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1899
Article Not Found
.1899 ;():
Hutchinsons' Archive, vol. X

1969
Article Not Found
Arch Dermatol.1969 Aug;100(2):245-246
Pachyonychia congenita

2002
Article Not Found
Hautarzt.2002 Feb;53(2):153
[Pachyonychia congenita. Molecular genetic analysis simplifies clinical classification in subtypes]

1970
Article
Br J Dermatol.1970 ;83():Suppl:56-62
Pachyonychia
G. Achten
J. Wanet-Rouard

1967
Article
Hereditas.1967 ;58(1):103-110
Pachyonychia congenita in six generations
H. O. Akesson

1960
Article (English)
Article (German)
Arch Klin Exp Dermatol.1960 ;212():140-147
[On the clinical aspects and histology of congenital pachyonychia]
J. Alkiewicz
J. Lebioda


Sometimes incorrect cited as Alkiewicz, J. (1961)

1954
Article
.1954 ;():
The Skin: A Clinicopathalagic Treatise
A. C. Allen

1981
Article (English)
Article (Spanish)
Med Cutan Ibero Lat Am.1981 ;9(2):121-124
[Pachyonychia congenita]
B. A. Alperovich
E. H. de los Rios
M. Conejos
The authors describe a new case of this unusual disease, which correspond to a three years old girl, derived from a family without others observations nor consaguinity between her parents. The clinic-neurological examen was normal. The typical dermatological lesions were quite clear to the diagnostic. The pathological anatomy showed the typical structure.

1940
Article
Arch Dermatol.1940 ;42():365
Pachyonychia congenita in mother and daughter
N. P. Anderson

1929
Article
NY State Med J.1929 ;29():747-749
Pachyonychia congenita
G.C Andrews, S. Strumwasser

1936
Article
Arch Derm Syphilol.1936 ;33():183-184
Pachyonychia congenita
G.C. Andrews

1980
Article (English)
Article (Russian)
Stomatologiia (Mosk).1980 Jan-Feb;59(1):60-61
[Jadassohn-Lewandowski syndrome]
A. F. Anikin
V. B. Nedoseko
V. G. Suntsov
A. I. Novikov

1975
Article
Acta Derm Venereol.1975 ;55(5):387-394
Pachyonychia congenita. A clinical, histological and microradiographic study with special reference to oral manifestations
G. Anneroth
G. Isacsson
B. Lagerholm
A. M. Lindvall
N. Thyresson
This paper rresents a clinical, histological and microradiographic study of three patients with pachyonychia congenita with special reference to oral manifestations. The patients, who are relatives, exhibited thickening of finger- and toe-nails, follicular keratosis, palmoplantar keratosis and hyperhidrosis, oral leukokeratosis, and natal teeth. It is stated in the discussion that natal teeth and oral leukokeratosis may constitute the earliest clinical manifestations of pachyonychia congenita and that they appear to accur earlier than nail lesions. When there is a hereditary disposition for pachyonychia congenita, it is important to inspect the oral cavity at an early stage.

1994
Article
J Invest Dermatol.1994 Nov;103(5 Suppl):6S-12S
Ultrastructural identification of basic abnormalities as clues to genetic disorders of the epidermis
I. Anton-Lamprecht The present article discusses specific, directly gene-dependent ultrastructural markers of dominantly inherited epidermal disorders that serve as clues to their underlying molecular genetic abnormalities. These are epidermolysis bullosa simplex Koebner and Weber-Cockayne with rupture or non-assembly of basal cell keratins and point mutations in keratins 5 and 14. Clumping of basal cell keratins is pathognomonic of EB Dowling-Meara and caused by mutations in hot spots of the rod domain of K5 and K 14. Clumps and aggregates of basal keratins occur side by side in the same cell and thus do not indicate specific different types of mutations. Similar clumping of suprabasal keratins in bullous CIE Brocq and in palmoplantar keratoderma Voerner have been assigned to identical types of mutations in the same critical position of the rod domain in K 1, K 10, and K 9, respectively. Highly unusual tubular keratins are pathognomonic of another dominant palmoplantar keratoderma type the genetic basis of which still awaits elucidation. Shell formation of (low molecular weight?) keratins in ichthyosis hystrix Curth-Macklin is not linked to the keratin gene clusters on chromosomes 12 and 17 and might be related to regulatory genes of keratin expression. Suprabasal shells in congenital reticular ichthyosiform erythroderma do not consist of keratins but resemble glycoprotein networks. Finally, the keratohyalin abnormality in ichthyosis vulgaris was the clue for the identification of a filaggrin deficiency, at the same time giving evidence to the heterogeneity of keratohyalin proteins.

1976
Article (English)
Article (Japanese)
Nippon Hifuka Gakkai Zasshi.1976 Sep 20;86(11):767-775
Pachyonychia congenita with Steatocystoma multiplex: a report of 12 cases in one family [author's transl]
T. Aoyagi
O. Ohnishi

2001
Article
J Cell Biol.2001 Feb 5;152(3):645-649
Focal activation of a mutant allele defines the role of stem cells in mosaic skin disorders
M. J. Arin
M. A. Longley
X. J. Wang
D. R. Roop
Stem cells are crucial for the formation and maintenance of tissues and organs. The role of stem cells in the pathogenesis of mosaic skin disorders remains unclear. To study the molecular and cellular basis of mosaicism, we established a mouse model for the autosomal-dominant skin blistering disorder, epidermolytic hyperkeratosis (MIM 113800), which is caused by mutations in either keratin K1 or K10. This genetic model allows activation of a somatic K10 mutation in epidermal stem cells in a spatially and temporally controlled manner using an inducible Cre recombinase. Our results indicate that lack of selective pressure against certain mutations in epidermal stem cells leads to mosaic phenotypes. This finding has important implications for the development of new strategies for somatic gene therapy of dominant genodermatoses.

1685
Article
Phil Trans R Soc Lond.1685 ;15():1202-1204
A letter from Mr. St. George Ashe, Sec. Of the Dublinc Society, to one of the Secretaries of the Royal Society: concerning a girl in Ireland, who has several horns growing on her body
St. G. Ashe Early Letters of the Royal Society From St George Ashe to William Musgrave, 10-10-1685 An account sent by St George Ashe to William Musgrave, as promised the previous month of Anne Jackson, a child suffering from a disorder that caused her to grow 'horns' on her body, who had been brought to the Society to be examined. The description is full, because Anne's 'owner' would not allow drawings to be made of the child, who was presumably earning him money through exhibiting her. Anne was born in Waterford to English parents and had developed normally until the age of 3, some ten years before the Society examined her. Following the death of her mother, her father had been unable to support her and she had become a charge on the parish - a charge that was apparently relieved by her exploitation as a freak show. Ashe regrets the lack of family or friends who could give an account of the early development of Anne's condition, but shows no sympathy for the child, treating her as an interesting scientific curiosity and at one point referring to her as 'it'.

2000
Article
Clin Dermatol.2000 Nov-Dec;18(6):643-648
Prenatal diagnosis for inherited skin diseases
G. H. Ashton
R. A. Eady
J. A. McGrath

1959
Article (English)
Article (Russian)
Vestn Dermatol.1959 ;6():13-16
R.S. Babayants

1974
Article Not Found
Yerevan.1974 ;():
Dermatologicheskaya sindromologiya
R.S. Babayants

1984
Article
J Am Acad Dermatol.1984 Sep;11(3):409-415
Hereditary callosities with blisters. Report of a family and review
H. P. Baden
B. R. Bronstein
R. E. Rand
A family with calluses of the soles associated with blistering is described. Electron microscopic study of a bulla showed an intraepidermal blister with cytolysis of keratinocytes and clumping of tonofilaments. Review of the literature and our own experience with keratoderma palmaris et plantaris revealed no similar patients with this combination of findings. The appearance of the soles is similar to pachyonychia congenita, but the lack of nail and mucous membrane changes is not consistent with that disorder. Treatment with isotretinoin caused reduction in the size of the calluses but exacerbated the blistering.

1984
Article
Ind J Dermatol Venereal Leprol.1984 ;50(1):23-26
Pachyonychia congenita
A. K. Bajaj, S. C. Gupta

Sometimes incorrectly cited as Bajaj, A. J.

1997
Article
Adv Dermatol.1997 ;12():99-113; discuss
Genetic approaches to understanding the keratinopathies
S. J. Bale
J. J. DiGiovanna
Genetic methods (both statistical and laboratory based), along with close clinical scrutiny, have led to the recent discovery that abnormal keratin genes underlie several disorders of cornification (Table 3). The ability to classify diseases based on the specific underlying gene mutation has now become a reality (e.g., the ability to distinguish IBS from EHK and to correlate palmoplantar hyperkeratosis in EHK with keratin 1 mutations vs. the lack of palmoplantar hyperkeratosis with keratin 10 mutations). Understanding how specific keratin mutations cause their associated clinical phenotypes will lead to better appreciation of the function of KIFs in epidermis in normal and disease states.

1673
Article (English)
Article (Latin)
Acta Med Philosophica Hafnensis.1673 ;1():43
[Ungues monstrosis]
T. Bartholin

1973
Article (English)
Article (German)
Hautarzt.1973 Oct;24(10):439-441
[The Jadassohn-Lewandowsky syndrome]
S. Bauscher

1932
Article
Arch Dermatol.1932 ;25():408-409
Onychogryphosis (congenital)
P.E. Bechet

1987
Article
Int J Pediatr Otorhinolaryngol.1987 Aug;13(2):205-209
Pachyonychia congenita with laryngeal involvement
B. Benjamin
D. S. Parsons
H. F. Molloy
NOTE: Later genetic testing found this patient does not have a keratin mutation (i.e. does not have Pachyonychia congenita) but does have a connexin 30 mutation.// Pachyonychia congenita (Jadassohn-Lewandowsky Syndrome) is a rare autosomal dominant disorder characterized by nail dystrophy, hyperkeratosis of the palms and soles, leukoplakia of the mucosa of the upper respiratory tract and anus, follicular keratoses especially about the knees and elbows, and palmar and plantar hyperhidrosis. We present a patient with pachyonychia congenita and an exophytic lesion in the larynx at the posterior commissure. He is the youngest of 4 family members with this disorder covering 3 generations. Each of the 4 patients also exhibited both oral leukoplakia compatible with the Jadassohn-Lewandowsky syndrome (Ikonograph Dermatol. Lab., 1 (1906) p. 29), and subcutaneous cysts of the face and scalp as described by Jackson and Lawler (Ann. Eugenics (1951) 142.

Sometimes incorrectly cited with Parsons as first author.

1995
Article (English)
Article (French)
Ann Dermatol Venereol.1995 ;122(6-7):428-431
[Congenital pachyonychia, neurofibromatosis and sensory-motor polyneuropathy]
A. F. Bensa
S. Dalac
F. Beer
A. Nivelon-Chevalier
C. Blanchet-Bardon
D. Lambert
INTRODUCTION. A 71-year-old man consulted because he could not walk due to spots of hyperalgic, invalidating plantar keratodermia. A nearly identical symptomatology was observed in several members of the family suggesting an autosomal dominant hereditary disease due to painful callosities as described by Roth in 1978. CASE REPORT. The patient had pachyonychia on all fingers and toes, only the ring fingers and the fifth toes were not involved. Multiple epidermoid follicular cysts were also found on the trunk suggesting the diagnosis of type II hereditary pachyonychia or Jackson-Lawler disease. Axonal polyneuropathy was also found with cutaneous signs of neurofibromatosis. Cytology studies were performed in order to elucidate the relationship between these different findings. It was not possible to retain the diagnosis of complex axonal polyneuropathy as described by Tolmie where autosomal dominant inheritance of early onset ungueal dystrophy is associated with punctuated palmoplantar keratodermia and hereditary sensoromotor axonal neuropathy. CONCLUSION. This patient presented several types of complex neurocutaneous manifestations which could not be successfully related to each other.

1996
Article
J Laryngol Otol.1996 Dec;110(12):1145-1147
Otological lesions in pachyonychia congenita syndrome
R. F. Bento
M. H. Guatimosim
L. Bensadon Rde
T. G. Sanchez
R. L. Voegels
The authors report a case of a patient with pachyonychia congenita syndrome, a rare genodermatosis inherited as an autosomal dominant trait, who also had otological lesions beyond the other classic signs and symptoms of the syndrome. Many kinds of treatment have already been proposed, but all failed to show satisfactory results. A new, cheap and easy-to-use treatment was developed in this study, using keratoplastics interpolated with humectant lotion for 90 days. The results after three years of follow-up are still thoroughly satisfactory.

2002
Article
J Invest Dermatol.2002 Nov;119(5):1137-1149
Keratin 16 expression defines a subset of epithelial cells during skin morphogenesis and the hair cycle
K. M. Bernot
P. A. Coulombe
K. M. McGowan
The morphogenesis of skin epithelia and adult hair follicle cycling both require integrated signaling between the epithelium and underlying mesenchyme. Because of their unique regulation, keratin intermediate filaments represent useful markers for the analysis of determination and differentiation processes in complex epithelia, such as the skin. In this study, we analyzed the distribution of mouse type I keratin 16 during skin morphogenesis, in the adult hair cycle, and in challenged epidermis. In mature hair follicles, we find keratin 16 along with its type II keratin partner keratin 6 in the companion layer of the outer root sheath during anagen and in the club hair sheath during catagen and telogen. During embryonic development, the distribution of keratin 16 is uncoupled from its presumed polymerization partner, keratin 6. Keratin 16 initially localizes within early hair germs, but rapidly shifts to a subset of cells at the interface of basal and suprabasal cells above and around the hair germ. The presence of keratin 16 at the transition between mitotically active and differentiating cells is recapitulated in primary keratinocytes cultured in vitro and in phorbol 12-myristate 13-acetate-treated back skin in vivo. We propose that keratin 16 marks cells in an intermediate state of cellular properties in which keratinocytes retain the flexibility required for activities such as cell migration and even mitosis but are resilient enough to provide the structural integrity required of the early suprabasal layers in the context of development, adult hair cycling, and wound repair.

2000
Article
Genesis.2000 Feb;26(2):160-161
Characterization of an inducible, epidermal-specific knockout system: differential expression of lacZ in different Cre reporter mouse strains
T. R. Berton
X. J. Wang
Z. Zhou
C. Kellendonk
G. Schutz
S. Tsai
D. R. Roop

1971
Article
Br J Dermatol.1971 Jan;84(1):95-96
Pachyonychia congenita with epidermal cysts and teeth at birth: 4th generation
F. S. Besser

1912
Article (English)
Article (German)
.1912 ;():
Die Morphologie der Missbildungen des Menschen und der Tiere
E. Schwarlbe Bettmann

1973
Article
.1973 ;():
Synopsis of Oral Pathology
S.N. Bhaskar

1999
Article
Proc Assoc Am Physicians.1999 May-Jun;111(3):184-189
Transduction of a preselected population of human epidermal stem cells: consequences for gene therapy
J. R. Bickenbach
D. R. Roop
Continuously renewing tissues, such as the epidermis, are populated by a hierarchy of dividing transient amplifying cells, which are maintained by stem cells. Transient amplifying cells divide to maintain the tissue, but they are limited to a finite number of cell divisions before they differentiate and are sloughed. Only the stem cells remain for the life of the tissue. Thus, it is critical to target stem cells when designing gene therapy regimes for genetically inherited diseases, such as epidermolysis bullosa simplex (EBS). Unfortunately, isolating pure epithelial stem cells has been problematic. In this study, we used rapid adherence to collagen type IV to successfully enrich for epidermal stem cells from adult human skin. These preselected stem cells were slow to proliferate, but they ultimately formed large colonies. When recombined with the dermal substrate AlloDerm, the stem cells re-formed a stratified squamous epidermis within 1 week after raising the AlloDerm to the air-liquid interface. These organotypic cultures grew continuously and, even after 6 weeks in culture, they maintained a proliferative basal layer. When transduced with a retroviral LacZ vector, preselected stem cells formed beta-galactosidase-positive clones in submerged and organotypic cultures. Transduced cells showed persistent expression through 12 weeks in organotypic culture, demonstrating the feasibility of using preselected stem cells for gene therapy. Currently, we are developing two models of EBS to test a gene therapy approach, which is based on the premise that EBS stem cells with a mutant keratin (K)14 gene corrected to wild type will have a growth advantage over noncorrected EBS stem cells.

1869
Article (English)
Article (German)
Arch Klin Chri.1869 ;10():619
Onychogryphosis
T. H. Billroth

1973
Article
Sven Tandlak Tidskr.1973 Jul;66(4):343-355
Premature eruption in the primary dentition--a clinical and radiological study
G. Bjuggren

1982
Article
Br J Dermatol.1982 Jan;106(1):123
Treatment of pachyonychia congenita with phenytoin
H. Blank

1846
Article Not Found
.1846 ;():
Tractatio de Mutationibus Unquium Mobosis
Blech

1992
Article
J Invest Dermatol.1992 Jun;98(6 Suppl):42S-49S
Regulation of keratin gene expression: the role of the nuclear receptors for retinoic acid, thyroid hormone, and vitamin D3
M. Blumenberg
D. M. Connolly
I. M. Freedberg
Keratinization, the orderly process of differentiation of epidermal keratinocytes from stratum basale to stratum corneum, is influenced by hormones and vitamins. We have used expression of epidermal keratins as a paradigm of keratinization processes and analyzed the effects of retinoic acid, thyroid hormone, and vitamin D3 on keratin gene expression. DNA constructs in which keratin gene promoters drive expression of reporter genes were co-transfected with vectors expressing nuclear receptors for the above molecules into various cell types. The keratin promoters studied included K3, K5, K10, K14, and K16. The recipient cell types were HeLa and primary cultures of rabbit corneal and esophageal epithelial cells and of human epidermal keratinocytes. We found that retinoic acid, via its nuclear receptor, suppresses expression of all the above-listed keratin genes. Thyroid hormone and its receptor similarly suppressed those genes. The site of interaction between these two receptors and the promoter sequences of K10 and K14 genes has been identified. Surprisingly, vitamin D3 and its receptor had no direct effect on keratin promoters. Our results suggest that a retinoic acid has a twofold effect on keratin gene expression: by regulating keratinocyte differentiation it determines which keratins are expressed, basal cell specific or differentiation specific; by direct interaction between its receptor and keratin genes, retinoic acid determines the total amount of keratin protein within the cell. Vitamin D3, on the other hand, also regulates keratinocyte differentiation, but does not directly interact with the keratin genes.

1993
Article
Am J Dermatopathol.1993 Dec;15(6):594-599
Pachyonychia congenita. A historical note
J. Bondeson Pachyonychia congenita is an uncommon type of ectodermal dysplasia, characterized by thickened, dystrophic nails and hyperkeratotic skin lesions. In the literature, it has been widely accepted that the first cases of this syndrome were published in the first years of the 20th century. However, a search of the older literature reveals several older cases of definite pachyonychia congenita, some of them from the 17th and 18th centuries. In 1716, the Danish physician Musaeus described a case of the pachyonychia congenita syndrome in some detail, with an excellent plate showing all the major symptoms.

1981
Article
Biochem J.1981 Oct 1;199(1):145-154
Modification of human prekeratin during epidermal differentiation
P. E. Bowden
W. J. Cunliffe
The polypeptide-chain components of human epidermal prekeratin and keratin were analysed by high-resolution SDS (sodium dodecyl sulphate) polyacrylamide-gradient-gel electrophoresis. Size heterogeneity existed amongst prekeratin components and at least ten polypeptides, in the molecular-weight range 46,000-70,000, were observed in 0.1 M-citric acid sodium citrate buffer (pH 2.65) extracts of scale epidermis. Prekeratin from scalp pilosebaceous ducts was identical with that from the contiguous epidermis, and no prekeratin was found in extracts of scale dermis. Prekeratin from plantar epidermis contained additional polypeptide chains, but only slight anatomical variation existed between the non-callus sites examined. Keratin differed from prekeratin in at least two major respects: (a) many major components did not co-electrophorese on high-resolution SDS polyacrylamide slab gels, and (b) keratin, but not prekeratin, required denaturing and reducing conditions for extraction. Keratin extracted from scale epidermis after complete removal of prekeratin was identical with forearm stratum-corneum keratin. Palmar and plantar keratin contained additional polypeptide chains and had a different size distribution compared with forearm and scalp keratin components. Modification of prekeratin components to produce the keratin polypeptide profile occurred during epidermal differentiation, and these changes appeared to take place in the granular-layer region of the epidermis.

1994
Article
J Dermatol Sci.1994 Jul;7 Suppl():S152-163
Sequence and expression of human hair keratin genes
P. E. Bowden
S. Hainey
G. Parker
M. B. Hodgins
Normal hair growth and differentiation requires co-ordinate expression of many hair specific structural protein genes. It has been established that one of the 4 major groups of hair structural proteins, low-sulphur hair keratins, belongs to the intermediate filament (IF) multigene family. Hair keratin IF proteins differ from those of other epithelia as they contain cysteine-rich terminal domains allowing more extensive disulphide bonding to the high-sulphur hair matrix proteins. Until recently, little information concerning the primary sequence of hair keratins was available but cloning of some mouse hair and sheep wool keratins has now been reported. Using these sequences, we have polymerase chain reaction (PCR) amplified genomic fragments of human hair-specific keratin IF genes and isolated cosmid clones containing full length genes. We have sequenced part of these genes and studied their expression in human hair follicles. Hair specific keratin fragments were amplified from placental gDNA by PCR primed with synthetic oligonucleotides. Fragments were cloned and sequenced after ligation into pGEM-3Z and labelled riboprobes were generated for in situ hybridization on human skin sections. A human cosmid library was screened with PCR fragments and clones encoding human hair keratin genes were characterised by southern hybridization and sequencing. The type I human hair-specific keratin clones obtained (HaKA1-b2, 386 bp; hHaKA1-XH1, 1202 bp) encoded 2B helix, C-terminal and 3'nc regions and were 65% homologous to mouse sequences. The type II hair keratin clone (hHaKB2-1, 829 bp) also encoded 2B helix and C-terminal regions and was 95% homologous to mouse. In situ hybridization on human skin sections showed a specific reaction with precortical cells of the hair follicle. One human cosmid clone, isolated with the hHaKB2-1 probe, contained two type II hair keratin genes about 7 kb apart, each of which had 9 exons spanning approximately 6 kb. The coding sequences were homologous to mouse cDNA (77-88%). These human hair-specific keratin clones are useful molecular tools for studies of hair differentiation.

