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Atzmony L, Zagairy F, Mawassi B, Shehade M, Tatour Y, Danial-Farran N, Khayat M, Warrour N, Dodiuk-Gad R, Cohen-Barak E. Persistent Cutaneous Lesions of Darier Disease and Second-Hit Somatic Variants in ATP2A2 Gene. JAMA Dermatol 2024; 160:518-524. [PMID: 38536168 PMCID: PMC10974685 DOI: 10.1001/jamadermatol.2024.0152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 01/25/2024] [Indexed: 05/16/2024]
Abstract
Importance Darier disease (DD) is a rare genetic skin disorder caused by heterozygous variants in the ATP2A2 gene. Clinical manifestations include recurrent hyperkeratotic papules and plaques that occur mainly in seborrheic areas. Although some of the lesions wax and wane in response to environmental factors, others are severe and respond poorly to therapy. Objective To investigate the molecular mechanism underlying the persistency of skin lesions in DD. Design, Setting, and Participants In this case series, DNA was extracted from unaffected skin, transient and persistent lesional skin, and blood from 9 patients with DD. Genetic analysis was used using paired-whole exome sequencing of affected skin and blood or by deep sequencing of ATP2A2 of affected skin. Chromosomal microarray analysis was used to reveal copy number variants and loss of heterozygosity. All variants were validated by Sanger sequencing or restriction fragment length polymorphism. Interventions or Exposures Paired whole-exome sequencing and deep sequencing of ATP2A2 gene from blood and skin samples isolated from persistent, transient lesions and unaffected skin in patients with DD. Main Outcomes and Measures Germline and somatic genomic characteristics of persistent and transient cutaneous lesions in DD. Results Of 9 patients with DD, all had heterozygous pathogenic germline variants in the ATP2A2 gene, 6 were female. Participant age ranged from 40 to 69 years on enrollment. All 11 persistent skin lesions were associated with second-hit somatic variants in the ATP2A2 gene. The somatic variants were classified as highly deleterious via combined annotation-dependent depletion (CADD) scores or affect splicing, and 3 of them had been previously described in patients with DD and acrokeratosis verruciformis of Hopf. Second-hit variants in the ATP2A2 gene were not identified in the transient lesions (n = 2) or the normal skin (n = 2). Conclusions and Relevance In this study, persistent DD lesions were associated with the presence of second-hit somatic variants in the ATP2A2 gene. Identification of these second-hit variants offers valuable insight into the underlying mechanisms that contribute to the lasting nature of persistent DD lesions.
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Affiliation(s)
- Lihi Atzmony
- Division of Dermatology, Rabin Medical Center, Petach Tikva, Israel
- Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
| | - Fadia Zagairy
- Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Banan Mawassi
- Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Majd Shehade
- Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel
| | - Yasmin Tatour
- The Genetic Institute, Emek Medical Center, Afula, Israel
| | | | - Morad Khayat
- The Genetic Institute, Emek Medical Center, Afula, Israel
| | - Nassim Warrour
- The Genetic Institute, Emek Medical Center, Afula, Israel
| | - Roni Dodiuk-Gad
- Department of Dermatology, Emek Medical Center, Afula, Israel
- Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel
- Department of Medicine, University of Toronto, Toronto, Ontario, Canada
| | - Eran Cohen-Barak
- Department of Dermatology, Emek Medical Center, Afula, Israel
- Bruce and Ruth Rappaport Faculty of Medicine, Technion, Haifa, Israel
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Ettinger M, Burner T, Sharma A, Chang YT, Lackner A, Prompsy P, Deli IM, Traxler J, Wahl G, Altrichter S, Langer R, Tsai YC, Varkhande SR, Schoeftner LC, Iselin C, Gratz IK, Kimeswenger S, Guenova E, Hoetzenecker W. Th17-associated cytokines IL-17 and IL-23 in inflamed skin of Darier disease patients as potential therapeutic targets. Nat Commun 2023; 14:7470. [PMID: 37978298 PMCID: PMC10656568 DOI: 10.1038/s41467-023-43210-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2023] [Accepted: 11/02/2023] [Indexed: 11/19/2023] Open
Abstract
Darier disease (DD) is a rare, inherited multi-organ disorder associated with mutations in the ATP2A2 gene. DD patients often have skin involvement characterized by malodorous, inflamed skin and recurrent, severe infections. Therapeutic options are limited and inadequate for the long-term management of this chronic disease. The aim of this study was to characterize the cutaneous immune infiltrate in DD skin lesions in detail and to identify new therapeutic targets. Using gene and protein expression profiling assays including scRNA sequencing, we demonstrate enhanced expression of Th17-related genes and cytokines and increased numbers of Th17 cells in six DD patients. We provide evidence that targeting the IL-17/IL-23 axis in a case series of three DD patients with monoclonal antibodies is efficacious with significant clinical improvement. As DD is a chronic, relapsing disease, our findings might pave the way toward additional options for the long-term management of skin inflammation in patients with DD.
