Skip to main content
Top
Published in: Diagnostic Pathology 1/2011

Open Access 01-12-2011 | Research

Molecular analysis of lipoid proteinosis: identification of a novel nonsense mutation in the ECM1 gene in a Pakistani family

Authors: Muhammad Nasir, Amir Latif, Muhammad Ajmal, Reem Qamar, Muhammad Naeem, Abdul Hameed

Published in: Diagnostic Pathology | Issue 1/2011

Login to get access

Abstract

Lipoid proteinosis is a rare autosomal recessive disease characterized by cutaneous and mucosal lesions and hoarseness appearing in early childhood that is caused by homozygous or compound heterozygous mutations in the ECM1 gene located on chromosome 1q21. The aim of the study was to investigate the molecular genetic defect underlying lipoid proteinosis in a consanguineous Pakistani family.

Methods

Genotyping of seven members of the family was performed by amplifying microsatellite markers, tightly linked to the ECM1 gene. To screen for mutations in the ECM1 gene, all of its exons and splice junctions were PCR amplified from genomic DNA and analyzed by SSCP and sequenced directly in an ABI 3130 genetic analyzer.

Results

The results revealed linkage of the LP family to the ECM1 locus. Sequence analysis of the coding exons and splice junctions of the ECM1 gene revealed a novel homozygous mutation (c.616C > T) in exon 6, predicted to replace glutamine with stop codon (p.Q206X) at amino acid position 206.