1995
Article
Nat Genet.1995 Jul;10(3):363-365
Mutation of a type II keratin gene (K6a) in pachyonychia congenita
P. E. Bowden
J. L. Haley
A. Kansky
J. A. Rothnagel
D. O. Jones
R. J. Turner
Pachyonychia congenita (PC) is a rare autosomal dominant condition characterized by multiple ectodermal abnormalities. Patients with Jadassohn-Lewandowsky Syndrome (MIM #167200; PC-1) have nail defects (onchyogryposis), palmoplantar hyperkeratosis, follicular hyperkeratosis and oral leukokeratosis. Those with the rarer Jackson-Lawler Syndrome (MIM #167210; PC-2) lack oral involvement but have natal teeth and cutaneous cysts. Ultra-structural studies have identified abnormal keratin tonofilaments and linkage to the keratin gene cluster on chromosome 17 has been found in PC families. Keratins are the major structural proteins of the epidermis and associated appendages and the nail, hair follicle, palm, sole and tongue are the main sites of constitutive K6, K16 and K17 expression. Furthermore, mutations in K16 and K17 have recently been identified in some PC patients. Although we did not detect K16 or K17 mutations in PC families from Slovenia, we have found a heterozygous deletion in a K6 isoform (K6a) in the affected members of one family. This 3 bp deletion (AAC) in exon 1 of K6a removes a highly conserved asparagine residue (delta N170) from position 8 of the 1A helical domain (delta N8). This is the first K6a mutation to be described and this heterozygous K6a deletion is sufficient to explain the pathology observed in this PC-1 family.

1987
Article
Curr Top Dev Biol.1987 ;22():35-68
Expression and modification of keratins during terminal differentiation of mammalian epidermis
P. E. Bowden
H. J. Stark
D. Breitkreutz
N. E. Fusenig

1971
Article
Br J Dermatol.1971 Sep;85(3):298-299
Pachyonychia and multiple epidermal hamartomata
J. D. Boxley
D. S. Wilkinson

1991
Article
J Med Primatol.1991 Oct;20(8):394-401
Pachyonychia congenita-like disorder in cotton-top tamarins (Saguinus oedipus oedipus)
M. Brack
H. Klensang
A spontaneous genodermatosis in 13 cotton-top tamarins is described as a retrospective study. The disease appeared as alopecia, pigmentary disturbances, and claw dystrophy similar but not identical to human Pachyonychia congenita. The disease in the tamarins seems to be inherited as an autosomal recessive trait, becoming clinically apparent around adolescence. In certain families the neonatal mortality rate was also above average, reaching 100%.

1952
Article
10th Int Congr Dermatol Lond.1952 ;():507-508
Pachyonychia congenita with ectodermal defect
R. T. Brain

Sometimes incorrectly cited as Barin, R. T.

1986
Article
Eur J Cell Biol.1986 Dec;42(2):255-267
Environmental induction of differentiation-specific keratins in malignant mouse keratinocyte lines
D. Breitkreutz
J. Hornung
J. Pohlmann
L. Brown-Bierman
A. Bohnert
P. E. Bowden
N. E. Fusenig
Four spontaneously transformed keratinocyte lines (HELP I-IV) were raised from primary cultures of mouse epidermal cells grown on gas-permeable (Petriperm) dishes. Although tumorigenic, these cell lines still expressed the differentiated phenotype under mesenchymal influence in vivo in a fashion similar to normal cells and in contrast to previous observations on other transformed cell lines. Initially, after transplantation onto adult mice, HELP cells generally formed well organized ortho-keratinizing epithelia closely resembling those of normal epidermal cells. Later, dysplastic epithelia and papilloma-like structures developed and cells invaded subcutaneous host tissue. When injected subcutaneously into newborn syngeneic mice, all four cell lines gave rise to differentiated carcinomas at high frequency. Keratinized metastases were detected in the lung with HELP I, albeit at low frequency. Although the four HELP cell lines differed morphologically and biochemically in their degree of ortho-keratinization, no inverse relationship to their malignant potential was evident. In contrast to cell cultures, HELP transplants and tumors expressed epidermis-type "suprabasal" keratins. Metabolic labeling and electrophoresis on one and two-dimensional gels revealed both the basic 67 kilodaltons (kDa) and acidic 58 kDa components, including presumptive derivatives analogous to those observed in epidermal stratum corneum. However, associated with alterations in tissue architecture, the spatial control of keratin expression was gradually lost in papilloma-like and invading transplants and tumors, as demonstrated by indirect immunofluorescence microscopy (IIF). Thus, while cell differentiation appeared virtually normal, the progressive disturbances in tissue differentiation indicate important changes in the responsiveness of these malignant keratinocytes to environmental conditions.

1883
Article Not Found
.1883 ;():
Consideration sur les Onyxis Diathesiques
Brochard-Riguard

1925
Article (English)
Article (German)
Dermatol Zschr.1925 ;42():6-26
[Zur syptomatologie und histologie der kongenitalen dyskeratosen]
S.R. Brunauer

Sometimes incorrectly cited as Brunauer, S.R. (1924)

1984
Article
J Invest Dermatol.1984 Jan;82(1):18-20
Concanavalin A distinguishes among diseases of altered epidermal differentiation
M. M. Brysk
J. Miller
A. A. Hebert
Mannose-containing of glycoproteins from lesional tissue of several diseases of aberrant epidermal differentiation (palmar-plantar keratoderma, pachyonychia congenita, psoriasis, and epidermolytic hyperkeratosis) were analyzed by overlaying iodinated concanavalin A onto molecules separated by polyacrylamide gel electrophoresis. Gel autoradiograms showed that biopsy samples from patients with the same disease were very similar. The radioactivity profiles were different for each disease and were distinguishable from each other and from normal epidermis and callus. The resolution and sensitivity of this technique may be of diagnostic significance.

1962
Article
Arch Dermatol.1962 Mar;85():397-402
Pachyonychia congenita
W. R. Buckley
J. Cassuto

1915
Article Not Found
Arch Dermatol Syphilol.1915 ;33():255
Burns

1975
Article
Arch Dermatol.1975 Jul;111(7):899-901
Leukonychia totalis, multiple sebaceous cysts, and renal calculi. A syndrome
L. L. Bushkell
R. J. Gorlin
A 27-year-old man had leukonychia totals, multiple sebaceous cysts, and renal calculi. Pedigree analysis showed a total of four generations involved, with koilonychia additionally present in three of the affected individuals. Autosomal dominant inheritance is a postulation.

1962
Article
Clinical Genodermatol.1962 ;():64-67
Strean LP
T. Butterworth

1981
Article
Birth Defects Orig Artic Ser.1981 ;17(2):205-225
Structural and biochemical parameters of congenital ichthyosis
M. M. Buxman

1972
Article (English)
Article (Spanish)
Actas Dermosifiliogr.1972 Mar-Apr;63(3-4):131-138
[Congenital pachyonichia. Jadassohn-Levandowski syndrome]
J. Cabre
J. M. Gomez Armario
J. Vidal

1991
Article
Dermatologica.1991 ;182(3):184-187
Pili torti and onychodysplasia. Report of a previously undescribed hidrotic ectodermal dysplasia
P. Calzavara-Pinton
A. Carlino
A. Benetti
G. De Panfilis
Ectodermal dysplasias are a large and heterogeneous groups of clinically and genetically distinct syndromes. We studied a family suffering from dystrophies of the distal part of the nails and trichodysplasia. Scalp, beard, pubic and axillary hair were broken off leaving a stubble 1-10 mm in length. Eyebrows, eyelashes and body hair were completely absent. Serum levels of copper and plasma levels of amino acids were within the normal range. Inheritance was autosomal recessive. Previous reports of ectodermal dysplasias and other complex syndromes with pili torti are reviewed.

2001
Article
J Cell Biol.2001 Feb 5;152(3):651-656
An inducible mouse model for epidermolysis bullosa simplex: implications for gene therapy
T. Cao
M. A. Longley
X. J. Wang
D. R. Roop
The Dowling-Meara variant of epidermolysis bullosa simplex (EBS-DM) is a severe blistering disease inherited in an autosomal-dominant fashion. Here we report the generation of a mouse model that allows focal activation of a mutant keratin 14 allele in epidermal stem cells upon topical administration of an inducer, resulting in EBS phenotypes in treated areas. Using laser capture microdissection, we show that induced blisters healed by migration of surrounding nonphenotypic stem cells into the wound bed. This observation provides an explanation for the lack of mosaic forms of EBS-DM. In addition, we show that decreased mutant keratin 14 expression resulted in normal morphology and functions of the skin. Our results have important implications for gene therapy of EBS and other dominantly inherited diseases.

1988
Article
Br J Dermatol.1988 Oct;119(4):551-553
Etretinate-responsive pachyonychia congenita
F. Carabott
C. B. Archer
W. A. Griffiths

1969
Article Not Found
Dermatologia Ecuatoriana.1969 ;2():16-20
Paquioniquia congenita
L. Carbajal

2004
Article
Skinmed.2004 Jul-Aug;3(4):233-235
Case study: pachyonychia congenita: a mixed type II-type IV presentation
C. Cardinali
D. Torchia
M. Caproni
N. Petrini
P. Fabbri
A 52-year-old woman in good health with a family history negative for dermatologic diseases presented to our department with thickening and dystrophy of all her fingernails and toenails that started when she was born. She also had hyperkeratosis on the palms of her hands and soles of her feet that was confined to sites of pressure and recurrent plantar blisters that began appearing at puberty. The patient reported marked pain while walking from such plantar involvement. Her medical history revealed a persistent hoarseness; palmoplantar hyperhidrosis; and the appearance of numerous cysts on her back, neck, and scalp since she was 20 years old. These latter lesions had been diagnosed as multiple steatocystoma on the basis of the histologic features. Upon examination, all of her fingernails and toenails appeared shortened, thickened,and dystrophic (Figures 1-3). In addition, they presented subungual keratosis and a yellowish-gray color. Hyperkeratosis and small ulcerations were present on the perionychium. Palmoplantar keratoderma was evident, especially on the soles,in association with superficial erosions (Figure 4). Keratosis pilaris was evident on the extensor surfaces of the forearms as well as on the anterior surfaces of the legs. Multiple nodules were detected on the patient's neck, trunk, and axillary regions(Figure 5). They consisted of multiplex steatocystoma and were characterized by a hemispheric shape, a normal-appearing skin color, and by an elastic consistency on palpation. Oral and dental changes were not detected, although hair anomalies were evident. Laboratory parameters disclosed eosinophilia and increased total IgE levels. The results of serum protein electrophoresis was normal, as were those concerning hepatic and renal functions. The ophthalmology examination showed neither corneal dyskeratosis nor cataracts. The neurologic-psychiatric visit revealed slight mental retardation.

1997
Article
Pediatr Dermatol.1997 Nov-Dec;14(6):491-493
What syndrome is this? Pachyonychia congenita
M. A. Carroll
H. J. Kim
R. A. Skidmore

2001
Article
Prog Nucleic Acid Res Mol Biol.2001 ;67():163-192
Gene targeting via triple-helix formation
B. P. Casey
P. M. Glazer
A report on a recent workshop entitled "Gene-Targeted Drugs: Function and Delivery" conveys a justified optimism for the eventual feasibility and therapeutic benefit of gene-targeting strategies. Although multiple approaches are being explored, this chapter focuses primarily on the uses of triplex-forming oligonucleotides (TFOs). TFOs are molecules that bind in the major groove of duplex DNA and by so doing can produce triplex structures. They bind to the purine-rich strand of the duplex through Hoogsteen or reverse Hoogsteen hydrogen bonding. They exist in two sequence motifs, either pyrimidine or purine. Improvements in delivery of these TFOs are reducing the quantities required for an effective intracellular concentration. New TFO chemistries are increasing the half-life of these oligos and expanding the range of sequences that can be targeted. Alone or conjugated to active molecules, TFOs have proven to be versatile agents both in vitro and in vivo. Foremost, TFOs have been employed in antigene strategies as an alternative to antisense technology. Conversely, they are also being investigated as possible upregulators of transcription. TFOs have also been shown to produce mutagenic events, even in the absence of tethered mutagens. TFOs can increase rates of recombination between homologous sequences in close proximity. Directed sequence changes leading to gene correction have been achieved through the use of TFOs. Because it is theorized that these modifications are due to the instigation of DNA repair mechanisms, an important area of TFO research is the study of triple-helix recognition and repair.

1999
Article
J Invest Dermatol.1999 Nov;113(5):848-850
Mutation report: identification of a germline mutation in keratin 17 in a family with pachyonychia congenita type 2
J. T. Celebi
E. L. Tanzi
Y. J. Yao
E. J. Michael
M. Peacocke
Pachyonychia congenita type 2 (PC-2), also known as Jackson-Lawler type PC, is an autosomal dominant disorder characterized by hypertrophic nail dystrophy associated with focal keratoderma and multiple pilosebaceous cysts. It has been demonstrated that PC-2 is associated with germline mutations in the keratin 17 (K17) gene and in its expression partner keratin 6b. In this report, we describe a novel germline mutation in K17, M88T, in a family with PC-2.

1999
Article
J Biol Chem.1999 Apr 23;274(17):11541-11548
Targeted correction of an episomal gene in mammalian cells by a short DNA fragment tethered to a triplex-forming oligonucleotide
P. P. Chan
M. Lin
A. F. Faruqi
J. Powell
M. M. Seidman
P. M. Glazer
Triplex-forming oligonucleotides (TFOs) can bind to polypurine polypyrimidine regions in DNA in a sequence-specific manner and provoke DNA repair. We have coupled a TFO to a short donor fragment of DNA that shares homology to a selected gene as a strategy to mediate gene targeting and correction. In this bifunctional oligonucleotide, the TFO domain is designed to bind the target gene and stimulate repair and recombination, with the donor domain positioned for recombination and information transfer. A series of these tethered donor-TFO (TD-TFO) molecules with donor domains of 40-44 nucleotides and TFO domains in both the purine and pyrimidine triplex motifs were tested for their ability to mediate either gene correction or mutation of a supF reporter gene contained in a SV40 shuttle vector in mammalian cells. In vitro binding assays revealed that the attachment of the donor domain via a flexible linker did not significantly alter the binding affinity of the TFO domain for the polypurine site in the supF target DNA, with equilibrium dissociation constants in the 10(-8) M range. Experiments in which the target vector and the linked TD-TFOs were pre-incubated in vitro and co-transfected into cells led to conversion frequencies approaching 1%, 4-fold greater than with the two domains unlinked. When cells that had been previously transfected with the SV40 vector were electroporated with the TD-TFOs, frequencies of base pair-specific gene correction were seen in the range of 0.04%, up to 50-fold over background and at least 3-fold over either domain alone or in unlinked combinations. Sequence conversion by the TD-TFOs was achieved using either single- or double-stranded donor domains and either triplex motif. Substitution of either domain in the TD-TFO with control sequences yielded reagents with diminished activity, as did mixtures of unlinked TFO and donor DNA segments. The boost in activity provided by the attached TFO domain was reduced in cells deficient in the nucleotide excision repair factor XPA but was restored in a subclone of these cells expressing XPA cDNA, suggesting a role for nucleotide excision repair in the pathway of triple helix-stimulated gene conversion. The ability to correct or mutate a specific target site in mammalian cells using the TD-TFO strategy may provide a useful tool for research and possibly for therapeutic applications.

1994
Article
J Am Acad Dermatol.1994 Jun;30(6):1017-1018
Pachyonychia congenita in the absence of other syndrome abnormalities
A. Chang
G. P. Lucker
P. C. van de Kerkhof
P. M. Steijlen


This case is not Pachyonychia Congenita. See "Clouston Syndrome Can Mimic Pachyonychia Congenita," van Steensel et al (JID 121:1035, 2003); copy available in this bibliography.

1991
Article (English)
Article (French)
Ann Dermatol Venereol.1991 ;118(11):781-784
[Jackson-Lawler syndrome: a study in 2 families]
J. Chevrant-Breton
C. Lezoraine
D. Mazeas
A. M. Bousser
M. Patoux-Pibouin
M. Gosselin
G. Lancien
B. Le Marec

1986
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1986 ;(10):62-64
[Jadassohn-Lewandowski syndrome]
I. A. Chistiakova

1977
Article
Arch Dermatol.1977 May;113(5):685-686
Pachyonychia congenita with recessive inheritance
T. Chong-Hai
K. Rajagopalan

1968
Article
J Indian Med Assoc.1968 Sep 1;51(5):246-248
Sodium laevothyroxine in pachyonychia congenita
D. S. Chowdhuri
A. K. Banerjee


Sometimes cited as Chowdhury

1967
Article
Br J Dermatol.1967 Dec;79(12):722
Pachyonychia congenita--favourable response to sodium laevothyroxine
D. S. Chowdhury
A. K. Banerjee


Sometimes cited as Chowdhuri

1937
Article
Arch Dermatol Syphilol.1937 ;36():303-309
H. L. Chung

1940
Article
Arch Dermatol.1940 ;42():703-704
Pachyonychia congenita
A. C. Cipollaro

1941
Article
Arch Dermatol Syphilol.1941 ;43():198
Pachyonychia congenita
A. C. Cipollaro

1986
Article
Br J Dermatol.1986 Mar;114(3):367-370
Pachyonychia congenita Jackson-Lawler type: a distinct malformation syndrome
M. Clementi
E. Cardin de Stefani
C. Dei Rossi
V. Avventi
R. Tenconi
A family with three members in two generations affected by pachyonychia congenita, hyperkeratosis and hyperhidrosis of the palms and soles, follicular keratosis, neonatal teeth and epidermoid cysts (Jackson-Lawler syndrome) is described. The nosological autonomy of this condition is proposed and a further heterogeneity is suggested on the basis of histopathological changes in the subcutaneous cysts.

1933
Article
.1933 ;():
Inherited Abnormalities of the Skin & Appendages
E.A. Cockayne

1999
Article
Dermatology.1999 ;198(1):107-108
Avoiding Pachyonychia congenita using oocyte donation
M. A. Cohen
S. R. Lindheim
M. V. Sauer

1991
Article
Am J Dis Child.1991 Nov;145(11):1301-1302
Picture of the month. Pachyonychia congenita
P. R. Cohen
A. A. Hebert
M. Feingold
W. W. Tunnessen, Jr.

1976
Article
Arch Otolaryngol.1976 Apr;102(4):233-235
Pachyonychia congenita with involvement of the larynx
A. M. Cohn
J. R. McFarlane
J. Knox
Pachyonychia congenita is a genetic syndrome of epithelial dysplasia that is inherited as an autosomal dominant trait. Its unique involvement within the larynx of a 3-year-old boy prompted this brief report of its clinical behavior and management.

1990
Article (English)
Article (French)
Ann Pediatr (Paris).1990 Sep;37(7):458-460
[Bone complications from chronic etretinate intoxication in children]
M. Cointin
D. Sommelet-Olive
J. F. Cuny
M. C. Bretagne
Clinical, roentgenographic and biologic features of etretinate bone toxicity in a 13-year-old girl with pachyonychia congenita syndrome are reported. Etretinate is a synthetic derivative of vitamin A that infrequently induces bone and joint abnormalities in children. The following manifestations can be observed: cortical hyperostosis, pain, calcification of tendons, thinning of long bones, demineralization, premature closure of epiphyses, or abnormal remodelling. Onset of these anomalies is often delayed since etretinate has a long half-life. Mechanisms are unknown. We advocate use of the minimum effective dosage and regular monitoring of patients.

1930
Article
Arch Dermatol Syphilol.1930 ;21():71-95
Dyskeratosis congenita with pigmentation, dystrophia unguis and leukokeratosis oris
H. N. Cole, J. E. Rauschkolb, J. Toomey

1974
Article (English)
Article (French)
Bull Soc Franc Dermatol Syphilol.1974 ;81():320
[Familial pachyonychia]
D. Colomb, F. Vittori, A. Gho

2001
Article
Br J Dermatol.2001 May;144(5):1058-1062
Delayed-onset pachyonychia congenita associated with a novel mutation in the central 2B domain of keratin 16
J. B. Connors
A. K. Rahil
F. J. Smith
W. H. McLean
L. M. Milstone
A young girl with clinical features of pachyonychia congenita type 1 was unusual in that the typical skin and nail changes were not noted until the age of 6 years. Direct sequencing of the KRT16A gene, encoding keratin K16, revealed a novel mutation K354N in the central 2B domain of the K16 polypeptide. The mutation created a new BsmI restriction site and therefore, the mutation was confirmed in the patient and excluded from both parents and 50 normal, unrelated individuals by BsmI digestion of KRT16A polymerase chain reaction products. This is the first time a mutation has been described in this location in a keratin other than K14, where similar mutations cause the milder Weber-Cockayne and or Kobner types of epidermolysis bullosa simplex.