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Affiliation(s)
- Monika Ettinger
- Department of Dermatology and Venereology, Kepler University Hospital Linz, Linz, Austria
- Department of Dermatology and Venereology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | - Teresa Burner
- Department of Dermatology and Venereology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | - Anshu Sharma
- Department of Biosciences and Molecular Biology, University of Salzburg, Salzburg, Austria
| | - Yun-Tsan Chang
- Department of Dermatology, University of Lausanne and Faculty of Biology and Medicine, Lausanne, Switzerland
| | - Angelika Lackner
- Department of Dermatology and Venereology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | - Pacôme Prompsy
- Department of Dermatology, University of Lausanne and Faculty of Biology and Medicine, Lausanne, Switzerland
| | - Isabella M Deli
- Department of Dermatology and Venereology, Kepler University Hospital Linz, Linz, Austria
| | - Judith Traxler
- Department of Dermatology and Venereology, Kepler University Hospital Linz, Linz, Austria
| | - Gerald Wahl
- Department of Dermatology and Venereology, Kepler University Hospital Linz, Linz, Austria
| | - Sabine Altrichter
- Department of Dermatology and Venereology, Kepler University Hospital Linz, Linz, Austria
- Department of Dermatology and Venereology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | - Rupert Langer
- Institute of Pathology and Molecular Pathology, Kepler University Hospital Linz, Linz, Austria
- Institute of Pathology and Molecular Pathology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | - Yi-Chien Tsai
- Department of Dermatology, University of Lausanne and Faculty of Biology and Medicine, Lausanne, Switzerland
| | - Suraj R Varkhande
- Department of Biosciences and Molecular Biology, University of Salzburg, Salzburg, Austria
| | - Leonie C Schoeftner
- Department of Biosciences and Molecular Biology, University of Salzburg, Salzburg, Austria
| | - Christoph Iselin
- Department of Dermatology, University of Lausanne and Faculty of Biology and Medicine, Lausanne, Switzerland
| | - Iris K Gratz
- Department of Biosciences and Molecular Biology, University of Salzburg, Salzburg, Austria
| | - Susanne Kimeswenger
- Department of Dermatology and Venereology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria
| | - Emmanuella Guenova
- Department of Dermatology, University of Lausanne and Faculty of Biology and Medicine, Lausanne, Switzerland
- Department of Dermatology, Hospital 12 de octubre, Medical school, University Complutense, Madrid, Spain
| | - Wolfram Hoetzenecker
- Department of Dermatology and Venereology, Kepler University Hospital Linz, Linz, Austria.
- Department of Dermatology and Venereology, Medical Faculty, Johannes Kepler University Linz, Linz, Austria.
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3
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Sajid S, Adwani R, Safdar MA, Talal U, Fazal MI. Exacerbation of Very Late-Onset Darier Disease With COVID-19 Infection: A Case Report. Cureus 2023; 15:e43353. [PMID: 37700977 PMCID: PMC10493457 DOI: 10.7759/cureus.43353] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2023] [Indexed: 09/14/2023] Open
Abstract
Darier disease is an uncommon hereditary skin disorder characterized by the presence of hyperkeratotic papules and plaques affecting seborrheic areas. The uniqueness of this case lies in the exceptionally late-onset pattern of Darier disease, involving an 82-year-old female patient, and its correlation with COVID-19 infection. The patient had a history of a scaly and itchy rash limited to her arms, initially misdiagnosed as dermatitis, which persisted and worsened over three months. The manifestation of classical features of Darier disease coincided with her recent contraction of COVID-19. This instance emphasizes the varying manifestations of Darier disease that appear very late in life, which could result from new mutations or partial penetrance. Additionally, this case points out the potential worsening of Darier disease when combined with a COVID-19 infection. It highlights the need to be aware of atypical clinical progressions and the potential for increased severity of skin disorders during COVID-19. More studies are essential to grasp the relationship between COVID-19 and inherited skin conditions, aiming to improve patient treatment and care approaches.
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Affiliation(s)
- Samar Sajid
- Medicine, Dow University of Health Sciences, Karachi, PAK
| | - Rahul Adwani
- Medicine, Dow University of Health Sciences, Karachi, PAK
| | | | - Umer Talal
- Medicine, Services Hospital Lahore, Lahore, PAK
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4
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Arystarkhova E, Toustrup-Jensen MS, Holm R, Ko JK, Lee KE, Feschenko P, Ozelius LJ, Brashear A, Vilsen B, Sweadner KJ. Temperature instability of a mutation at a multidomain junction in Na,K-ATPase isoform ATP1A3 (p.Arg756His) produces a fever-induced neurological syndrome. J Biol Chem 2023; 299:102758. [PMID: 36462665 PMCID: PMC9860391 DOI: 10.1016/j.jbc.2022.102758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 11/18/2022] [Accepted: 11/19/2022] [Indexed: 12/02/2022] Open
Abstract
ATP1A3 encodes the α3 isoform of Na,K-ATPase. In the brain, it is expressed only in neurons. Human ATP1A3 mutations produce a wide spectrum of phenotypes, but particular syndromes are associated with unique substitutions. For arginine 756, at the junction of membrane and cytoplasmic domains, mutations produce encephalopathy during febrile infections. Here we tested the pathogenicity of p.Arg756His (R756H) in isogenic mammalian cells. R756H protein had sufficient transport activity to support cells when endogenous ATP1A1 was inhibited. It had half the turnover rate of wildtype, reduced affinity for Na+, and increased affinity for K+. There was modest endoplasmic reticulum retention during biosynthesis at 37 °C but little benefit from the folding drug phenylbutyrate (4-PBA), suggesting a tolerated level of misfolding. When cells were incubated at just 39 °C, however, α3 protein level dropped without loss of β subunit, paralleled by an increase of endogenous α1. Elevated temperature resulted in internalization of α3 from the surface along with some β subunit, accompanied by cytoplasmic redistribution of a marker of lysosomes and endosomes, lysosomal-associated membrane protein 1. After return to 37 °C, α3 protein levels recovered with cycloheximide-sensitive new protein synthesis. Heating in vitro showed activity loss at a rate 20- to 30-fold faster than wildtype, indicating a temperature-dependent destabilization of protein structure. Arg756 appears to confer thermal resistance as an anchor, forming hydrogen bonds among four linearly distant parts of the Na,K-ATPase structure. Taken together, our observations are consistent with fever-induced symptoms in patients.
