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Aguayo‐Orozco TA, Ríos‐González BE, Castro‐Martínez AG, Ruiz‐Ramírez AV, Figuera LE. Generalized hypertrichosis syndromes in Mexico. AMERICAN JOURNAL OF MEDICAL GENETICS PART C-SEMINARS IN MEDICAL GENETICS 2020; 184:1014-1022. [DOI: 10.1002/ajmg.c.31864] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2020] [Revised: 11/18/2020] [Accepted: 11/20/2020] [Indexed: 01/09/2023]
Affiliation(s)
- Thania Alejandra Aguayo‐Orozco
- División de Genética, Centro de Investigación Biomédica de Occidente Instituto Mexicano del Seguro Social Guadalajara Jalisco Mexico
- Doctorado en Genética Humana, Centro Universitario de Ciencias de la Salud Universidad de Guadalajara Guadalajara Jalisco Mexico
| | | | | | - Andrea Virginia Ruiz‐Ramírez
- División de Genética, Centro de Investigación Biomédica de Occidente Instituto Mexicano del Seguro Social Guadalajara Jalisco Mexico
- Doctorado en Genética Humana, Centro Universitario de Ciencias de la Salud Universidad de Guadalajara Guadalajara Jalisco Mexico
| | - Luis E. Figuera
- División de Genética, Centro de Investigación Biomédica de Occidente Instituto Mexicano del Seguro Social Guadalajara Jalisco Mexico
- Doctorado en Genética Humana, Centro Universitario de Ciencias de la Salud Universidad de Guadalajara Guadalajara Jalisco Mexico
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2
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Gilhooley E, Gormally S, Irvine A, Lynch SA, Collins S. FOXN1 Duplication and Congenital Hypertrichosis. Pediatr Dermatol 2017; 34:e77-e79. [PMID: 28297140 DOI: 10.1111/pde.13078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
We report a case of congenital hypertrichosis and FOXN1 duplication. FOXN1 is a member of the forkhead box gene family, located on chromosome 17. Its function includes differentiation of epithelial cells and regulation of keratinocytes, especially hair keratins. Loss of function of these transcription factors leads to a disruption in hair growth. As far as we are aware, this is the first case of FOXN1 duplication associated with congenital hypertrichosis to be reported in the literature.
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Affiliation(s)
| | | | - Alan Irvine
- Clinical Medicine, Trinity College, Dublin, Ireland.,National Children's Research Centre, Dublin, Ireland.,Paediatric Dermatology, Dublin, Ireland
| | | | - Sinead Collins
- Our Lady of Lourdes Hospital, Drogheda, County Louth, Ireland
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Pavone P, Praticò AD, Falsaperla R, Ruggieri M, Zollino M, Corsello G, Neri G. Congenital generalized hypertrichosis: the skin as a clue to complex malformation syndromes. Ital J Pediatr 2015; 41:55. [PMID: 26242548 PMCID: PMC4526284 DOI: 10.1186/s13052-015-0161-3] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2015] [Accepted: 07/24/2015] [Indexed: 01/09/2023] Open
Abstract
Hypertrichosis is defined as an excessive growth in body hair beyond the normal variation compared with individuals of the same age, race and sex and affecting areas not predominantly androgen-dependent. The term hirsutism is usually referred to patients, mainly women, who show excessive hair growth with male pattern distribution.Hypertrichosis is classified according to age of onset (congenital or acquired), extent of distribution (generalized or circumscribed), site involved, and to whether the disorder is isolated or associated with other anomalies. Congenital hypertrichosis is rare and may be an isolated condition of the skin or a component feature of other disorders. Acquired hypertrichosis is more frequent and is secondary to a variety of causes including drug side effects, metabolic and endocrine disorders, cutaneous auto-inflammatory or infectious diseases, malnutrition and anorexia nervosa, and ovarian and adrenal neoplasms. In most cases, hypertrichosis is not an isolated symptom but is associated with other clinical signs including intellective delay, epilepsy or complex body malformations.A review of congenital generalized hypertrichosis is reported with particular attention given to the disorders where excessive diffuse body hair is a sign indicating the presence of complex malformation syndromes. The clinical course of a patient, previously described, with a 20-year follow-up is reported.
