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Anna M.G. Pasmooij, Hendri H. Pas, Maria C. Bolling, Marcel F. Jonkman
J Clin Invest. 2007;
117(5):1240
doi:10.1172/JCI30465
Abstract |
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R
evertant mosaicism due to in vivo reversion of an inherited mutation has been described in the genetic skin disease epidermolysis bullosa (EB) for the genes KRT14 and COL17A1. Here we demonstrate the presence of multiple second-site mutations, all correcting the germline mutation LAMB3:c.628G→A;p.E210K, in 2 unrelated non-Herlitz junctional EB patients with revertant mosaicism. Both probands had a severe reduction in laminin-332 expression in their affected skin. Remarkably, the skin on the lower leg of patient 078-01 (c.628G→A/c.1903C→T) became progressively clinically healthy, with normal expression of laminin-332 on previously affected skin. In the other proband, 029-01 (c.628G→A/c.628G→A), the revertant patches were located at his arms, shoulder, and chest. DNA analysis showed different second-site mutations in revertant keratinocytes of distinct biopsy specimens (c.565-3T→C, c.596G→C;p.G199A, c.619A→C;p.K207Q, c.628+42G→A, and c.629-1G→A), implying that there is not a single preferred mechanism for the correction of a specific mutation. Our data offer prospects for EB treatment in particular cases, since revertant mosaicism seems to occur at a higher frequency than expected. This opens the possibility of applying revertant cell therapy in mosaic EB of the LAMB3 gene by using autologous naturally corrected keratinocytes, thereby bypassing the recombinant gene correction phase.
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| Title and authors |
Publication |
Year |
Natural Gene Therapy May Occur in All Patients with Generalized Non-Herlitz Junctional Epidermolysis Bullosa with COL17A1 Mutations
Anna M G Pasmooij, Miranda Nijenhuis, Renske Brander, Marcel F Jonkman
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J Investig Dermatol
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2012 |
Realm of Revertant Mosaicism Expanding
Marcel F Jonkman, Anna M G Pasmooij
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J Investig Dermatol
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2012 |
Harper's Textbook of Pediatric Dermatology
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Harper's Textbook of Pediatric Dermatology
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2011 |
Harper's Textbook of Pediatric Dermatology
Matthias Titeux, Alain Hovnanian
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Harper's Textbook of Pediatric Dermatology
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2011 |
Junctional epidermolysis bullosa of late onset explained by mutations in COL17A1
W.Y. Yuen, H.H. Pas, R.J. Sinke, M.F. Jonkman
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British Journal of Dermatology
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2011 |
Risk of squamous cell carcinoma in junctional epidermolysis bullosa, non-Herlitz type: Report of 7 cases and a review of the literature
Wing Yan Yuen, Marcel F. Jonkman
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Journal of the American Academy of Dermatology
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2011 |
Generation of keratinocytes from normal and recessive dystrophic epidermolysis bullosa-induced pluripotent stem cells.
Munenari Itoh, Maija Kiuru, Mitchell S Cairo, Angela M Christiano
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Proc. Natl. Acad. Sci. U.S.A.
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2011 |
Revertant mosaicism in skin: natural gene therapy
Joey E. Lai-Cheong, John A. McGrath, Jouni Uitto
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Trends in Molecular Medicine
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2011 |
Two novel recessive mutations in KRT14 identified in a cohort of 21 Spanish families with epidermolysis bullosa simplex
M. García, J.L. Santiago, A. Terrón, A. Hernández-Martín, A. Vicente, C. Fortuny, R. De Lucas, J.C. López, N. Cuadrado-Corrales, A. Holguín, N. Illera, B. Duarte, C. Sánchez-Jimeno, S. Llames, E. García, C. Ayuso, L. Martínez-Santamaría, D. Castiglia, N. De Luca, A. Torrelo, D. Mechan, D. Baty, G. Zambruno, M.J. Escámez, M. Del Río
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British Journal of Dermatology
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2011 |
Molecular genetic assays for inherited epidermolysis bullosa
Cristina Has
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Clinics in Dermatology
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2011 |
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