Conclusions

The finding of a novel mutation in Pakistani family extends the body of evidence that supports the importance of ECM1 gene for the development of lipoid proteinosis.
Appendix
Available only for authorised users
Literature
1.
go back to reference Urbach E, Wieth C: Lipoidosis cutis et mucosae. Virchows Arch. 1929, 273: 285-319. 10.1007/BF02158983.CrossRef Urbach E, Wieth C: Lipoidosis cutis et mucosae. Virchows Arch. 1929, 273: 285-319. 10.1007/BF02158983.CrossRef
2.
go back to reference Hamada T, McLean WHI, Ramsay M: Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1gene (ECM1). Hum Mol Genet. 2002, 11: 833-840. 10.1093/hmg/11.7.833.CrossRefPubMed Hamada T, McLean WHI, Ramsay M: Lipoid proteinosis maps to 1q21 and is caused by mutations in the extracellular matrix protein 1gene (ECM1). Hum Mol Genet. 2002, 11: 833-840. 10.1093/hmg/11.7.833.CrossRefPubMed
3.
go back to reference Touart DM, Sau P: Cutaneous deposition diseases. Part I. J Am Acad Dermatol. 1998, 39: 149-171. 10.1016/S0190-9622(98)70069-6.CrossRefPubMed Touart DM, Sau P: Cutaneous deposition diseases. Part I. J Am Acad Dermatol. 1998, 39: 149-171. 10.1016/S0190-9622(98)70069-6.CrossRefPubMed
4.
go back to reference Dinakaran S, Desai SP, Palmer IR: Lipoid proteinosis: clinical features and electron microscopic study. Eye. 2001, 15: 666-668. 10.1038/eye.2001.211.CrossRefPubMed Dinakaran S, Desai SP, Palmer IR: Lipoid proteinosis: clinical features and electron microscopic study. Eye. 2001, 15: 666-668. 10.1038/eye.2001.211.CrossRefPubMed
5.
go back to reference Black MM: Lipoid proteinosis. Rook/Wilkinson/Ebling Textbook of Dermatology. Edited by: Champion RH, Burton JL, Burns DA, Breathnach SM. 1998, Oxford: Blackwell Science, 2640-2641. 6 Black MM: Lipoid proteinosis. Rook/Wilkinson/Ebling Textbook of Dermatology. Edited by: Champion RH, Burton JL, Burns DA, Breathnach SM. 1998, Oxford: Blackwell Science, 2640-2641. 6
6.
go back to reference Heyl T: Lipoid proteinosis I: the clinical picture. Br J Dermatol. 1963, 75: 465-72. 10.1111/j.1365-2133.1963.tb13929.x.CrossRefPubMed Heyl T: Lipoid proteinosis I: the clinical picture. Br J Dermatol. 1963, 75: 465-72. 10.1111/j.1365-2133.1963.tb13929.x.CrossRefPubMed
7.
go back to reference Fleischmajer R, Krieg T, Dziadek M: Ultrastructure and composition of connective tissue in hyalinosis cutis et mucosae skin. J Invest Dermatol. 1984, 82: 252-258. 10.1111/1523-1747.ep12260200.CrossRefPubMed Fleischmajer R, Krieg T, Dziadek M: Ultrastructure and composition of connective tissue in hyalinosis cutis et mucosae skin. J Invest Dermatol. 1984, 82: 252-258. 10.1111/1523-1747.ep12260200.CrossRefPubMed
8.
go back to reference Hofer P: Urbach-Wiethe disease (lipoglycoproteinosis; lipoid proteinosis; hyalinosis cutis et mucosae. A review in Acta Derm Venereol Suppl (Stockh.). 1973, 53: 1-52. Hofer P: Urbach-Wiethe disease (lipoglycoproteinosis; lipoid proteinosis; hyalinosis cutis et mucosae. A review in Acta Derm Venereol Suppl (Stockh.). 1973, 53: 1-52.
9.
go back to reference Newton FH, Rosenberg RN, Lampert PW: Neurological involvement in Urbach- Wiethe's disease (lipoid proteinosis): a clinical, ultra structural and chemical study. Neurology. 1971, 21: 1205-1213.CrossRefPubMed Newton FH, Rosenberg RN, Lampert PW: Neurological involvement in Urbach- Wiethe's disease (lipoid proteinosis): a clinical, ultra structural and chemical study. Neurology. 1971, 21: 1205-1213.CrossRefPubMed
10.
go back to reference Horev H, Potikha T, Ayalon V: A novel splice-site mutation in ECM-1 gene in a consanguineous family with lipoid proteinosis. Exp Dermatol. 2005, 14: 891-897. 10.1111/j.1600-0625.2005.00374.x.CrossRefPubMed Horev H, Potikha T, Ayalon V: A novel splice-site mutation in ECM-1 gene in a consanguineous family with lipoid proteinosis. Exp Dermatol. 2005, 14: 891-897. 10.1111/j.1600-0625.2005.00374.x.CrossRefPubMed
11.
