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Thornton CS, Puttagunta L, Helmersen D, Thakrar MV, Nagendran J, Lien D, Varughese RA. ANOTHER syndrome-Familial presentations of progressive lung disease leading to double lung transplantation: A case report and literature review. Respirol Case Rep 2021; 9:e0872. [PMID: 34765225 PMCID: PMC8569409 DOI: 10.1002/rcr2.872] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2021] [Revised: 10/17/2021] [Accepted: 10/19/2021] [Indexed: 11/08/2022] Open
Abstract
Ectodermal dysplasias (EDs) are a heterogeneous rare group of disorders with an incidence at 1/100,000 live births. Currently, there are limited case reports of patients requiring lung transplantation. Here, we report two brothers who present with a constellation of features including alopecia, nail dystrophy, ophthalmic complications, thyroid disease, hypohidrosis, ephelides, enteropathy and recurrent respiratory tract infections, known as ANOTHER syndrome, a rare autosomal recessive variant of ED. Both presented in early childhood with progressive respiratory decline and eventual failure. Chronic respiratory decline was refractory to standard therapy. Both patients required lung transplantation for sequelae of end-stage lung disease. Pathology demonstrated multifocal bronchiectasis with areas of fibrosis and small airway obstruction. ANOTHER syndrome is rare with a paucity of data in the literature. Given the limited therapeutic options available with natural progression towards respiratory failure, lung transplantation may be considered.
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Affiliation(s)
- Christina S. Thornton
- Division of Respirology, Department of MedicineCumming School of Medicine, University of CalgaryCalgaryAlbertaCanada
| | - Lakshmi Puttagunta
- Department of Laboratory Medicine and PathologyUniversity of AlbertaEdmontonAlbertaCanada
| | - Douglas Helmersen
- Division of Respirology, Department of MedicineCumming School of Medicine, University of CalgaryCalgaryAlbertaCanada
| | - Mitesh V. Thakrar
- Division of Respirology, Department of MedicineCumming School of Medicine, University of CalgaryCalgaryAlbertaCanada
| | - Jayan Nagendran
- Division of Cardiac Surgery, Department of SurgeryUniversity of AlbertaEdmontonAlbertaCanada
| | - Dale Lien
- Division of Pulmonary Medicine, Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
| | - Rhea A. Varughese
- Division of Respirology, Department of MedicineCumming School of Medicine, University of CalgaryCalgaryAlbertaCanada
- Division of Pulmonary Medicine, Department of MedicineUniversity of AlbertaEdmontonAlbertaCanada
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Martínez-Romero MC, Ballesta-Martínez MJ, López-González V, Sánchez-Soler MJ, Serrano-Antón AT, Barreda-Sánchez M, Rodriguez-Peña L, Martínez-Menchon MT, Frías-Iniesta J, Sánchez-Pedreño P, Carbonell-Meseguer P, Glover-López G, Guillén-Navarro E. EDA, EDAR, EDARADD and WNT10A allelic variants in patients with ectodermal derivative impairment in the Spanish population. Orphanet J Rare Dis 2019; 14:281. [PMID: 31796081 PMCID: PMC6892193 DOI: 10.1186/s13023-019-1251-x] [Citation(s) in RCA: 21] [Impact Index Per Article: 4.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2019] [Accepted: 11/05/2019] [Indexed: 01/06/2023] Open
Abstract
BACKGROUND Ectodermal dysplasias (ED) are a group of genetic conditions affecting the development and/or homeostasis of two or more ectodermal derivatives. An attenuated phenotype is considered a non-syndromic trait when the patient is affected by only one impaired ectodermal structure, such as in non-syndromic tooth agenesis (NSTA) disorder. Hypohidrotic ectodermal dysplasia (HED) is the most highly represented ED. X-linked hypohidrotic ectodermal dysplasia (XLHED) is the most common subtype, with an incidence of 1/50,000-100,000 males, and is associated with the EDA gene (Xq12-q13.1); the dominant and recessive subtypes involve the EDAR (2q13) and EDARADD (1q42.3) genes, respectively. The WNT10A gene (2q35) is associated more frequently with NSTA. Our goal was to determine the mutational spectrum in a cohort of 72 Spanish patients affected by one or more ectodermal derivative impairments referred to as HED (63/72) or NSTA (9 /72) to establish the prevalence of the allelic variants of the four most frequently associated genes. Sanger sequencing of the EDA, EDAR, EDARADD and WNT10A genes and multiplex