1970
Article (English)
Article (Italian)
G Ital Dermatol Minerva Dermatol.1970 Aug;45(8):473-476
[On a case of circumscribed disseminated keratosis of the Jadassohn-Lewandowsky (J.L. type)]
B. Consentino
M. Pippione
G. F. Strani

1996
Article
Exp Dermatol.1996 Dec;5(6):297-307
Human keratin diseases: hereditary fragility of specific epithelial tissues
L. D. Corden
W. H. McLean
Keratins are heteropolymeric proteins which form the intermediate filament cytoskeleton in epithelial cells. Since 1991, mutations in several keratin genes have been found to cause a variety of human diseases affecting the epidermis and other epithelial structures. Epidermolysis bullosa simplex (EBS) was the first mechanobullous disease for which the underlying genetic lesion was found, with mutations in both the K5 and K14 genes rendering basal epidermal keratinocytes less resilient to trauma, resulting in skin fragility. The site of mutation in the keratin protein correlates with phenotypic severity in this disorder. Since mutations were identified in the basal cell keratins, the total number of keratin genes associated with diseases has risen to eleven. The rod domains of suprabasal keratins K1 and K10 are mutated in bullous congenital ichthyosiform erythroderma (BCIE; also called epidermolytic hyperkeratosis, EH) and mosaicism for K1 K10 mutations results in a nevoid distribution of EH. An unusual mutation in the VI domain of K1 has also been found to cause diffuse non-epidermolytic palmoplantar keratoderma (DNEPPK). Mutations in palmoplantar specific keratin K9 cause epidermolytic palmoplantar keratoderma (EPPK) and mutations in the late differentiation suprabasal keratin K2e cause ichthyosis bullosa of Siemens (IBS). In the last year or so, mutations were discovered in differentiation specific keratins K6a and K16 causing pachyonychia congenita type 1 and K17 mutations occur in pachyonychia congenita type 2. K16 and K17 mutations have also been reported to produce phenotypes with little or no nail changes: K16 mutations can present as focal non-epidermolytic palmoplantar keratoderma (NEPPK) and K17 mutations can result in a phenotype resembling steatocystoma multiplex. Recently, mutation of mucosal keratin pair K4 and K13 has been shown to underlie white sponge nevus (WSN). This year, the first mutations in a keratin-associated protein, plectin, were shown to cause a variant of epidermolysis bullosa associated with late-onset muscular dystrophy (MD-EBS). An unusual mutation has been identified in K5 which is responsible for EBS with mottled pigmentation and genetic linkage analysis suggests that the hair disorder monilethrix is likely to be due to a mutation in a hair keratin. The study of keratin diseases has led to a better understanding of the importance of the intermediate filament cytoskeleton and associated connector molecules in maintaining the structural integrity of the epidermis and other high stress epithelial tissues, as well as allowing diagnosis at the molecular level thus facilitating prenatal testing for this heterogeneous group of genodermatoses.

1950
Article (English)
Article (Spanish)
Revista Argentina de Dermatosifilologia.1950 ;34():54-61
[Jadassohn-Lewandowsky sydrome]
L. A. Cordiviola, F. E. Ambrosetti, H. J. S. Caballero

1964
Article
Plast Reconstr Surg.1964 Mar;33():226-236
Plastic Surgery in Pachyonychia Congenita and Other Dyskeratoses. Case Report and Review of the Literature
B. Cosman
F. C. Symonds, Jr.
G. F. Crikelair

1919
Article
Urol Cutan R.1919 ;23():159
Two cases of onychia Congenitals out of Plural Pregnancy
S. Mendes da Costa

S. Mendes da Costa

1952
Article (English)
Article (Spanish)
Arch Agent Dermatol.1952 ;2():154-156
[Jadassohn-Lewandowsky syndrome]
O. G. Costa

1956
Article
AMA Arch Derm.1956 Feb;73(2):123-132
Dyskeratosis congenita
M. J. Costello
C. M. Buncke

1997
Article (English)
Article (French)
Ann Dermatol Venereol.1997 ;124(2):197-204
[Transgenic mice: a model for the study of hereditary cutaneous bullous diseases]
A. Coulombe

1993
Article
Curr Opin Cell Biol.1993 Feb;5(1):17-29
The cellular and molecular biology of keratins: beginning a new era
P. A. Coulombe The past year has been extremely fruitful for research on intermediate filaments in general, and keratins in particular. Unprecedented progress has been made in our understanding of the structural requirements for keratin filament assembly and network formation, the dynamism characterizing keratin filaments, their function, and implication in human genetic disorders primarily affecting the skin. These exciting findings have several implications for future research.

1997
Article
Biochem Biophys Res Commun.1997 Jul 18;236(2):231-238
Towards a molecular definition of keratinocyte activation after acute injury to stratified epithelia
P. A. Coulombe While in recent years we have come to increasingly appreciate the multifaceted role of skin, probably none of these novel contributions is as vital as its barrier function, inferred centuries ago. In human skin this function is fulfilled nearly entirely by the epidermis, a thin stratified squamous epithelium made up primarily of keratinocytes and located at the skin surface. Disruption of the integrity of epidermis triggers a homeostatic response involving blood-derived elements and resident skin cell types that is designed to rapidly restore a functional epithelial lining over the wound site. This article is focused on the process of recruitment of keratinocytes from intact skin tissue at the proximal wound edges to participate in re-epithelialization.

1995
Article
Biochem Cell Biol.1995 Sep-Oct;73(9-10):611-618
Overexpression of human keratin 16 produces a distinct skin phenotype in transgenic mouse skin
P. A. Coulombe
N. S. Bravo
R. D. Paladini
D. Nguyen
K. Takahashi
Human cytokeratin 16 (K16; 48 kDa) is constitutively expressed in postmitotic keratinocytes in a variety of stratified epithelial tissues, but it is best known for the marked enhancement of its expression in stratified squamous epithelia showing hyperproliferation or abnormal differentiation. Of particular interest to us, K16 is strongly induced at the wound edge after injury to the epidermis, and its accumulation correlates spatially and temporally with the onset of reepithelialization. To examine the properties of K16 in its natural cellular context, we introduced a wild-type human K16 gene into the germ line of transgenic mice. Several transgenic lines were established and characterized. Under most conditions, the human K16 transgene is regulated tissue specifically in the skin of transgenic mice. Animals that feature low levels of transgene expression are indistinguishable from controls during the first 6-8 months of life. In contrast, transgenic animals expressing the transgene at higher levels develop skin lesions at 1 week after birth, coinciding with the emergence of fur. At a cellular level, alterations begin with the reorganization of keratin filaments and are first seen at the level of the hair follicle outer root sheath (ORS), where K16 expression is known to occur constitutively. The lesions then progressively spread to involve the proximal epidermis, with which the ORS is contiguous. Elevated transgene expression is associated with a marked thickening of these two epithelia, along with altered keratinocyte cytoarchitecture and aberrant keratinization but no keratinocyte lysis. The implications of this phenotype for epithelial differentiation, human genodermatoses, and wound healing in skin are discussed.

1990
Article
J Cell Biol.1990 Dec;111(6 Pt 2):3049-3064
Deletions in epidermal keratins leading to alterations in filament organization in vivo and in intermediate filament assembly in vitro
P. A. Coulombe
Y. M. Chan
K. Albers
E. Fuchs
To investigate the sequences important for assembly of keratins into 10-nm filaments, we used a combined approach of (a) transfection of mutant keratin cDNAs into epithelial cells in vivo, and (b) in vitro assembly of mutant and wild-type keratins. Keratin K14 mutants missing the nonhelical carboxy- and amino-terminal domains not only integrated without perturbation into endogenous keratin filament networks in vivo, but they also formed 10-nm filaments with K5 in vitro. Surprisingly, keratin mutants missing the highly conserved L L E G E sequence, common to all intermediate filament proteins and found at the carboxy end of the alpha-helical rod domain, also assembled into filaments with only a somewhat reduced efficiency. Even a carboxy K14 mutant missing approximately 10% of the rod assembled into filaments, although in this case filaments aggregated significantly. Despite the ability of these mutants to form filaments in vitro, they often perturbed keratin filament organization in vivo. In contrast, small truncations in the amino-terminal end of the rod domain more severely disrupted the filament assembly process in vitro as well as in vivo, and in particular restricted elongation. For both carboxy and amino rod deletions, the more extensive the deletion, the more severe the phenotype. Surprisingly, while elongation could be almost quantitatively blocked with large mutations, tetramer formation and higher ordered lateral interactions still occurred. Collectively, our in vitro data (a) provide a molecular basis for the dominance of our mutants in vivo, (b) offer new insights as to why different mutants may generate different phenotypes in vivo, and (c) delineate the limit sequences necessary for K14 to both incorporate properly into a preexisting keratin filament network in vivo and assemble efficiently into 10-nm keratin filaments in vitro.

1990
Article
J Cell Biol.1990 Jul;111(1):153-169
Elucidating the early stages of keratin filament assembly
P. A. Coulombe
E. Fuchs
Because of extraordinarily tight coiled-coil associations of type I and type II keratins, the composition and structure of keratin subunits has been difficult to determine. We report here the use of novel genetic and biochemical methods to explore the early stages of keratin filament assembly. Using bacterially expressed humans K5 and K14, we show that remarkably, these keratins behave as 1:1 complexes even in 9 M urea and in the presence of a reducing agent. Gel filtration chromatography and chemical cross-linking were used to identify heterodimers and heterotetramers as the most stable building blocks of keratin filament assembly. EM suggested that the dimer consists of a coiled-coil of K5 and K14 aligned in register and in parallel fashion, and the tetramer consists of two dimers in antiparallel fashion, without polarity. In 4 M urea, both end-to-end and lateral packing of tetramers occurred, leading to a variety of larger heteromeric complexes. The coexistence of multiple, higher-ordered associations under strongly denaturing conditions suggests that there may not be a serial sequence of events leading to the assembly of keratin intermediate filaments, but rather a number of associations may take place in parallel.

2001
Article
J Cell Sci.2001 Dec;114(Pt 24):4345-4347
Intermediate filaments at a glance
P. A. Coulombe
L. Ma
S. Yamada
M. Wawersik

2002
Article
Curr Opin Cell Biol.2002 Feb;14(1):110-122
'Hard' and 'soft' principles defining the structure, function and regulation of keratin intermediate filaments
P. A. Coulombe
M. B. Omary
Keratins make up the largest subgroup of intermediate filament proteins and represent the most abundant proteins in epithelial cells. They exist as highly dynamic networks of cytoplasmic 10-12 nm filaments that are obligate heteropolymers involving type I and type II keratins. The primary function of keratins is to protect epithelial cells from mechanical and nonmechanical stresses that result in cell death. Other emerging functions include roles in cell signaling, the stress response and apoptosis, as well as unique roles that are keratin specific and tissue specific. The role of keratins in a number of human skin, hair, ocular, oral and liver diseases is now established and meshes well with the evidence gathered from transgenic mouse models. The phenotypes associated with defects in keratin proteins are subject to significant modulation by functional redundancy within the family and modifier genes as well. Keratin filaments undergo complex regulation involving post-translational modifications and interactions with self and with various classes of associated proteins.

1998
Article
Biol Bull.1998 Jun;194(3):364-365; discus
Type I keratin 16 forms relatively unstable tetrameric assembly subunits with various type II keratin partners: biochemical basis and functional implications
P. A. Coulombe
M. Wawersik
R. D. Paladini
E. Noensie

1998
Article
Br J Dermatol.1998 Sep;139(3):475-480
Keratin 17 mutations cause either steatocystoma multiplex or pachyonychia congenita type 2
S. P. Covello
F. J. Smith
J. H. Sillevis Smitt
A. S. Paller
C. S. Munro
M. F. Jonkman
J. Uitto
W. H. McLean
Pachyonychia congenita type 2 (PC-2; Jackson-Lawler syndrome) is an autosomal dominant disorder characterized by hypertrophic nail dystrophy, mild focal keratoderma, multiple pilosebaceous cysts and other features of ectodermal dysplasia. Keratin 17 (K17) is a differentiation-specific keratin expressed in the nail bed, hair follicle, sebaceous gland and other epidermal appendages. Previously, we have demonstrated that PC-2 is caused by mutations in K17 and that similar mutations in this gene can present as steatocystoma multiplex with little or no nail dystrophy. Here, we describe three unrelated kindreds carrying K17 mutations. Two of these families have identical missense mutations (R94C) in the 1A domain of K17. However, while affected members of one kindred have the classical features of PC-2, affected persons in the other family have the steatocystoma multiplex phenotype. In a third family with PC-2, mutation N92S was detected, bringing the total number of distinct mutations reported in K17 thus far to 11. These results demonstrate that K17 mutations commonly underlie both PC-2 and steatocystoma multiplex and that the alternate phenotypes which arise from these genetic lesions in K17 are independent of the specific mutation involved.

1988
Article
Biochem Pharmacol.1988 Aug 1;37(15):3043-3046
Modification of keratin by the chemotherapeutic drug mitoxantrone
A. E. Cress
R. A. Roberts
G. T. Bowden
W. S. Dalton

1985
Article (English)
Article (Hungarian)
Orv Hetil.1985 Jul 14;126(28):1727-1728
[Congenital pachyonychia syndrome]
M. Csato
I. Toth-Kasa
A. Dobozy
H. Hammer

1989
Article
Clin Genet.1989 Aug;36(2):136-140
Familial steatocystoma multiplex: HLA, Gm, Km genotyping and chromosomal analysis in two unrelated families
M. Cuccia-Belvedere
V. Brazzelli
M. Martinetti
E. Berardesca
J. M. Dugoujon
F. De Paoli
G. Borroni
G. Rabbiosi
Steatocystoma Multiplex (S.M.) is an inherited condition characterized by the appearance of cysts during the first or second decade of life. Familial cases have occasionally been reported. We studied 13 patients affected by S.M. from two unrelated families, focusing our attention on HLA, Gm and Km genotypes and on chromosomal analyses. Although we failed to correlate the syndrome with a particular HLA, Gm or Km haplotype, we report some peculiarities and differences between these two families and the healthy Italian population.

1989
Article (English)
Article (French)
Ann Dermatol Venereol.1989 ;116(2):95-102
[Rheumatologic effects of etretinate]
J. F. Cuny
J. L. Schmutz
M. N. Terver
R. Aussedat
M. Cointin
M. Weber
J. Beurey
The effects of chronic hypervitaminosis A and long-term isotretinoin treatment on bone include cortical hyperostosis, ligament calcification and premature epiphyseal closure. Similar effects have now been reported in patients under maintenance treatment with etretinate in high doses. Etretinate, an oral, aromatic, synthetic vitamin A derivative, is widely used in Europe for disorders of keratinization. We report the cases of two patients--one with lamellar ichthyosis, the other with pachyonychia congenita--who developed such bone diseases during treatment with etretinate over 2 and 6 years respectively. The doses ranged from 0.5 to 1 mg kg day. Two years after starting treatment (total dose 25 g), the patient with lamellar ichthyosis complained of mechanical pain in the lumbar region and hips. Radiography showed calcification of the extraspinal tendons and ligaments and hyperostosis of the calcaneus bone at the insertion of the plantar ligament. After six years of etretinate treatment (total dose 50 g), the patient with pachyonychia congenita presented with scoliosis and limb length discrepancy. The musculoskeletal abnormalities resembled chronic hypervitaminosis A, with such osseous changes as demineralization, thinning and increased curvature of long bones with osteopenia, and premature closure of the epiphyses. Acroosteolysis was also present. Etretinate has been implicated in the formation of spinal hyperostoses and calcification of extraspinal ligaments in patients who had taken the drug for many years. The occurrence of premature epiphyseal closure in children certainly is a consequence of therapy with relatively high doses of etretinate for six years. But premature epiphyseal closure may also result from trauma to a fragile bone.(ABSTRACT TRUNCATED AT 250 WORDS)

1995
Article
Semin Dermatol.1995 Jun;14(2):129-134
Jadassohn-Lewandowski syndrome (pachyonychia congenita)
P. R. Dahl
M. S. Daoud
W. P. Su
Pachyonychia congenita is an uncommon autosomal dominant disorder with variable expression. Symmetrical nail hypertrophy, present in nearly all cases, is accompanied by dyskeratosis and dysplasia of other ectodermal tissues. This article reviews the genetics, clinical manifestations, histopathology, and treatment of pachyonychia congenita. Many clinical features have been reported in association with this syndrome. From a review of the literature, we propose criteria for the diagnosis of pachyonychia congenita using the more important of these clinical manifestations.

1966
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1966 Oct;40(10):96
[Congenital pachyonychia]
E. I. Danil'iants

Sometines cited as Daniliants

1976
Article Not Found
.1976 ;():
The Correspondence of John Locke vol. II
E.S. De Baer

1966
Article
Dermatologica.1966 ;133():344
Pachyonychia congenita with sebocystomatosis (sertoli)
W. P. De Groot

1985
Article
Acta Vitaminol Enzymol.1985 ;7 Suppl():13-20
Vitamin A: a key nutrient for the maintenance of epithelial differentiation
L. M. De Luca, D. Roop, F. L. Huang Vitamin A deficiency or benzo(a)pyrene instillation into tracheas of Syrian golden hamsters causes squamous metaplasia of tracheobronchial epithelium, normally a mucous secretory tissue. In the present studies, we have employed a tracheal organ culture system and have reproduced the in vivo phenomenon of squamous metaplasia during culturing under vitamin A free conditions as well as after carcinogen treatment. The squamous metaplasia induced by vitamin A deficiency, both in vivo and in vitro, was accompanied by an overall increase in keratin synthesis. Vitamin A deficient tracheas were shown to contain keratins of 50, 48, 46.5 Kd detected with the antibody AE1, and 58, 56 and 52 Kd detected with AE3. These proteins were either absent or present in much less quantity in control tracheas. In deficient tracheas 60 kd keratin was found to be located specifically in squamous suprabasal cells, and 55 and 50 Kd keratin proteins were found in a greatly expanded basal cell compartment. Following carcinogen exposure, the appearance of 60 kd keratin and the enhanced expression of 50 and 55 Kd keratins preceded the squamoid metaplastic response as detected morphologically. Both the keratin changes and the morphological changes were prevented by retinoid treatment.

1950
Article
Arch Dermatol.1950 ;184(274-5):
Pachyonychia congenita
C. R. Denton

1934
Article
Arch Dermatol Syphilol.1934 ;30():218-226
Pachyonychia congenita Jadassohn
F. A. Diasio

Sometimes incorrectly cited as Diazo, F. A.

2003
Article
Am J Clin Dermatol.2003 ;4(2):81-95
Ichthyosis: etiology, diagnosis, and management
J. J. DiGiovanna
L. Robinson-Bostom
The ichthyoses are a heterogeneous group of disorders with both inherited and acquired forms. Clinical presentation, pattern of inheritance, and laboratory evaluation may establish a precise diagnosis, which can assist in prognosis and genetic counseling. Congenital autosomal recessive ichthyosis (CARI) usually presents at birth, often as a collodion baby. CARI can progress into any one of a spectrum of disorders. Lamellar ichthyosis is characterized by dark, plate (armor)-like scale. This disease is often caused by mutations in the gene encoding the enzyme transglutaminase 1. Congenital ichthyosiform erythroderma is another phenotype within CARI, marked by generalized redness and fine white scale. Epidermolytic hyperkeratosis is an autosomal dominant disorder characterized by hyperkeratosis and blistering, and at least six clinical phenotypes have been described. It may be due to mutations in the gene encoding the intermediate filament proteins keratin 1 and 10. Ichthyosis vulgaris is the most common ichthyosis, and is inherited in an autosomal dominant pattern. Involvement is generally mild and may vary greatly with climate and humidity. X-linked ichthyosis, due to a defect in the enzyme steroid sulfatase, affects males with generalized scaling that usually begins soon after birth. There may be associated corneal opacities that do not affect vision. Sjogren-Larsson syndrome is an autosomal recessive ichthyosis associated with progressive spastic paralysis and mental retardation. This condition is caused by mutations in the gene for fatty aldehyde dehydrogenase. Refsum's disease, due to accumulation of phytanic acid, results in ichthyosis and progressive neurologic dysfunction. The erythrokeratodermas are characterized by hyperkeratosis and localized erythema. Erythrokeratodermia variabilis is autosomal dominant and characterized by generalized or localized hyperkeratosis and migratory red patches. Mutations in the genes encoding the gap junction proteins, connexins, underlie this disorder. Netherton's syndrome is an autosomal recessive disorder characterized by ichthyosis, a hair shaft abnormality and atopy. The ichthyosis may present at birth with erythroderma or in some cases a collodion presentation. However, a frequent characteristic skin manifestation is ichthyosis linearis circumflexa. Netherton's syndrome has been found to be due to an abnormality in a serum protease inhibitor. Acquired ichthyosis can have a variety of underlying causes including neoplastic, infectious, drugs, endocrine, metabolic, autoimmune, malabsorptive states, and hereditary. Topical, and in more severe cases, systemic, therapy are useful in managing this array of disorders of cornification.

1984
Article (English)
Article (Russian)
Vestn Dermatol Venereol.1984 ;11():47-49
[Familial case of Jadssohn-Lewandowski syndrome]
R.S. Divanyan, A. G. Muradyan

2002
Article
Pediatr Dermatol.2002 Jan-Feb;19(1):91-92
Pachyonychia congenita affecting only the nails
S. Dogra
S. Handa
R. Jain

1980
Article
Arch Dermatol.1980 Aug;116(8):906-908
Leukoedema of the oral mucosa. Possibly an acquired white sponge nevus
S. C. Duncan
W. P. Su
Leukoedema is a white or whitish-gray edematous lesion of the buccal and labial oral mucosa. The lesions may be diffuse or patchy, and are usually asymptomatic. Leukoedema may be confused with leukoplakia, Darier's disease, white sponge nevus, pachyonychia congenita, or candidal infection. The condition is seen most frequently among black men. The histologic appearance simulates that of white sponge nevus. Symptomatic leukoedema seems to respond to topical application of tretinoin.

1998
Article
Hosp Med.1998 Jan;59(1):17-22
The molecular basis of inherited disorders of keratinization
M. G. Dunnill Inherited disorders of keratinization can result in a wide variety of clinical features. The skin is usually affected with blistering or ichthyosis, but other body systems may be involved. The severity of these disorders varies greatly. This article reviews the advances in the molecular pathology of these disorders, and shows how this has benefited our understanding of cell biology.

