KRIT1 is mutated in hyperkeratotic cutaneous capillary–venous malformation associated with cerebral capillary malformation

I Eerola, KH Plate, R Spiegel, LM Boon… - Human molecular …, 2000 - academic.oup.com
I Eerola, KH Plate, R Spiegel, LM Boon, JB Mulliken, M Vikkula
Human molecular genetics, 2000academic.oup.com
Hyperkeratotic capillary–venous malformations (HCCVMs) are rare cutaneous lesions that
occur in a small subgroup of patients with cerebral capillary malformation (CCM). CCMs
cause neurological problems that range from headaches to life-threatening intracranial
bleeding. CCMs and HCCVMs have a similar histopathological appearance of dilated
capillary–venous channels. Genetic linkage of inherited CCMs has been established to
three chromosomal loci, 3q25. 2–27, 7p13–15 and 7q21–22. The first mutations were …
Abstract
Hyperkeratotic capillary–venous malformations (HCCVMs) are rare cutaneous lesions that occur in a small subgroup of patients with cerebral capillary malformation (CCM). CCMs cause neurological problems that range from headaches to life-threatening intracranial bleeding. CCMs and HCCVMs have a similar histopathological appearance of dilated capillary–venous channels. Genetic linkage of inherited CCMs has been established to three chromosomal loci, 3q25.2–27, 7p13–15 and 7q21–22. The first mutations were identified in the CCM1 gene (located on 7q21–22), which encodes KRIT1 protein (KREV1 interaction trapped 1), presumably a membrane-bound protein with signalling activity. Although KRIT1 is known to interact with KREV1/RAP1A, a Ras-family GTPase, the exact function of KRIT1 in the formation of cerebral capillaries and veins is poorly understood. In this study, we screened five families with CCM for mutations in the KRIT1 gene. In one of the families, CCMs co-segregated with HCCVMs. We identified a KRIT1ΔG103 mutation in this family, suggesting that this rare form of the condition is also caused by mutations in the CCM1 gene and that KRIT1 is probably important for cutaneous vasculature. Interestingly, this deletion introduces the earliest stop codon among identified mutations, suggesting a possible correlation between the molecular alteration and the cutaneous phenotype. Another novel mutation, KRIT1IVS2+2(T→C), was found in a family with only cerebral capillary–venous malformations.
Oxford University Press