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Expression signature of epidermolysis bullosa simplex.
[epidermolysis bullosa simplex]
Epidermolysis
bullosa
simplex
(
EBS
)
is
a
skin
disorder
resulting
from
a
weakened
cytoskeleton
of
the
proliferative
compartment
of
the
epidermis
,
leading
to
cell
fragility
and
blistering
.
Although
many
mutations
have
been
identified
in
intermediate
filament
keratins
KRT
5
and
KRT
14
,
detailed
pathogenic
mechanisms
and
the
way
these
mutations
affect
cell
metabolism
are
unclear
.
Therefore
,
we
performed
genomic
and
transcriptomic
study
in
six
Canadian
EBS
patients
and
six
healthy
subjects
.
We
first
characterized
these
patients
at
the
genetic
level
and
identified
six
pathogenic
mutations
of
which
two
were
novel
.
Then
,
we
performed
an
expression
microarray
analysis
of
the
EBS
epidermis
tissue
to
identify
potential
regulatory
pathways
altered
in
this
disease
.
Expression
profiling
comparisons
show
that
28
genes
are
differentially
expressed
in
EBS
patients
compared
to
control
subjects
and
41
genes
in
severe
phenotype
patients
(
EBS
-
DM
)
compared
to
their
paired
controls
.
Nine
genes
involved
in
fatty
acid
metabolism
and
two
genes
in
epidermal
keratinization
are
common
altered
expressed
genes
(
up
regulated
)
between
the
two
subgroups
.
These
two
biological
pathways
contribute
both
to
the
formation
of
the
cell
envelope
barrier
and
seem
to
be
defective
in
the
severe
EBS
phenotype
.
This
study
identifies
,
for
the
first
time
,
the
fatty
acid
metabolism
disruption
in
EBS
.
Diseases
Validation
Diseases presenting
"weakened cytoskeleton of the proliferative compartment of the epidermis"
symptom
epidermolysis bullosa simplex
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