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Kindler syndrome pathogenesis and fermitin family homologue 1 (kindlin-1) function.
[kindler syndrome]
Kindler
syndrome
is
caused
by
genetic
defects
in
the
focal
contact-associated
protein
,
fermitin
family
homologue
1
(
FFH
1
)
,
encoded
by
the
gene
FERMT
1
(
known
as
KIND
1
)
.
Defects
in
FFH
1
lead
to
abnormal
integrin
activation
and
loss
of
keratinocyte
epidermal
adhesion
to
the
underlying
basal
lamina
,
disruption
in
normal
cell
cytoskeleton
within
keratinocytes
,
and
altered
signaling
pathways
,
leading
to
increased
extracellular
matrix
production
.
Null
mutations
in
FERMT
1
result
in
skin
blistering
from
birth
and
early
childhood
progressive
poikiloderma
,
mucosal
fragility
,
and
increased
risk
of
cancer
.
The
complete
range
of
FFH
1
functions
in
skin
and
other
epithelia
has
yet
to
be
determined
.