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Affiliation(s)
- Piero Pavone
- Unit of Pediatrics and Pediatric Emergency, University Hospital "Policlinico-Vittorio Emanuele", Catania, Italy.
| | - Andrea D Praticò
- Section of Pediatrics and Child Neuropsychiatry. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
- Department of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy
| | - Raffaele Falsaperla
- Unit of Pediatrics and Pediatric Emergency, University Hospital "Policlinico-Vittorio Emanuele", Catania, Italy
| | - Martino Ruggieri
- Section of Pediatrics and Child Neuropsychiatry. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy
| | - Marcella Zollino
- Institute of Medical Genetics, Catholic University, University Hospital A. Gemelli, Rome, Italy
| | - Giovanni Corsello
- Department of Sciences for Health Promotion and Mother and Child Care, Pediatric Unit, University of Palermo, Palermo, Italy
| | - Giovanni Neri
- Institute of Medical Genetics, Catholic University, University Hospital A. Gemelli, Rome, Italy
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DeStefano GM, Kurban M, Anyane-Yeboa K, Dall'Armi C, Di Paolo G, Feenstra H, Silverberg N, Rohena L, López-Cepeda LD, Jobanputra V, Fantauzzo KA, Kiuru M, Tadin-Strapps M, Sobrino A, Vitebsky A, Warburton D, Levy B, Salas-Alanis JC, Christiano AM. Mutations in the cholesterol transporter gene ABCA5 are associated with excessive hair overgrowth. PLoS Genet 2014; 10:e1004333. [PMID: 24831815 PMCID: PMC4022463 DOI: 10.1371/journal.pgen.1004333] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2013] [Accepted: 03/07/2014] [Indexed: 01/09/2023] Open
Abstract
Inherited hypertrichoses are rare syndromes characterized by excessive hair growth that does not result from androgen stimulation, and are often associated with additional congenital abnormalities. In this study, we investigated the genetic defect in a case of autosomal recessive congenital generalized hypertrichosis terminalis (CGHT) (OMIM135400) using whole-exome sequencing. We identified a single base pair substitution in the 5' donor splice site of intron 32 in the ABC lipid transporter gene ABCA5 that leads to aberrant splicing of the transcript and a decrease in protein levels throughout patient hair follicles. The homozygous recessive disruption of ABCA5 leads to reduced lysosome function, which results in an accumulation of autophagosomes, autophagosomal cargos as well as increased endolysosomal cholesterol in CGHT keratinocytes. In an unrelated sporadic case of CGHT, we identified a 1.3 Mb cryptic deletion of chr17q24.2-q24.3 encompassing ABCA5 and found that ABCA5 levels are dramatically reduced throughout patient hair follicles. Collectively, our findings support ABCA5 as a gene underlying the CGHT phenotype and suggest a novel, previously unrecognized role for this gene in regulating hair growth.
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Affiliation(s)
- Gina M. DeStefano
- Department of Genetics and Development, Columbia University, New York, New York, United States of America
| | - Mazen Kurban
- Department of Dermatology, Columbia University, New York, New York, United States of America
| | - Kwame Anyane-Yeboa
- Department of Pediatrics, Columbia University Medical Center, New York, New York, United States of America
| | - Claudia Dall'Armi
- Department of Pathology and Cell Biology, Columbia University, New York, New York, United States of America
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, New York, New York, United States of America
| | - Gilbert Di Paolo
- Department of Pathology and Cell Biology, Columbia University, New York, New York, United States of America
- Taub Institute for Research on Alzheimer's Disease and the Aging Brain, Columbia University Medical Center, New York, New York, United States of America
| | - Heather Feenstra
- St. Luke's-Roosevelt Hospital Center, New York, New York, United States of America
| | - Nanette Silverberg
- St. Luke's-Roosevelt Hospital Center, New York, New York, United States of America
| | - Luis Rohena
- Department of Pediatrics, Columbia University Medical Center, New York, New York, United States of America
| | | | - Vaidehi Jobanputra
- Department of Pathology and Cell Biology, Columbia University, New York, New York, United States of America
| | - Katherine A. Fantauzzo
- Department of Dermatology, Columbia University, New York, New York, United States of America
| | - Maija Kiuru
- Department of Dermatology, Columbia University, New York, New York, United States of America
| | - Marija Tadin-Strapps
- Department of Genetics and Development, Columbia University, New York, New York, United States of America
| | - Antonio Sobrino