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Affiliation(s)
- Elena Arystarkhova
- Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
| | | | - Rikke Holm
- Department of Biomedicine, Aarhus University, Aarhus C, Denmark
| | - Jae-Kyun Ko
- Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - Kyung Eun Lee
- Department of Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA
| | - Polina Feschenko
- Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Laurie J Ozelius
- Department of Neurology, Massachusetts General Hospital, Boston, Massachusetts, USA
| | - Allison Brashear
- Department of Neurology, Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA
| | - Bente Vilsen
- Department of Biomedicine, Aarhus University, Aarhus C, Denmark
| | - Kathleen J Sweadner
- Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
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5
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Comentario al artículo «Enfermedad de Darier: serie de 20 casos y revisión de la literatura». ACTAS DERMO-SIFILIOGRAFICAS 2022; 113:442. [DOI: 10.1016/j.ad.2021.10.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2021] [Accepted: 10/04/2021] [Indexed: 11/18/2022] Open
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6
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Redondo Mateo J. [Translated article] Coment on “Darier Disease: A Case Series of 20 Patients and Review of the Literature”. ACTAS DERMO-SIFILIOGRAFICAS 2022. [DOI: 10.1016/j.ad.2021.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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7
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Sight MV, Standard M, Habeebu SSM, Horii KA. Papular eruption in an adolescent with a mood disorder. Pediatr Dermatol 2021; 38:939-940. [PMID: 34448225 DOI: 10.1111/pde.14603] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Meredith V Sight
- Division of Dermatology, Children's Mercy-Kansas City, Kansas City, MO, USA
| | - McKenzi Standard
- Division of Dermatology, University of Kansas Medical Center, Kansas City, KS, USA
| | - Sahibu Sultan M Habeebu
- Division of Pathology and Laboratory Medicine, Children's Mercy-Kansas City, Kansas City, MO, USA
| | - Kimberly A Horii
- Division of Dermatology, Children's Mercy-Kansas City, Kansas City, MO, USA
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8
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Li Pomi F, Motolese A, Bertino L, Macca L, Arminio NC, Cardia R, Vaccaro M, Borgia F. Beyond the skin involvement in Darier disease: A complicated neuropsychiatric phenotype. Clin Case Rep 2021; 9:e04263. [PMID: 34194784 PMCID: PMC8222748 DOI: 10.1002/ccr3.4263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2021] [Indexed: 11/12/2022] Open
Abstract
Psichiatric illness such as depression, schizophrenia and cognitive deficiency are frequently associated with the Darier Disease. Physicians should be aware of such association to allow prompt diagnosis and early interventions of potentially life-threatening psychiatric disorders.
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Affiliation(s)
- Federica Li Pomi
- Department of Clinical and Experimental MedicineSection of DermatologyUniversity of MessinaMessinaItaly
| | - Alfonso Motolese
- Department of Clinical and Experimental MedicineSection of DermatologyUniversity of MessinaMessinaItaly
| | - Lucrezia Bertino
- Department of Clinical and Experimental MedicineSection of DermatologyUniversity of MessinaMessinaItaly
| | - Laura Macca
- Department of Clinical and Experimental MedicineSection of DermatologyUniversity of MessinaMessinaItaly
| | - Natalia C. Arminio
- Pathology UnitDepartment of Human Pathology of adult and developmental ageUniversity Hospital “G. Martino”MessinaItaly
| | - Roberta Cardia
- Pathology UnitDepartment of Human Pathology of adult and developmental ageUniversity Hospital “G. Martino”MessinaItaly
| | - Mario Vaccaro
- Department of Clinical and Experimental MedicineSection of DermatologyUniversity of MessinaMessinaItaly
| | - Francesco Borgia
- Department of Clinical and Experimental MedicineSection of DermatologyUniversity of MessinaMessinaItaly
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9
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Affiliation(s)
- Abraham M Korman
- Department of Internal Medicine, Division of Dermatology, The Ohio State University Wexner Medical Center
| | - Nima Milani-Nejad
- Department of Internal Medicine, Division of Dermatology, The Ohio State University Wexner Medical Center
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10
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Yeshurun A, Ziv M, Cohen-Barak E, Vered S, Rozenman D, Sah M, Khayat M, Polyakov O, Amichai B, Zlotogorski A, Shalev S, Dodiuk-Gad RP. An Update on the Cutaneous Manifestations of Darier Disease. J Cutan Med Surg 2021; 25:498-503. [PMID: 33715454 DOI: 10.1177/1203475421999331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Knowledge about the clinical features of Darier disease, an orphan autosomal-dominant genetic disorder, is sparse and has been evaluated only in few studies. OBJECTIVES To investigate the clinical features of a large group of patients with Darier disease, and to explore for associations between disease characteristics and severity of the disease. METHODS Seventy-six individuals with Darier disease were evaluated utilizing a structured questionnaire-based interview, a physical examination, and a retrospective assessment of their medical records. RESULTS The most frequent locations of lesions were hands (99%) and fingernails (93%). Wart-like lesions on the hands were more visible after soaking them in water for 5 minutes, we therefore named this phenomenon the "wet hand sign". Oral involvement was found in 43% of patients, while 48% of women and 16% of men showed genital lesions. Patients with severe Darier disease had a tenfold greater risk of developing genital lesions than those with mild disease (P = .01). Most patients (88%) in our study exhibited a combination of the four types of the disease patterns of distribution (flexural, seborrheic, nevoid, and acral). CONCLUSIONS Documentation of disease on the hands and fingernails provides a highly sensitive means to aid in the diagnosis of Darier disease. It is important to evaluate mucosal lesions including genital and oral mucosa.
