Document Detail


HID and KID syndromes are associated with the same connexin 26 mutation.
MedLine Citation:
PMID:  12072059     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Keratitis-ichthyosis-deafness (KID) syndrome is a debilitating ectodermal dysplasia that predisposes patients to develop squamous cell carcinomas in addition to leading to profound sensory deafness and erythrokeratoderma. We recently demonstrated that KID can be caused by a specific missense mutation in connexin 26 (GJB2). Another syndrome, called hystrix-like ichthyosis-deafnesss (HID) syndrome, strongly resembles the KID syndrome. These disorders are distinguished mainly on the basis of electron microscopic findings. We hypothesized that KID and HID syndromes may be genetically related. OBJECTIVE: To demonstrate by mutation analysis that HID and KID syndromes are genetically indistinguishable. METHODS: DNA was extracted from paraffin-embedded tissue samples of the first HID syndrome patient described in the literature. Since the KID syndrome mutation abolishes an AspI restriction site, we were able to screen the patient's DNA by polymerase chain reaction and subsequent restriction enzyme analysis. RESULTS: Restriction analysis of the connexin 26 gene in HID syndrome demonstrated the presence of the KID syndrome mutation that we previously described. This result was confirmed by direct DNA sequencing. CONCLUSIONS: We show that KID and HID syndromes are identical at the molecular level and confirm the clinical impression that these syndromes are one and the same. That previous clinical reports made a distinction may be a consequence of sampling artefacts; alternatively, genetic background effects such as the presence of concurrent mutations in other skin-expressed genes may modify the phenotype.
Authors:
M van Geel; M A M van Steensel; W Küster; H C Hennies; R Happle; P M Steijlen; A König
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The British journal of dermatology     Volume:  146     ISSN:  0007-0963     ISO Abbreviation:  Br. J. Dermatol.     Publication Date:  2002 Jun 
Date Detail:
Created Date:  2002-06-19     Completed Date:  2002-09-10     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0004041     Medline TA:  Br J Dermatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  938-42     Citation Subset:  IM    
Affiliation:
Department of Dermatology, University Hospital Nijmegen, The Netherlands. m.vangeel@derma.azn.nl
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MeSH Terms
Descriptor/Qualifier:
Connexins / genetics*
DNA / analysis
Deafness / genetics*
Dermatitis, Exfoliative / genetics
Humans
Hyperkeratosis, Epidermolytic / genetics,  pathology
Ichthyosis / genetics*,  pathology
Keratitis / genetics*,  pathology
Male
Microscopy, Electron
Mutation, Missense / genetics*
Pedigree
Syndrome
Chemical
Reg. No./Substance:
0/Connexins; 127120-53-0/connexin 26; 9007-49-2/DNA

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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