. Cooper, D.N. & Krawcyzak, M. Cytosine methylation and the fate of CpG dinucleotides in vertebrate genomes. Hum. Genet. 83, 181–188 (1989).

    Article  CAS  Google Scholar 

  27. Rothnagel, J.A. et al. A mutational hot spot in keratin 10 (KRT10) in patients with epidermolytic hyperkeratosis. Hum. molec. Genet. 2, 2147–2150 (1993).

    Article  CAS  Google Scholar 

  28. Stephens, K., Sybert, V.P., Wijsman, E.M., Ehrlich, P. & Spencer, A. A keratin 14 mutational hot spot for epidermolysis bullosa simplex, dowling-meara: implications for diagnosis. J. invest. Dermatol. 101, 240–243 (1993).

    Article  CAS  Google Scholar 

  29. Reis, A. et al. Keratin 9 gene mutations in epidermolytic palmoplantar keratoderma (EPPK). Nature Genet. 6, 174–179 (1994).

    Article  CAS  Google Scholar 

  30. Cheng, J. et al. The genetic basis of epidermolytic hyperkeratosis: a disorder of differentiation-specific epidermal keratin genes. Cell 70, 811–819, (1992).

    Article  CAS  Google Scholar 

  31. Rothnagel, J.A., Longley, M.A., Holder, R.A., Küster, W. & Roop, D.R. Prenatal diagnosis of epidermolytic hyperkeratosis by direct gene sequencing. J. invest. Dermatol. 102, 13–16 (1994).

    Article  CAS  Google Scholar 

  32. Collin, C., Ouhayoun, J.-P., Grund, C. & Franke, W.W. Suprabasal marker proteins distinguishing keratinizing squamous epithelia: cytokeratin 2 polypeptides of oral masticatory epithelium and epidermis are different. Differentiation 51, 137–148 (1992).

    Article  CAS  Google Scholar 

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Rothnagel, J., Traupe, H., Wojcik, S. et al. Mutations in the rod domain of keratin 2e in patients with ichthyosis bullosa of Siemens. Nat Genet 7, 485–490 (1994). https://doi.org/10.1038/ng0894-485

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