1. A novel homozygous nonsense mutation in CAST associated with PLACK syndrome
- Author
-
Hayriye Sarıcaoğlu, Bahriye Karakas, Ozgur Kutuk, Ü Şeker, David P. Kelsell, Ozge Zorlu, Ç Oğur, Burcu Turkgenc, Sehime Gulsun Temel, M.C. Yakicier, and Acibadem University Dspace
- Subjects
Adult ,Male ,0301 basic medicine ,Histology ,Peeling skin syndrome ,Nonsense mutation ,Biology ,Knuckle pads ,Pathology and Forensic Medicine ,03 medical and health sciences ,symbols.namesake ,0302 clinical medicine ,CAST gene ,medicine ,Humans ,Gene ,Exome sequencing ,Skin ,Calpastatin ,Sanger sequencing ,Calcium-Binding Proteins ,Homozygote ,Whole exome sequencing ,Skin Diseases, Genetic ,Cell Biology ,medicine.disease ,Molecular biology ,030104 developmental biology ,Codon, Nonsense ,Child, Preschool ,Leukonychia ,symbols ,Female ,Dermatitis, Exfoliative ,PLACK syndrome ,030217 neurology & neurosurgery - Abstract
Peeling skin syndrome is a heterogeneous group of rare disorders. Peeling skin, leukonychia, acral punctate keratoses, cheilitis and knuckle pads (PLACK syndrome, OMIM616295) is a newly described form of PSS with an autosomal recessive mode of inheritance. We report a 5.5-year-old boy with features of PLACK syndrome. Additionally, he had mild cerebral atrophy and mild muscle involvements. Whole exome sequencing was performed in genomic DNA of this individual and subsequent analysis revealed a homozygous c.544G > T (p.Glu182{*}) nonsense mutation in the CAST gene encoding calpastatin. Sanger sequencing confirmed this variant and demonstrated that his affected aunt was also homozygous. Real-time qRT-PCR and immunoblot analysis showed reduced calpastatin expression in skin fibroblasts derived from both affected individuals compared to heterozygous family members. In vitro calpastatin activity assays also showed decreased activity in affected individuals. This study further supports a key role for calpastatin in the tight regulation of proteolytic pathways within the skin.
- Published
- 2019