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Affiliation(s)
- Algit Yeshurun
- 26747 Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.,61172 Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Michael Ziv
- 26747 Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.,61172 Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Eran Cohen-Barak
- 26747 Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.,61172 Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Shiraz Vered
- 26748 Department of Statistics, Haifa University, Haifa, Israel
| | - Dganit Rozenman
- 26747 Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.,61172 Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Muhammad Sah
- 61172 Department of Dermatology, Emek Medical Center, Afula, Israel
| | - Morad Khayat
- Genetic Institute, Emek Medical Center, Afula, Israel
| | | | - Boaz Amichai
- 37253 Dermatology Unit, Meir Medical Center & Sackler Faculty of Medicine Tel-Aviv University
| | - Abraham Zlotogorski
- 58884 Department of Dermatology, Hadassah - Hebrew University Medical Center, Jerusalem, Israel
| | - Stavit Shalev
- 26747 Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.,Genetic Institute, Emek Medical Center, Afula, Israel
| | - Roni P Dodiuk-Gad
- 26747 Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.,61172 Department of Dermatology, Emek Medical Center, Afula, Israel.,Division of Dermatology, Department of Medicine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, ON, Canada
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11
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Teplyuk NP, Olisova OY, Grabovskaya OV, Kolos EV, Varshavsky VA, Lepekhova AA. Successful Darier disease treatment in Russian patients. Dermatol Ther 2020; 33:e14028. [PMID: 32681757 DOI: 10.1111/dth.14028] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/22/2020] [Revised: 07/13/2020] [Accepted: 07/15/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Natalia P Teplyuk
- Department of Dermatology and Venereology, Sechenov University, Moscow, Russian Federation
| | - Olga Yu Olisova
- Department of Dermatology and Venereology, Sechenov University, Moscow, Russian Federation
| | - Olga V Grabovskaya
- Department of Dermatology and Venereology, Sechenov University, Moscow, Russian Federation
| | - Ekaterina V Kolos
- Department of Dermatology and Venereology, Sechenov University, Moscow, Russian Federation
| | | | - Anfisa A Lepekhova
- Department of Dermatology and Venereology, Sechenov University, Moscow, Russian Federation
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12
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McPhie ML, Bridgman AC, Kirchhof MG. A Review of Skin Disease in Schizophrenia. Dermatology 2020; 237:248-261. [PMID: 32759610 DOI: 10.1159/000508868] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2020] [Accepted: 05/22/2020] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Schizophrenia is a debilitating neuropsychiatric condition that affects 0.5% of the North American population. Skin disease in schizophrenia has not been well described. Identifying skin diseases that are commonly comorbid with schizophrenia may help clinicians address the burden of skin disease in patients with schizophrenia. SUMMARY We conducted a nonsystematic review of the literature to identify skin diseases that may be associated with schizophrenia. We searched MEDLINE, EMBASE, and PsycINFO for articles published in English from December 2000 through April 2020 using the key words "skin disease" or "dermatological" or "dermatology" and "schizophrenia." Based on our results, we further refined the search terms to include more specific skin diseases. Schizophrenia appears to be associated with a number of skin diseases, including inflammatory dermatoses, autoimmune diseases, and certain genodermatoses. Limitations include being a nonsystematic review and the relative paucity of more rigorous clinical research using longitudinal study designs.
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Affiliation(s)
- Meghan L McPhie
- School of Medicine, Queen's University, Kingston, Ontario, Canada
| | | | - Mark G Kirchhof
- Division of Dermatology, Department of Medicine, University of Ottawa and The Ottawa Hospital, Ottawa, Ontario, Canada,
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13
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Britzolaki A, Saurine J, Klocke B, Pitychoutis PM. A Role for SERCA Pumps in the Neurobiology of Neuropsychiatric and Neurodegenerative Disorders. ADVANCES IN EXPERIMENTAL MEDICINE AND BIOLOGY 2020; 1131:131-161. [PMID: 31646509 DOI: 10.1007/978-3-030-12457-1_6] [Citation(s) in RCA: 30] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
Calcium (Ca2+) is a fundamental regulator of cell fate and intracellular Ca2+ homeostasis is crucial for proper function of the nerve cells. Given the complexity of neurons, a constellation of mechanisms finely tunes the intracellular Ca2+ signaling. We are focusing on the sarco/endoplasmic reticulum (SR/ER) calcium (Ca2+)-ATPase (SERCA) pump, an integral ER protein. SERCA's well established role is to preserve low cytosolic Ca2+ levels ([Ca2+]cyt), by pumping free Ca2+ ions into the ER lumen, utilizing ATP hydrolysis. The SERCA pumps are encoded by three distinct genes, SERCA1-3, resulting in 12 known protein isoforms, with tissue-dependent expression patterns. Despite the well-established structure and function of the SERCA pumps, their role in the central nervous system is not clear yet. Interestingly, SERCA-mediated Ca2+ dyshomeostasis has been associated with neuropathological conditions, such as bipolar disorder, schizophrenia, Parkinson's disease and Alzheimer's disease. We summarize here current evidence suggesting a role for SERCA in the neurobiology of neuropsychiatric and neurodegenerative disorders, thus highlighting the importance of this pump in brain physiology and pathophysiology.
