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Keratinocyte cell lines derived from severe generalized recessive epidermolysis bullosa patients carrying a highly recurrent COL7A1 homozygous mutation: models to assess cell and gene therapies in vitro and in vivo.
[dystrophic epidermolysis bullosa]
Recessive
dystrophic
epidermolysis
bullosa
(
RDEB
)
is
caused
by
deficiency
of
type
VII
collagen
due
to
COL
7
A
1
mutations
such
as
c
.
6527
insC
,
recurrently
found
in
the
Spanish
RDEB
population
.
Assessment
of
clonal
correction-based
therapeutic
approaches
for
RDEB
requires
large
expansions
of
cells
,
exceeding
the
replication
capacity
of
human
primary
keratinocytes
.
Thus
,
immortalized
RDEB
cells
with
enhanced
proliferative
abilities
would
be
valuable
.
Using
either
the
SV
40
large
T
antigen
or
papillomavirus
HPV
16
-
derived
E
6
-
E
7
proteins
,
we
immortalized
and
cloned
RDEB
keratinocytes
carrying
the
c
.
6527
insC
mutation
.
Clones
exhibited
high
proliferative
and
colony-forming
features
.
Cytogenetic
analysis
revealed
important
differences
between
T
antigen-driven
and
E
6
-
E
7
-
driven
immortalization
.
Immortalized
cells
responded
to
differentiation
stimuli
and
were
competent
for
epidermal
regeneration
and
recapitulation
of
the
blistering
RDEB
phenotype
in
vivo
.
These
features
make
these
cell
lines
useful
to
test
novel
therapeutic
approaches
including
those
aimed
at
editing
mutant
COL
7
A
1
.
Diseases
Validation
Diseases presenting
"large expansions"
symptom
dystrophic epidermolysis bullosa
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