- New York Presbyterian Hospital, New York, New York, United States of America
| | - Anna Vitebsky
- Department of Genetics and Development, Columbia University, New York, New York, United States of America
| | - Dorothy Warburton
- Department of Genetics and Development, Columbia University, New York, New York, United States of America
- Department of Pediatrics, Columbia University Medical Center, New York, New York, United States of America
| | - Brynn Levy
- Department of Pathology and Cell Biology, Columbia University, New York, New York, United States of America
| | | | - Angela M. Christiano
- Department of Genetics and Development, Columbia University, New York, New York, United States of America
- Department of Dermatology, Columbia University, New York, New York, United States of America
- * E-mail:
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Position effect on FGF13 associated with X-linked congenital generalized hypertrichosis. Proc Natl Acad Sci U S A 2013; 110:7790-5. [PMID: 23603273 DOI: 10.1073/pnas.1216412110] [Citation(s) in RCA: 37] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
X-linked congenital generalized hypertrichosis (Online Mendelian Inheritance in Man 307150) is an extremely rare condition of hair overgrowth on different body sites. We previously reported linkage in a large Mexican family with X-linked congenital generalized hypertrichosis cosegregating with deafness and with dental and palate anomalies to Xq24-27. Using SNP oligonucleotide microarray analysis and whole-genome sequencing, we identified a 389-kb interchromosomal insertion at an extragenic palindrome site at Xq27.1 that completely cosegregates with the disease. Among the genes surrounding the insertion, we found that Fibroblast Growth Factor 13 (FGF13) mRNA levels were significantly reduced in affected individuals, and immunofluorescence staining revealed a striking decrease in FGF13 localization throughout the outer root sheath of affected hair follicles. Taken together, our findings suggest a role for FGF13 in hair follicle growth and in the hair cycle.
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Kurban M, Kim CA, Kiuru M, Fantauzzo K, Cabral R, Abbas O, Levy B, Christiano AM. Copy number variations on chromosome 4q26-27 are associated with Cantu syndrome. Dermatology 2012; 223:316-20. [PMID: 22310962 DOI: 10.1159/000333800] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2011] [Accepted: 09/21/2011] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Cantu syndrome is a rare condition which is characterized clinically by hypertrichosis, cardiomegaly and bone abnormalities. Inherited hypertrichoses are very rare human disorders whose incidence has been estimated as low as 1 in 1 billion. The genetic basis of hypertrichosis is largely unknown, and currently no single gene has been directly implicated in its pathogenesis, although position effects have been reported. METHODS We analyzed the DNA of a patient with Cantu syndrome on the Affymetrix Cytogenetics Whole-Genome 2.7M array for copy number variations (CNVs). We then performed genomic copy number quantification using qPCR, and finally we performed gene expression analysis in the hair follicle for the genes lying within and around the region of the duplication. RESULTS We identified a 375 kb duplication on chromosome 4q26-27. The duplication region encompassed three genes, which included MYOZ2, USP53 and FABP2. MYOZ2 and USP53 are known to be highly expressed in the cardiac muscle, and we found that USP53 is expressed in the hair follicle. CONCLUSION We propose that CNVs involving chromosome 4q26-27 may be associated with Cantu syndrome. CNVs spanning several genes may help define the molecular basis of syndromes which have unrelated clinical features.
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Affiliation(s)
- Mazen Kurban
- Department of Dermatology, Columbia University, New York, NY 10032, USA
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Affiliation(s)
- Yutaka Shimomura
- Department of Dermatology, Columbia University, New York, NY 10032
| | - Angela M. Christiano
- Department of Dermatology, Columbia University, New York, NY 10032
- Department of Genetics and Development, Columbia University, New York, NY 10032;
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Boui M, Ghfir M, Sedrati O. [Ciliary hypertrichosis and facial dysmorphia associated with diffuse, congenital hypertrichosis: Ambras syndrome?]. Ann Dermatol Venereol 2009; 136:481-2. [PMID: 19442813 DOI: 10.1016/j.annder.2008.11.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2008] [Accepted: 11/21/2008] [Indexed: 11/15/2022]
Affiliation(s)
- M Boui
- Service de dermatologie, hôpital militaire d'instruction Mohammed V, Hay Riad, Rabat, Maroc.