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Affiliation(s)
- Aikaterini Britzolaki
- Department of Biology & Center for Tissue Regeneration and Engineering at Dayton (TREND), University of Dayton, Dayton, OH, USA
| | - Joseph Saurine
- Department of Biology & Center for Tissue Regeneration and Engineering at Dayton (TREND), University of Dayton, Dayton, OH, USA
| | - Benjamin Klocke
- Department of Biology & Center for Tissue Regeneration and Engineering at Dayton (TREND), University of Dayton, Dayton, OH, USA
| | - Pothitos M Pitychoutis
- Department of Biology & Center for Tissue Regeneration and Engineering at Dayton (TREND), University of Dayton, Dayton, OH, USA.
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14
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Guevara BEK, Hou P, Huang H, Chen W, Wen Y, Chen W, Lee JY, Hsu C. Late‐onset comedonal Darier's disease caused by a recurrent
ATP2A2
mutation. J Dermatol 2019; 46:e211-e212. [DOI: 10.1111/1346-8138.14764] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- Bryan Edgar K. Guevara
- Department of Dermatology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan
- Department of Dermatology Southern Philippines Medical Center Davao the Philippines
| | - Ping‐Chen Hou
- Department of Dermatology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan
- Department of Medicine National Cheng Kung University Tainan Taiwan
| | - Hsin‐Yu Huang
- Department of Dermatology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan
- Department of Medicine National Cheng Kung University Tainan Taiwan
| | - Wan‐Rung Chen
- Department of Dermatology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan
| | - Yun‐Kai Wen
- Department ofSurgeryTainan Sin Lau Hospital Tainan Taiwan
| | - Wen‐Chung Chen
- Department ofPathology Tainan Sin Lau HospitalTainan Taiwan
| | - Julia Yu‐Yun Lee
- Department of Dermatology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan
| | - Chao‐Kai Hsu
- Department of Dermatology National Cheng Kung University Hospital College of Medicine National Cheng Kung University Tainan Taiwan
- International Research Center of Wound Repair and Regeneration (iWRR) National Cheng Kung UniversityTainan Taiwan
- Institute of Clinical Medicine National Cheng Kung University Tainan Taiwan
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15
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Gordon-Smith K, Green E, Grozeva D, Tavadia S, Craddock N, Jones L. Genotype-phenotype correlations in Darier disease: A focus on the neuropsychiatric phenotype. Am J Med Genet B Neuropsychiatr Genet 2018; 177:717-726. [PMID: 30345710 DOI: 10.1002/ajmg.b.32679] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/01/2018] [Revised: 07/18/2018] [Accepted: 08/01/2018] [Indexed: 01/21/2023]
Abstract
Darier disease (DD) is an autosomal dominant skin disorder caused by mutations in ATP2A2 encoding the sarco/endoplasmic reticulum Ca2+ ATPase Isoform 2 (SERCA2). Evidence of a population-level association between DD and psychiatric disorders suggests that mutations in ATP2A2 may have pleiotropic effects on the brain as well as skin. Evidence of genotype-phenotype relationships between ATP2A2 mutations and neuropsychiatric phenotypes would further support this suggestion. We investigated genotype-phenotype correlations between lifetime neuropsychiatric features and ATP2A2 mutation type (dichotomized into likely gene disrupting [LGD] or protein altering) in 75 unrelated individuals with DD. We also looked for evidence of clustering of mutations within SERCA2 according to neuropsychiatric features. Combining our data with the existing literature, the rate of LGD mutations was found to be significantly higher among DD cases/families with bipolar disorder, schizophrenia, or affective psychosis (p = .011). We also found a significant relationship between mutations located in the S4-M4 region of the protein and the presence of a severe neuropsychiatric phenotype (p = .032). Our findings add support to the hypothesis that Darier-causing mutations in ATP2A2 confer susceptibility to neuropsychiatric dysfunction, in particular severe psychiatric illness. This, together with evidence from research on common polymorphisms confirms ATP2A2 as a gene at which variation influences susceptibility to major psychiatric illness.