ligation-dependent probe amplification (MLPA) were performed. RESULTS A total of 61 children and 11 adults, comprising 50 males and 22 females, were included. The average ages were 5.4 and 40.2 years for children and adults, respectively. A molecular basis was identified in 51/72 patients, including 47/63 HED patients, for whom EDA was the most frequently involved gene, and 4/9 NSTA patients, most of whom had variants of WNT10A. Among all the patients, 37/51 had variants of EDA, 8/51 had variants of the WNT10A gene, 4/51 had variants of EDAR and 5/51 had variants of EDARADD. In 42/51 of cases, the variants were inherited according to an X-linked pattern (27/42), with the remaining showing an autosomal dominant (10/42) or autosomal recessive (5/42) pattern. Among the NSTA patients, 3/9 carried pathogenic variants of WNT10A and 1/9 carried EDA variants. A total of 60 variants were detected in 51 patients, 46 of which were different, and out of these 46 variants, 12 were novel. CONCLUSIONS This is the only molecular study conducted to date in the Spanish population affected by ED. The EDA, EDAR, EDARADD and WNT10A genes constitute the molecular basis in 70.8% of patients with a 74.6% yield in HED and 44.4% in NSTA. Twelve novel variants were identified. The WNT10A gene has been confirmed as the second molecular candidate that has been identified and accounts for one-half of non-EDA patients and one-third of NSTA patients. Further studies using next generation sequencing (NGS) will help to identify other contributory genes in the remaining uncharacterized Spanish patients.
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Affiliation(s)
- María Carmen Martínez-Romero
- Centro de Bioquímica y Genética Clínica, Hospital Clínico Universitario Virgen de la Arrixaca, IMIB- Arrixaca. Murcia. CIBERER-ISCIII, Madrid, Spain.,Programa de doctorado en Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
| | - María Juliana Ballesta-Martínez
- Sección Genética Médica. Servicio de Pediatría. Hospital Clínico Universitario Virgen de la Arrixaca. IMIB- Arrixaca, Universidad de Murcia. CIBERER-ISCIII, Madrid, Spain.,Cátedra de Genética. Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
| | - Vanesa López-González
- Sección Genética Médica. Servicio de Pediatría. Hospital Clínico Universitario Virgen de la Arrixaca. IMIB- Arrixaca, Universidad de Murcia. CIBERER-ISCIII, Madrid, Spain.,Cátedra de Genética. Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
| | - María José Sánchez-Soler
- Sección Genética Médica. Servicio de Pediatría. Hospital Clínico Universitario Virgen de la Arrixaca. IMIB- Arrixaca, Universidad de Murcia. CIBERER-ISCIII, Madrid, Spain.,Cátedra de Genética. Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
| | - Ana Teresa Serrano-Antón
- Sección Genética Médica. Servicio de Pediatría. Hospital Clínico Universitario Virgen de la Arrixaca. IMIB- Arrixaca, Universidad de Murcia. CIBERER-ISCIII, Madrid, Spain
| | - María Barreda-Sánchez
- Cátedra de Genética. Facultad de Ciencias de la Salud, Universidad Católica de Murcia (UCAM), Murcia, Spain
| | - Lidya Rodriguez-Peña
- Sección Genética Médica. Servicio de Pediatría. Hospital Clínico Universitario Virgen de la Arrixaca. IMIB- Arrixaca, Universidad de Murcia. CIBERER-ISCIII, Madrid, Spain
| | - María Teresa Martínez-Menchon
- Servicio de Dermatología. Hospital Clínico Universitario Virgen de la Arrixaca, Universidad de Murcia, Murcia, Spain
| | - José Frías-Iniesta
- Servicio de Dermatología. Hospital Clínico Universitario Virgen de la Arrixaca, Universidad de Murcia, Murcia, Spain
| | - Paloma Sánchez-Pedreño
- Servicio de Dermatología. Hospital Clínico Universitario Virgen de la Arrixaca, Universidad de Murcia, Murcia, Spain
| | - Pablo Carbonell-Meseguer
- Centro de Bioquímica y Genética Clínica, Hospital Clínico Universitario Virgen de la Arrixaca, IMIB- Arrixaca. Murcia. CIBERER-ISCIII, Madrid, Spain
| | - Guillermo Glover-López
- Centro de Bioquímica y Genética Clínica, Hospital Clínico Universitario Virgen de la Arrixaca, IMIB- Arrixaca. Murcia. CIBERER-ISCIII, Madrid, Spain
| | - Encarna Guillén-Navarro
- Departamento de Cirugía, Pediatría, Obstetricia y Ginecología. Facultad de Medicina, Universidad de Murcia, Murcia, Spain. .,Sección Genética Médica (Hospital Materno-Infantil. Planta 0), Hospital Clínico Universitario Virgen de la Arrixaca, Ctra. Madrid-Cartagena s/n, El Palmar, CP 30120, Murcia, Spain.