go back to reference Deckers MM, Smits P, Karperien M: Recombinant human extracellular matrix protein 1 inhibit alkaline phosphatase activity and mineralization of mouse embryonic metatarsals in vitro. Bone. 2001, 28: 14-20. 10.1016/S8756-3282(00)00428-2.CrossRefPubMed Deckers MM, Smits P, Karperien M: Recombinant human extracellular matrix protein 1 inhibit alkaline phosphatase activity and mineralization of mouse embryonic metatarsals in vitro. Bone. 2001, 28: 14-20. 10.1016/S8756-3282(00)00428-2.CrossRefPubMed
12.
go back to reference Han Z, Ni J, Smits P: Extracellular matrix protein 1 (ECM1) has angiogenic properties and is expressed by breast tumor cells. FASEB J. 2001, 15: 988-994. 10.1096/fj.99-0934com.CrossRefPubMed Han Z, Ni J, Smits P: Extracellular matrix protein 1 (ECM1) has angiogenic properties and is expressed by breast tumor cells. FASEB J. 2001, 15: 988-994. 10.1096/fj.99-0934com.CrossRefPubMed
13.
go back to reference Le Naour F, Hohenkirk L, Grolleau A, Misek DE, Lescure P, Geiger JD, Hanash S, Beretta L: Profiling changes in gene expression during differentiation and maturation of monocytederived dendritic cells using both oligonucleotide microarrays and proteomics. J Biol Chem. 2001, 276: 17920-17931. 10.1074/jbc.M100156200.CrossRefPubMed Le Naour F, Hohenkirk L, Grolleau A, Misek DE, Lescure P, Geiger JD, Hanash S, Beretta L: Profiling changes in gene expression during differentiation and maturation of monocytederived dendritic cells using both oligonucleotide microarrays and proteomics. J Biol Chem. 2001, 276: 17920-17931. 10.1074/jbc.M100156200.CrossRefPubMed
14.
go back to reference Rickman D, Bobek M, Misek D: Distinctive molecular profiles of high-grade and low-grade glinomas based on oligonucleotide microarray analysis. Cancer Res. 2001, 61: 6885-6891.PubMed Rickman D, Bobek M, Misek D: Distinctive molecular profiles of high-grade and low-grade glinomas based on oligonucleotide microarray analysis. Cancer Res. 2001, 61: 6885-6891.PubMed
15.
go back to reference Smits P, Poumay Y, Karperien M: Differentiation-dependent alternative splicing and expression of the extracellular matrix protein 1 gene in human keratinocytes. J Invest Dermatol. 2000, 114: 718-724. 10.1046/j.1523-1747.2000.00916.x.CrossRefPubMed Smits P, Poumay Y, Karperien M: Differentiation-dependent alternative splicing and expression of the extracellular matrix protein 1 gene in human keratinocytes. J Invest Dermatol. 2000, 114: 718-724. 10.1046/j.1523-1747.2000.00916.x.CrossRefPubMed
16.
go back to reference Maquat LE: Nonsense-mediated mRNA decay in mammals. J Cell Sci. 2005, 118: 1773-6. 10.1242/jcs.01701.CrossRefPubMed Maquat LE: Nonsense-mediated mRNA decay in mammals. J Cell Sci. 2005, 118: 1773-6. 10.1242/jcs.01701.CrossRefPubMed
17.
go back to reference Chan I, Liu L, Hamada T, Sethuraman G, McGrath JA: The molecular basis of lipoid proteinosis: mutations in extracellular matrix protein 1. Experimental Dermatology. 2007, 16: 881-890. 10.1111/j.1600-0625.2007.00608.x.CrossRefPubMed Chan I, Liu L, Hamada T, Sethuraman G, McGrath JA: The molecular basis of lipoid proteinosis: mutations in extracellular matrix protein 1. Experimental Dermatology. 2007, 16: 881-890. 10.1111/j.1600-0625.2007.00608.x.CrossRefPubMed
18.
go back to reference Horev L, Wollina U, Potikha T, Hafner A, Ingber A, Liu L, McGrath JA, Zlotogorski A: Lipoid proteinosis: identification of two novel mutations in the human ECM-1 gene and lack of genotypephenotype correlation. Acta Derm Venereol. 2009, 89: 528-529. 10.2340/00015555-0673.CrossRefPubMed Horev L, Wollina U, Potikha T, Hafner A, Ingber A, Liu L, McGrath JA, Zlotogorski A: Lipoid proteinosis: identification of two novel mutations in the human ECM-1 gene and lack of genotypephenotype correlation. Acta Derm Venereol. 2009, 89: 528-529. 10.2340/00015555-0673.CrossRefPubMed
19.
go back to reference Chan I, El-Zurghany A, Zendah B: Molecular basis of lipoid proteinosis in a Libyan family. Clin Exp Dermatol. 2003, 28: 545-548. 10.1046/j.1365-2230.2003.01341.x.CrossRefPubMed Chan I, El-Zurghany A, Zendah B: Molecular basis of lipoid proteinosis in a Libyan family. Clin Exp Dermatol. 2003, 28: 545-548. 10.1046/j.1365-2230.2003.01341.x.CrossRefPubMed
20.