1953
Article (English)
Article (French)
Bull Soc Fr Dermatol Syphiligr.1953 Mar-Apr;60(2):126
[Congenital pachyonychia with keratosis palmaris et plantaris.]
Duperrat
Poncelet

1981
Article (English)
Article (French)
Ann Dermatol Venereol.1981 ;108(2):145-149
[Pachyonychia congenita. Three familial cases. Effects of the treatment by aromatic retinoid (RO 10.9359) (author's transl)]
A. Dupre
B. Christol
J. L. Bonafe
P. Touron
The authors present three familial cases of Schonfeld's type I pachyonychia. This syndrome represents the association of pachyonychia with palmoplantar keratodermia, frictionnal keratosis and bullae, hyperidrosis, oral leucokeratosis. This genotype is present in the remaining family. Traumatisms produce or increase several symptoms as: a) palmoplantar keratodermia: voluminous callus confined to site of pressure; b) hyperkeratosis of the nails, with hyperplasia and papillomatosis of the nail bed and the hyponychium due to the frequents microtraumatisms of the finger-pulps; c) oral leucokeratosis. The authors describe the painful character of the palmoplantar lesions: walking and working with the hands are very difficult. They assert the outstanding action of aromatic retinoid (RO 10.9359) which entertains a dramatic improvement of the palmoplantar and pachyonychia lesions, the decrease of the pain. Now, the patient life is normal. In these three cases, an hyperuricemia is associated: this feature is probably a fortuitous association. One of these patients has a Lesch-Nyhan's syndrome.

CRITIQUE BY PC PROJECT 2009: This article defines the characteristics of the 3 family members studied which are very typical of PC. Also, this is one of the few articles that references and focuses on the painful characteristic of the keratoderma. However, the article states that there was "a spectacular improvement when an aromatic retinoid is used." This result is not substantiated over time or with other patients. Also, a number of characteristics are cited from the literature which the 2009 IPCRR data shows are not actually associated with Pachyonychi congenita. These non-associated characteristics include hypotrichosis or hair dystrophy, corneal anomalies, dental malformations.

1925
Article (English)
Article (German)
Arch Dermatol Syphilol (Berlin).1925 ;148():425-432
[Zur lehre von den congenitalen dyskeratosen]
E. Schafer

1919
Article (English)
Article (German)
Dermatol Wischr.1919 ;68():113-124
[Angelborne familiare Erkrankungen an den Naegeln]
E. Ebstein

1980
Article (English)
Article (Russian)
Vestn Oftalmol.1980 Jul-Aug;(4):66-67
[Lesion of the eyes in congenital pachyonychia]
N. A. Egorov
V. N. Golychev


Sometimes cited as Yegrov

1978
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1978 Feb;(2):61-63
[Congenital Jadassohn-Lewandowski syndrome]
N. A. Egorov
G. N. Grigor'eva
V. V. Bobrik


Sometimes cited as Yegrov

1965
Article
Indian J Dermatol.1965 Apr;10():77-84
Pachyonychia Congenita
H. S. El-Nasr
H. El-Hefnawi

2003
Article
Cutis.2003 Aug;72(2):104, 143-104
What is your diagnosis? Pachyonychia congenita
D. M. Elston

1969
Article (English)
Article (German)
Dermatol Monatsschr.1969 ;155(9):687-699
[Combinations of sebocystomatosis Gunther with other diseases]
S. Engel
Pinzer Barbara

1988
Article
J Am Acad Dermatol.1988 Oct;19(4):705-711
Pachyonychia congenita
A. Feinstein
J. Friedman
M. Schewach-Millet
Pachyonychia congenita is a rare hereditary disorder characterized mainly by nail hypertrophy and dyskeratoses of skin and mucous membranes. A thorough literature survey since its first description in 1904 up to 1985 revealed 168 cases of pachyonychia congenita. There were no indications of any sex or ethnic group predilection. Based on this survey the following classification is suggested: type I (56.2% of cases), hyperkeratosis of nails, palmoplantar keratosis, follicular keratosis, and oral leukokeratosis; type II (24.9% of cases), clinical findings of type I plus bullae of palms and soles, palmar and plantar hyperhidrosis, natal or neonatal teeth, and steatocystoma multiplex; type III (11.7% of cases), clinical findings of types I and II plus angular cheilosis, corneal dyskeratosis, and cataracts; and type IV (7.2% of cases), clinical findings of types I, II, and III plus laryngeal lesions, hoarseness, mental retardation, hair anomalies, and alopecia.

1937
Article
Arch Dermatol Syphilol.1937 ;37():1078
Pachyonychia congenita
B. F. W. Felden

sometimes cited incorrectly as Wilhelm, B. Friedrich

2003
Article
Br J Dermatol.2003 Mar;148(3):452-455
Keratin 17 mutation in pachyonychia congenita type 2 with early onset sebaceous cysts
Y. G. Feng
S. X. Xiao
X. R. Ren
W. Q. Wang
A. Liu
M. Pan
BACKGROUND: Pachyonychia congenita (PC) is a group of autosomal dominant ectodermal dysplasias caused by mutations in four differentiation-specific keratin genes. Two major clinical subtypes of PC have been generally recognized. Symmetrically thickened fingernails and toenails are the defining characteristic of PC type 2 (PC-2) with onset at infancy. Pilosebaceous cysts are the best hallmark of PC-2, but they usually occur at puberty. OBJECTIVES: To report a Chinese pedigree of PC-2 with unusually early onset sebaceous cysts and to explore the genetic mutation and its phenotype. METHODS: Exon 1 of keratin 17 was amplified by polymerase chain reaction (PCR) from genomic DNA from the three patients in the pedigree, the proband, his half-sister and his younger son, two unaffected members in the pedigree and 50 unrelated and unaffected people. PCR products were directly sequenced to detect the mutation. RESULTS: Direct sequencing of the PCR products revealed a heterozygous 275A-->G mutation in all three affected members. This mutation predicts the substitution of asparagine by serine in codon 92 (N92S) located in the 1A domain of keratin 17. CONCLUSIONS: Mutation in the 1A domain of keratin 17 underlies the affected members' phenotype, PC-2 with early onset sebaceous cysts and late-onset thickened fingernails and toenails. The onset of the cysts is very early in some people within this family and the age at onset of thickened fingernails and toenails is variable within the family, implying the existence of modifying factors.

1991
Article
J Am Acad Dermatol.1991 Jan;24(1):119-135
Revised clinical and laboratory criteria for subtypes of inherited epidermolysis bullosa. A consensus report by the Subcommittee on Diagnosis and Classification of the National Epidermolysis Bullosa Registry
J. D. Fine
E. A. Bauer
R. A. Briggaman
D. M. Carter
R. A. Eady
N. B. Esterly
K. A. Holbrook
S. Hurwitz
L. Johnson
A. Lin
et al.
Inherited epidermolysis bullosa encompasses a number of diseases, with the common finding of blister formation after minor mechanical trauma to the skin. In some forms significant, if not eventually fatal, extracutaneous disease activity may occur. In recent years application of newer technologies has contributed substantially to an overall understanding of this collection of inherited diseases. Concurrently, many new phenotypes have been recognized, in part the result of ongoing prospective patient registries in the United States and abroad. Unfortunately, this has resulted in a massive literature that may appear to be confounded by seemingly excessive or arbitrary subdivision of epidermolysis bullosa variants. With these concerns in mind a subcommittee was established by the National Epidermolysis Bullosa Registry to summarize the current literature and to make recommendations as to the best clinical and laboratory criteria for the practical diagnosis and subclassification of patients with inherited epidermolysis bullosa.

1958
Article (English)
Article (German)
Dermatologica.1958 ;116():364-365
[Touraine's Polykeratosis (palmoplantar keratoderma with hypotrichosis and subungual keratosis)]
Fischer

1990
Article
Cutis.1990 Nov;46(5):435-439
Pachyonychia congenita: a four generation pedigree
B. J. Fitzgerald
L. J. Sanders
Pachyonychia congenita is a rare genodermatosis characterized by symmetrical thickening and discoloration of the nails with a wedge-shaped, pinched-up, or claw-like appearance. Subungual hyperkeratosis results in a lifting up of the free edge of the nail. Nail changes may be seen alone or in combination with a variety of other cutaneous findings. The authors present a kindred with fifteen cases of pachyonychia congenita in four generations, in Lebanon County, Pennsylvania.

1999
Article
Skin Pharmacol Appl Skin Physiol.1999 May-Jun;12(3):146-153
Current and future nail research - areas ripe for study
P. Fleckman This discussion examines five common topics that affect nails adversely, onychomycosis, brittle nails, developmental nail disorders, chronic paronychia and onycholysis. What is known about these processes, what areas of research, old and new, might lead to improved understanding of the underlying basis of the problems and what prospects the future might hold are considered.

1987
Article
J Invest Dermatol.1987 May;88(5):640-645
Keratinocytes cultured from subjects with ichthyosis vulgaris are phenotypically abnormal
P. Fleckman
K. A. Holbrook
B. A. Dale
V. P. Sybert
Ichthyosis vulgaris (IV) is an autosomal dominant, scaling disorder in which keratohyaline granules and filaggrin are reduced in or absent from the epidermis of affected individuals. Morphologic and biochemical markers of epidermal differentiation were studied in keratinocytes cultured from clinically unaffected skin of patients with IV, from clinically unaffected skin of an obligate gene carrier, and from normal skin of unaffected family members and an adult volunteer. Cultured keratinocytes from affected subjects formed thickened layers of scaly cells that failed to react with monoclonal antibody to filaggrin. In contrast, normal cells contained many large, immunoreactive granules. Electron microscopy confirmed the absence of keratohyaline granules in affected cells and the presence of large keratohyaline granules in normal cells. Immunoblot analysis of keratinocyte extracts from subjects with ichthyosis showed that profilaggrin was absent, but no differences in keratins were detected between affected and control cells. For all parameters, findings in cells of the clinically unaffected obligate gene carrier were intermediate between those from affected patients and controls. We conclude that keratinocytes cultured from patients with IV maintain structural and biochemical phenotypic characteristics of the disease in vitro.

1958
Article (English)
Article (French)
Arch Belg Dermatol Syphiligr.1958 Jun;14(2):178-184
[Jadassohn-Lewandowski syndrome with polydactylia and alopecia of the eyebrows.]
A. Fontaine
W. Wellens

1970
Article
Acta Derm Venereol.1970 ;50(3):161-168
Biophysical studies of the normal nail
B. Forslind

Sometimes incorrectly cited as Torslind, B.

1971
Article
Biochem Biol Exp.1971 ;9():295
Biophysical studies on keratinized tissues
B. Forslind

Sometimes incorrectly cited as Torslind, B.

1971
Article
Acta Derm Venereol.1971 ;51(2):89-92
Quantitative microradiography of normal human nail
B. Forslind
B. Lindstrom
B. Philipson


Sometimes incorrectly cited as Torslind, B.

1973
Article
Acta Derm Venereol.1973 ;53(3):211-216
Pachyonychia congenita. A histologic and microradiographic study
B. Forslind
B. Nylen
G. Swanbeck
M. Thyresson
N. Thyresson


Sometimes incorrectly cited as Torslind, B.

1975
Article Not Found
Proc Roy Soc Med.1975 ;68():762
Pachyonychia congenita with chronic candidiasis
L. Forum, R. Wells

1897
Article Not Found
.1897 ;():
Hypertrophy of nails with keratosis of hands and feet
C. Fox

1939
Article
Proc Roy Soc Med.1939 ;32():263-265
Pachyonychia congenita (Jadassohn and Lewandowski)
J. Franklin

1981
Article
Dermatologica.1981 ;162(6):462-472
Pachyonychia congenita (Jadassohn-Lewandowsky syndrome). A review of 14 cases in Slovenia
J. Franzot
A. Kansky
S. Kavcic

2001
Article
Am J Med Genet.2001 Apr 22;100(2):164-168
A man, a syndrome, a gene: Clouston's hidrotic ectodermal dysplasia (HED)
F. C. Fraser
V. M. Der Kaloustian
This paper presents a biographical sketch of Dr. H. R. Clouston, whose eponym is attached to a type of hidrotic ectodermal dystrophy, and a brief account of the mapping of the gene and its identification as the connexin gene, GJB6.

2001
Article
J Invest Dermatol.2001 ;116(5):633-640
Keratins and the keratinocyte activation cycle
I. M. Freedburg, M. Tomic-Canic, M. Komine, M. Blumenberg

1937
Article Not Found
Arch Dermatol Syphilol.1937 ;():1078
Pachyonychia congenita
B. Friedrich-Wilhelm

1970
Article
Vet Med Small Anim Clin.1970 May;65(5):446-447
Pachyonychia congenita with metacarpal-phalangeal agenesis in a dog
F. L. Frye

1996
Article
Annu Rev Genet.1996 ;30():197-231
The cytoskeleton and disease: genetic disorders of intermediate filaments
E. Fuchs Specialized cytoskeletons play many fascinating roles, including mechanical integrity and wound-healing in epidermal cells, cell polarity in simple epithelia, contraction in muscle cells, hearing and balance in the inner ear cells, axonal transport in neurons, and neuromuscular junction formation between muscle cells and motor neurons. These varied functions are dependent upon cytoplasmic networks of actin microfilaments (6 nm), intermediate filaments (10 nm) and microtubules (23 nm), and their many associated proteins. In this chapter, I review what is known about the cytoskeletons of intermediate filaments and their associated proteins. I focus largely on epidermal cells, which devote most of their protein-synthesizing machinery to producing an extensive intermediate filament network composed of keratin. Recent studies have shown that many of the devastating human disorders that arise from degeneration of this cell type have as their underlying basis either defects in the genes encoding keratins or abnormalities in keratin IF networks. I discuss what we know about the functions of IFs, and how the link to genetic disease has enhanced this understanding.

1996
Article
J Dermatol Sci.1996 Dec;13(3):181-192
JSID Tanioku Memorial Lecture 1996. Genetic disorders of keratins and their associated proteins
E. Fuchs It has recently been demonstrated that genetic defects in keratin genes cause a number of different skin disorders, including epidermolysis bullosa simplex (EBS), epidermolytic hyperkeratosis (EH), the EH form of epidermal nevi, epidermolytic and non-epidermolytic forms of palmoplantar keratoderma (EPPK and PPK) and pachyonychia congenita (PC). In this review, I describe the research that led to this discovery.

1992
Article
Cell.1992 Jun 12;69(6):899-902
Of mice and men: genetic skin diseases of keratin
E. Fuchs
P. A. Coulombe

1994
Article
Annu Rev Biochem.1994 ;63():345-382
Intermediate filaments: structure, dynamics, function, and disease
E. Fuchs
K. Weber

1998
Article
J Am Acad Dermatol.1998 Jun;38(6 Pt 1):1007-1009
Pachyonychia congenita type 2: keratin 17 mutation in a Japanese case
W. Fujimoto
G. Nakanishi
S. Hirakawa
T. Nakanishi
T. Shimo
M. Takigawa
J. Arata

1950
Article
Arch Derm Syphilol.1950 Jul;62(1):117-124
Pachyonychia congenita; regression of plantar lesions on patients wearing specially made rubber base foot molds and shoes
J. Garb

1978
Article (English)
Article (Spanish)
Actas Dermosifiliogr.1978 Jan-Feb;69(1-2):19-26
[Jadassohn-Lewandowsky syndrome (pachyonychia congenita)]
D. Garcia Almagro
F. Corripio
C. Peteiro
G. Jaqueti del Pozo

2004
Article
Correspondence item May 31, 2004.2004 ;():1-6 (fig. 1&2)
A severe case of pachyonychia congenita type 1 due to a novel proline mutations in keritin 6a
I. Garcia-Rio, P. F. Penas, A. Garcia-Diez, W. H. I. McLean, F. J. D. Smith SIR, Pachyonychia congenita (PC) is an autosomal dominantly inherited ectodermal dysplasia with variable expression and high penetrance1. The four major features of the syndrome are hypertrophic nail dystrophy, palmoplantar keratoderma, and oral leukokeratosis, accompanied by other ectodermal defects, according to subtype2. Keratin defects have been found to underlie the two major variants of PC3,4. Specifically, keratin K6a or K16 mutations cause type I/Jadassohn-Lewandowsky syndrome (PC-1); and K6b or K17 abnormalities result in type II/Jackson-Lawler syndrome (PC-2). Here we report a new mutation in the K6a gene in a sporadic case of PC-1 with a severe clinical presentation.

1972
Article Not Found
Minerva Dermatol.1972 ;47():212-217
A. Gardina

0
Article Not Found
Arch F Dermatol U Syphil.0 ;69():5
Histologie und klinische Untersuchungen ueber Icthyosis
A. Gassmann

1946
Article Not Found
.1946 ;():
Gates

2002
Article
Gene Ther.2002 Oct;9(19):1278-1285
Durable and stratum-specific gene expression in epidermis
S. Ghazizadeh
C. Doumeng
L. B. Taichman
A number of genetic disorders are manifested in cutaneous epithelium and gene therapy approaches for treatment of such diseases are being considered. A successful gene therapy protocol requires durable and correctly targeted gene expression within the tissue. The continuous renewal and high levels of compartmentalization in epidermis are two challenges for a successful gene therapy of skin disorders. For those disorders which affect the upper layers of epidermis, vectors must be available that target stem cells, but remain silent until the progeny of these cells undergo differentiation. To explore the potential of long-term and targeted vector expression in epidermis, a hybrid retroviral vector encoding the reporter enhanced green fluorescent protein (EGFP) was constructed. The viral enhancer in the long terminal repeat of the vector was replaced with a 510-bp enhancer element of the human involucrin promoter. Keratinocyte-specific expression directed by the hybrid vector was demonstrated in culture and suprabasal-specific expression was observed in organotypic human epidermal cultures. In vivo transduction of mouse skin with this hybrid vector indicated long-term and stratum-specific expression of the transgene in mouse epidermis. The design of similar vectors for various gene therapy applications constitutes an important step toward clinically effective gene therapy.

1998
Article
Eur J Dermatol.1998 Apr-May;8(3):158-160
Pachyonychia congenita with steatocystoma multiplex. A report of two cases and a discussion of the classification
S. Giustini
B. Amorosi
C. Canci
G. Camplone
U. Bottoni
R. Porciello
S. Calvieri
Pachyonychia congenita is a rare syndrome in which the main and most common clinical sign is onychodystrophy of all finger and toe nails. The most frequent type of transmission seems to be autosomal dominant, but recessive forms have also been described. Typical onychodystrophy can be associated with other clinical manifestations. The most recent literature refers to descriptions of about 250 cases up until 1993. Numerous classifications of pachyonychia congenita have been suggested by several authors over the years. We report two cases of pachyonychia congenita in association with steatocystoma multiplex in a mother and son.

2000
Article (English)
Article (French)
Rev Prat.2000 Dec 15;50(20):2256-2261
[Nail pathology in children]
S. Goettmann In children the nail has physiologic characteristics that imply specific abnormalities. The most common dermatological localisation in psoriasis in the child; it is seen as trachyonychia, pitting, and occasionally pachyonychia. Ingrowth of the large toenail is a common problem, whether due to congenital hypertrophy of the lateral nail folds of the hallux in the newborn, to congenital malalignment of the nail of the big toe, or to a juvenile ingrown nail. Many other nail disorders are observed in the child: parakeratosis pustulosa, nail lichen, lichen striatus, melanonychia, dermatophyte onychomycosis, candida infection, herpes. Aside from warts, tumours are rare.

1937
Article
Arch Dermatol.1937 ;36():331-334
Resistant erosive lesions in pachyonychia congenita of Jadassohn. Treatment with buffered cysteine hydrocholoride
L. C. Goldberg

1985
Article (English)
Article (Italian)
Arch Stomatol (Napoli).1985 Oct-Dec;26(4):471-475
[Pachyonychia congenita]
F. Gombos
V. Pilato
R. Serpico

1946
Article
Urol Cutan R.1946 ;50():465-467
Pachyonychia congenita
H. Goodman

1969
Article
Oral Pathol.1969 ;28(4):512-525
Genetic disorders affecting mucous membranes
R. J. Gorlin

1976
Article
Syndr Head Neck.1976 ;():349, 600-343
Pachyonychia congenita
R. J. Gorlin

1958
Article
J Oral Surg (Chic).1958 May;11(5):541-544
Oral lesions accompanying pachyonychia congenita
R. J. Gorlin
A. P. Chaudhry

1960
Article
Oral Surg Oral Med Oral Pathol.1960 Mar;13():257-268
Unusual stomadromes--pachyonchia congenita, lipoid proteinosis, Reiter's syndrome, epidermolysis bullosa, Bonnevie-Ullrich-Turner's syndrome, and multiple hereditary telangiectasia
R. J. Gorlin
A. P. Chaudhry

1908
Article
Q J Med.1908 ;1():331-346
The inheritance of certain human abnormalities
A. M. Gossage

1937
Article
Arch Dermatol.1937 ;36():1255-1256
Pachyonychia congenita
A. W. Grace

1976
Article Not Found
Torno.1976 ;3():2042
Enfermedades de la loca, Sindra de Jad-Lev
D. Grainspan

1978
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1978 Jul;(7):71-75
[Hereditary pachyonychia]
V. A. Grebennikov
R. A. Chalimova

1998
Article
Textbook of Dermatol 6th ed.1998 ;():1483, 1557-1481
Disorders of keratinyation
W. A. D. Griffiths

1928
Article
Arch Dermatol.1928 ;18():794-795
Pachyonychia congenita (Jadassohn and Lewandowsky)
Fox. H

1986
Article
Arch Dermatol.1986 Aug;122(8):919-923
Autosomal recessive pachyonychia congenita
R. M. Haber
T. H. Rose
We report the second and third cases of pachyonychia congenita inherited as an autosomal recessive disorder. Our cases were unusual, with the fingernails showing a striking leukonychia and appearing clinically as Terry's nails. These patients were originally diagnosed as having epidermolysis bullosa simplex because of a history of a life-long blistering disorder. The clinical features and inheritance of pachyonychia congenita, as well as the reasons for the long delay in diagnosis of our cases, are discussed.

