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Klein B, Günther C. Type I Interferon Induction in Cutaneous DNA Damage Syndromes. Front Immunol 2021; 12:715723. [PMID: 34381458 PMCID: PMC8351592 DOI: 10.3389/fimmu.2021.715723] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Accepted: 07/05/2021] [Indexed: 12/20/2022] Open
Abstract
Type I interferons (IFNs) as part of the innate immune system have an outstanding importance as antiviral defense cytokines that stimulate innate and adaptive immune responses. Upon sensing of pattern recognition particles (PRPs) such as nucleic acids, IFN secretion is activated and induces the expression of interferon stimulated genes (ISGs). Uncontrolled constitutive activation of the type I IFN system can lead to autoinflammation and autoimmunity, which is observed in autoimmune disorders such as systemic lupus erythematodes and in monogenic interferonopathies. They are caused by mutations in genes which are involved in sensing or metabolism of intracellular nucleic acids and DNA repair. Many authors described mechanisms of type I IFN secretion upon increased DNA damage, including the formation of micronuclei, cytosolic chromatin fragments and destabilization of DNA binding proteins. Hereditary cutaneous DNA damage syndromes, which are caused by mutations in proteins of the DNA repair, share laboratory and clinical features also seen in autoimmune disorders and interferonopathies; hence a potential role of DNA-damage-induced type I IFN secretion seems likely. Here, we aim to summarize possible mechanisms of IFN induction in cutaneous DNA damage syndromes with defects in the DNA double-strand repair and nucleotide excision repair. We review recent publications referring to Ataxia teleangiectasia, Bloom syndrome, Rothmund–Thomson syndrome, Werner syndrome, Huriez syndrome, and Xeroderma pigmentosum. Furthermore, we aim to discuss the role of type I IFN in cancer and these syndromes.
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Affiliation(s)
- Benjamin Klein
- Department of Dermatology, Venereology and Allergology, University Medicine Leipzig, Leipzig, Germany
| | - Claudia Günther
- Department of Dermatology, University Hospital and Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
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Günther C, Lee-Kirsch MA, Eckhard J, Matanovic A, Kerscher T, Rüschendorf F, Klein B, Berndt N, Zimmermann N, Flachmeier C, Thuß T, Lucas N, Marenholz I, Esparza-Gordillo J, Hübner N, Traupe H, Delaporte E, Lee YA. SMARCAD1 Haploinsufficiency Underlies Huriez Syndrome and Associated Skin Cancer Susceptibility. J Invest Dermatol 2018; 138:1428-1431. [DOI: 10.1016/j.jid.2018.01.015] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2017] [Revised: 12/17/2017] [Accepted: 01/06/2018] [Indexed: 11/26/2022]
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Guerra L, Castori M, Didona B, Castiglia D, Zambruno G. Hereditary palmoplantar keratodermas. Part I. Non-syndromic palmoplantar keratodermas: classification, clinical and genetic features. J Eur Acad Dermatol Venereol 2018; 32:704-719. [PMID: 29489036 DOI: 10.1111/jdv.14902] [Citation(s) in RCA: 36] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 02/09/2018] [Indexed: 12/15/2022]
Abstract
The term palmoplantar keratoderma (PPK) indicates any form of persistent thickening of the epidermis of palms and soles and includes genetic as well as acquired conditions. We review the nosology of hereditary PPKs that comprise an increasing number of entities with different prognoses, and a multitude of associated cutaneous and extracutaneous features. On the basis of the phenotypic consequences of the underlying genetic defect, hereditary PPKs may be divided into the following: (i) non-syndromic, isolated PPKs, which are characterized by a unique or predominant palmoplantar involvement; (ii) non-syndromic PPKs with additional distinctive cutaneous and adnexal manifestations, here named complex PPKs; (iii) syndromic PPKs, in which PPK is associated with specific extracutaneous manifestations. To date, the diagnosis of the different hereditary PPKs is based mainly on clinical history and features combined with histopathological findings. In recent years, the exponentially increasing use of next-generation sequencing technologies has led to the identification of several novel disease genes, and thus substantially contributed to elucidate the molecular basis of such a heterogeneous group of disorders. Here, we focus on hereditary non-syndromic isolated and complex PPKs. Syndromic PPKs are reviewed in the second part of this 2-part article, where other well-defined genetic diseases, which may present PPK among their phenotypic manifestations, are also listed and diagnostic and therapeutic approaches for PPKs are summarized.