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Maza A, Gaudy-Marqueste C, Collet-Vilette AM, Joubert F, Richard MA, Grob JJ. [Congenital universal hypertrichosis]. Ann Dermatol Venereol 2009; 136:300-2. [PMID: 19328322 DOI: 10.1016/j.annder.2008.06.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2008] [Accepted: 06/23/2008] [Indexed: 10/21/2022]
Affiliation(s)
- A Maza
- Service de dermatologie, hôpital Sainte-Marguerite, CHU de Marseille, 270, boulevard Sainte-Marguerite, 13009 Marseille, France.
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Fantauzzo KA, Tadin-Strapps M, You Y, Mentzer SE, Baumeister FAM, Cianfarani S, Van Maldergem L, Warburton D, Sundberg JP, Christiano AM. A position effect on TRPS1 is associated with Ambras syndrome in humans and the Koala phenotype in mice. Hum Mol Genet 2008; 17:3539-51. [PMID: 18713754 DOI: 10.1093/hmg/ddn247] [Citation(s) in RCA: 52] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Ambras syndrome (AS) is a rare form of congenital hypertrichosis with excessive hair on the shoulders, face and ears. Cytogenetic studies have previously implicated an association with rearrangements of chromosome 8. Here we define an 11.5 Mb candidate interval for AS on chromosome 8q based on cytogenetic breakpoints in three patients. TRPS1, a gene within this interval, was deleted in a patient with an 8q23 chromosomal rearrangement, while its expression was significantly downregulated in another patient with an inversion breakpoint 7.3 Mb downstream of TRPS1. Here, we describe the first potential long-range position effect on the expression of TRPS1. To gain insight into the mechanisms by which Trps1 affects the hair follicle, we performed a detailed analysis of the hair abnormalities in Koa mice, a mouse model of hypertrichosis. We found that the proximal breakpoint of the Koa inversion is located 791 kb upstream of Trps1. Quantitative real-time polymerase chain reaction, in situ hybridization and immunofluorescence analysis revealed that Trps1 expression levels are reduced in Koa mutant mice at the sites of pathology for the phenotype. We determined that the Koa inversion creates a new Sp1 binding site and translocates additional Sp1 binding sites within a highly conserved stretch spanning the proximal breakpoint, providing a potential mechanism for the position effect. Collectively, these results describe a position effect that downregulates TRPS1 expression as the probable cause of hypertrichosis in AS in humans and the Koa phenotype in mice.
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Affiliation(s)
- Katherine A Fantauzzo
- Department of Genetics and Development, Columbia University, New York, NY 10032, USA
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Abstract
We report two siblings with congenital generalized hypertrichosis and distinctive facial appearance consistent with the dysmorphic facial features described in Ambras syndrome. The patients were born to non-consanguineous, phenotypically normal parents. This is the first report of affected siblings and could be explained by either autosomal recessive inheritance or by germline mosaicism for an autosomal dominant gene. We compared the phenotype of our patients to descriptions of reported cases and discuss phenotypic variability.
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Tadin-Strapps M, Warburton D, Baumeister FAM, Fischer SG, Yonan J, Gilliam TC, Christiano AM. Cloning of the breakpoints of a de novo inversion of chromosome 8, inv (8)(p11.2q23.1) in a patient with Ambras syndrome. Cytogenet Genome Res 2005; 107:68-76. [PMID: 15305058 DOI: 10.1159/000079573] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2004] [Accepted: 05/05/2004] [Indexed: 11/19/2022] Open
Abstract
Ambras syndrome (AMS) is a unique form of universal congenital hypertrichosis. In patients with this syndrome, the whole body is covered with fine long hair, except for areas where normally no hair grows. There is accompanying facial dysmorphism and teeth abnormalities, including retarded first and second dentition and absence of teeth. In 1993, Baumeister et al. reported an isolated case of Ambras syndrome in association with a pericentric inversion of chromosome 8. Subsequently, another patient with congenital hypertrichosis and rearrangement of chromosome 8 was reported by Balducci et al. (1998). Both of these patients have a breakpoint in 8q22 in common suggesting that this region of chromosome 8 contains a gene involved in regulation of hair growth. In order to precisely determine the nature of the rearrangement in the case of Ambras syndrome, we have used fluorescent in situ hybridization (FISH) analysis. We have cloned the inversion breakpoints in this patient and generated a detailed physical map of the inversion breakpoint interval. Analysis of the transcripts that map in the vicinity of the breakpoints revealed that the inversion does not disrupt a gene, and suggests that the phenotype is caused by a position effect.