go back to reference Hamada T, Wessagowit V, South AP: Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation. J Invest Dermatol. 2003, 120: 345-350. 10.1046/j.1523-1747.2003.12073.x.CrossRefPubMed Hamada T, Wessagowit V, South AP: Extracellular matrix protein 1 gene (ECM1) mutations in lipoid proteinosis and genotype-phenotype correlation. J Invest Dermatol. 2003, 120: 345-350. 10.1046/j.1523-1747.2003.12073.x.CrossRefPubMed
21.
go back to reference Akoglu G, Karaduman A, Ergin S, Erki G, Gokoz O, Unal OF, Hamada T: Clinical and histopathological response to acitretin therapy in lipoid proteinosis. Journal of Dermatological Treatment. 2010 Akoglu G, Karaduman A, Ergin S, Erki G, Gokoz O, Unal OF, Hamada T: Clinical and histopathological response to acitretin therapy in lipoid proteinosis. Journal of Dermatological Treatment. 2010
22.
go back to reference Kowalewski C, Kozlowska A, Chan I: Three-dimensional imaging reveals major changes in skin microvasculature in lipoid proteinosis and lichen sclerosus. J Dermatol Sci. 2005, 38: 215-224. 10.1016/j.jdermsci.2005.01.012.CrossRefPubMed Kowalewski C, Kozlowska A, Chan I: Three-dimensional imaging reveals major changes in skin microvasculature in lipoid proteinosis and lichen sclerosus. J Dermatol Sci. 2005, 38: 215-224. 10.1016/j.jdermsci.2005.01.012.CrossRefPubMed
23.
go back to reference Desmet S, Devos SA, Chan I: Clinical and molecular abnormalities in lipoid proteinosis. Eur J Dermatol. 2005, 15: 344-346.PubMed Desmet S, Devos SA, Chan I: Clinical and molecular abnormalities in lipoid proteinosis. Eur J Dermatol. 2005, 15: 344-346.PubMed
24.
go back to reference Chan I, Bingewar G, Patil K, Nayak C, Wadhwa SL, McGrath JA: An Indian child with lipoid proteinosis resulting from a recurrent frameshift mutation (507delT) in the extracellular matrix protein 1 (ECM1) gene. Br J Dermatol. 2004, 151: 726-727. 10.1111/j.1365-2133.2004.06159.x.CrossRefPubMed Chan I, Bingewar G, Patil K, Nayak C, Wadhwa SL, McGrath JA: An Indian child with lipoid proteinosis resulting from a recurrent frameshift mutation (507delT) in the extracellular matrix protein 1 (ECM1) gene. Br J Dermatol. 2004, 151: 726-727. 10.1111/j.1365-2133.2004.06159.x.CrossRefPubMed
25.
go back to reference Poyrazolu S, Günöz H, Darendeliler F: Severe Short Stature: an unusual finding in lipoid proteinosis. J Clin Res Ped Endo. 2008, 1: 97-101. Poyrazolu S, Günöz H, Darendeliler F: Severe Short Stature: an unusual finding in lipoid proteinosis. J Clin Res Ped Endo. 2008, 1: 97-101.
26.
go back to reference Samdani AJ, Azhar A, Shahid SM, Nawab SN, Shaikh R, Qader SA, Mansoor Q, Khoso BK, Ismail M: Homozygous frame shift mutation in ECM1 gene in two siblings with lipoid proteinosis. Journal of Dermatological Case Reports. 2010, 4: Samdani AJ, Azhar A, Shahid SM, Nawab SN, Shaikh R, Qader SA, Mansoor Q, Khoso BK, Ismail M: Homozygous frame shift mutation in ECM1 gene in two siblings with lipoid proteinosis. Journal of Dermatological Case Reports. 2010, 4:
27.
go back to reference Teive HA, Pereira ER, Zavala JA: Generalized dystonic and striatal calcifications with lipoid proteinosis. Neurology. 2004, 63: 2168-2169.CrossRefPubMed Teive HA, Pereira ER, Zavala JA: Generalized dystonic and striatal calcifications with lipoid proteinosis. Neurology. 2004, 63: 2168-2169.CrossRefPubMed
28.
go back to reference Lupo I, Cefalu AB, Bongiomo MR: A novel mutation of the extracellular matrix protein 1 gene (ECM1) in a patient with lipoid proteinosis (Urbach-Wiethe disease) from Sicily. Br J Dermatol. 2005, 153: 1019-1022. 10.1111/j.1365-2133.2005.06842.x.CrossRefPubMed Lupo I, Cefalu AB, Bongiomo MR: A novel mutation of the extracellular matrix protein 1 gene (ECM1) in a patient with lipoid proteinosis (Urbach-Wiethe disease) from Sicily. Br J Dermatol. 2005, 153: 1019-1022. 10.1111/j.1365-2133.2005.06842.x.CrossRefPubMed
29.
go back to reference Han B, Zhang X, Liu Q, Chen X, Zhu X: Homozygous missense mutation in the ECM1 gene in Chinese siblings with lipoid proteinosis. Acta Derm Venereol. 2007, 87: 387-389. 10.2340/00015555-0292.CrossRefPubMed Han B, Zhang X, Liu Q, Chen X, Zhu X: Homozygous missense mutation in the ECM1 gene in Chinese siblings with lipoid proteinosis. Acta Derm Venereol. 2007, 87: 387-389. 10.2340/00015555-0292.CrossRefPubMed