1948
Article (English)
Article (French)
Bull Soc Franc Dermatol.1948 ;55():29-30
[Pachyonychia Congenita with keratoderma disseminated keratosis of the skin and mucosa (Jadassoh-Lewandowski syndrome) (Second presentation)]
E. Hadida, J. Sayag, F.G. Marill, E. Timsit

1952
Article (English)
Article (French)
Bull Soc Fr Dermatol Syphiligr.1952 May-Jun;59(3):236-240
[Congenital pachyonychia with keratoderma and disseminated keratoses of the skin and mucosa (Jadassohn and Lewandowski disease)]
E. Hadida
F. G. Marill
E. Timsit
R. Streit

1989
Article
J Cutan Pathol.1989 Feb;16(1):1-6
Re-expression of disease-characteristic features of non-bullous congenital ichthyosiform erythroderma (CIE) after grafting of the pathological keratinocyte cultures to athymic mice
M. Haftek
J. Thivolet
L. Thomas
A. Joubaud
M. Faure
Epidermal keratinocytes separated from skin lesions of non-bullous congenital ichthyosiform erythroderma were investigated in an attempt at experimental reproduction of this keratinization disorder. In vitro studies on growth and differentiation of pathological keratinocytes isolated from the influence of the host's dermal and humoral components were performed using the immersed epidermal cell culture technique. Ten to 25-day-old confluent and stratified cultures were examined by means of photonic and electron microscopy, and stained with various differentiation markers for indirect immunofluorescence studies. The cultured epidermis showed low-grade differentiation and no clear-cut evenly distributed signs of the original disease. Grafting on congenitally athymic nude mice allowed further differentiation of the epidermal sheets and re-expression of the histologic and ultrastructural features of non-bullous congenital ichthyosiform erythroderma. Thus, the purely epidermal origin of this particular form of autosomal recessive ichthyosis could be confirmed. Large amounts of pathological keratinocytes generated from small skin biopsies may be used for experimental purposes after grafting on several athymic animals.

1980
Article (English)
Article (German)
ROEFO.1980 ;132(5):181-182
[Jadassohn-Lewendowsky Syndrome mit Veranderinger am asophagus]
J. Hagemann

Sometimes incorrectly cited as Hagermann, J.

2000
Article
Australas J Dermatol.2000 Aug;41(3):175-177
Pachyonychia congenita tarda
R. S. Hannaford
K. Stapleton
A 42-year-old man presented with painful toenails which were overcurved transversely and onycholytic. Examination revealed that all toenails, the thumbs and index fingers were similarly affected. In addition, he had a small area of leukokeratosis in the mouth, epidermal cysts of the scrotal skin and a small area of hyperkeratosis on the ulnar borders of his hands. His characteristic nail changes began in the great toenails at the age of 20 years. After renal transplantation at age 39, the other nails changed and he developed the features described above. His sister has overcurvature of the fifth toenails. A diagnosis of pachyonychia congenita tarda was made. His case is compared with 14 other reported cases of this rare syndrome.

1909-1911
Article Not Found
Fra Arkiv og Museum.1909-1911 ;4():535-584
En Odense laege paa Holbergs tid
H. Hansen, Musaeus, C.

1965
Article (English)
Article (French)
Arch Belg Dermatol Syphiligr.1965 Dec;21(3):341-362
[Neurological and genetic aspects of a keratosis follicularis group (Jadassohn-Lewandowsky syndrome)]
J. Hariga
L. Martin
S. Lapiere

1971
Article
Birth Defects Orig Art Ser.1971 ;7(8):342
Steatocystoma multiplex (multiple sebaceous cysts) with familial incidence in the first case
P.S. Harper

1949
Article
Arch Dermatol.1949 ;59():346-347
Keratosis follicularis with changes in the skin
R. H. Harris, C. J. White

2002
Article
J Invest Dermatol.2002 Mar;118(3):545-547
A novel point mutation in the keratin 17 gene in a Japanese case of pachyonychia congenita type 2
T. Hashiguchi
K. Kobayashi
T. Saheki
T. Kanzaki

2000
Article
Clin Chem Lab Med.2000 ;38(2):147-153
Ribozyme gene therapy for autosomal dominant retinal disease
V.W. Hauswirth, M. M. LaVail, J. G. Flannery, A. S. Lewin Gene delivery to cells of the retina, particularly to photoreceptor cells, has broad potential both for answering basic questions of retinal biology and for more applied therapeutic purposes. The use of ribozymes as therapy for autosomal dominant retinal diseases is a promising technique, and the theoretical and practical basis for their use is discussed. The process involves designing and testing ribozymes first in vitro and then in animal models of retinal disease. Viral vectors based on the nonpathogenic human adeno-associated virus, when coupled with the strong, rod photoreceptor specific opsin promoter, offer an efficient and nontoxic way to deliver and express ribozymes in photoreceptor cells for long time periods of time. Effective ribozyme-mediated therapy also demands careful in vitro analysis of a ribozyme's ability to efficiently and specifically distinguish between mutant and wild type RNAs. Finally, effective demonstration of therapy in an animal model requires careful analysis of any rescue effect in the retina using multiple criteria, including biochemical, structural and physiological assays. For this purpose, ribozyme therapy in a transgenic rat model of retinitis pigmentosa containing a dominant rod opsin mutation (proline-to-histidine change at position 23) is discussed in detail.

1900
Article Not Found
.1900 ;():
Die Krankheiten der Naegel
Heller

1927
Article (English)
Article (German)
.1927 ;13(11):86-87
[Die Krankheiten der Naegel]
J. Heller

1990
Article
Arch Otolaryngol Head Neck Surg.1990 Jun;116(6):732-734
Pachyonychia congenita. Manifestations for the otolaryngologist
S. P. Hersh When discovered, leukoplakia of the oral cavity is commonly an acquired lesion. Pachyonychia congenita is a member of a rare group of disorders in which congenital white lesions of the oral cavity are present. Additional findings of note to the otolaryngologist are described as well.

1977
Article
Clin Genet.1977 May;11(5):359-364
Pachyonychia congenita and steatocystoma multiplex
M. E. Hodes
A. L. Norins

1997
Article
Dermatology.1997 ;195(1):86-88
Steatocystoma multiplex and oligosymptomatic pachyonychia congenita of the Jackson-Sertoli type
D. Hohl A family with affected members, previously reported to carry an R94H mutation of keratin K17, and characterized by a variable and oligosymptomatic form of pachyonychia congenita of the Jackson-Sertoli type with steatocystoma multiplex, is described in detail.

1968
Article
J Am Podiatry Assoc.1968 Apr;58(4):184
Pachyonychia congenita: a case report
L. S. Horwitz

1985
Article (English)
Article (German)
Hautarzt.1985 Sep;36(9):526-528
[Systemic retinoid therapy with etretinate in pachyonychia congenita]
E. Hoting
S. W. Wassilew
On the basis of two case-reports it is concluded that the aromatic derivative of retinoic acid, etretinate, is a promising drug in the treatment of pachyonychia congenita.

1998
Article
J Cell Biol.1998 Oct 19;143(2):487-499
Functional differences between keratins of stratified and simple epithelia
E. Hutton
R. D. Paladini
Q. C. Yu
M. Yen
P. A. Coulombe
E. Fuchs
Dividing populations of stratified and simple epithelial tissues express keratins 5 and 14, and keratins 8 and 18, respectively. It has been suggested that these keratins form a mechanical framework important to cellular integrity, since their absence gives rise to a blistering skin disorder in neonatal epidermis, and hemorrhaging within the embryonic liver. An unresolved fundamental issue is whether different keratins perform unique functions in epithelia. We now address this question using transgenic technology to express a K16-14 hybrid epidermal keratin transgene and a K18 simple epithelial keratin transgene in the epidermis of mice null for K14. Under conditions where the hybrid epidermal keratin restored a wild-type phenotype to newborn epidermis, K18 partially but not fully rescued. The explanation does not appear to reside in an inability of K18 to form 10-nm filaments with K5, which it does in vitro and in vivo. Rather, it appears that the keratin network formed between K5 and K18 is deficient in withstanding mechanical stress, leading to perturbations in the keratin network in regions of the skin that are subjected either to natural or to mechanically induced trauma. Taken together, these findings suggest that the loss of a type I epidermal keratin cannot be fully compensated by its counterpart of simple epithelial cells, and that in vivo, all keratins are not equivalent.

2003
Article
Nucleic Acids Res.2003 May 15;31(10):2659-2670
Transcription affects formation and processing of intermediates in oligonucleotide-mediated gene alteration
O. Igoucheva
V. Alexeev
M. Pryce
K. Yoon
The role of transcription in oligonucleotide (ODN)-directed gene modification has been investigated in mammalian cells. The importance of transcription is demonstrated using mammalian cell lines with varying degrees of transcription of the mutant LacZ reporter gene, residing in both episome and chromosome. Gene correction occurs more efficiently when the target gene is actively transcribed and antisense ODN is more active than sense ODN. Using an approach that combines biochemical studies with a cell-based assay to measure the functional activity of intermediates it is shown that a joint molecule, consisting of supercoiled DNA and homologous ODN targeted to correct the mutated base, is a functional intermediate in the gene repair process. Furthermore, this approach showed that a resected joint molecule is a downstream intermediate of the D-loop. These results indicate that the primary reason for efficient gene repair exhibited by the antisense ODN is its increased accessibility to the non-transcribed strand, and as a consequence an increased formation of intermediate during active transcription. Moreover, the processing of intermediates was also affected by transcription, suggesting that ODN-directed gene repair may be linked to transcription-coupled repair. Thus, transcription plays an important role in ODN-directed gene repair by affecting the formation and processing of key intermediates.

1968
Article Not Found
.1968 ;13():447
Steatocistom si keratodermie familia Dermatolgiia I Venerolgiia
E. Ionescu, A. Wolfshaut, R. Cernauanu

1993
Article
Clin Exp Dermatol.1993 Sep;18(5):478-480
Pachyonychia congenita with late onset of nail dystrophy--a new clinical entity?
S. Iraci
L. Bianchi
S. Gatti
A. M. Carrozzo
D. Bettini
G. Nini
Pachyonychia congenita syndrome (PCS) is a genetic disease with an autosomal dominant mode of transmission in which the main sign, pachyonychia, usually arises at birth or in childhood together with other disorders of keratinization. A 28-year-old woman developed subungual hyperkeratosis of all toe-nails and thumb-nails associated with pain on pressure and walking. She had a scrotal tongue with leucokeratotic areas, blister formation, plantar hyperkeratosis, palmoplantar hyperhidrosis and dental cavities since childhood. The present case, interpreted as PCS of late onset, could be a clinical variant of the Jadassohn-Lewandowsky syndrome with the late onset of pachyonychia or else an additional form of PCS due to the expression of a new and different allele.

1997
Article
Nature Genet.1997 ;16():184-187
Mutations in cornea-specific keratins K3 or K12 cause Meesmann's corneal dystrophy
A. D. Irvine, L. D. Corden, O. Swensson, B. Swensson, J. Moore, D. G. Fracer, F. J. D. Smith, R. G. Knowlton, E. Christophers, R. Rochels, J. Uitto, W. H. I. McLean BACKGROUND: The molecular basis of Meesmann's epithelial corneal dystrophy (MECD) has recently been attributed to mutations in the cornea specific keratin genes KRT3 and KRT12. The mechanisms by which these mutations cause the Meesmann's phenotype are not clear. This study presents new data, examines clinical, histological, ultrastructural, and molecular aspects of MECD, and compares the features seen in this condition with those observed in other well studied keratin diseases such as epidermolysis bullosa simplex. METHODS: A two generation family with typical features of Meesmann's epithelial corneal dystrophy (MECD) was studied. All family members were examined under a slit lamp. Biopsy material from elective keratoplasty was studied by histopathological and ultrastructural analysis using standard techniques. Direct automated sequencing of genomic DNA was used for mutation detection, mutations were confirmed by restriction digest analysis. RESULTS: The abnormal corneal epithelium was acanthotic and contained numerous dyskeratotic cells and intraepithelial vesicles. By electron microscopy abnormally aggregated and clumped keratin filament bundles were detected in basal and suprabasal keratinocytes from the centre of the cornea. Direct sequencing of the patients' genomic DNA revealed a novel missense mutation (423T>G) in exon 1 of the cornea specific keratin 12 (KRT12) gene. This mutation predicts the amino acid change N133K within the helix initiation motif of the K12 polypeptide. Comparative studies with well established keratin disorders of other human epithelia underscore the pathogenic relevance of K3 and K12 gene mutations in Meesmann's epithelial corneal dystrophy. The morphological data presented here illustrate the disruptive effects of keratin gene mutations on the integrity of corneal keratinocytes. CONCLUSIONS: A clinical, histopathological, and ultrastructural study of a previously unreported family with MECD is presented. In this family the disease is ascribed to a novel mutation in KRT12. A molecular mechanism is proposed for MECD based on the comparison with other well characterised keratin diseases

1999
Article
Br J Dermatol.1999 May;140(5):815-828
Human keratin diseases: the increasing spectrum of disease and subtlety of the phenotype-genotype correlation
A. D. Irvine
W. H. McLean
Keratins are obligate heterodimer proteins that form the intermediate filament cytoskeleton of all epithelial cells. Keratins are tissue and differentiation specific and are expressed in pairs of types I and II proteins. The spectrum of inherited human keratin diseases has steadily increased since the causative role of mutations in the basal keratinocyte keratins 5 and 14 in epidermolysis bullosa simplex (EBS) was first reported in 1991. At the time of writing, mutations in 15 epithelial keratins and two trichocyte keratins have been associated with human diseases which include EBS, bullous congenital ichthyosiform erythroderma, epidermolytic palmoplantar keratoderma, ichthyosis bullosa of Siemens, diffuse and focal non-epidermolytic palmoplantar keratoderma, pachyonychia congenita and monilethrix. Mutations in extracutaneous keratins have been reported in oral white sponge naevus and Meesmann's corneal dystrophy. New subtleties of phenotype-genotype correlation are emerging within the keratin diseases with widely varying clinical presentations attributable to similar mutations within the same keratin. Mutations in keratin-associated proteins have recently been reported for the first time. This article reviews clinical, ultrastructural and molecular aspects of all the keratin diseases described to date and delineates potential future areas of research in this field.

2002
Article
Histol Histopathol.2002 Jan;17(1):331-338
Lessons from disorders of epidermal differentiation-associated keratins
A. Ishida-Yamamoto
H. Takahashi
H. Iizuka
A number of diseases have been associated with mutations in genes encoding keratin intermediate filaments. Several of these disorders have skin manifestations, in which histological changes highlight the role of various different keratins in epidermal differentiation. For example, mutations in either K1 or K10 (the major keratin pair expressed in differentiated keratinocytes) usually lead to clumped keratin filaments and cytolysis. Furthermore, the precise nature of the mutation has direct implications for disease phenotype. Specifically, mutations in the H1 and alpha-helical rod domains of K1 K10 result in bullous congenital ichthyosiform erythroderma, underscoring the critical role for this keratin filament domain in maintaining cellular integrity. However, a lysine to isoleucine substitution in the V1 domain of K1 underlies a form of palmoplantar keratoderma, which has different cell biological implications. Keratins are cross-linked into the cornified cell envelopes through this particular lysine residue and the consequences of the mutation lead to changes in keratin-desmosome association and cornified cell morphology, suggesting a role for this keratin subdomain in cornified cell envelope formation. Recently, to extend genotype-phenotype correlation, a frameshift mutation in the V2 region of the K1 tail domain was identified in ichthyosis hystrix (Curth-Macklin type), in which keratin filaments show a characteristic shell-like structure and fail to form proper bundles. In this case, the association of desmosomes with loricrin was also altered, implicating this keratin domain in organizing the intracellular distribution of loricrin during cornification. Collectively, these mutations in K1 K10 provide a fascinating insight into both normal and abnormal processes of epidermal differentiation.

1951
Article
Ann Eugen.1951 ;16(2):142-146
Pachyonichia congenita; a report of six cases in one family, with a Nte on linkage data
A. D. M. Jackson, S. D. Lawler

1930
Article
Arch Dermatol Syphilol.1930 ;21():93-95
Cole et al - Dyskeratosis and leukokeratosis
J. Jadassohn

1906
Article (English)
Article (German)
.1906 ;():
[Pachyonychia congenita: Keratosis disseminata circumscripta (follicularis). Tylomata. Leukokeratosis linguae]
J. Jadassohn
P. Lewandowski

1961
Article (English)
Article (German)
Arch Klin Exp Dermatol.1961 ;212():275-281
[Siemens' keratosis multiformis idiopathica (Jadassohn-Lewandowsky's pachyonychia congenita)]
G. Jannasch
A. Wiskemann

1993
Article
Proc Natl Acad Sci.1993 ;90():6786-6790
Epidermal growth factor and transforming growth factor specifically induce the activation-and hyperproliferation-associated keratins 6 and 16
C. K. Jiang, T. Magnaldo, M. Ohtsuki, I. M. Freedberg, F. Bernerd, M. Blumenberg

1985
Article
Proc Natl Acad Sci U S A.1985 Apr;82(7):1896-1900
Structure of a gene for the human epidermal 67-kDa keratin
L. D. Johnson
W. W. Idler
X. M. Zhou
D. R. Roop
P. M. Steinert
We present the structure and nucleotide sequence of a gene encoding the human epidermal 67-kDa keratin. Three genomic clones were isolated from a lambda Charon 4A human genomic library by hybridization to a specific cDNA probe. One clone of 12.3 kilobase pairs was shown by R-loop, DNA sequence, and primer-extension analyses to encode an entire gene of about 6.25 kilobase pairs. Of eight identified introns, seven are located within the region that encodes the central coiled-coil alpha-helical domain of the protein. Except for one intron located at the end of the region encoding this domain, these do not delineate apparent structural subdomains. The positions of five of the introns exactly coincide with the positions of introns previously reported in the hamster gene for the intermediate filament protein vimentin [Quax, W., Egberts, W.V., Hendricks, W., Quax-Jeuken, Y. & Bloemandal, H. (1983) Cell 35, 215-233]. These findings suggest that the human 67-kDa keratin and vimentin genes arose from a common ancestral gene.

1936
Article (English)
Article (German)
Derm Ztschr.1936 ;73(326-9):
[Hyperkeratosis subungualis congenitaâ?¦]
A. Jordan, R. Rydnick

1981
Article
Arch Dermatol.1981 ;117():73-76
White spong nevus
R. J. Jorgenson, L. S. Levin

1964
Article
Arch Dermatol.1964 Dec;90():594-603
Pachonychia Congenita
H. L. Joseph

1994
Article
Acta Dermatovener.1994 ;3():153-160
Pachyonychia congenita
A. Kansky, M. Penko, Z. Milakic-Snoj

2002
Article
.2002 2002;2002(2002):
Pachyonychia congenita
A. Kansky

1993
Article
Arch Dermatol Res.1993 ;285(1-2):36-37
Pachyonychia congenita (Jadassohn-Lewandowsky syndrome)--evaluation of symptoms in 36 patients
A. Kansky
A. Basta-Juzbasic
N. Videnic
D. Ivankovic
A. Stanimirovic

1995
Article
J Invest Dermatol.1995 Apr;104(4):546-553
Retinoic acid regulates oral epithelial differentiation by two mechanisms
M. B. Kautsky
P. Fleckman
B. A. Dale
The effect of retinoic acid (RA) concentration on differentiation of oral keratinocytes and the influence of fibroblasts on RA-dependent regulation were investigated in a lifted culture system. Keratinocyte differentiation was assessed by morphology, immunohistochemistry and immunoblotting. Filaggrin profilaggrin and keratin 1 were used as biochemical markers for cornified epithelium and keratins 13 and 19 as markers for noncornified epithelium. Cultured oral keratinocytes in RA-free conditions differentiated in a manner that closely resembled the differentiation pattern of gingival epithelia in vivo. Increasing RA concentrations altered the in vivo-like terminal differentiation of oral keratinocytes by disruption of organized stratification, inhibition of filaggrin profilaggrin and K1 expression, and stimulation of K13 and K19 expression. Differentiation of keratinocytes from both cornified and noncornified regions of the oral cavity varied in a similar manner in response to added RA, with the exception of K19 expression. K19 was consistently expressed at higher levels in keratinocytes originating from noncornified epithelial as compared to those from cornified epithelia. The level of RA regulation was ultimately dependent on the type of fibroblasts underlying the epithelial cells. Homologous fibroblasts rendered the oral keratinocytes less sensitive to the effects of RA than skin fibroblasts. In addition, at a given RA concentration, fibroblasts from cornified oral mucosa potentiated keratinocyte expression of RA sensitive markers of keratinization as compared to the influence exerted by fibroblasts originating from noncornified oral mucosa. These results indicate that the RA regulation of oral epithelial differentiation is mediated by two separate mechanisms: a direct, RA concentration-dependent effect, and an indirect, fibroblast-mediated effect.

1978
Article Not Found
Acta Derming.1978 ;5():259-262
S. Kavere

2003
Article
Exp Eye Res.2003 ;77(1):17-26
Up-regulated gene expression in the conjugated epithelium of patients with Sjogren's syndrome
S. Kawasaki, S. Kawamoto, N. Yokoi, C. Connon, Y. Minesaki, S. Kinoshita, K. Okubo

1987
Article
J Pedod.1987 Summer;11(4):391-395
Pachyonychia congenita in an 11 year old female
E. J. Kay
A. S. Blinkhorn

1958
Article
AMA Arch Derm.1958 Jun;77(6):724-726
Report of a case of pachyonychia congenita
E. W. Kelly, Jr.
H. Pinkus

1985
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1985 Jun;(6):54-56
[Congenital pachyonychia]
A. Khamidov Sh
I. K. Karimova

1976
Article
Indian Pediatr.1976 Sep;13(9):727-728
Pachyonychia congenita (a case report)
M. A. Khan
J. D. Dulhani
P. S. Mathur
V. Singh
N. C. Sethi

2002
Article
J Int Med.2002 ;252():1-10
Cutaneous gene transfer for skin and systemic diseases
P. A. Khavari, O. Rollman, A. Vahlquist

1996
Article
Br J Dermatol.1996 Feb;134(2):365-367
Eruptive vellus hair cysts and steatocystoma multiplex. variants of one entity?
P. Kiene
A. Hauschild
E. Christophers
Eruptive vellus hair cysts and steatocystoma multiplex are two clinically similar conditions which show multiple papules and nodules, mainly located over the anterior chest wall. Most cases can be differentiated on histological examination, but in some patients overlapping histological features have been described. We present a patient who showed features of both entities and interpret this as suggesting that eruptive vellus hair cysts and steatocystoma multiplex are variants of one disorder which originates in the pilosebaceous duct.