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Affiliation(s)
- Katherine Gordon-Smith
- Department of Psychological Medicine, University of Worcester, Worcester, United Kingdom
| | - Elaine Green
- School of Biomedical and Healthcare Sciences, Plymouth University, Plymouth, United Kingdom
| | - Detelina Grozeva
- Institute of Psychological Medicine & Clinical Neurosciences, Cardiff University, Cardiff, United Kingdom
| | - Sherine Tavadia
- Department of Dermatology, University Hospital Crosshouse, Kilmarnock, Ayrshire, United Kingdom
| | - Nick Craddock
- Institute of Psychological Medicine & Clinical Neurosciences, Cardiff University, Cardiff, United Kingdom
| | - Lisa Jones
- Department of Psychological Medicine, University of Worcester, Worcester, United Kingdom
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16
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Zhao Q, Fu F, Fu X, Wang Z, Liu H, Zhang F. Three novel mutations of the ATP2A2 gene in Chinese patients with Darier disease. Australas J Dermatol 2018; 60:e171-e172. [PMID: 30450560 DOI: 10.1111/ajd.12957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Qing Zhao
- Department of Dermatology, Shandong Provincial Hospital for Skin Disease, Shandong University, Jinan, Shandong, China.,Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.,Shandong Provincial Key Laboratory for Dermatovenereology, Jinan, Shandong, China
| | - Fanghui Fu
- Department of Dermatology, Shandong Provincial Hospital for Skin Disease, Shandong University, Jinan, Shandong, China.,Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.,Shandong Provincial Key Laboratory for Dermatovenereology, Jinan, Shandong, China
| | - Xi'an Fu
- Department of Dermatology, Shandong Provincial Hospital for Skin Disease, Shandong University, Jinan, Shandong, China.,Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.,Shandong Provincial Key Laboratory for Dermatovenereology, Jinan, Shandong, China
| | - Zhenzhen Wang
- Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.,Shandong Provincial Key Laboratory for Dermatovenereology, Jinan, Shandong, China
| | - Hong Liu
- Department of Dermatology, Shandong Provincial Hospital for Skin Disease, Shandong University, Jinan, Shandong, China.,Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.,Shandong Provincial Key Laboratory for Dermatovenereology, Jinan, Shandong, China
| | - Furen Zhang
- Department of Dermatology, Shandong Provincial Hospital for Skin Disease, Shandong University, Jinan, Shandong, China.,Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China.,Shandong Provincial Key Laboratory for Dermatovenereology, Jinan, Shandong, China
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17
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Leong IUS, Stuckey A, Ahanian T, Cederlöf M, Wikstrom JD. Novel mutations in Darier disease and association to self-reported disease severity. PLoS One 2017; 12:e0186356. [PMID: 29028823 PMCID: PMC5640244 DOI: 10.1371/journal.pone.0186356] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2017] [Accepted: 09/29/2017] [Indexed: 11/18/2022] Open
Abstract
Darier disease is a rare and severe autosomal dominant skin disease characterised by malodorous keratotic papules in seborrheic areas of the skin. Darier disease affects up to 1 in 30 000 people and is caused by mutations in the ATP2A2 gene, which encodes to the sarco/endoplasmic reticulum calcium-ATPase isoform 2 that pumps calcium into the endoplasmic reticulum. Although many ATP2A2 variants have been described, it is not known if genotype correlates with phenotype, which could be important for prognosis and treatment. This is the first study to use whole exome sequencing to screen the ATP2A2 gene in a cohort of 28 clinically diagnosed Darier disease patients. Twenty-one different disease causing variants were identified and 15 of these were novel. Sixteen of the 21 variants were predicted to be pathogenic using in silico prediction programs. There were seven missense, four intronic/splice-sites, three frameshifts, two in-frame deletions, four nonsense and one synonymous mutations. This study also found ten patients who harbour more than one ATP2A2 variant. The phenotype of the patient cohort was assessed by photography and by patient questionnaires. The genotype-phenotype association was examined for all variants in relation to the patient's disease severity score, and no correlation could be established.
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Affiliation(s)
- Ivone U. S. Leong
- Dermatology and Venereology Unit, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden
| | - Alexander Stuckey
- Division of Gene Technology, School of Biotechnology, Royal Institute of Technology, Science for Life Laboratory, Stockholm, Sweden
| | - Tara Ahanian
- Dermatology and Venereology Unit, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden
- Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden
| | - Martin Cederlöf
- Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
| | - Jakob D. Wikstrom
- Dermatology and Venereology Unit, Department of Medicine (Solna), Karolinska Institutet, Stockholm, Sweden
- Dermato-Venereology Clinic, Karolinska University Hospital, Stockholm, Sweden
- * E-mail:
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18
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Nellen RGL, Steijlen PM, van Steensel MAM, Vreeburg M, Frank J, van Geel M. Mendelian Disorders of Cornification Caused by Defects in Intracellular Calcium Pumps: Mutation Update and Database for Variants in ATP2A2 and ATP2C1 Associated with Darier Disease and Hailey-Hailey Disease. Hum Mutat 2017; 38:343-356. [PMID: 28035777 DOI: 10.1002/humu.23164] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Revised: 10/30/2016] [Accepted: 12/26/2016] [Indexed: 12/22/2022]
Abstract
The two disorders of cornification associated with mutations in genes coding for intracellular calcium pumps are Darier disease (DD) and Hailey-Hailey disease (HHD). DD is caused by mutations in the ATP2A2 gene, whereas the ATP2C1 gene is associated with HHD. Both are inherited as autosomal-dominant traits. DD is mainly defined by warty papules in seborrheic and flexural areas, whereas the major symptoms of HHD are vesicles and erosions in flexural skin. Both phenotypes are highly variable. In 12%-40% of DD patients and 12%-55% of HHD patients, no mutations in ATP2A2 or ATP2C1 are found. We provide a comprehensive review of clinical variability in DD and HHD and a review of all reported mutations in ATP2A2 and ATP2C1. Having the entire spectrum of ATP2A2 and ATP2C1 variants allows us to address the question of a genotype-phenotype correlation, which has not been settled unequivocally in DD and HHD. We created a database for all mutations in ATP2A2 and ATP2C1 using the Leiden Open Variation Database (LOVD v3.0), for variants reported in the literature and future inclusions. This data may be of use as a reference tool in further research on treatment of DD and HHD.
