Publication: Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation
Issued Date
2003-03-01
Resource Type
ISSN
0022202X
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2-s2.0-0037338135
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Mahidol University
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SCOPUS
Bibliographic Citation
Journal of Investigative Dermatology. Vol.120, No.3 (2003), 345-350
Suggested Citation
Takahiro Hamada, Vesarat Wessagowit, Andrew P. South, Gabrielle H.S. Ashton, Ien Chan, Noritaka Oyama, Apatorn Siriwattana, Prachiya Jewhasuchin, Somyot Charuwichitratana, Devinder M. Thappa, Patsy Lenane, Bernice Krafchik, Kanokvalai Kulthanan, Hiroshi Shimizu, Tamer I. Kaya, Mehmet E. Erdal, Mauro Paradisi, Amy S. Paller, Mariko Seishima, Takashi Hashimoto, John A. McGrath Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation. Journal of Investigative Dermatology. Vol.120, No.3 (2003), 345-350. doi:10.1046/j.1523-1747.2003.12073.x Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/20759
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Title
Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation
Author(s)
Takahiro Hamada
Vesarat Wessagowit
Andrew P. South
Gabrielle H.S. Ashton
Ien Chan
Noritaka Oyama
Apatorn Siriwattana
Prachiya Jewhasuchin
Somyot Charuwichitratana
Devinder M. Thappa
Patsy Lenane
Bernice Krafchik
Kanokvalai Kulthanan
Hiroshi Shimizu
Tamer I. Kaya
Mehmet E. Erdal
Mauro Paradisi
Amy S. Paller
Mariko Seishima
Takashi Hashimoto
John A. McGrath
Vesarat Wessagowit
Andrew P. South
Gabrielle H.S. Ashton
Ien Chan
Noritaka Oyama
Apatorn Siriwattana
Prachiya Jewhasuchin
Somyot Charuwichitratana
Devinder M. Thappa
Patsy Lenane
Bernice Krafchik
Kanokvalai Kulthanan
Hiroshi Shimizu
Tamer I. Kaya
Mehmet E. Erdal
Mauro Paradisi
Amy S. Paller
Mariko Seishima
Takashi Hashimoto
John A. McGrath
Other Contributor(s)
St John's Institute of Dermatology
Kurume University School of Medicine
Mahidol University
Hospital for Sick Children University of Toronto
Hokkaido University School of Medicine
Mersin Universitesi Tip Fakultesi
IRCCS Istituto Dermopatico dell'Immacolata
Northwestern University Feinberg School of Medicine
Ogaki Municipal Hospital
Kurume University School of Medicine
Mahidol University
Hospital for Sick Children University of Toronto
Hokkaido University School of Medicine
Mersin Universitesi Tip Fakultesi
IRCCS Istituto Dermopatico dell'Immacolata
Northwestern University Feinberg School of Medicine
Ogaki Municipal Hospital
Abstract
The autosomal recessive disorder lipoid proteinosis results from mutations in extracellular matrix protein 1 (ECM1), a glycoprotein expressed in several tissues (including skin) and composed of two alternatively spliced isoforms, ECM1a and ECM1b, the latter lacking exon 7 of this 10-exon gene (ECM1). To date, mutations that either affect ECM1a alone or perturb both ECM1 transcripts have been demonstrated in six cases. However, lipoid proteinosis is clinically heterogeneous with affected individuals displaying differing degrees of skin scarring and infiltration, variable signs of hoarseness and respiratory distress, and in some cases neurological abnormalities such as temporal lobe epilepsy. In this study, we sequenced ECM1 in 10 further unrelated patients with lipoid proteinosis to extend genotype-phenotype correlation and to add to the mutation database. We identified seven new homozygous nonsense or frameshift mutations: R53X (exon 3); 243delG (exon 4); 507delT (exon 6); 735delTG (exon 7); 785delA (exon 7); 892delc (exon 7) and 1190insC (exon 8), as well as two new compound heterozygous mutations: W160X/F167I (exon 6) and 542insAA/R243X (exons 6/7), none of which were found in controls. The mutation 507delT occurred in two unrelated subjects on different ECM1 haplotypes and may therefore represent a recurrent mutation in lipoid proteinosis. Taken with the previously documented mutations in ECM1, this study supports the view that exons 6 and 7 are the most common sites for ECM1 mutations in lipoid proteinosis. Clinically, it appears that mutations outside exon 7 are usually associated with a slightly more severe mucocutaneous lipoid proteinosis phenotype, but neurological features do not show any specific genotype-phenotype correlation.