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Sadia, Foo JN, Khor CC, Jelani M, Ali G. A recurrent missense mutation in the
EDAR
gene causes severe autosomal recessive hypohidrotic ectodermal dysplasia in two consanguineous Kashmiri families. J Gene Med 2019; 21:e3113. [DOI: 10.1002/jgm.3113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Revised: 06/22/2019] [Accepted: 07/07/2019] [Indexed: 11/10/2022] Open
Affiliation(s)
- Sadia
- Department of BiotechnologyUniversity of Azad Jammu and Kashmir Muzaffarabad Pakistan
| | - Jia Nee Foo
- Lee Kong Chian School of MedicineNanyang Technological University Singapore Singapore
- Human GeneticsGenome Institute of Singapore Singapore Singapore
| | | | - Musharraf Jelani
- Center for Omic Sciences, Islamia College Peshawar Peshawar Pakistan
| | - Ghazanfar Ali
- Department of BiotechnologyUniversity of Azad Jammu and Kashmir Muzaffarabad Pakistan
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Salas-Alanis JC, Wozniak E, Mein CA, Duran Mckinster CC, Ocampo-Candiani J, Kelsell DP, Hua R, Garza-Rodriguez ML, Choate KA, Barrera Saldaña HA. Mutations in EDA and EDAR Genes in a Large Mexican Hispanic Cohort with Hypohidrotic Ectodermal Dysplasia. Ann Dermatol 2015; 27:474-7. [PMID: 26273176 PMCID: PMC4530170 DOI: 10.5021/ad.2015.27.4.474] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2014] [Revised: 09/12/2014] [Accepted: 09/19/2014] [Indexed: 11/10/2022] Open
Affiliation(s)
- Julio C Salas-Alanis
- Dermatology Department, Hospital Universitario, Universidad Autonoma de Nuevo Leon, Monterrey, NL, Mexico. ; Basic Science Department, Medicine School, Universidad de Monterrey, Monterrey, NL, Mexico
| | - Eva Wozniak
- Barts and the London Genome Centre, John Vane Science Centre, Barts and the London School of Medicine and Dentistry, University of London, London, United Kingdom
| | - Charles A Mein
- Barts and the London Genome Centre, John Vane Science Centre, Barts and the London School of Medicine and Dentistry, University of London, London, United Kingdom
| | | | - Jorge Ocampo-Candiani
- Dermatology Department, Hospital Universitario, Universidad Autonoma de Nuevo Leon, Monterrey, NL, Mexico
| | - David P Kelsell
- Centre for Cutaneous Research, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
| | - Rong Hua
- Departments of Dermatology, Genetics, and Pathology, Yale University School of Medicine, New Haven, CT, USA
| | - Maria L Garza-Rodriguez
- Facultad de Medicina, Departamento de Bioquímica y Medicina Molecular, Universidad Autonoma de Nuevo Leon, Monterrey, NL, Mexico
| | - Keith A Choate
- Departments of Dermatology, Genetics, and Pathology, Yale University School of Medicine, New Haven, CT, USA
| | - Hugo A Barrera Saldaña
- Facultad de Medicina, Departamento de Bioquímica y Medicina Molecular, Universidad Autonoma de Nuevo Leon, Monterrey, NL, Mexico. ; Vitagenesis, Monterrey, NL, Mexico
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Zhao Z, Miao Y, Pan P, Cheng B, Bai G, Wu H. Qingfei Xiaoyan Wan alleviates asthma through multi-target network regulation. Altern Ther Health Med 2013; 13:206. [PMID: 23919426 PMCID: PMC3765495 DOI: 10.1186/1472-6882-13-206] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 08/02/2013] [Indexed: 01/02/2023]
Abstract
