Ichthyosis bullosa of siemens a disease involving keratin 2e. (1994 Oct)
ichthyosis bullosa of siemens a disease involving keratin 2e . ichthyosis bullosa of siemens ( IBS ) is a congenital bullous ichthyosis without erythroderma . In contrast to bullous congenital ichthyosiform erythroderma ( BCIE ) , there is a relatively mild involvement of the skin and epidermolytic hyperkeratosis ( EHK ) is restricted to the upper suprabasal layers of the epidermis . tonofilament aggregation was observed by EM in suprabasal cells from affected patients in the two families under study , indicative of a keratin abnormality . keratin 2e is a differentiation specific type II keratin expressed suprabasally in the epidermis . Part of the K2e gene was amplified by polymerase chain reaction using genomic DNA from affected and unaffected individuals from two IBS families . direct sequencing of polymerase chain reaction products revealed a point mutation in the highly conserved helix termination motif , producing the protein sequence change llegee llegke . This mutation was found in all affected members of a five generation kindred and also in a sporadic case in a second unrelated family . No mutation was seen in unaffected individuals . The mutation destroys a MnlI restriction site , which allowed exclusion of the mutation from a population of 50 unaffected unrelated individuals by restriction fragment analysis of K2e PCR products . This is the sixth keratin gene found to be involved in an inherited epidermal disorder .

Genetic linkage of the keratin type II gene cluster with ichthyosis bullosa of siemens and with autosomal dominant ichthyosis exfoliativa. (1994 Oct)
genetic linkage of the keratin type II gene cluster with ichthyosis bullosa of siemens and with autosomal dominant ichthyosis exfoliativa . ichthyosis bullosa of siemens is an autosomal dominant disease characterized by mild hyperkeratosis and blistering . autosomal dominant ichthyosis exfoliativa is a recently described disease with clinical features similar to ichthyosis bullosa of siemens , but in contrast to ichthyosis bullosa of siemens no histologic signs typical for epidermolytic hyperkeratosis are observed . We used linkage analysis to test whether keratin gene mutations might underlie both diseases . This analysis showed linkage of both disorders with the region of chromosome 12 in which the keratin type II gene cluster is located . The keratin type I gene cluster on chromosome 17 is excluded . these data , combined with clinical observations , strongly suggest that the genes coding for keratin 1 or keratin 2e , both expressed in the suprabasal compartment of the epidermis and located in the type II gene cluster , are candidate genes for ichthyosis bullosa of siemens and ichthyosis exfoliativa .

Ichthyosis bullosa of siemens is caused by mutations in the keratin 2e gene. (1994 Oct)
ichthyosis bullosa of siemens is caused by mutations in the keratin 2e gene . ichthyosis bullosa of siemens is a blistering disorder with autosomal dominant inheritance . The disease resembles bullous congenital ichthyosiform erythroderma but is less severe . keratins K1 and K10 have been implicated in bullous congenital ichthyosiform erythroderma . linkage analysis pointed to the involvement of a keratin type II gene ( 12q11 13 ) in ichthyosis bullosa of siemens . mutations in the highly conserved regions of K1 , a member of the type II gene cluster , were excluded . The gene coding for keratin 2e is also located in the type II gene cluster and the expression of the gene coincides with the occurrence of epidermolytic hyperkeratosis . sequence analysis revealed the presence of mutations in the K2e gene in patients with ichthyosis bullosa of siemens . three different mutations were detected , one in the 1A domain and two in the 2B domain of the rod . furthermore , histologic and ultrastructural examination of skin biopsies indicated that ichthyosis exfoliativa is identical to ichthyosis bullosa of siemens . This was confirmed by the results of the molecular analysis . In the family diagnosed as ichthyosis exfoliativa , a mutation was detected that was identical to the mutation found in one of the families with ichthyosis bullosa of siemens .

