A homozygous mutation in keratin 5 is a fully dominant allele responsible for epidermolysis bullosa simplex
- Univ. of Washington, Seattle, WI (United States); and others
Molecular, ultrastructural, and clinical analysis of a large family with epidermolysis bullosa simplex (EBS) and multiple consanguineous marriages has identified one affected individual who inherited defective keratin 5 genes from both of her affected parents. EBS are skin blistering disorders caused by abnormal keratin filament assembly or function due to a mutation in either of the two structural proteins keratin 5 or keratin 14. Linkage analysis with DNA markers near each keratin gene demonstrated that the defect in this family mapped near keratin 5 (K5) with a LOD score of 7.60, {theta}=0.0 for the proximal marker D12S14. Sequencing of the K5 gene identified an Asn substitution of a highly conserved Lys at codon 173 in the 5{prime} end of the central rod domain. The mutation was found in 33 affected family members but not in 5 unaffected members or 25 unrelated, unaffected individuals. Both linkage and sequence analysis verified that one affected individual was homozygous for the K5 mutation. In this family, clinical examination and analysis of epidermal ultrastructure by electron microscopy were consistent with the Koebner subtype of EBS. Despite the absence of any normal K5 protein in the skin, the clinical and ultrastructural phenotypes of the homozygous individual did not differ significantly from those of affected heteozygous relatives. This K5 mutation is a fully dominant allele.
- OSTI ID:
- 134331
- Report Number(s):
- CONF-941009-; ISSN 0002-9297; TRN: 95:005313-1064
- Journal Information:
- American Journal of Human Genetics, Vol. 55, Issue Suppl.3; Conference: 44. annual meeting of the American Society of Human Genetics, Montreal (Canada), 18-22 Oct 1994; Other Information: PBD: Sep 1994
- Country of Publication:
- United States
- Language:
- English
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