BACKGROUND Qingfei Xiaoyan Wan (QFXY), a traditional Chinese formula, is widely used for relieving cough, asthma, upper respiratory tract infection, bronchitis, pneumonia, and etc. in clinic. Comparing with other anti-asthma drugs, it is characterised with moderate and persistent efficacy as well as few side effects, however, the underlying action mechanism still remains elusive. This study aimed to identify QFXY multi-target network regulation as an asthma controller. METHODS This study established asthma model induced by histamine phosphate and acetylcholine chloride (His&Ach) in guinea pigs, which then were administered orally with QFXY. Hematoxylin-Eosin staining sections were applied for evaluating QFXY effect. In both Model and QFXY groups, customized microarrays and 2D electrophoresis were adopted to detect differentially expressed genes (diff genes) and proteins (diff proteins) respectively, and some diff proteins were identified with MALDI-TOF/MS. The checked diff genes and proteins underwent Cluster, GO and KEGG analysis. Based on GAD and HPRD databases, QFXY-asthma target regulation network was constructed. RESULTS His&Ach-induced asthma model of guinea pigs was established. HE sections presented anti-inflammation and anti-remodelling effects of QFXY. Comparing with the Model group, 55 diff genes and 6 diff proteins were identified in QFXY group. Validation by qPCR and Western blot showed the microarray and 2D data reliable. Furthermore, QFXY-asthma target regulation network was achieved. CONCLUSIONS A primarily combined genomic and proteomic screening of QFXY targets displayed a series of candidate genes and proteins, which indicated that the effect of QFXY relied on the combined mechanism, anti-inflammation and anti-remodelling, as well as influencing signal transduction in vivo.
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7
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García-Martín P, Hernández-Martín A, Torrelo A. Ectodermal dysplasias: a clinical and molecular review. ACTAS DERMO-SIFILIOGRAFICAS 2012; 104:451-70. [PMID: 23103118 DOI: 10.1016/j.ad.2012.07.012] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2011] [Revised: 07/19/2012] [Accepted: 07/20/2012] [Indexed: 01/31/2023] Open
Abstract
The ectodermal dysplasias are a large group of hereditary disorders characterized by alterations of structures of ectodermal origin. Although some syndromes can have specific features, many of them share common clinical characteristics. Two main groups of ectodermal dysplasias can be distinguished. One group is characterized by aplasia or hypoplasia of ectodermal tissues, which fail to develop and differentiate because of a lack of reciprocal signaling between ectoderm and mesoderm, the other has palmoplantar keratoderma as its most striking feature, with additional manifestations when other highly specialized epithelia are also involved. In recent decades, the genes responsible for at least 30 different types of ectodermal dysplasia have been identified, throwing light on the pathogenic mechanisms involved and their correlation with clinical findings.
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Affiliation(s)
- P García-Martín
- Servicio de Dermatología, Hospital Infantil del Niño Jesús, Madrid, Spain
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Bibi N, Ahmad S, Ahmad W, Naeem M. Molecular genetic analysis of consanguineous Pakistani families with autosomal recessive hypohidrotic ectodermal dysplasia. Australas J Dermatol 2010; 52:37-42. [PMID: 21332691 DOI: 10.1111/j.1440-0960.2010.00685.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Nosheen Bibi
- Department of Biotechnology, Faculty of Biological Sciences, Quaid-i-Azam University, Islamabad, Pakistan
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