A novel mutation in the 1A domain of keratin 2e in ichthyosis bullosa of siemens. (1999 Apr)
A novel mutation in the 1A domain of keratin 2e in ichthyosis bullosa of siemens . ichthyosis bullosa of siemens ( IBS ) is a rare autosomal dominant skin disorder with clinical features similar to epidermolytic hyperkeratosis ( EHK ) . Both diseases have been linked to the type II keratin cluster on chromosome 12q . hyperkeratosis and blister formation are relatively mild in IBS compared with EHK , and the lysis of keratinocytes is restricted to the upper spinous and granular layers of the epidermis of IBS patients , whereas in EHK lysis occurs in the lower spinous layer . recently , mutations in the helix initiation and termination motifs of keratin 2e ( K2e ) have been described in IBS patients . The majority of the mutations reported to date lie in the 2B region . In this report , we have examined a large kindred in which the disease was originally diagnosed as EHK and mapped to the type II keratin cluster on chromosome 12q . molecular analysis revealed a novel amino acid substitution at the beginning of the conserved 1A region of the rod domain ( I4N ) of K2e , resulting from a T to A transversion in codon 188 .

New mutations in keratin 1 that cause bullous congenital ichthyosiform erythroderma and keratin 2e that cause ichthyosis bullosa of siemens. (2001 Sep)
New mutations in keratin 1 that cause bullous congenital ichthyosiform erythroderma and keratin 2e that cause ichthyosis bullosa of siemens . The intermediate filaments of epithelial cells are formed by keratins , a family of structurally related proteins , which are expressed in pairs of acidic ( type I ) and basic ( type II ) polypeptides in a tissue and differentiation specific manner . mutations in the genes encoding several keratins have been implicated in the pathogenesis of diseases of keratinization . We report molecular analysis of two patients with the rare autosomal dominant disorders bullous congenital ichthyosiform erythroderma ( BCIE ) and ichthyosis bullosa of siemens ( IBS ) . previous studies have shown that these genodermatoses are due to mutations in the KRT1 and krt2e genes , respectively . We report a new amino acid substitution mutation in codon 155 of KRT1 ( valine to aspartic acid ) in the conserved H1 domain of the protein in the patient with BCIE . We also report a novel amino acid substitution mutation in codon 192 of krt2e ( asparagine to lysine ) in the conserved 1A helix initiation peptide of the protein in the patient with IBS . Our results demonstrate that these mutations are deleterious to keratin filament network stability and lead to specific clinical inherited disorders of keratinization .

Arginine in the beginning of the 1A rod domain of the keratin 10 gene is the hot spot for the … (1999 May)
arginine in the beginning of the 1A rod domain of the keratin 10 gene is the hot spot for the mutation in epidermolytic hyperkeratosis . keratin intermediate filaments are expressed in specific type I / type II pairs in the stage of differentiation of keratinocytes . The mutations in the keratin genes expressed in the epidermis are etiologically responsible for several epidermal genetic skin diseases , such as epidermolysis bullosa simplex , epidermolytic hyperkeratosis ( EHK ) , ichthyosis bullosa of siemens , palmoplantar keratoderma , pachyonchia congenita and white sponge nevus . The mutations of keratins 1 / 10 which are expressed in spinous and granular layers are confirmed to cause EHK . there are several trials to correlate between the clinical phenotypes and sites of mutations of the keratin genes . One of these is that EHK is divided into two groups : the palms and soles involvement ( PS ) group and the non palms and soles ( NPS ) group . So far the PS group had the mutations in the keratin 1 and the NPS group in keratin 10 . Most of the mutations of the NPS group were reported in the beginning of the 1A rod domain and over 2 / 3 of the mutations in the 1A rod domain were the base pair substitution of arginine . Here we find two different mutations in two unrelated korean kindreds classified as NPS group r156c and r156h in the 1A rod domain of keratin 10 …

The molecular genetics of keratin disorders. (2003 Apr)
The molecular genetics of keratin disorders . keratins are the type I and II intermediate filament proteins which form a cytoskeletal network within all epithelial cells . They are expressed in pairs in a tissue and differentiation specific fashion . epidermolysis bullosa simplex ( EBS ) was the first human disorder to be associated with keratin mutations . The abnormal keratin filament aggregates observed in basal cell keratinocytes of some EBS patients are composed of keratins K5 and K14 . dominant mutations in the genes encoding these proteins were shown to disrupt the keratin filament cytoskeleton resulting in cells that are less resilient and blister with mild physical trauma . identification of mutations in other keratin genes soon followed with attention focussed on disorders showing abnormal clumping of keratin filaments in specific cells . For example , in bullous congenital ichthyosiform erythroderma , clumping of filaments in the suprabasal cells led to the identification of mutations in the suprabasal keratins , K1 and K10 . mutations have now been identified in 18 keratins , all of which produce a fragile cell phenotype . these include ichthyosis bullosa of siemens ( K2e ) , epidermolytic palmoplantar keratoderma ( K1 , K9 ) , pachyonychia congenita ( K6a , K6b , K16 , K17 ) , white sponge nevus ( K4 , K13 ) , meesmann s corneal dystrophy ( K3 , K12 ) , cryptogenic cirrhosis ( K8 , K18 ) and monilethrix ( hHb6 , hHb1 ) . In general …

