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FERMT1 promoter mutations in patients with Kindler syndrome.
[kindler syndrome]
Mutations
in
the
FERMT
1
gene
,
encoding
the
focal
adhesion
protein
kindlin-
1
underlie
the
Kindler
syndrome
(
KS
)
,
an
autosomal
recessive
skin
disorder
with
a
phenotype
comprising
skin
blistering
,
photosensitivity
,
progressive
poikiloderma
with
extensive
skin
atrophy
,
and
propensity
to
skin
cancer
.
The
FERMT
1
mutational
spectrum
comprises
gross
genomic
deletions
,
splice
site
,
nonsense
,
and
frameshift
mutations
,
which
are
scattered
over
the
coding
region
spanning
exon
2
-
15
.
We
now
report
three
KS
families
with
mutations
affecting
the
promoter
region
of
FERMT
1
.
Two
of
these
mutations
are
large
deletions
(
∼
38
.
0
and
1
.
9
 
kb
in
size
)
and
one
is
a
single
nucleotide
variant
(
c
.
-
20
A
>
G
)
within
the
5
'
untranslated
region
(
UTR
)
.
Each
mutation
resulted
in
loss
of
gene
expression
in
patient
skin
or
cultured
keratinocytes
.
Reporter
assays
showed
the
functional
relevance
of
the
genomic
regions
deleted
in
our
patients
for
FERMT
1
gene
transcription
and
proved
the
causal
role
of
the
c
.
-
20
A
>
G
variant
in
reducing
transcriptional
activity
.
Diseases
Validation
Diseases presenting
"skin cancer"
symptom
dystrophic epidermolysis bullosa
erythropoietic protoporphyria
esophageal adenocarcinoma
kindler syndrome
oculocutaneous albinism
waldenström macroglobulinemia
werner syndrome
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