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Recessive Mutation in Tetraspanin Cd151 Causes Kindler Syndrome-Like Epidermolysis Bullosa With Multi-Systemic Manifestations Including Nephropathy Publisher Pubmed



Vahidnezhad H1, 2 ; Youssefian L1, 3 ; Saeidian AH1 ; Mahmoudi H4 ; Touati A1, 5 ; Abiri M6 ; Kajbafzadeh AM7 ; Aristodemou S8 ; Liu L8 ; Mcgrath JA9 ; Ertel A10 ; Londin E10 ; Kariminejad A11 ; Zeinali S2 Show All Authors
Authors
  1. Vahidnezhad H1, 2
  2. Youssefian L1, 3
  3. Saeidian AH1
  4. Mahmoudi H4
  5. Touati A1, 5
  6. Abiri M6
  7. Kajbafzadeh AM7
  8. Aristodemou S8
  9. Liu L8
  10. Mcgrath JA9
  11. Ertel A10
  12. Londin E10
  13. Kariminejad A11
  14. Zeinali S2
  15. Fortina P10, 12
  16. Uitto J1, 13
Show Affiliations
Authors Affiliations
  1. 1. Department of Dermatology and Cutaneous Biology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, United States
  2. 2. Molecular Medicine Department, Biotechnology Research Center, Pasteur Institute of Iran, Tehran, Iran
  3. 3. Department of Medical Genetics, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Dermatology, Razi Hospital, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Drexel University College of Medicine, Philadelphia, PA, United States
  6. 6. Department of Medical Genetics and Molecular Biology, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  7. 7. Pediatric Urology Research Center, Department of Urology, Children's Hospital Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Viapath, St Thomas’ Hospital, London, United Kingdom
  9. 9. Department of Medical and Molecular Genetics, St. John's Institute of Dermatology, King's College London (Guy's Campus), United Kingdom
  10. 10. Computational Medicine Center, Sidney Kimmel Cancer Center, Thomas Jefferson University, Philadelphia, PA, United States
  11. 11. Kariminejad-Najmabadi Pathology & Genetics Center, Tehran, Iran
  12. 12. Department of Molecular Medicine, Sapienza University, Rome, Italy
  13. 13. Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, PA, United States

Source: Matrix Biology Published:2018


Abstract

Epidermolysis bullosa (EB) is caused by mutations in as many as 19 distinct genes. We have developed a next-generation sequencing (NGS) panel targeting genes known to be mutated in skin fragility disorders, including tetraspanin CD151 expressed in keratinocytes at the dermal-epidermal junction. The NGS panel was applied to a cohort of 92 consanguineous families of unknown subtype of EB. In one family, a homozygous donor splice site mutation in CD151 (NM_139029; c.351 + 2T > C) at the exon 5/intron 5 border was identified, and RT-PCR and whole transcriptome analysis by RNA-seq confirmed deletion of the entire exon 5 encoding 25 amino acids. Immunofluorescence of proband's skin and Western blot of skin proteins with a monoclonal antibody revealed complete absence of CD151. Transmission electron microscopy showed intracellular disruption and cell-cell dysadhesion of keratinocytes in the lower epidermis. Clinical examination of the 33-year old proband, initially diagnosed as Kindler syndrome, revealed widespread blistering, particularly on pretibial areas, poikiloderma, nail dystrophy, loss of teeth, early onset alopecia, and esophageal webbing and strictures. The patient also had history of nephropathy with proteinuria. Collectively, the results suggest that biallelic loss-of-function mutations in CD151 underlie an autosomal recessive mechano-bullous disease with systemic features. Thus, CD151 should be considered as the 20th causative, EB-associated gene. © 2017 Elsevier B.V.
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