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Affiliation(s)
- M Tadin-Strapps
- Department ofDermatology, Columbia University, New York, NY 10032, USA
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Tadin-Strapps M, Warburton D, Salas-Alanis JC, Lopez-Cepeda LD, Christiano AM. Fishing for new genes in skin biology: impact of cytogenetics on gene discovery. Clin Genet 2004; 66:94-106. [PMID: 15253757 DOI: 10.1111/j.0009-9163.2004.00301.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Research into the field of skin biology has grown exponentially over the past two decades. Even though the fundamental molecular pathways are still not fully understood, there have been significant advances in our understanding of the underlying mechanisms involved in the pathogenesis of genodermatosis. The cloning of many candidate genes involved in the etiology of skin diseases has been facilitated by initial cytogenetic evidence. This review will synthesize recent findings that led to the discovery of candidate genes for anhidrotic ectodermal dysplasia, Williams-Beuren syndrome, neurofibromatosis-I and tricho-rhino-phalangeal syndrome.
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Abstract
Hypertrichosis is hair growth that is abnormal for the age, sex, or race of an individual, or for a particular area of the body. Recognized forms of hypertrichosis are reviewed. Hirsutism, which is male-pattern hair growth in a female or child, is not included in this review. Hypertrichosis is categorized as congenital or acquired, and regional or generalized. Methods of managing hypertrichosis are also briefly reviewed
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Affiliation(s)
- Daniel S Wendelin
- St Louis Children's Hospital, I Chiuldren's Place-3N48, St Louis, MO 63110, USA.
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Wuyts W, Roland D, Lüdecke HJ, Wauters J, Foulon M, Van Hul W, Van Maldergem L. Multiple exostoses, mental retardation, hypertrichosis, and brain abnormalities in a boy with a de novo 8q24 submicroscopic interstitial deletion. AMERICAN JOURNAL OF MEDICAL GENETICS 2002; 113:326-32. [PMID: 12457403 DOI: 10.1002/ajmg.10845] [Citation(s) in RCA: 39] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
Multiple exostoses represent a genetically heterogeneous disorder that may occur isolated or as part of a complex contiguous gene syndrome such as Langer-Giedion syndrome on chromosome 8 and the proximal 11p deletion syndrome on chromosome 11. Here we describe a boy with multiple exostoses, hypertrichosis, mental retardation, and epilepsy due to a de novo deletion on chromosome 8q24. Molecular analysis revealed that the deletion interval overlaps with the Langer-Giedion syndrome and involves the EXT1 gene and additional genes located distal to EXT1, but probably not encompassing the TRPS1 gene located proximal to EXT1.
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Affiliation(s)
- Wim Wuyts
- Department of Medical Genetics, University of Antwerp, Antwerp, Belgium
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Abstract
Hypertrichosis is a rare condition characterized by excessive growth of hair (terminal, vellus or lanugo) in areas of the body that are not predominantly androgen dependent, and it is independent of age, race or sex. It can be congenital, late-onset, generalized, localized, inherited or acquired. More than 50 different OMIM entries related to hypertrichosis exist, few of them with a localized gene locus or with a candidate gene. The review of generalized hypertrichoses from a historical point of view, including a review of their clinical and genetic features, shows heterogeneity with at least nine different entities. A short analysis of other forms of hypertrichosis is presented.
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Affiliation(s)
- D Garcia-Cruz
- División de Genética, Centro de Investigación Biomédica, Centro Médico de Occidente del Instituto Mexicano del Seguro Social and Centro Universiario Ciencias de la Salud, Universidad de Guadalajara, Mexico
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Baumeister F. Diagnosis of Ambras syndrome: Comments on complex cytogenetic rearrangement of chromosome 8q in a case of Ambras syndrome. ACTA ACUST UNITED AC 2002. [DOI: 10.1002/ajmg.10300] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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