Arid
DOI10.4274/tjh.galenos.2018.2018.0325
A Novel ATP6V0A2 Mutation Causing Recessive Cutis Laxa with Unusual Manifestations of Bleeding Diathesis and Defective Wound Healing
Karacan, Ilker1,2; Kucukkaya, Reyhan Diz3; Karakus, Fatma Nur4; Solakoglu, Seyhun4; Tolun, Aslihan5; Hancer, Veysel Sabri6; Turanli, Eda Tahir1,7
通讯作者Turanli, Eda Tahir
来源期刊TURKISH JOURNAL OF HEMATOLOGY
ISSN1300-7777
EISSN1308-5263
出版年2019
卷号36期号:1页码:29-36
英文摘要Objective: Autosomal recessive cutis laxa type IIA (ARCL2A) is a rare congenital disorder characterized by loose arid elastic skin, growth and developmental delay, and skeletal anomalies. It is caused by biallelic mutations in ATP6V0A2. Those mutations lead to increased pH in secretory vesicles and thereby to impaired glycosyltransferase activity and organelle trafficking. We aimed to identify the genetic and molecular cause of the unexpected hematological findings in a Turkish family. Materials and Methods: We performed clinical, genetic, and histological analyses of a consanguineous family afflicted with wrinkled and loose skin, microcephaly, intellectual disability, cleft lip and palate, downslanting palpebral fissures, ectopia lentis, bleeding diathesis, and defective wound healing. Results: Linkage analysis using SNP genotype data yielded a maximal multipoint logarithm of odds score of 2.59 at 12q24.21-24.32. Exome sequence analysis for the proband led to the identification of novel homozygous frameshift c.2085_2088del (p.(Ser695Argfs*12)) in ATP6V0A2, within the linked region, in the two affected siblings. Conclusion: Our patients do not have gross structural brain defects besides microcephaly, strabismus, myopia, and growth or developmental delay. Large platelets were observed in the patients and unusual electron-dense intracytoplasmic inclusions in fibroblasts and epidermal basal cells were observed in both affected and unaffected family members. The patients do not have any genetic defect in the VWF gene but von Willebrand factor activity to antigen ratios were low. Clinical findings of bleeding diathesis and defective wound healing have not been reported in ARCL2A and hence our findings expand the phenotypic spectrum of the disease.
英文关键词ATP6V0A2 Cutis laxa Wound healing Bleeding diathesis Whole exome sequencing
类型Article
语种英语
国家Turkey
开放获取类型Green Published, gold
收录类别SCI-E
WOS记录号WOS:000458334600005
WOS关键词MULTIMERIZATION ; GLYCOSYLATION
WOS类目Hematology
WOS研究方向Hematology
资源类型期刊论文
条目标识符http://119.78.100.177/qdio/handle/2XILL650/219140
作者单位1.Istanbul Tech Univ, Grad Sch Sci Engn & Technol, Dept Mol Biol Genet & Biotechnol, Istanbul, Turkey;
2.Istanbul Medeniyet Univ, Dept Mol Biol & Genet, Istanbul, Turkey;
3.Istanbul Bilim Univ, Dept Hematol, Fac Med, Istanbul, Turkey;
4.Istanbul Univ, Dept Histol & Embryol, Istanbul Fac Med, Istanbul, Turkey;
5.Bogazici Univ, Dept Mol Biol & Genet, Istanbul, Turkey;
6.Istanbul Bilim Univ, Dept Mol Biol & Genet, Istanbul, Turkey;
7.Istanbul Tech Univ, Dept Mol Biol & Genet, Istanbul, Turkey
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GB/T 7714
Karacan, Ilker,Kucukkaya, Reyhan Diz,Karakus, Fatma Nur,et al. A Novel ATP6V0A2 Mutation Causing Recessive Cutis Laxa with Unusual Manifestations of Bleeding Diathesis and Defective Wound Healing[J],2019,36(1):29-36.
APA Karacan, Ilker.,Kucukkaya, Reyhan Diz.,Karakus, Fatma Nur.,Solakoglu, Seyhun.,Tolun, Aslihan.,...&Turanli, Eda Tahir.(2019).A Novel ATP6V0A2 Mutation Causing Recessive Cutis Laxa with Unusual Manifestations of Bleeding Diathesis and Defective Wound Healing.TURKISH JOURNAL OF HEMATOLOGY,36(1),29-36.
MLA Karacan, Ilker,et al."A Novel ATP6V0A2 Mutation Causing Recessive Cutis Laxa with Unusual Manifestations of Bleeding Diathesis and Defective Wound Healing".TURKISH JOURNAL OF HEMATOLOGY 36.1(2019):29-36.
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