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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
"first time"
symptom
achondroplasia
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
cholangiocarcinoma
classical phenylketonuria
congenital adrenal hyperplasia
congenital toxoplasmosis
cowden syndrome
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dentinogenesis imperfecta
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
erdheim-chester disease
erythropoietic protoporphyria
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
fabry disease
familial mediterranean fever
gm1 gangliosidosis
harlequin ichthyosis
heparin-induced thrombocytopenia
hirschsprung disease
hodgkin lymphoma, classical
holt-oram syndrome
hydrocephalus with stenosis of the aqueduct of sylvius
junctional epidermolysis bullosa
kabuki syndrome
kallmann syndrome
liposarcoma
locked-in syndrome
lymphangioleiomyomatosis
malignant atrophic papulosis
megacystis-microcolon-intestinal hypoperistalsis syndrome
monosomy 21
neuralgic amyotrophy
oculocutaneous albinism
oligodontia
omenn syndrome
oral submucous fibrosis
papillon-lefèvre syndrome
pendred syndrome
phenylketonuria
primary effusion lymphoma
primary hyperoxaluria type 1
severe combined immunodeficiency
sneddon syndrome
triple a syndrome
trochlear dysplasia
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wiskott-aldrich syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
zellweger syndrome
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