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Affiliation(s)
- L Guerra
- Laboratory of Molecular and Cell Biology, Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - M Castori
- Division of Medical Genetics, Casa Sollievo della Sofferenza-IRCCS, San Giovanni Rotondo, Foggia, Italy
| | - B Didona
- Rare Skin Disease Center, Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - D Castiglia
- Laboratory of Molecular and Cell Biology, Istituto Dermopatico dell'Immacolata-IRCCS, Rome, Italy
| | - G Zambruno
- Genetic and Rare Diseases Research Area and Dermatology Unit, Bambino Gesù Children's Hospital-IRCCS, Rome, Italy
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Jaju PD, Ransohoff KJ, Tang JY, Sarin KY. Familial skin cancer syndromes. J Am Acad Dermatol 2016; 74:437-51; quiz 452-4. [DOI: 10.1016/j.jaad.2015.08.073] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2015] [Revised: 08/04/2015] [Accepted: 08/06/2015] [Indexed: 01/22/2023]
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[Case report: squamous cell carcinoma, radial forearm flap and Huriez syndrome. Focus on a rare pathology]. ANN CHIR PLAST ESTH 2011; 58:175-9. [PMID: 21885179 DOI: 10.1016/j.anplas.2011.07.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2011] [Accepted: 07/14/2011] [Indexed: 11/23/2022]
Abstract
Huriez disease is a rare autosomal dominant pathology characterized by the triad hypoplastic nail, hyperkeratosis and scleroatrophy of distal extremities. One of its most principal complications is the development of an aggressive squamous cell carcinoma. We present a case of a 62-year old patient who had an acute two hands scleroatrophy associated with recurrent squamous cell carcinoma treated by large excision and covered by trophic and thick radial forearm flap. This flap allowed us to treat the wound and the sclerosis shrinkage with aim to give back the functional benefit to the patient. It also gave the patient an oncological treatment despite aggressive management in one step surgery. Furthermore, one year later we did not observe cutaneous flap histological modification that could have degenerated into cancer. A multidisciplinary approach with dermatologists, geneticists and plastic surgeons is essential in addition with close medical supervision because of high cancer risks.
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South AP, O'Toole EA. Understanding the pathogenesis of recessive dystrophic epidermolysis bullosa squamous cell carcinoma. Dermatol Clin 2010; 28:171-8. [PMID: 19945632 DOI: 10.1016/j.det.2009.10.023] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Patients with recessive dystrophic epidermolysis bullosa develop numerous life-threatening skin cancers. The reasons for this remain unclear. Parallels exist with other scarring skin conditions, such as Marjolin ulcer. We summarize observational and experimental data and discuss proposed theories for the development of such aggressive skin cancers. A context-driven situation seems to be emerging, but more focused research is required to elucidate the pathogenesis of epidermolysis bullosa-associated squamous cell carcinoma.
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Affiliation(s)
- Andrew P South
- Centre For Oncology and Molecular Medicine, Ninewell's Hospital and Medical School, Dundee, DD1 9SY, UK.
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Foti R, Leonardi R, Rondinone R, Di Gangi M, Leonetti C, Canova M, Doria A. Scleroderma-like disorders. Autoimmun Rev 2008; 7:331-9. [DOI: 10.1016/j.autrev.2007.12.004] [Citation(s) in RCA: 38] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2007] [Accepted: 12/20/2007] [Indexed: 01/17/2023]
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Micali G, Nasca MR, Innocenzi D, Frasin LA, Radi O, Parma P, Camerino G, Schwartz RA. Association of palmoplantar keratoderma, cutaneous squamous cell carcinoma, dental anomalies, and hypogenitalism in four siblings with 46,XX karyotype: A new syndrome. J Am Acad Dermatol 2005; 53:S234-9. [PMID: 16227098 DOI: 10.1016/j.jaad.2005.02.033] [Citation(s) in RCA: 15] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2004] [Revised: 12/17/2004] [Accepted: 02/10/2005] [Indexed: 11/18/2022]
Abstract
The association of palmoplantar keratoderma (PPK) with the development of cutaneous squamous cell carcinomas (SCCs), dental anomalies, severe hypogenitalism with hypospadias, abnormal development of gonads with ambiguous external genitalia, gynecomastia, altered plasma sex hormones levels, and hypertriglyceridemia has not, to our knowledge, been reported previously. We describe it in 4 brothers with 46,XX karyotype, whereas the 5 sisters of their consanguineous parents were unaffected. This family may represent a new syndrome. The PPK was of the classical nonepidermolytic histologic type. The proband also had a laryngeal carcinoma diagnosed in his early forties and nodular testicular hyperplasia of Leydig cells.
