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Mutations in the SLURP-1 gene underlie Mal de Meleda in three Pakistani families
Muhammad Wajid1, Mazen Kurban, Yutaka Shimomura
1Department of Dermatology, Columbia University, New York, NY, United States.
Background:
Mal de Meleda (MDM) (MIM #248300) is an autosomal recessive palmoplantar keratoderma (PPK). It is characterized clinically by erythematous hyperkeratotic plaques over palms and soles that start early in life and progress later in life in a transgradiens form associated with pain, macerations, foul odor, pseudoainhum, brachydactyly, onychodystrophy and perioral erythema.
Objective:
To look for SLURP-1 gene mutations in patients with MDM.
Methods:
We collected peripheral blood samples from Pakistani family members affected with MDM and 100 population-matched unrelated healthy control individuals in EDTA-containing tubes. All exons of the SLURP-1 gene with adjacent sequences at exon-intron borders were amplified. The amplified PCR products were directly sequenced in an ABI Prism 310 Automated Sequencer. Screening assay, using the restriction enzyme HphI was performed.
Results:
We determined three mutations in the SLURP-1 gene: one novel mutation, c.Ivs1+1G>A, and two recurrent mutations, p.R96X and p.G86R. Screening assays for the novel mutation excluded the possibility of polymorphism. In vivo transcription assays showed that the mutation c.Ivs1+1G>A leads to aberrant splicing events.
Conclusion:
Our results expand the spectrum of mutations in SLURP-1 gene.
Insights
This study identified three mutations in the SLURP-1 gene in patients with Mal de Meleda (MDM), a rare skin condition. These findings expand the known genetic causes of MDM.
Area of Science:
- Genetics
- Dermatology
- Molecular Biology
Background:
- Mal de Meleda (MDM) is an autosomal recessive palmoplantar keratoderma (PPK).
- Clinical features include hyperkeratotic plaques, pain, pseudoainhum, and brachydactyly.
- MDM onset is early in life with progressive severity.
Purpose of the Study:
- To investigate mutations in the SLURP-1 gene in Pakistani patients with Mal de Meleda.
- To identify the genetic basis of MDM in the studied cohort.
Main Methods:
- Peripheral blood samples were collected from MDM-affected families and healthy controls.
- All exons and exon-intron boundaries of the SLURP-1 gene were amplified and sequenced.
- Mutation screening involved PCR amplification and direct sequencing, with HphI enzyme assay for a novel mutation.
Main Results:
- Three SLURP-1 gene mutations were identified: one novel (c.Ivs1+1G>A) and two recurrent (p.R96X, p.G86R).
- Screening confirmed the novel mutation was not a polymorphism.
- In vivo transcription assays demonstrated that c.Ivs1+1G>A causes aberrant splicing.
Conclusions:
- The identified mutations expand the known spectrum of SLURP-1 gene mutations associated with Mal de Meleda.
- This research contributes to understanding the genetic etiology of MDM.
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