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Affiliation(s)
- Ruud G L Nellen
- Departments of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands.,GROW Research School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Peter M Steijlen
- Departments of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands.,GROW Research School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Maurice A M van Steensel
- Departments of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands.,GROW Research School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.,Clinical Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Maaike Vreeburg
- Clinical Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands
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- Departments of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands
| | - Jorge Frank
- Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany
| | - Michel van Geel
- Departments of Dermatology, Maastricht University Medical Centre, Maastricht, The Netherlands.,GROW Research School for Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.,Clinical Genetics, Maastricht University Medical Centre, Maastricht, The Netherlands
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19
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Guo W, Shang DM, Cao JH, Feng K, He YC, Jiang Y, Wang S, Gao YF. Identifying and Analyzing Novel Epilepsy-Related Genes Using Random Walk with Restart Algorithm. BIOMED RESEARCH INTERNATIONAL 2017; 2017:6132436. [PMID: 28255556 PMCID: PMC5309434 DOI: 10.1155/2017/6132436] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2016] [Accepted: 01/15/2017] [Indexed: 02/07/2023]
Abstract
As a pathological condition, epilepsy is caused by abnormal neuronal discharge in brain which will temporarily disrupt the cerebral functions. Epilepsy is a chronic disease which occurs in all ages and would seriously affect patients' personal lives. Thus, it is highly required to develop effective medicines or instruments to treat the disease. Identifying epilepsy-related genes is essential in order to understand and treat the disease because the corresponding proteins encoded by the epilepsy-related genes are candidates of the potential drug targets. In this study, a pioneering computational workflow was proposed to predict novel epilepsy-related genes using the random walk with restart (RWR) algorithm. As reported in the literature RWR algorithm often produces a number of false positive genes, and in this study a permutation test and functional association tests were implemented to filter the genes identified by RWR algorithm, which greatly reduce the number of suspected genes and result in only thirty-three novel epilepsy genes. Finally, these novel genes were analyzed based upon some recently published literatures. Our findings implicate that all novel genes were closely related to epilepsy. It is believed that the proposed workflow can also be applied to identify genes related to other diseases and deepen our understanding of the mechanisms of these diseases.
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Affiliation(s)
- Wei Guo
- Department of Outpatient, China-Japan Union Hospital of Jilin University, Changchun 130033, China
| | - Dong-Mei Shang
- Department of Outpatient, China-Japan Union Hospital of Jilin University, Changchun 130033, China
| | - Jing-Hui Cao
- Department of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun 130033, China
| | - Kaiyan Feng
- Department of Computer Science, Guangdong AIB Polytechnic, Guangzhou 510507, China
| | - Yi-Chun He
- Department of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun 130033, China
| | - Yang Jiang
- Department of Surgery, China-Japan Union Hospital of Jilin University, Changchun 130033, China
| | - ShaoPeng Wang
- School of Life Sciences, Shanghai University, Shanghai 200444, China
| | - Yu-Fei Gao
- Department of Neurosurgery, China-Japan Union Hospital of Jilin University, Changchun 130033, China
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20
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Nakamura T, Kazuno AA, Nakajima K, Kusumi I, Tsuboi T, Kato T. Loss of function mutations in ATP2A2 and psychoses: A case report and literature survey. Psychiatry Clin Neurosci 2016; 70:342-50. [PMID: 27106560 DOI: 10.1111/pcn.12395] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2016] [Revised: 04/14/2016] [Accepted: 04/20/2016] [Indexed: 12/14/2022]
Abstract
AIM Though genetic factors play a major role in the pathophysiology of psychoses including bipolar disorder (BD) and schizophrenia, lack of well-established causative genetic mutations hampers their neurobiological studies. Darier's disease, an autosomal dominant skin disorder caused by mutations of ATP2A2 on chromosome 12q23-24.1, encoding sarco/endoplasmic reticulum calcium transporting ATPase 2 (SERCA2), reportedly cosegregates with BD. A recent genome-wide association study showed an association of schizophrenia with ATP2A2. METHODS We sequenced all coding regions of ATP2A2 in a newly identified patient with Darier's disease and BD. In addition, we performed a literature survey to examine whether likely gene disrupting (LGD) mutations are related to psychoses. RESULTS We identified a rare heterozygous mutation, c.1288-6A>G, at the 3' end of intron 10 in the patient. A minigene splicing assay showed that this mutation introduces a new splice site causing a frameshift and premature stop codon. A literature survey of case reports of patients with Darier's disease and psychoses revealed that the rate of LGD mutations causing frameshift, altered splicing, gain of stop codon, or loss of start codon was significantly higher among the mutations harbored by these cases (9 of 11) than that of ATP2A2 mutations for which comorbidity of psychosis was not reported (107 of 237, P = 0.026). The only non-LGD mutation (p.C560R) reported in patients with Darier's disease and BD caused decreased ATP2A2 protein expression. CONCLUSION These results suggest that psychoses in Darier's disease may be caused by a pleiotropic effect of loss-of-function mutations of ATP2A2.