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Riggio E, Spano A, Bonomi S, Nava M. HURIEZ SYNDROME: ASSOCIATION WITH SQUAMOUS CELL CARCINOMA AND A SURGICAL APPROACH. Plast Reconstr Surg 2005; 116:689-91. [PMID: 16079734 DOI: 10.1097/01.prs.0000175966.01538.73] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Vernole P, Terrinoni A, Didona B, De Laurenzi V, Rossi P, Melino G, Grimaldi P. An SRY-negative XX male with Huriez syndrome. Clin Genet 2000; 57:61-6. [PMID: 10733237 DOI: 10.1034/j.1399-0004.2000.570109.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This report studies a 42-year-old 46,XX patient affected by palmoplantar keratoderma. clinically classified as Huriez syndrome. The patient showed a male phenotype with apparently normal male features including testicular development. Cytogenetic and chromosomal painting analysis excluded the presence of translocation of the Y chromosome. PCR analysis of genomic DNA failed to detect the presence of the testis-determining gene, SRY. The presence of other Y-chromosome genes, known to be involved in testicular maturation and spermatogenesis, has also been analyzed. The data suggest that the sex reversal in this 46,XX male patient is due to a defect on a yet unidentified autosomal or X-linked sex-determining gene. The relationship between the sex reversion and the presence of sclerotylosis is discussed.
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Affiliation(s)
- P Vernole
- Department of Public Health and Cell Biology, University of Rome Tor Vergata, Italy
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Lee YA, Stevens HP, Delaporte E, Wahn U, Reis A. A gene for an autosomal dominant scleroatrophic syndrome predisposing to skin cancer (Huriez syndrome) maps to chromosome 4q23. Am J Hum Genet 2000; 66:326-30. [PMID: 10631162 PMCID: PMC1288338 DOI: 10.1086/302718] [Citation(s) in RCA: 37] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
MESH Headings
- Abnormalities, Multiple/genetics
- Abnormalities, Multiple/pathology
- Carcinoma, Squamous Cell/genetics
- Carcinoma, Squamous Cell/pathology
- Chromosome Mapping
- Chromosomes, Human, Pair 4
- Haplotypes
- Humans
- Keratoderma, Palmoplantar/congenital
- Keratoderma, Palmoplantar/genetics
- Keratoderma, Palmoplantar/pathology
- Limb Deformities, Congenital/genetics
- Limb Deformities, Congenital/pathology
- Lod Score
- Microsatellite Repeats/genetics
- Nail Diseases/congenital
- Nail Diseases/genetics
- Nail Diseases/pathology
- Pedigree
- Risk Factors
- Skin Neoplasms/genetics
- Skin Neoplasms/pathology
- Syndrome
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Affiliation(s)
- Young-Ae Lee
- Gene Mapping Center, Max-Delbrück Centrum, Institute of Human Genetics, and Department of Pediatrics, Pneumology, and Immunology, Charite, Campus Virchow, Humboldt-University, Berlin; Academic Department of Dermatology, St. Bartholomew's and Royal London School of Medicine and Dentistry, London; Department of Dermatology, Barnet General Hospital, Wellhouse Lane, Barnet, Herts, United Kingdom; and Service de Dermatologie A, Hôpital Claude-Huriez, Lille, France
| | - Howard P. Stevens
- Gene Mapping Center, Max-Delbrück Centrum, Institute of Human Genetics, and Department of Pediatrics, Pneumology, and Immunology, Charite, Campus Virchow, Humboldt-University, Berlin; Academic Department of Dermatology, St. Bartholomew's and Royal London School of Medicine and Dentistry, London; Department of Dermatology, Barnet General Hospital, Wellhouse Lane, Barnet, Herts, United Kingdom; and Service de Dermatologie A, Hôpital Claude-Huriez, Lille, France
| | - Emmanuel Delaporte
- Gene Mapping Center, Max-Delbrück Centrum, Institute of Human Genetics, and Department of Pediatrics, Pneumology, and Immunology, Charite, Campus Virchow, Humboldt-University, Berlin; Academic Department of Dermatology, St. Bartholomew's and Royal London School of Medicine and Dentistry, London; Department of Dermatology, Barnet General Hospital, Wellhouse Lane, Barnet, Herts, United Kingdom; and Service de Dermatologie A, Hôpital Claude-Huriez, Lille, France
| | - Ulrich Wahn
- Gene Mapping Center, Max-Delbrück Centrum, Institute of Human Genetics, and Department of Pediatrics, Pneumology, and Immunology, Charite, Campus Virchow, Humboldt-University, Berlin; Academic Department of Dermatology, St. Bartholomew's and Royal London School of Medicine and Dentistry, London; Department of Dermatology, Barnet General Hospital, Wellhouse Lane, Barnet, Herts, United Kingdom; and Service de Dermatologie A, Hôpital Claude-Huriez, Lille, France
| | - André Reis
- Gene Mapping Center, Max-Delbrück Centrum, Institute of Human Genetics, and Department of Pediatrics, Pneumology, and Immunology, Charite, Campus Virchow, Humboldt-University, Berlin; Academic Department of Dermatology, St. Bartholomew's and Royal London School of Medicine and Dentistry, London; Department of Dermatology, Barnet General Hospital, Wellhouse Lane, Barnet, Herts, United Kingdom; and Service de Dermatologie A, Hôpital Claude-Huriez, Lille, France
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