1998
Article
J Dermatol.1998 Jul;25(7):479-481
Pachyonychia congenita associated with steatocystoma multiplex
J. U. Kim
T. Nogita
S. Terajima
M. Kawashima
We present an unique case of pachyonychia congenita associated with steatocystoma multiplex. A 33-year-old Japanese man had thickening and gray-brown dicoloration of all nails and a large number of nodules or tumors over his entire skin. No palmar and plantar hyperkeratosis, leukokeratosis of the mucous membranes, or follicular keratosis were observed. Histology of these tumors revealed the typical features of steatocystoma multiplex.

1987
Article
J Craniofac Genet Dev Biol.1987 ;7(3):311-317
Natal teeth and steatocystoma multiplex: a newly recognized syndrome
N. M. King
A. M. Lee
A Chinese family is reported in which five generations have exhibited natal teeth and generalized multiple steatocystomas. This autosomal dominant condition is not similar to the two reported types of pachyonychia congenita, because nail lesions, palmoplantar keratosis and hyperhidrosis, follicular keratosis, and oral leukokeratosis were not observed. Therefore, it is suggested that this family exhibits a newly recognized syndrome.

1961
Article
Arch Dermatol.1961 Aug;84():313-315
Why do nails grow out instead of up?
A. M. Kligman

1909
Article (English)
Article (German)
Muench Med Wschr.1909 ;56():661
Ein Beitrag zur Onychogryphos. Symmetrica congenita et hereditaria
G. Koehler

2001
Article
J Invest Dermatol.2001 Feb;116(2):330-338
Interleukin-1 induces transcription of keratin K6 in human epidermal keratinocytes
M. Komine
L. S. Rao
I. M. Freedberg
M. Simon
V. Milisavljevic
M. Blumenberg
Keratinocytes respond to injury by releasing the proinflammatory cytokine interleukin-1, which serves as the initial "alarm signal" to surrounding cells. Among the consequences of interleukin-1 release is the production of additional cytokines and their receptors by keratinocytes and other cells in the skin. Here we describe an additional effect of interleukin-1 on keratinocytes, namely the alteration in the keratinocyte cytoskeleton in the form of the induction of keratin 6 expression. Keratin 6 is a marker of hyperproliferative, activated keratinocytes, found in wound healing, psoriasis, and other inflammatory disorders. Skin biopsies in organ culture treated with interleukin-1 express keratin 6 in all suprabasal layers of the epidermis, throughout the tissue. In cultured epidermal keratinocytes, the induction of keratin 6 is time and concentration dependent. Importantly, only confluent keratinocytes respond to interleukin-1, subconfluent cultures do not. In the cells starved of growth factors, epidermal growth factor or tumor necrosis factor-alpha, if added simultaneously with interleukin-1, they synergistically augment the effects of interleukin-1. Using DNA-mediated cell transfection, we analyzed the molecular mechanisms regulating the keratin 6 induction by interleukin-1, and found that the induction occurs at the transcriptional level. We used a series of deletions and point mutations to identify the interleukin-1 responsive DNA element in the keratin 6 promoter, and determined that it contains a complex of C EBP binding sites. The transcription factor C EBPbeta binds this element in vitro, and the binding is augmented by pretreatment of the cells with interleukin-1. The interleukin-1 responsive element is clearly distinct from the epidermal growth factor responsive one, which means that the proinflammatory and proliferative signals independently regulate the expression of keratin 6. Thus, interleukin-1 initiates keratinocyte activation not only by triggering additional signaling events, but also by inducing directly the synthesis of keratin 6 in epidermal keratinocytes, and thus changing the composition of their cytoskeleton.

2000
Article
J Biol Chem.2000 Oct 13;275(41):32077-32088
Inflammatory versus proliferative processes in epidermis. Tumor necrosis factor alpha induces K6b keratin synthesis through a transcriptional complex containing NFkappa B and C EBPbeta
M. Komine
L. S. Rao
T. Kaneko
M. Tomic-Canic
K. Tamaki
I. M. Freedberg
M. Blumenberg
Epidermal keratinocytes respond to injury by becoming activated, i.e. hyperproliferative, migratory, and proinflammatory. These processes are regulated by growth factors and cytokines. One of the markers of activated keratinocytes is keratin K6. We used a novel organ culture system to show that tumor necrosis factor alpha (TNFalpha) induces the expression of K6 protein and mRNA in human skin. Multiple isoforms of K6 are encoded by distinct genes and have distinct patterns of expression. By having shown previously that proliferative signals, such as epidermal growth factor (EGF), induce expression of the cytoskeletal protein keratin K6b, we here demonstrate that the same isoform, K6b, is also induced by TNFalpha, a proinflammatory cytokine. Specifically, TNFalpha induces the transcription of the K6b gene promoter. By using co-transfection, specific inhibitors, and antisense oligonucleotides, we have identified NFkappaB and C EBPbeta as the transcription factors that convey the TNFalpha signal. Both transcription factors are necessary for the induction of K6b by TNFalpha and act as a complex, although only C EBPbeta binds the K6b promoter DNA. By using transfection, site-directed mutagenesis, and footprinting, we have mapped the site that responds to TNFalpha, NFkappaB, and C EBPbeta. This site is separate from the one responsive to EGF and AP1. Our results show that the proinflammatory (TNFalpha) and the proliferative (EGF) signals in epidermis separately and independently regulate the expression of the same K6b keratin isoform. Thus, the cytoskeletal responses in epidermal cells can be precisely tuned by separate proliferative and inflammatory signals to fit the nature of the injuries that caused them.

2000
Article
J Invest Dermatol.2000 ;115(3):361-367
Keratinocyte differentiation in hyperproliferative epidermis: topical application of PPA Ralpha activators restores tissue homeostasis
L. G. Komuves, K. Hanley, M. Man, P. M. Elias, M. L. Williams, K. R. Feingold

1966
Article (English)
Article (Original)
Derm Wschr.1966 ;152(20):641-650
G. W. Korting

1969
Article (English)
Article (German)
Hautarzt.1969 Jan;20(1):37-39
[Humoral marginal symptoms in pachyonychia congenita]
G. W. Korting
H. Holzmann

1962
Article Not Found
Vestn Dermatol.1962 ;5():3-9
P.V. Kozhevnikov

1950
Article Not Found
.1950 ;():
C. E. Krausz

1955
Article (English)
Article (German)
Helv Paediatr Acta.1955 Jun;10(3):369-376
Pachyonychia congenita Jadassohn-Lewandowsky
P. Krepler

1985
Article
J Biol Chem.1985 May 25;260(10):5867-5870
Organization of a type I keratin gene. Evidence for evolution of intermediate filaments from a common ancestral gene
T. M. Krieg
M. P. Schafer
C. K. Cheng
D. Filpula
P. Flaherty
P. M. Steinert
D. R. Roop
The genomic structure of the mouse 59-kDa keratin gene, a Type I intermediate filament (IF) gene is presented. A comparison of the organization of this gene with that of the human 67-kDa keratin, a Type II IF gene, and hamster vimentin, a Type III IF gene, suggests a common evolutionary origin for Type I, II, and III IF genes. Most introns in these three types of IF genes occur at similar positions within the region encoding sequences predicted to form coiled-coils, but do not delineate structural subdomains. Interestingly though, most of the introns interrupt at or near the beginning of the characteristic 7-residue (heptad) repeat of sequences which form the coiled-coil. These data suggest that the three types of IF genes arose from a common ancestor which may have been assembled from smaller units containing multiple heptad repeats. Subsequent duplication events may then have formed the three known alpha-helical types and each of their various members.

2002
Article
Hautarzt.2002 ;53(2):153
[Pachyonychia congenita: Molecular genetic analysis simplifies clinical classification in subtypes]
J. Krutmann

Not translated; reviewd 4 English articles (Bowden-1995; McLean-1995; Smith-1998; Terinoni-2001)

2001
Article (English)
Article (Japanese)
Ryoikibetsu Shokogun Shirizu.2001 ;(34 Pt 2):459-460
[Pachyonychia congenita-steatocystoma multiplex]
T. Kubota

1983
Article (English)
Article (German)
Z Hautkr.1983 May 1;58(9):621-632
[Gottron's erythrokeratodermia congenitalis progressiva symmetrica with atypical involvement of nails in the sense of pachyonychia]
B. Kuchmeister
G. Schaeg
A. Kuhlwein
Erythrokeratodermia congenitalis progressiva symmetrica Gottron (ECPSG) is a rare hereditary disorder characterized by plaques of hyperkeratosis on an erythematous basis. The onset of the disease occurs predominantly in early childhood. Morphological and histological findings give hint for the diagnosis. Ultrastructural findings as well as HLA type (A2, A9, B18) are reported. ECPSG connected with pachyonychia has been observed for the first time.

1935
Article (English)
Article (German)
Wochenschr.1935 ;48():174-179
[Uber Packyonychia congenita (Typus Riehl)].
L. Kumer

1966
Article
Am J Dis Child.1966 ;111():649-652
Pachyonychia congenita
C. R. Laing, J. R. Hayes, G. Scharf

1994
Article
Curr Opin Gen Dev.1994 ;4(3):412-418
Keratin diseases
E. B. Lane

1993
Article
Connective Tissue and its Heritable Disorders. Molecular, Genetic, and Medical Aspects.1993 ;():237-247
Keratins
E. B. Lane

1978
Article
J Am Podiatry Assoc.1978 Aug;68(8):587-591
Pachyonychia congenita
J. H. Langford

1998
Article
Dermatology.1998 ;197(3):300-302
Palmoplantar keratoderma and leukokeratosis anogenitalis: the second case of a new disease
S. Lautenschlager
M. R. Pittelkow
An increasing number of syndromes with palmoplantar keratoderma (PPK) with associated diseases are being identified, representing a wide spectrum of distinct entities. At present only one case report has described the combination of marked anogenital leukokeratosis with diffuse PPK evolving in a collodion baby. We report a patient with a diffuse, nonprogressive PPK in combination with an intermittently pruritic, slowly progressive anogenital leukokeratosis. Hyperkeratosis of the perineal area was most pronounced and extended to the distal portion of the anal mucosa. The opalescent lesion was also visualized at the margin of the major labia. Vulvar structures were not otherwise involved or dystrophic. There were no signs or symptoms of ectodermal dysplasia. Specifically, the nails were normal and showed no signs of pachyonychia congenita. Other differential diagnoses included dyskeratosis congenita and white sponge nevus, which may be associated with anogenital leukokeratosis, but a keratoderma is not associated with these entities. Keratin immunocytochemistry showed marked expression of suprabasal K17 and absence of K6 and K16. Further examination of the initial case described by Itin and Rufli demonstrated the same expression pattern and supports the contention that these two cases represent the same entity.

1999
Article
J Dermatol.1999 Jun;26(6):402-404
Eruptive vellus hair cyst in a patient with pachyonychia congenita
H. T. Lee
S. H. Chang
T. Y. Yoon
Pachyonychia congenita is characterized by symmetrical nail dystrophy, palmoplantar keratoderma, oral leukokeratosis, and follicular hyperkeratosis. In addition to these features, multiple cutaneous cysts of various kinds have been described. We report a case of pachyonychia congenita associated with eruptive vellus hair cyst.

1990
Article (English)
Article (German)
Urban & Schwarzenberg, Munchen, Wein, Baltimore.1990 ;1():805
[Die Klinischen Syndrome: Sequenzen and Symptomkomplexe]
B. Leiber

1993
Article
Arch Dermatol.1993 Dec;129(12):1571-1577
Mutations in the genes for epidermal keratins in epidermolysis bullosa and epidermolytic hyperkeratosis
I. M. Leigh
E. B. Lane
BACKGROUND: Clues from clinicopathologic studies of epidermolysis bullosa simplex (EBS) and epidermolytic hyperkeratosis (EH) have implicated abnormalities in keratin filaments as possibly underlying the pathogenesis of these diseases. Multiple avenues of study have now converged, which confirm this hypothesis. OBSERVATIONS: The clinical spectrum of EBS and EH is reviewed together with classic histologic, electron microscopic, and immuno-electron microscopic studies. Linkage analyses have shown in EBS and EH that the disease traits are linked to the keratin gene clusters on chromosomes 12 and 17. Transgenic mice bearing mutations or deletions in genes coding for basal cell keratin K14 express the phenotype of EBS, and transgenic mice bearing abnormal K1 K10 genes resemble EH. Increasing numbers of point mutations in the human keratin genes have been found in both sporadic and familial cases of EBS in keratins 5 14 and EH in keratins K1 K10 genes, respectively, particularly in highly conserved subdomains of the keratin proteins. CONCLUSIONS: The recent and rapid progress in understanding the molecular biology of EBS and EH will also enhance knowledge about intermediate filament structure and function. Further studies of the effects of these mutations on the control of keratinocyte growth and differentiation are required. They will lead the way to rational pharmacologic or gene therapy.

1995
Article
Br J Dermatol.1995 Oct;133(4):501-511
Keratins (K16 and K17) as markers of keratinocyte hyperproliferation in psoriasis in vivo and in vitro
I. M. Leigh
H. Navsaria
P. E. Purkis
I. A. McKay
P. E. Bowden
P. N. Riddle
Keratinocyte differentiation in psoriasis was examined using a panel of monospecific monoclonal antibodies to keratins (K), including two recently developed monoclonal antibodies raised to carboxy terminal peptides of K6 (LL020) and K16 (LL025). Keratinocytes from normal skin, untreated psoriatic plaques and non-lesional psoriatic skin, were cultured using multiple in vitro systems. Time-lapse cinephotography was used to measure the intermitotic time of normal and psoriatic keratinocytes in both low calcium-defined and serum-containing media. The intermitotic time did not differ significantly between psoriatic and normal keratinocytes. Keratin expression of psoriatic and normal keratinocytes in vitro was examined by both gel electrophoresis and immunocytochemistry. K6, K16 and K17 were detected suprabasally in all culture systems in vitro, but only in interfollicular psoriatic epidermis in vivo, and not in normal skin. Small subpopulations of keratinocytes expressed simple epithelial keratins K7, K8, K18 and K19 in cultures on plastic substrates, but these keratins were absent in skin equivalents of normal or psoriatic skin. No psoriasis-specific pattern of differentiation was found in vitro. As the K6 peptide antibody reacted with basal cells of normal skin, probably due to K5 cross-reactivity, K16 expression determined by LL025 was found to be the most sensitive indicator of the psoriatic state of differentiation, and this antibody is recommended for future work on psoriasis. K17 had a distinct pattern of tissue distribution in normal skin: K17, but not K16, was present in basal myoepithelial cells in sweat glands, and the deep outer root sheath, but K17 distribution paralleled that of K16 in suprabasal psoriatic epidermis. As keratins K6, K16 and K17 are expressed in keratinocyte hyperproliferation, when high levels of certain cytokines are also expressed, the role of growth factors and regulatory nuclear transcription factors in the control of K6, K16 and K17 expression in psoriasis requires further study, in order to provide insight into the relationship between proliferation and differentiation.

1903
Article (English)
Article (French)
Ann Dermatol Syphilol.1903 ;4():369
[Congenital Dyskeratosis and Their Morbid Associations]
E. Lenglet

1992
Article
J Cell Biol.1992 Mar;116(5):1181-1195
Do the ends justify the mean? Proline mutations at the ends of the keratin coiled-coil rod segment are more disruptive than internal mutations
A. Letai
P. A. Coulombe
E. Fuchs
Intermediate filament (IF) assembly is remarkable, in that it appears to be self-driven by the primary sequence of IF proteins, a family (40-220 kd) with diverse sequences, but similar secondary structures. Each IF polypeptide has a central 310 amino acid residue alpha-helical rod domain, involved in coiled-coil dinner formation. Two short (approximately 10 amino acid residue) stretches at the ends of this rod are more highly conserved than the rest, although the molecular basis for this is unknown. In addition, the rod is segmented by three short nonhelical linkers of conserved location, but not sequence. To examine the degree to which different conserved helical and nonhelical rod sequences contribute to dimer, tetramer, and higher ordered interactions, we introduced proline mutations in residues throughout the rod of a type I keratin, and we removed existing proline residues from the linker regions. To further probe the role of the rod ends, we introduced more subtle mutations near the COOH-terminus. We examined the consequences of these mutations on (a) IF network formation in vivo, and (b) 10-nm filament assembly in vitro. Surprisingly, all proline mutations located deep in the coiled-coil rod segment showed rather modest effects on filament network formation and 10-nm filament assembly. In addition, removing the existing proline residues was without apparent effect in vivo, and in vitro, these mutants assembled into 10-nm filaments with a tendency to aggregate, but with otherwise normal appearance. The most striking effects on filament network formation and IF assembly were observed with mutations at the very ends of the rod. These data indicate that sequences throughout the rod are not equal with respect to their role in filament network formation and in 10-nm filament assembly. Specifically, while the internal rod segments seem able to tolerate considerable changes in alpha-helical conformation, the conserved ends seem to be essential for creating a very specific structure, in which even small perturbations can lead to loss of IF stability and disruption of normal cellular interactions. These findings have important implications for the disease Epidermolysis Bullosa Simplex, arising from point mutations in keratins K5 or K14.

1954
Article
Arch Dermatol Syphilol.1954 ;70():732-747
Microscopic studies of fetal and mature nail and surrounding soft tissue
B. L. Lewis

Sometimes incorrectly cited as Lewis, B. L. (1954) 71:265-8

1999
Article
J Dermatol.1999 Oct;26(10):677-681
A case of pachyonychia congenita with oral leukoplakia and steatocystoma multiplex
T. W. Lim
J. H. Paik
N. I. Kim
Pachyonchia congenita (PC) is an uncommon autosomal dominant genodermatosis affecting the nails and other ectodermal tissues. The most striking features are symmetrically thickened dysmorphic nails and hyperkeratotic skin lesions. We report a case of pachyonychia congenita in a 30-year-old male patient who had thickening and gray-brown discoloration of all nails and many nodules on his back and neck. He also had hyperkeratotic skin lesions on both feet. His tongue had irregularly-shaped, whitish plaques. Histology of these nodules revealed the characteristic features of steatocystoma multiplex. After treatment with oral retinoic acid, his hyperkeratotic skin lesions improved.

1999
Article
Exp Dermatol.1999 Apr;8(2):115-119
Identification of sporadic mutations in the helix initiation motif of keratin 6 in two pachyonychia congenita patients: further evidence for a mutational hot spot
M. T. Lin
M. L. Levy
P. E. Bowden
C. Magro
L. Baden
H. P. Baden
D. R. Roop
Pachyonychia congenita (PC) is a rare, autosomal dominant, ectodermal dysplasia characterized most distinctly by the presence of symmetric nail hypertrophy. In the Jadassohn-Lewandowsky form, or PC-1, additional cutaneous manifestations may include palmoplantar hyperkeratosis, hyperhidrosis, follicular keratoses, and oral leukokeratosis. Mutations have previously been identified in the 1A helix initiation motif of either keratin 6 or keratin 16 in patients with PC-1. In the current study, we have identified 2 sporadic, heterozygous mutations in the 1A helix region of the K6 isoform (K6a). The first mutation identified was a 3 base pair deletion (K6adelta N171). The second mutation was a C-to-A transversion resulting in an amino acid substitution (K6a N171K). These data, in combination with previous reports, provide further evidence that this location is a mutational hot spot.

2001
Article
J Invest Dermatol.2001 Jun;116(6):964-969
A novel keratin 5 mutation (K5V186L) in a family with EBS-K: a conservative substitution can lead to development of different disease phenotypes
M. Liovic
J. Stojan
P. E. Bowden
D. Gibbs
A. Vahlquist
E. B. Lane
R. Komel
Epidermolysis bullosa simplex is a hereditary skin blistering disorder caused by mutations in the KRT5 or KRT14 genes. More than 50 different mutations have been described so far. These, and reports of other keratin gene mutations, have highlighted the existence of mutation "hotspots" in keratin proteins at which sequence changes are most likely to be detrimental to protein function. Pathogenic mutations that occur outside these hotspots are usually associated with less severe disease phenotypes. We describe a novel K5 mutation (V186L) that produces a conservative amino acid change (valine to leucine) at position 18 of the 1A helix. The phenotype of this case is unexpectedly severe for the location of the mutation, which lies outside the consensus helix initiation motif mutation hotspot, and other mutations at this position have been associated in Weber--Cockayne (mild) epidermolysis bullosa simplex only. The mutation was confirmed by mismatch-allele-specific polymerase chain reaction and the entire KRT5 coding region was sequenced, but no other changes were identified. De novo K5 K14 (mutant and wild-type) filament assembly in cultured cells was studied to determine the effect of this mutation on filament polymerization and stability. A computer model of the 1A region of the K5 K14 coiled-coil was generated to visualize the structural impact of this mutation and to compare it with an analogous mutation causing mild disease. The results show a high level of concordance between genetic, cell culture and molecular modeling data, suggesting that even a conservative substitution can cause severe dysfunction in a structural protein, depending on the size and structure of the amino acid involved.