30.
go back to reference Kautz O, Müller S, Braun-Falco M, Nashan D: A Chinese family with lipoid proteinosis resulting from a homozygous missense mutation in the extracellular matrix protein 1 gene. Journal of European Academy of Dermatology and Venereology. 2009, 23: 1327-1349. 10.1111/j.1468-3083.2009.03130.x.CrossRef Kautz O, Müller S, Braun-Falco M, Nashan D: A Chinese family with lipoid proteinosis resulting from a homozygous missense mutation in the extracellular matrix protein 1 gene. Journal of European Academy of Dermatology and Venereology. 2009, 23: 1327-1349. 10.1111/j.1468-3083.2009.03130.x.CrossRef
31.
go back to reference Claeys KG, Claes LRF, Goethem JWM, Sercu S, Merregaert J, Lambert J, Marck EAV, Parizel PM, Jonghe PD: Epilepsy and migraine in a patient with Urbach--Wiethe disease. Seizure. 2007, 16: 465-468. 10.1016/j.seizure.2007.02.014.CrossRefPubMed Claeys KG, Claes LRF, Goethem JWM, Sercu S, Merregaert J, Lambert J, Marck EAV, Parizel PM, Jonghe PD: Epilepsy and migraine in a patient with Urbach--Wiethe disease. Seizure. 2007, 16: 465-468. 10.1016/j.seizure.2007.02.014.CrossRefPubMed
32.
go back to reference Chan I, Sethuraman G, Sharma VK, Bruning E, Hamada T, McGrath JA: Molecular basis of lipoid proteinosis in two Indian siblings. J Dermatol. 2004, 31: 764-766.CrossRefPubMed Chan I, Sethuraman G, Sharma VK, Bruning E, Hamada T, McGrath JA: Molecular basis of lipoid proteinosis in two Indian siblings. J Dermatol. 2004, 31: 764-766.CrossRefPubMed
33.
go back to reference Salih MA, Abu-Amero KK, Alrasheed S, Alorainy IA, Liu L, McGrath JA, Maldergem LV, Al-Fakey YH, AlSuhaibani AH, Oystreck DT, Bosley TM: Molecular and neurological characterizations of three Saudi families with lipoid proteinosis. BMC Medical Genetics. 2011, 12: 1-6.CrossRef Salih MA, Abu-Amero KK, Alrasheed S, Alorainy IA, Liu L, McGrath JA, Maldergem LV, Al-Fakey YH, AlSuhaibani AH, Oystreck DT, Bosley TM: Molecular and neurological characterizations of three Saudi families with lipoid proteinosis. BMC Medical Genetics. 2011, 12: 1-6.CrossRef
34.
go back to reference Nasir M, Latif A, Ajmal M, Ismail M, Hameed A: A novel homozygous 62-bp insertion in ECM1 causes lipoid proteinosis in a multigeneration Pakistani family. British Journal of Dermatology. 2009, 161: 688-690. 10.1111/j.1365-2133.2009.09275.x.CrossRefPubMed Nasir M, Latif A, Ajmal M, Ismail M, Hameed A: A novel homozygous 62-bp insertion in ECM1 causes lipoid proteinosis in a multigeneration Pakistani family. British Journal of Dermatology. 2009, 161: 688-690. 10.1111/j.1365-2133.2009.09275.x.CrossRefPubMed
35.
go back to reference Di Giandomenico S, Masi R, Cassandrini D: Lipoid proteinosis: case report and review of the literature. Acta Otorhinolaryngol Ital. 2006, 26: 162-167.PubMedCentralPubMed Di Giandomenico S, Masi R, Cassandrini D: Lipoid proteinosis: case report and review of the literature. Acta Otorhinolaryngol Ital. 2006, 26: 162-167.PubMedCentralPubMed
36.
go back to reference Wang CY, Zhang PZ, Zhang FR, Liu J, Tian HQ, Yu L: New compound heterozygous mutations in a Chinese family with lipoid proteinosis. Br J Dermatol. 2006, 155: 470-472. 10.1111/j.1365-2133.2006.07292.x.CrossRefPubMed Wang CY, Zhang PZ, Zhang FR, Liu J, Tian HQ, Yu L: New compound heterozygous mutations in a Chinese family with lipoid proteinosis. Br J Dermatol. 2006, 155: 470-472. 10.1111/j.1365-2133.2006.07292.x.CrossRefPubMed
Metadata
Title
Molecular analysis of lipoid proteinosis: identification of a novel nonsense mutation in the ECM1 gene in a Pakistani family
Authors
Muhammad Nasir
Amir Latif
Muhammad Ajmal
Reem Qamar
Muhammad Naeem
Abdul Hameed
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Diagnostic Pathology / Issue 1/2011
Electronic ISSN: 1746-1596
DOI
https://doi.org/10.1186/1746-1596-6-69

Other articles of this Issue 1/2011

Diagnostic Pathology 1/2011 Go to the issue