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Affiliation(s)
- Takumi Nakamura
- Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, Tokyo, Japan.,Laboratory for Molecular Dynamics of Mental Disorders, RIKEN Brain Science Institute, Wako, Japan
| | - An-A Kazuno
- Laboratory for Molecular Dynamics of Mental Disorders, RIKEN Brain Science Institute, Wako, Japan
| | - Kazuo Nakajima
- Laboratory for Molecular Dynamics of Mental Disorders, RIKEN Brain Science Institute, Wako, Japan
| | - Ichiro Kusumi
- Department of Psychiatry, Graduate School of Medicine, Hokkaido University, Sapporo, Japan
| | - Takashi Tsuboi
- Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, Tokyo, Japan
| | - Tadafumi Kato
- Laboratory for Molecular Dynamics of Mental Disorders, RIKEN Brain Science Institute, Wako, Japan
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21
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Dodiuk‐Gad R, Cohen‐Barak E, Khayat M, Milo H, Amariglio‐Diskin L, Danial‐Faran N, Sah M, Ziv M, Shani‐Adir A, Amichai B, Zlotogorski A, Borochowitz Z, Rozenman D, Shalev S. Response to ‘Darier disease in Israel: combined evaluation of genetic and neuropsychiatric aspects’: reply from the authors. Br J Dermatol 2016; 175:224. [DOI: 10.1111/bjd.14544] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- R.P. Dodiuk‐Gad
- Department of Dermatology Haemek Medical Center Afula Israel
- Division of Dermatology Department of Medicine Sunnybrook Health Sciences Centre University of Toronto Toronto ON Canada
- The Rappaport Faculty of Medicine Technion Haifa Israel
| | - E. Cohen‐Barak
- Department of Dermatology Haemek Medical Center Afula Israel
- The Rappaport Faculty of Medicine Technion Haifa Israel
| | - M. Khayat
- The Rappaport Faculty of Medicine Technion Haifa Israel
- Genetic Institute Haemek Medical Center Afula Israel
| | - H. Milo
- Genetic Institute Haemek Medical Center Afula Israel
| | | | - N. Danial‐Faran
- The Rappaport Faculty of Medicine Technion Haifa Israel
- Genetic Institute Haemek Medical Center Afula Israel
| | - M. Sah
- Department of Dermatology Haemek Medical Center Afula Israel
- The Rappaport Faculty of Medicine Technion Haifa Israel
| | - M. Ziv
- Department of Dermatology Haemek Medical Center Afula Israel
- The Rappaport Faculty of Medicine Technion Haifa Israel
| | - A. Shani‐Adir
- Department of Dermatology Haemek Medical Center Afula Israel
- The Rappaport Faculty of Medicine Technion Haifa Israel
| | - B. Amichai
- Department of Dermatology Sheba Medical Center Tel‐Hashomer Israel
| | - A. Zlotogorski
- Department of Dermatology Hadassah – Hebrew University Medical Center Jerusalem Israel
| | - Z. Borochowitz
- The Rappaport Faculty of Medicine Technion Haifa Israel
- The Simon Winter Institute for Human Genetics Bnei‐Zion Medical Center Haifa Israel
| | - D. Rozenman
- Department of Dermatology Haemek Medical Center Afula Israel
- The Rappaport Faculty of Medicine Technion Haifa Israel
| | - S. Shalev
- The Rappaport Faculty of Medicine Technion Haifa Israel
- Genetic Institute Haemek Medical Center Afula Israel
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22
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Nellen R, Van Geel M, Huijbregts K. Response to ‘Darier disease in Israel: combined evaluation of genetic and neuropsychiatric aspects’. Br J Dermatol 2016; 175:223-4. [DOI: 10.1111/bjd.14536] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- R.G.L. Nellen
- Department of Dermatology IJsselland Ziekenhuis Prins Constantijnweg 2 2906 ZC Capelle aan den IJssel the Netherlands
- Department of Dermatology Maastricht University Medical Centre Maastricht the Netherlands
- GROW School for Oncology and Developmental Biology Maastricht University Medical Centre Maastricht the Netherlands
| | - M. Van Geel
- Department of Dermatology Maastricht University Medical Centre Maastricht the Netherlands
- GROW School for Oncology and Developmental Biology Maastricht University Medical Centre Maastricht the Netherlands
- Department of Clinical Genetics Maastricht University Medical Centre Maastricht the Netherlands
| | - K.M.L. Huijbregts
- Prezens and GGZ Ingeest Mental Health Services and the Department of Psychiatry VU University Medical Center Amsterdam the Netherlands
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23
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Kamijo M. Evaluating the genotypes and neuropsychiatric phenotypes in Darier disease. Br J Dermatol 2016; 174:488-9. [PMID: 27002576 DOI: 10.1111/bjd.14365] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/23/2015] [Indexed: 11/28/2022]
Affiliation(s)
- M Kamijo
- Department of Dermatology and Allergology, Juntendo University Graduate School of Medicine, Tokyo, Japan.
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