2001
Article
J Invest Dermatol.2001 ;116(6):970-974
Expression of a truncated keratin 5 may contribute to severe palmar-plantar hyperkeratosis in epidermolysis bullosa simplex patients
R. J. Livingston, V. P. Sybert, L. T. Smith, B. A. Dale, R. B. Presland, K. Stephens Epidermolysis bullosa simplex are dominant disorders of skin fragility characterized by intraepidermal blistering upon mild mechanical trauma. Skin fragility is caused by expression of either an abnormal keratin 5 or an abnormal keratin 14 protein, which compromises the structure and function of the keratin cytoskeleton of basal cells. We report an epidermolysis bullosa simplex patient with a novel single base substitution (A-->T1414) that changes the lysine residue at amino acid 472 to a non-sense codon (K472X). This change predicts the synthesis of a truncated keratin 5, missing 119 amino acids, including the entire tail domain and the highly conserved KLLEGE motif at the carboxy terminus of the 2B domain of the central rod. Expression of an altered keratin 5, of predicted mass and pI for the product of the K472X allele, was documented by one- and two-dimensional western blots of protein extracts from patient skin. Ultrastructural analysis of the patient's nonhyperkeratotic skin was remarkable for basal keratinocytes with dense and irregular keratin filaments proximal to the basement membrane. Keratinocytes, transfected with a cDNA carrying the A-->T1414 non-sense mutation, overexpressed a truncated keratin 5, and showed a disorganized and collapsed keratin filament cytoskeleton. This is the second epidermolysis bullosa simplex patient reported with a premature termination mutation in the KLLEGE motif. The remarkable occurrence of severe palmar--plantar hyperkeratosis in both patients suggests that the keratin 5 tail domain may have unrecognized, but important, normal functions in palmar-plantar tissues. PMID: 11407989 [PubMed - indexed for MEDLINE]

1962
Article
Brit J Surg.1962 ;40():44-46
Nail bed ablation: histological grounds for radical operation
R. W. Lloyd-Davies

2000
Article (English)
Article (German)
Hautarzt.2000 Mar;51(3):192-195
[Congenital pachyonychia type II (Jackson-Lawler syndrome)]
J. Lochner
B. Mohr
I. Garcia-Gutierrez
H. P. Schoppelrey
M. Gummer
R. Breit
Pachyonychia congenita (PC) is a rare ectodermal dysplasia with variable expression. The condition is usually inherited as an autosomal dominant trait. Several classifications of PC have been proposed. Feinstein and colleagues suggested four clinical types of PC. Type II, the Jackson-Lawler-Syndrome, is characterized by multiple epidermal cysts, palmoplantar bullae and hyperhidrosis as well as natal teeth in addition to the main findings of pachyonychia, palmoplantar hyperkeratosis and follicular keratosis. We report two patients (father and son) with Jackson-Lawler-Syndrome and describe in detail pathogenesis, diagnostic criteria and treatment approaches as well as the different classifications of pachyonychia congenita.

1695-1697
Article
Phil Trans R Soc Lond.1695-1697 ;19():694-696
An account of one who had horny excrescences or extraordinary large nails on his fingers and toes
J. Locke

1995
Article
Biochem Biophys Res Commun.1995 Jan 5;206(1):370-379
Empigen BB: a useful detergent for solubilization and biochemical analysis of keratins
L. A. Lowthert
N. O. Ku
J. Liao
P. A. Coulombe
M. B. Omary
Intermediate filament (IF) proteins make up some of the most insoluble proteins known, and within the IF protein family, keratins are the least soluble. We compared the efficiency of nonionic, cationic, mixed nonionic and anionic, and zwitterionic detergents in solubilizing keratins from insect cells that express recombinant human keratins and from human colonic cell lines and normal keratinocytes. The cationic detergent cetyltrimethylammonium bromide was similar to the zwitterionic detergent Empigen BB in its ability to efficiently solubilize keratins, but the latter detergent was superior in that it maintained antibody reactivity and allowed for immunoprecipitation of the keratins. Although Nonidet-P40 partially solubilizes keratins, Empigen BB solubilizes a significant amount of keratins not solubilized by Nonidet-P40. In the case of vimentin, differences in solubilization efficiency among the detergents was not as dramatic as with keratins. Our results show that Empigen BB solubilizes a significant amount of epidermal and glandular keratins while preserving antigenicity. This detergent should prove useful for carrying out biochemical and molecular studies on these proteins and may be similarly beneficial for other IF proteins.

1994
Article
Brit J Dermatol.1994 ;131():1-14
The hereditary palmoplantar keratoses: an updated review and classification
G.P. Lucker, P. C. M. Van de Kerkhof, P. M. Steijlen

1995
Article
Clin Exp Dermatol.1995 May;20(3):226-229
Pachyonychia congenita tarda
G. P. Lucker
P. M. Steijlen
Pachyonychia congenita is a distinct hereditary disorder of keratinization, in which dystrophy of all nails is associated with palmoplantar keratoderma and other hyperkeratoses. Recently a late-onset type has been reported. We report a second family with late-onset pachyonychia congenita, showing a remarkable clinical heterogeneity. Furthermore, one patient demonstrated a number of associated hyperkeratoses not previously recognized. Acitretin proved useful in the treatment of this late-onset form of pachyonychia congenita.

1999
Article
J Biol Chem.1999 Jul 2;274(27):19145-19151
Keratin filament suspensions show unique micromechanical properties
L. Ma
J. Xu
P. A. Coulombe
D. Wirtz
All epithelial cells feature a prominent keratin intermediate filament (IF) network in their cytoplasm. Studies in transgenic mice and in patients with inherited epithelial fragility syndromes showed that a major function of keratin IFs is to provide mechanical support to epithelial cell sheets. Yet the micromechanical properties of keratin IFs themselves remain unknown. We used rheological methods to assess the properties of suspensions of epidermal type I and type II keratin IFs and of vimentin, a type III IF polymer. We find that both types of IFs form gels with properties akin to visco-elastic solids. With increasing deformation they display strain hardening and yield relatively rapidly. Remarkably, both types of gels recover their preshear properties upon cessation of the deformation. Repeated imposition of small deformations gives rise to a progressively stiffer gel for keratin but not vimentin IFs. The visco-elastic moduli of both gels show a weak dependence upon the frequency of the input shear stress and the concentration of the polymer, suggesting that both steric and nonsteric interactions between individual polymers contribute to the observed mechanical properties. In support of this, the length of individual polymers contributes only modestly to the properties of IF gels. Collectively these properties render IFs unique among cytoskeletal polymers and have strong implications for their function in vivo.

2001
Article
Nat Cell Biol.2001 May;3(5):503-506
A 'hot-spot' mutation alters the mechanical properties of keratin filament networks
L. Ma
S. Yamada
D. Wirtz
P. A. Coulombe
Keratins 5 and 14 polymerize to form the intermediate filament network in the progenitor basal cells of many stratified epithelia including epidermis, where it provides crucial mechanical support. Inherited mutations in K5 or K14 result in epidermolysis bullosa simplex (EBS), a skin-fragility disorder. The impact that such mutations exert on the intrinsic mechanical properties of K5 K14 filaments is unknown. Here we show, by using differential interference contrast microscopy, that a 'hot-spot' mutation in K14 greatly reduces the ability of reconstituted mutant filaments to bundle under crosslinking conditions. Rheological assays measure similar small-deformation mechanical responses for crosslinked solutions of wild-type and mutant keratins. The mutation, however, markedly reduces the resilience of crosslinked networks against large deformations. Single-particle tracking, which probes the local organization of filament networks, shows that the mutant polymer exhibits highly heterogeneous structures compared to those of wild-type filaments. Our results indicate that the fragility of epithelial cells expressing mutant keratin may result from an impaired ability of keratin polymers to be crosslinked into a functional network.

2000
Article
J Cell Sci.2000 Dec;113 Pt 23():4231-4239
Supplementation of a mutant keratin by stable expression of desmin in cultured human EBS keratinocytes
T. M. Magin
H. W. Kaiser
S. Leitgeb
C. Grund
I. M. Leigh
S. M. Morley
E. B. Lane
Mutations in keratin genes give rise to a number of inherited skin fragility disorders, demonstrating that the intermediate filament cytoskeleton has an essential function in maintaining the structural integrity of epidermis and its appendages. Epidermolysis bullosa simplex (EBS) is an autosomal dominant disorder caused by mutations in keratins K5 or K14, which are expressed in the basal layer of stratified epithelia. Using a keratinocyte cell line established from an EBS patient, we investigated whether the muscle-specific intermediate filament protein desmin would be able to functionally complement a mutant keratin 14 in cultured keratinocytes. We show that in stably transfected EBS cells, desmin forms an extended keratin-independent cytoskeleton. Immunogold-EM analysis demonstrated that in the presence of numerous keratin filaments attached to desmosomes, desmin could nevertheless interact with desmosomes in the same cell, indicating the dynamic nature of the filament-desmosome association. When desmin-transfected cells were subjected to heat shock, the mutant keratin filaments showed a transient collapse while desmin filaments were maintained. Thus the defective keratin filaments and the wild-type desmin filaments appear to coexist in cells without interference. Expression of a type III intermediate filament protein like desmin may offer a strategy for the treatment of patients suffering from epidermal keratin mutations.

2003
Article
Ind J Dermatol Venereal Leprol.2003 ;69(5):338-339
Pachyonichia congenita-like nail changes treated successfully with a combination of vitamins A and E: A case report
B. B. Mahajan, J. W. Van der Valk

2000
Article
J Invest Dermatol.2000 Nov;115(5):795-804
Analysis of mouse keratin 6a regulatory sequences in transgenic mice reveals constitutive, tissue-specific expression by a keratin 6a minigene
D. Mahony
S. Karunaratne
G. Cam
J. A. Rothnagel
The analysis of keratin 6 expression is complicated by the presence of multiple isoforms that are expressed constitutively in a number of internal stratified epithelia, in palmoplantar epidermis, and in the companion cell layer of the hair follicle. In addition, keratin 6 expression is inducible in interfollicular epidermis and the outer root sheath of the follicle, in response to wounding stimuli, phorbol esters, or retinoic acid. In order to establish the critical regions involved in the regulation of keratin 6a (the dominant isoform in mice), we generated transgenic mice with two different-sized mouse keratin 6a constructs containing either 1.3 kb or 0.12 kb of 5' flanking sequence linked to the lacZ reporter gene. Both constructs also contained the first intron and the 3' flanking sequence of mouse keratin 6a. Ectopic expression of either transgene was not observed. Double-label immunofluorescence analyses demonstrated expression of the reporter gene in keratin 6 expressing tissues, including the hair follicle, tongue, footpad, and nail bed, showing that both transgenes retained keratinocyte-specific expression. Quantitative analysis of beta-galactosidase activity verified that both the 1.3 and 0.12 kb keratin 6a promoter constructs produced similar levels of the reporter. Notably, both constructs were constitutively expressed in the outer root sheath and interfollicular epidermis in the absence of any activating stimulus, suggesting that they lack the regulatory elements that normally silence transcription in these cells. This study has revealed that a keratin 6a minigene contains critical cis elements that mediate tissue-specific expression and that the elements regulating keratin 6 induction lie distal to the 1.3 kb promoter region.

2002
Article
Exp Dermatol.2002 Apr;11(2):153-158
Improved detection of lacZ reporter gene expression in transgenic epithelia by immunofluorescence microscopy
D. Mahony
S. Karunaratne
J. A. Rothnagel
The bacterial lacZ gene is commonly used as a reporter for the in vivo analysis of gene regulation in transgenic mice. However, several laboratories have reported poor detection of beta-galactosidase (the lacZ gene product) using histochemical techniques, particularly in skin. Here we report the difficulties we encountered in assessing lacZ expression in transgenic keratinocytes using classic X-gal histochemical protocols in tissues shown to express the transgene by mRNA in situ hybridization. We found that lacZ reporter gene expression could be reliably detected in frozen tissue sections by immunofluorescence analysis using a beta-galactosidase-specific antibody. Moreover, we were able to localize both transgene and endogenous gene products simultaneously using double-label immunofluorescence. Our results suggest that antibody detection of beta-galactosidase should be used to verify other assays of lacZ expression, particularly where low expression levels are suspected or patchy expression is observed.

1988
Article (English)
Article (Spanish)
Med Cutan Ibero Lat Am.1988 ;16(2):133-136
[Lectin staining of disorders of keratinization. I. Ichthyosis, Darier's disease and acrokeratosis verruciformis]
L. Martinez Ojeda
A. Ramirez Bosca
M. C. Marzo Lopez
P. Soto Ferrando
A. Castells Rodellas
Lectin application is used to study 12 cases of ichthyosis, 8 cases of Darier's disease and two of acrokeratosis verruciformis, establishing comparative patterns with normal skin.

1977
Article
Oral Surg Oral Med Oral Pathol.1977 Mar;43(3):373-378
Oral manifestations of pachyonychia congenita. Report of a case
E. D. Maser Few cases of pachyonychia congenita are reported in the dental and medical literature because of the rarity of the disease. This article presents a review of the literature and adds a new case history. Examination of a 4-year-old boy revealed the presence of the disease, which was also present in the mother and a newborn sibling.

1950
Article
J Pediatr.1950 Mar;36(3):349-359
Natal and neonatal teeth; a review of 24 cases reported in the literature
M. Massler
B. S. Savara

1981
Article
Clin Exp Dermatol.1981 Mar;6(2):145-149
Pachyonychia congenita with candidiasis
H. Mawhinney
S. Creswell
J. M. Beare

1962
Article
Arch Dermatol.1962 ;85():662-663
Epidermolysis bullosa with pachyonychia in three generations
S.B May

1997
Article
Arthritis Rheum.1997 Sep;40(9):1556-1559
Connective tissue disease registries
M. D. Mayes
E. H. Giannini
L. M. Pachman
J. P. Buyon
P. Fleckman

2001
Article Not Found
Mech Dev.2001 Jan;100(1):65-69
A reporter transgene based on a human keratin 6 gene promoter is specifically expressed in the periderm of mouse embryos
S. Mazzalupo
P. A. Coulombe
We report the developmental regulation of a lacZ reporter transgene fused to the promoter region of the human keratin 6a gene. In mouse embryos, the transgene is expressed in the periderm (the outermost layer of embryonic epidermis), as are the endogenous keratin 6 alpha and beta genes. A subset of periderm cells, localized to temporary epithelial fusions, is known to contain keratin 6 protein, and we find that these cells also harbor LacZ enzymatic activity.

2003
Article
Dev Dyn.2003 Feb;226(2):356-365
Role for keratins 6 and 17 during wound closure in embryonic mouse skin
S. Mazzalupo
P. Wong
P. Martin
P. A. Coulombe
Injury to adult skin triggers a response designed to restore its vital barrier function. A conserved aspect of this response is a rapid switch in gene expression whereby the type II keratin 6 (K6) and type I keratins 16 and 17 (K16, K17) are induced in epithelial cells at the wound edge. This induction occurs at the expense of the keratins normally expressed during terminal differentiation and correlates with the activation of epithelial cells at the wound edge, ahead of their migration into the wound site. Here, we show that the capacity to enact this switch is already acquired in E11.5 stage mouse embryos. Such early timing is well ahead of the onset of differentiation-specific gene expression (approximately E13.5) and the acquisition of barrier formation by developing epidermis (approximately E16.5). Induction of K6, K16, and K17 correlates with changes in the morphology of epithelial cells at the wound edge. The closure of embryonic wounds is significantly delayed in K17 null embryos, but not embryos null for K6. These observations significantly extend the correlation between K6, K16, and K17 expression and epithelial wound closure, and provide direct evidence that expression of these keratins, K17 in particular, is important for the timeliness of this process.

1991
Article
J Cell Biol.1991 Jun;113(5):1111-1124
Sorting out IF networks: consequences of domain swapping on IF recognition and assembly
M. B. McCormick
P. A. Coulombe
E. Fuchs
Vimentin and keratin are coexpressed in many cells, but they segregate into two distinct intermediate filament (IF) networks. To understand the molecular basis for the sorting out of these IF subunits, we genetically engineered cDNAs encoding hybrid IF proteins composed of part vimentin and part type I keratin. When these cDNAs were transiently expressed in cells containing vimentin, keratin, or both IFs, the hybrid IF proteins all recognized one or the other or both networks. The ability to distinguish networks was dependent upon which segments of IF proteins were present in each construct. Constructs containing sequences encoding either helix 1B or helix 2B seemed to be the most critical in conferring IF recognition. At least for type I keratins, recognition was exerted at the level of dimer formation with wild-type type II keratin, as demonstrated by anion exchange chromatography. Interestingly, despite the fact that swapping of helical domains was not as deleterious to IF structure function as deletion of helical domains, keratin vimentin hybrids still caused structural aberrations in one or more of the cytoplasmic IF network. Thus, sequence diversity among IF proteins seems to influence not only coiled-coil but also higher ordered associations leading to 10-nm filament formation and or IF interactions with other cellular organelles proteins.

1976
Article
Arch Dermatol.1976 Aug;112(8):1132-1134
Natal teeth and steatocystoma multiplex complicated by hidradenitis suppurativa. A new syndrome
R. M. McDonald
W. B. Reed
A new syndrome, consisting of natal or defective teeth, or both, steatocystomas of the skin, and epidermal cysts of the scalp, is described in several generations. One member of the family had eruptive molars. Male-to-male transmission suggests autosomal dominant inheritance. This syndrome should be separated from pachyonychia congenita I and II.

1998
Article
Subcell Biochem.1998 ;31():173-204
The wound repair-associated keratins 6, 16, and 17. Insights into the role of intermediate filaments in specifying keratinocyte cytoarchitecture
K. McGowan
P. A. Coulombe

2000
Article
J Invest Dermatol.2000 Jun;114(6):1101-1107
Keratin 17 expression in the hard epithelial context of the hair and nail, and its relevance for the pachyonychia congenita phenotype
K. M. McGowan
P. A. Coulombe
The hard-keratin-containing portion of the murine hair shaft displays a positive immunoreactivity with an antibody against the soft epithelial keratin, K17. The K17-expressing cell population is located in the medulla compartment of the hair. Consistent with this observation, K17-containing cells also occur in the presumptive medulla precursor cells located in the hair follicle matrix. Western blot analysis of hair extracts prepared from a number of mouse strains confirms this observation and suggests that K17 expression in the hair shaft is a general trait in this species. The expression of K17 in human hair extracts is restricted to eyebrow and facial hair samples. These are the major sites for the occurrence of the pili torti (twisted hair) phenotype in the type 2 (Jackson-Lawler) form of pachyonychia congenita, previously shown to arise from inherited K17 mutations. Given that all forms of pachyonychia congenita show an involvement of the nail, we compared the expression of the two other genes mutated in pachyonychia congenita diseases, K6 and K16, with that of K17 in human nail. All three keratins are abundantly expressed within the nail bed epithelium, whereas K17 protein is expressed in the nail matrix, which contains the epithelial cell precursors for the nail plate. Our data suggest a role for K17 in the formation and maintenance of various skin appendages and directly support the concept that pachyonychia congenita is a disease of the nail bed.

1998
Article
J Cell Biol.1998 Oct 19;143(2):469-486
Onset of keratin 17 expression coincides with the definition of major epithelial lineages during skin development
K. M. McGowan
P. A. Coulombe
The type I keratin 17 (K17) shows a peculiar localization in human epithelial appendages including hair follicles, which undergo a growth cycle throughout adult life. Additionally K17 is induced, along with K6 and K16, early after acute injury to human skin. To gain further insights into its potential function(s), we cloned the mouse K17 gene and investigated its expression during skin development. Synthesis of K17 protein first occurs in a subset of epithelial cells within the single-layered, undifferentiated ectoderm of embryonic day 10.5 mouse fetuses. In the ensuing 48 h, K17-expressing cells give rise to placodes, the precursors of ectoderm-derived appendages (hair, glands, and tooth), and to periderm. During early development, there is a spatial correspondence in the distribution of K17 and that of lymphoid-enhancer factor (lef-1), a DNA-bending protein involved in inductive epithelial-mesenchymal interactions. We demonstrate that ectopic lef-1 expression induces K17 protein in the skin of adult transgenic mice. The pattern of K17 gene expression during development has direct implications for the morphogenesis of skin epithelia, and points to the existence of a molecular relationship between development and wound repair.

2002
Article
Genes Dev.2002 Jun 1;16(11):1412-1422
Keratin 17 null mice exhibit age- and strain-dependent alopecia
K. M. McGowan
X. Tong
E. Colucci-Guyon
F. Langa
C. Babinet
P. A. Coulombe
Onset of type I keratin 17 (K17) synthesis marks the adoption of an appendageal fate within embryonic ectoderm, and its expression persists in specific cell types within mature hair, glands, and nail. We report that K17 null mice develop severe alopecia during the first week postbirth, correlating with hair fragility, alterations in follicular histology, and apoptosis in matrix cells. These alterations are incompletely penetrant and normalize starting with the first postnatal cycle. Absence of a hair phenotype correlates with a genetic strain-dependent compensation by related keratins, including K16. These findings reveal a crucial role for K17 in the structural integrity of the first hair produced and the survival of hair-producing cells. Given that identical inherited mutations in this gene can cause either pachyonychia congenita or steatocystoma multiplex, the features of this mouse model suggest that this clinical heterogeneity arises from a cell type-specific, genetically determined compensation by related keratins.

1982
Article
J Am Acad Dermatol.1982 Apr;6(4 Pt 2 Suppl):630-639
The influence of retinoids on cultivated human keratinocytes
J. McGuire
N. Fedarko
E. Johanssen
J. La Vigne
G. Lyons
L. Milstone
M. Osber
Cultured keratinocytes afford an excellent opportunity to study the influence of retinoids on the behavior of a stratified squamous epithelium and the interaction of keratinocytes with substrate. We have found that all-trans-retinoic acid retards the formation of colonies, dose not influence attachment, and causes increased shedding of cells from the cultures. Retinoids do not influence the relative abundance of the keratin polypeptides. Our observations are on human neonatal foreskin-derived keratinocytes grown in Dulbecco's modified Eagle medium containing 20% fetal bovine serum. Because fetal bovine serum contains vitamin A, our findings represent differences between low and high levels of vitamin A.

1980
Article
Curr Probl Dermatol.1980 ;10():327-342
Keratins in cultivated human keratinocytes are stable
J. McGuire
L. Milstone
M. Osber
L. Ingalls
Cultures of human keratinocytes were established according to the technique of Rheinwald and Green. When cultures were exposed to [14C] leucine, the uptake of leucine and increase in the specific activity of 6 urea-extractable polypeptides was prompt-each keratin achieved 50% of its peak specific activity in 3-6 hours. Cultures were exposed to [14C] leucine for 6 hours and then permitted to grow in unlabeled medium for 10 days. These confluent cultures shed cells into the medium; the amount or protein shed daily was 22.2 microgram or roughly 0.9% of the protein of the attached cells. Thus, protein shed into the medium over a 10-day period of the pulse-chase experiment was 9% of the total extractable protein. The specific activity of individual polypeptides extracted by urea fell an average of 25% during the 10-day chase. Polypeptides extracted by buffer A showed a fall in specific activity of 55% over this period. The relative amounts of individual urea-extractable polypeptides and individual buffer A-extractable polypeptides remained constant over a 10-day period. The rapid labelling of all urea-extractable polypeptides and the relative stability in the specific activity of these polypeptides is evidence that one keratin is not modified to form another keratin and that, once synthesized, the molecules are stable.

