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A Patient With Plack Syndrome With a Novel Splicing Mutation in Cast: The Evidence for a Loss-Of-Function Mechanism Through Mis-Splicing Publisher Pubmed



Mamivand A1 ; Zekri A2, 3 ; Maghrouni A1 ; Bayat S1 ; Mirzaei E3 ; Golroodbari FJ3 ; Mousavi SM3 ; Behrangi E4 ; Tabrizi M1
Authors
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Authors Affiliations
  1. 1. Department of Medical Genetics, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Physiology Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Medical Genetics, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center (RCRDC), School of Medicine, Iran University of Medical Sciences, Tehran, Iran

Source: Clinical and Experimental Dermatology Published:2023


Abstract

PLACK syndrome is a relatively recently defined generalized peeling skin syndrome that has been reported with major skin manifestations and sometimes atypical features. We report the case of a 5-year-old boy with PLACK manifestations. Whole exome sequencing and subsequent Sanger sequencing identified a putative splice variant c.1209+2T>G in CAST (NM_001042440.5). Moreover, mRNA sequencing confirmed the abnormal alternative splicing of the CAST gene, leading to the addition of one nucleotide to the correct open-reading frame at the mRNA level. Segregation and expression analysis revealed that this loss-of-function via mRNA nonsense-mediated decay could be the causative pathogenic mechanism responsible for this patient’s phenotype. This study extends our understanding of the various phenotypic and genotypic features of PLACK syndrome. © The Author(s) 2023. Published by Oxford University Press on behalf of British Association of Dermatologists. All rights reserved.