Case report. Novel and recurrent COL7A1 mutations in Chinese patients with dystrophic epidermolysis bullosa pruriginosa

Genet Mol Res. 2014 Sep 12;13(3):7587-92. doi: 10.4238/2014.September.12.26.

Abstract

Dystrophic epidermolysis bullosa pruriginosa (DEB-Pr) is a rare subtype of dystrophic epidermolysis bullosa (DEB). This disease is characterized by severe itching, lichenoid nodules or prurigo-like lesions, and linear scarring with a predilection for the extensor limbs. Pathogenic mutations in the type VII collagen alpha 1 (COL7A1) gene have been identified. We analyzed mutations in the COL7A1 gene in a Chinese family including 5 affected individuals with typical DEB-Pr and in a patient previously reported with sporadic DEB-Pr. The entire coding region and exon-intron boundaries of COL7A1 were detected by polymerase chain reaction and direct sequencing. We identified one novel heterozygote mutation (c.6842G>T, p.G2281V) and a second mutation (c.5443G>A, p.G1815R) reported previously in patients with DEB. Our findings contribute to the COL7A1 mutation database and further reveal the genetic and phenotypic heterogeneity of DEB-Pr.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Collagen Type VII / genetics*
  • DNA Mutational Analysis
  • Epidermolysis Bullosa Dystrophica / diagnosis
  • Epidermolysis Bullosa Dystrophica / genetics*
  • Epidermolysis Bullosa Dystrophica / pathology*
  • Exons
  • Female
  • Heterozygote
  • Humans
  • Male
  • Mutation*
  • Pedigree
  • Phenotype
  • Skin / pathology
  • Young Adult

Substances

  • COL7A1 protein, human
  • Collagen Type VII

Supplementary concepts

  • Epidermolysis Bullosa Pruriginosa