Human keratin diseases : the increasing spectrum of disease and subtlety of the phenotype genotype correlation. (2000 May)
human keratin diseases : the increasing spectrum of disease and subtlety of the phenotype genotype correlation . keratins are obligate heterodimer proteins that form the intermediate filament cytoskeleton of all epithelial cells . keratins are tissue and differentiation specific and are expressed in pairs of types I and II proteins . The spectrum of inherited human keratin diseases has steadily increased since the causative role of mutations in the basal keratinocyte keratins 5 and 14 in epidermolysis bullosa simplex ( EBS ) was first reported in 1991 . At the time of writing , mutations in 15 epithelial keratins and two trichocyte keratins have been associated with human diseases which include EBS , bullous congenital ichthyosiform erythroderma , epidermolytic palmoplantar keratoderma , ichthyosis bullosa of siemens , diffuse and focal non epidermolytic palmoplantar keratoderma , pachyonychia congenita and monilethrix . mutations in extracutaneous keratins have been reported in oral white sponge naevus and meesmann s corneal dystrophy . New subtleties of phenotype genotype correlation are emerging within the keratin diseases with widely varying clinical presentations attributable to similar mutations within the same keratin . mutations in keratin associated proteins have recently been reported for the first time . This article reviews clinical , ultrastructural and molecular aspects of all the keratin diseases described to date and delineates potential future areas of research in this field .

Hot spot mutations in keratin 2e suggest a correlation between genotype and phenotype in patients with ichthyosis bullosa of siemens. (2000 Mar)
Hot spot mutations in keratin 2e suggest a correlation between genotype and phenotype in patients with ichthyosis bullosa of siemens . ichthyosis bullosa of siemens ( IBS ) is a rare disorder of cornification characterized by blister formation in the upper suprabasal layers of the epidermis . molecular analysis of IBS has identified mutations in the keratin 2e ( K2e ) gene , which is located in the type II keratin gene cluster on chromosome 12q . We have studied two IBS families and have identified heterozygous point mutations in codon 493 of the K2e gene in both families . whereas a non conservative amino acid substitution at position 117 of the 2B region of K2e ( e117k ) was associated with a severe phenotype in family 1 , family 2 showed mild clinical features as a result of a conservative substitution ( e117d ) . these data suggest a phenotype genotype correlation in these families .

An autosomal recessive exfoliative ichthyosis with linkage to chromosome 12q13. (2003 Jul)
An autosomal recessive exfoliative ichthyosis with linkage to chromosome 12q13 . A new variant of congenital exfoliative ichthyosis in two related bedouin families is reported . The ichthyosis appeared shortly after birth as a fine peeling of nonerythematous skin on the palms and soles . The prominent well demarcated areas of denuded skin in moist and traumatized regions resembled the mauserung phenomenon of ichthyosis bullosa of siemens ( IBS ) . unlike in IBS , epidermolysis is absent on histological examination . electron microscopy revealed a prominent intercellular oedema and numerous aggregates of keratin filaments in basal keratinocytes . abnormal keratin ( K ) 1 expression was seen in the affected epidermis ; however , all other keratins , including K2e , had a distribution comparable to that seen in normal controls . A maximum two point LOD score of 2 . 53 and multipoint LOD score of 3 . 76 were obtained for marker d12s390 , suggesting linkage to the type II keratin cluster on chromosome 12q13 . sequencing of both the K1 gene , the promotor and the 3 calcium regulatory region did not reveal a mutation . K2e and K5 genes , as well as the genes harboured within the minimal region , such as retinoic acid receptor gamma , sterol O acyltransferase 2 , integrin beta7 and insulin like growth factor binding protein 6 , were also excluded . This combination of clinical , histological , ultrastructural and genetic features has not been previously reported in …