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An investigation into the MMP1 gene promoter region polymorphism--1607 2G with recessive dystrophic epidermolysis bullosa disease severity in northeastern Mexican patients.
[dystrophic epidermolysis bullosa]
Recessive
dystrophic
epidermolysis
bullosa
(
RDEB
)
is
a
severe
genetic
skin
blistering
disorder
caused
by
mutations
in
the
gene
COL
7
A
1
encoding
type
VII
collagen
.
Most
of
the
patients
'
clinical
severity
depends
in
part
on
the
nature
and
location
of
the
mutations
,
ranging
from
the
mild
form
described
as
RDEBother-generalized
(
RDEB-O
)
to
the
more
aggressive
phenotype
described
as
RDEBsevere-generalized
(
RDEB-sev
gen
)
.
However
,
interfamilial
and
interindividual
differences
in
subjects
with
identical
COL
7
A
1
mutations
suggest
the
presence
of
modifier
elements
,
which
may
influence
severity
.
There
is
a
single
nucleotide
polymorphism
(
SNP
)
at
the
promoter
of
the
MMP
1
gene
-encoding
matrix
metalloproteinase
type
1
,
which
has
been
studied
as
a
genetic
disease
modifier
in
different
patient
cohorts
with
different
findings
.
We
tested
the
SNP
in
30
patients
with
RDEB
and
130
controls
whose
four
grandparents
were
born
in
northeastern
Mexico
.
Patients
were
clinically
classified
as
RDEB-sev
gen
and
RDEB-O
by
three
dermatologists
.
The
SNPStats
,
RXC
,
and
SPSS
software
were
used
to
perform
statistical
testing
.
The
allele
frequencies
for
2
G
were
0
.
607
,
0
.
562
,
and
0
.
642
for
RDEB-O
,
RDEB-sev
gen
,
and
the
control
group
,
respectively
.
When
the
genotype
frequencies
were
compared
,
there
was
no
significant
difference
between
RDEB-sev
gen
(
OR
Â
=
Â
0
.
38
,
CI
95
%
0
.
12
-
1
.
21
)
,
RDEB-O
(
OR
Â
=
Â
1
.
03
,
CI
95
%
0
.
21
-
4
.
96
)
,
and
the
control
group
.
We
found
no
significant
association
in
relation
to
the
severity
of
the
study
subjects
and
the
SNP
at
the
promoter
of
the
MMP
1
gene
.
Diseases
Validation
Diseases presenting
"severe genetic skin"
symptom
dystrophic epidermolysis bullosa
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