1971
Article
Birth Defects Orig Artic Ser.1971 Jun;7(8):274-275
Pachyonychia congenita in father and son
V. A. McKusick

2003
Article
J Anat.2003 Jan;202(1):133-141
Genetic disorders of palm skin and nail
W. H. McLean The outer part of the skin, the epidermis, is specialized to protect the human body from its environment. Because of the high levels of physical stress experienced by the human hand in everyday use, the epidermis of the hand is especially toughened. In particular, the epidermis of the palm is highly specialized to resist mechanical trauma. Like the epidermis, the nails are composed of specialized epithelial cells and are especially strong. In recent years it has become apparent that the physical strength of epithelial cells comes from the keratin cytoskeleton--a dense meshwork of filaments extending throughout the cytoplasm. Keratins are a large family of intermediate filament proteins encoded by more than 50 distinct genes in humans. These different keratin genes are expressed in well-defined combinations in specific epithelial tissues. Several keratin genes are expressed in palmoplantar epidermis and in the stratified epithelia of the nail bed. Genetic mutations in these genes lead to fragility of these tissues and result in a range of genetic disorders characterized by blistering and thickening of palm and sole skin and or nails. Study of these diseases has shed new light on the vital structural role of keratins in maintaining the integrity of epithelial cells.

1995
Article
Curr Opin Cell Biol.1995 Feb;7(1):118-125
Intermediate filaments in disease
W. H. McLean
E. B. Lane
Intermediate filaments are major structural proteins encoded by a large multigene family. Their tissue-specific expression makes them important in studies of development, differentiation and pathology. Most intermediate filaments are keratins; recent discoveries of keratin mutations in a range of genetic skin disorders have clarified their role as providing essential structural support for cells in different physical settings.

1995
Article
Nat Genet.1995 Mar;9(3):273-278
Keratin 16 and keratin 17 mutations cause pachyonychia congenita
W. H. McLean
E. L. Rugg
D. P. Lunny
S. M. Morley
E. B. Lane
O. Swensson
P. J. Dopping-Hepenstal
W. A. Griffiths
R. A. Eady
C. Higgins
et al.
Pachyonychia congenita (PC) is a group of autosomal dominant disorders characterized by dystrophic nails and other ectodermal aberrations. A gene for Jackson-Lawler PC was recently mapped to the type I keratin cluster on 17q. Here, we show that a heterozygous missense mutation in the helix initiation motif of K17 (Asn92Asp) co-segregates with the disease in this kindred. We also show that Jadassohn-Lewandowsky PC is caused by a heterozygous missense mutation in the helix initiation peptide of K16 (Leu130Pro). The known expression patterns of these keratins in epidermal structures correlates with the specific abnormalities observed in each form of PC.

1990
Article
Br J Dermatol.1990 Jan;122(1):15-21
Cornified envelopes in congenital disorders of keratinization
S. Michel
L. Juhlin
A morphological and biochemical analysis was made of cornified envelopes isolated from patients with different congenital disorders. Nomarski contrast microscopy of the envelopes showed that their morphology was not greatly altered in several types of keratoderma and parapsoriasis, but it was grossly modified in ichthyotic disorders. The various types of ichthyoses, keratoderma palmoplantare, KID syndrome and parapsoriasis showed, after cyanogen-bromide cleavage, peptide patterns similar to those obtained from healthy subjects. In contrast, envelopes from patients with Darier's disease, congenital pachyonychia and erythrokeratoderma variabilis showed markedly different peptide patterns.

1941
Article
Arch Dermatol Syphilol.1941 ;44():979-980
Pachyonychia congenita (Jadassohn)
H. E. Michelson

1923
Article Not Found
Zbl Haut-u Geschl Kr.1923 ;9():455
Beitrag zur Kasuistik der Onychogryphosis congenita hereditaria
M. Mikula

2003
Article
Br J Dermatol.2003 Oct;149(4):776-781
Histopathological and immunohistochemical assessment of acquired ichthyosis in patients with human T-cell lymphotropic virus type I-associated myelopathy
S. P. Milagres
J. A. Sanches, Jr.
A. C. Milagres
N. Y. Valente
BACKGROUND: Patients with human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy frequently display cutaneous alterations such as acquired ichthyosis. OBJECTIVES: Elucidation of the pattern of acquired ichthyosis in HTLV-I-associated myelopathy. METHODS: Skin fragments from 10 patients with HTLV-I-associated myelopathy presenting with acquired ichthyosis were assessed by histopathological and immunohistochemical tests. We used anticytokeratin antibodies related to normal keratinization (K1 K10), and others related to cutaneous conditions such as activation, migration and hyperproliferation of keratinocytes (K6 K16), and involucrin, a precursor protein in the formation of the protein envelope in keratinocytes. For quantification of the proliferating basal and parabasal cells the anti-Ki-67 antibody was employed. RESULTS: On light microscopy, all skin specimens displayed orthokeratotic hyperkeratosis and hypogranulosis. Three of them presented focal parakeratosis. A slight to moderate perivascular infiltrate of mononuclear lymphocytes was observed in seven cases, three of which showed discrete spongiosis with epidermotropism of lymphocytes. All fragments displayed coexpression of K1, K10 and K16 in the suprabasal layers. Expression of involucrin was also observed in all cases, in the upper spinous and granular layers. Focal expression of K6 was observed in three cases, under a parakeratotic area. The mean number of Ki-67+ basal and parabasal cells was 3.5 cells per mm, similar to that in control skin. CONCLUSIONS: In acquired ichthyosis related to HTLV-I-associated myelopathy, histopathology revealed orthokeratotic hyperkeratosis and a perivascular inflammatory infiltrate of mononuclear lymphocytes, with areas of parakeratosis and foci of epidermotropism in rare cases. The expression profiles of K1, K10 and involucrin were similar to those in normal skin. The diffuse coexpression of K16 with K1 and K10 throughout the analysed epidermis, as well as the occurrence of restricted areas of parakeratosis expressing K6, indicate the presence of keratinocyte activation with induction of the alternative keratinization pathway, probably dependent on the cytokines liberated by the mononuclear cells of the dermal inflammatory infiltrate infected with HTLV-I. The absence of acanthosis and of increased cellular kinetics, as shown by the low rate of Ki-67 antigen expression, allow the inference that the pattern of acquired ichthyosis related to HTLV-I-associated myelopathy may be retentional. The observation of foci of parakeratosis expressing K6 in three specimens suggests that, at least in certain areas and in some cases, interference with epidermal differentiation and maturation occurs.

1935
Article (English)
Article (French)
R Franc Dermatol Veneral.1935 ;11():533-537
[Pachyonuxis Familial]
G. Milian

1980
Article
Am J Dermatopathol.1980 Summer;2(2):161-163
Changing concepts of keratin
L. M. Milstone

1988
Article
Ann N Y Acad Sci.1988 ;548():1-3
Effector functions of epidermal keratinocytes
L. M. Milstone

1984
Article
J Invest Dermatol.1984 May;82(5):532-534
2,3,7,8-Tetrachlorodibenzo-p-dioxin induces hyperplasia in confluent cultures of human keratinocytes
L. M. Milstone
J. F. LaVigne
2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is the prototype for a group of halogenated aromatic hydrocarbons which can be potent modulators of growth and differentiation of epithelial tissues. TCDD causes chloracne and can act as a skin tumor promoter, but these actions have been demonstrated only in animals in which TCDD causes epidermal hyperplasia. Study of the hyperplastic response to TCDD has been hampered by lack of an in vitro model; all previous investigations indicated that TCDD had no in vitro effect on cell growth. We show here that nanomolar concentrations of TCDD cause hyperplasia in confluent cultures of human keratinocytes and suggest that this model system will be useful for analyzing mechanisms of TCDD-induced epithelial hyperplasia and genetic differences in responsiveness to TCDD.

1968
Article (English)
Article (German)
Hautarzt.1968 Oct;19(10):441-447
[The Jadassohn-Lewandowsky syndrome]
E. Moldenhauer
K. Ernst

1973
Article (English)
Article (German)
Dermatol Montasschr.1973 ;159(5):540-543
[Is sebocystomatosis a symptom of the Jadassohn-Lewandowski syndrome?]
V. E. Moldenhauer, R. Seidel, Y. S. Lee, J. I. Youn

1988
Article (English)
Article (German)
Hautarzt.1988 Feb;39(2):82-90
[The cytoskeleton in hereditary ichthyoses]
I. Moll
H. Traupe
V. Voigtlander
R. Moll
The hereditary forms of ichthyosis can be considered to be models of impaired terminal epidermal differentiation. Analysis of the cytokeratin polypeptide pattern represents a new attempt at elucidating the mechanisms of keratinization mechanisms which are still unclear. We therefore studied the cytokeratin expression of the following types of ichthyosis: autosomal dominant ichthyosis vulgaris (n = 4), X-linked recessive ichthyosis vulgaris (n = 4), recessive non-bullous congenital ichthyosiform erythroderma (n = 1), recessive classical lamellar ichthyosis (n = 2), autosomal dominant lamellar ichthyosis (n = 1), and Netherton syndrome (n = 1). After dissection of frozen sections of the interfollicular epidermis, two-dimensional gel electrophoresis was performed. For immunofluorescence microscopy a panel of monoclonal cytokeratin antibodies (KG8.13, KK8.60, KA5 and AE1) was used. Cytokeratin polypeptide expression was basically unchanged compared with normal epidermis. In contrast, however, the antibody AE1 did not stain the basal cell layer in most types of ichthyosis, regardless of their genetic type. The cytokeratin polypeptides nos. 6 and 16, which are generally considered markers of hyperproliferation, were not expressed in either type of ichthyosis vulgaris (XRI or ADI), but were detected in trace amounts in various types of congenital ichthyosis.

1982
Article
Cell.1982 Nov;31(1):11-24
The catalog of human cytokeratins: patterns of expression in normal epithelia, tumors and cultured cells
R. Moll
W. W. Franke
D. L. Schiller
B. Geiger
R. Krepler

1994
Article
J Am Acad Dermatol.1994 ;30():275-276
Eruptive vellus hair cyst and steatocystoma multiplex in a patient with pachyonychia congenita
S. E. Moon

1994
Article Not Found
J Am Acad Dermatol.1994 Feb;30(2 Pt 1):275-276
Eruptive vellus hair cyst and steatocystoma multiplex in a patient with pachyonychia congenita
S. E. Moon
Y. S. Lee
J. I. Youn

2003
Article
Brit J Dermatol.2003 ;149(1):46-58
Generation and characterization of epeidermolysis bullosa simple cell lines: scratch assays show faster migration with disruptive keratin mutations
S. M. Morley, M. D. Alessandro, C. Sexton, E. L. Rugg, H. Navsaria, C. S. Shemanko, M. Huber, D. Hohl, A. I. Heagerty, I. M. Leigh, E. B. Lane

1996
Article
J Am Acad Dermatol.1996 Aug;35(2 Pt 2):334-335
Pachyonychia congenita tarda
N. Mouaci-Midoun
S. Cambiaghi
P. Abimelec
Pachyonychia congenita is a rare genetic disorder classified in clinical subtypes. Late onset of the disease has recently been described and designated as pachyonychia congenita tarda. A patient in whom typical manifestations of pachyonychia congenita appeared at the age of 39 years is described. This report substantiates previous observations on the phenomenon of late-onset pachyonychia congenita.

1966
Article
Proc R Soc Med.1966 Oct;59(10):975-976
Pachyonychia congenita
E. J. Moynahan
A. B. Shrank


Sometimes incorrectly cited as Shrank, A.B.

1904
Article (English)
Article (German)
Munchen Med Wochenschr.1904 ;19():2180-2182
[On the causes of congenital onychogryphosis]
C. Muller

1955
Article
AMA Arch Derm.1955 Feb;71(2):264-268
Pachyonychia congenita; a review and new approach to treatment
J. F. Mullins
N. Murray
E. M. Shapiro

2001
Article
Br J Dermatol.2001 May;144(5):929-930
Pachyonychia congenita: mutations and clinical presentations
C. S. Munro

1994
Article
J Med Genet.1994 Sep;31(9):675-678
A gene for pachyonychia congenita is closely linked to the keratin gene cluster on 17q12-q21
C. S. Munro
S. Carter
S. Bryce
M. Hall
J. L. Rees
L. Kunkeler
A. Stephenson
T. Strachan
Pachyonychia congenita (PC) is a group of hereditary syndromes which have in common a hypertrophic dystrophy of the distal nail, and are associated with a variety of additional features, notably various dyskeratoses of skin and mucous membranes. The pathology is unknown but the array of clinical features suggests the possibility of a keratin abnormality. In the present report we describe linkage analyses in a large PC pedigree of the Jackson-Lawler type, a subtype which is characterised by multiple epidermal cysts, hair abnormalities, and natal teeth. The disease locus in this family was found to be tightly linked to markers mapping within, or very close to, the keratin type I cluster at 17q12-q21; maximum lod scores for linkage of the disease to a KRT10 polymorphism and to D17S800, a marker known to be very tightly linked to KRT10, were respectively +4.51 and +7.73, both at theta = 0.00. Although always likely, our findings provide strong evidence of a keratin gene anomaly underlying an inherited disorder affecting epidermis, nail, hair, and mucosa. These findings permit testing to see if pachyonychia congenita shows any locus heterogeneity and suggest specific candidate keratin genes for mutation searching studies. In addition, they suggest a role for keratins in the phenomenon of natal dentition.

1921
Article
Brit J Dermatol.1921 ;33():409
Congenital anomalies of the nails. Four cases of hereditary hypertrophy of the nail bed associated with a history of erupted teeth at birth
F. A. Murray

1716
Article Not Found
.1716 ;():
Dissertatio inaugralis medica de unguibus monstrosis
C. Musaeus

2002
Article Not Found
Nucleic Acids Res Suppl.2002 ;(2):31-32
Mutagenesis targeted by triple-helix forming oligonucleotides containing a reactive nucleoside analogue
F. Nagatsugi
S. Sasaki
M. M. Seidmen
P. S. Miller
Recently, we have demonstrated that 2-amino-6-vinypurine derivative (1) achieves triplex-forming cross-linking with high selectivity toward the cytosine of the G-C target site. In this study, we have investigated the cross-linking as well as induction of point mutations with the TFO incorporating 1 to a target site in a shuttle vector plasmid that replicates in mammalian cells. It was revealed that the TFO bearing 1 introduced mutations at the site of cross-linking. These results have suggested that the selective cross-linking with 1 might be useful for development of new biotechnology for targeted-mutagenesis.

1995
Article
J Bio Chem.1995 ;270(36):21362-21367
Elements controlling the expression and induction of the skin hyperproliferation-associated keratin K6
J. M. Navarro, J. Casatorres, J. L. Jorcanos

1955
Article
Brit J Dermatol.1955 ;67():327-342
Experimental fiction blisters
P. F. D. Naylor

195?
Article Not Found
Arch Dermatol.195? ;77():249
M. L. Neidelman

1967
Article
Arch Dermatol.1967 ;96():349-351
Polykeratosis de Louraine
C. Nelson

1895
Article Not Found
.1895 ;():
Annales de Dermatologie de Syphilographis vol. VI
Halipre Nicolle

1968
Article (English)
Article (German)
Zbl Haut-u Geschl Kr.1968 ;43():35-37
[Pachyonychia congenita-Syndrom mit klinischen Erscheinungen der Dystrophia bullosa hered]
G Niebauer

1984
Article
J Dermatol.1984 Jun;11(3):305-307
Pachyonychia congenita with patent ductus arteriosus
P. Nigam
R. D. Mukhija
K. K. Kapoor

1948
Article
Arch Dermatol Syphilol.1948 ;57():1013-1018
Familial steatocystoma multiplex â?¦
R. O. Noojin, J. P. Reynolds

1976
Article
Gen malformation syndr clinical med.1976 ;():255-257
Pachyonychia congenita
W. L. Nyhan

1928
Article Not Found
Arch Rass-u GeoBiol.1928 ;20():169
Uebereine Familie mit erblicher Onychogryphosis
H. Orel

1991
Article
Arch Dermatol.1991 Jan;127(1):113-114, 116-11
Callused feet, thick nails, and white tongue. Pachyonychia congenita
H. A. Oriba
J. S. Lo
W. F. Bergfeld

194?
Article Not Found
Am J Opth.194? ;26():850
O. S. Ormsby

1943
Article Not Found
.1943 ;():
Diseases of the Skin 6th ed
O. S. Ormsby, Montgomery, H.

1990
Article
Acta Paediatr Jpn.1990 Oct;32(5):579-581
Pachyonychia congenita associated with 46,XYq-karyotype
K. Ozaki
O. Shinohara
S. Kato
I. Takakura
M. Kimura
K. Ishikawa

1998
Article
J Cell Biol.1998 Aug 24;142(4):1035-1051
Directed expression of keratin 16 to the progenitor basal cells of transgenic mouse skin delays skin maturation
R. D. Paladini
P. A. Coulombe
We previously hypothesized that the type I keratin 16 (K16) plays a role in the process of keratinocyte activation that occurs in response to skin injury (Paladini, R.D., K. Takahashi, N.S. Bravo, and P.A. Coulombe. 1996. J. Cell Biol. 132:381-397). To further examine its properties in vivo, the human K16 cDNA was constitutively expressed in the progenitor basal layer of transgenic mouse skin using the K14 gene promoter. Mice that express approximately as much K16 protein as endogenous K14 display a dramatic postnatal phenotype that consists of skin that is hyperkeratotic, scaly, and essentially devoid of fur. Histologically, the epidermis is thickened because of hyperproliferation of transgenic basal cells, whereas the hair follicles are decreased in number, poorly developed, and hypoproliferative. Microscopically, the transgenic keratinocytes are hypertrophic and feature an altered keratin filament network and decreased cell-cell adhesion. The phenotype normalizes at approximately 5 wk after birth. In contrast, control mice expressing a K16-K14 chimeric protein to comparable levels are normal. The character and temporal evolution of the phenotype in the K16 transgenic mice are reminiscent of the activated EGF receptor- mediated signaling pathway in skin. In fact, tyrosine phosphorylation of the EGF receptor is increased in the newborn skin of K16 transgenic mice. We conclude that expression of K16 can significantly alter the response of skin keratinocytes to signaling cues, a distinctive property likely resulting from its unique COOH-terminal tail domain.

1999
Article
J Cell Biol.1999 Sep 6;146(5):1185-1201
The functional diversity of epidermal keratins revealed by the partial rescue of the keratin 14 null phenotype by keratin 16
R. D. Paladini
P. A. Coulombe
The type I epidermal keratins K14 and K16 are remarkably similar at the primary sequence level. While a structural function has been clearly defined for K14, we have proposed that a function of K16 may be to play a role in the process of keratinocyte activation that occurs after acute injury to stratified epithelia. To compare directly the functions of the two keratins we have targeted the expression of the human K16 cDNA to the progenitor basal layer of the epidermis of K14 null mice. Mice null for K14 blister extensively and die approximately 2 d after birth (Lloyd, C., Q.C. Yu, J. Cheng, K. Turksen, L. Degenstein, E. Hutton, and E. Fuchs. 1995. J. Cell Biol. 129:1329-1344). The skin of mice expressing K16 in the absence of K14 developed normally without evidence of blistering. However, as the mice aged they featured extensive alopecia, chronic epidermal ulcers in areas of frequent physical contact, and alterations in other stratified epithelia. Mice expressing a control K16-C14 cDNA also rescue the blistering phenotype of the K14 null mice with only a small percentage exhibiting minor alopecia. While K16 is capable of rescuing the blistering, phenotypic complementation in the resulting skin is incomplete due to the multiple age dependent anomalies. Despite their high sequence similarity, K16 and K14 are not functionally equivalent in the epidermis and other stratified epithelia and it is primarily the carboxy-terminal approximately 105 amino acids of K16 that define these differences.

1996
Article
J Cell Biol.1996 Feb;132(3):381-397
Onset of re-epithelialization after skin injury correlates with a reorganization of keratin filaments in wound edge keratinocytes: defining a potential role for keratin 16
R. D. Paladini
K. Takahashi
N. S. Bravo
P. A. Coulombe
Injury to stratified epithelia causes a strong induction of keratins 6 (K6) and 16 (K16) in post-mitotic keratinocytes located at the wound edge. We show that induction of K6 and K16 occurs within 6 h after injury to human epidermis. Their subsequent accumulation in keratinocytes correlates with the profound reorganization of keratin filaments from a pan-cytoplasmic distribution to one in which filaments are aggregated in a juxtanuclear location, opposite to the direction of cell migration. This filament reorganization coincides with additional cytoarchitectural changes and the onset of re-epithelialization after 18 h post-injury. By following the assembly of K6 and K16 in vitro and in cultured cells, we find that relative to K5 and K14, a well-characterized keratin pair that is constitutively expressed in epidermis, K6 and K16 polymerize into short 10-nm filaments that accumulate near the nucleus, a property arising from K16. Forced expression of human K16 in skin keratinocytes of transgenic mice causes a retraction of keratin filaments from the cell periphery, often in a polarized fashion. These results imply that K16 may not have a primary structural function akin to epidermal keratins. Rather, they suggest that in the context of epidermal wound healing, the function of K16 could be to promote a reorganization of the cytoplasmic array of keratin filaments, an event that precedes the onset of keratinocyte migration into the wound site.

1995
Article
Biochem Biophys Res Commun.1995 Oct 13;215(2):517-523
cDNA cloning and bacterial expression of the human type I keratin 16
R. D. Paladini
K. Takahashi
T. M. Gant
P. A. Coulombe
The human type I keratin 16 is constitutively expressed in a number of complex epithelial tissues, including skin, but is better known for its induction under conditions favoring enhanced proliferation or abnormal differentiation, including wound healing, psoriasis, and cancer. We cloned the coding sequence of human K16 by applying a coupled reverse transcription-polymerase chain reaction procedure to mRNAs prepared from cultured human skin keratinocytes. We then expressed the human K16 coding sequence in E. coli and purified the solubilized protein by anion-exchange chromatography. The recombinant protein recovered behaves similarly to human K14 (a related acidic keratin) on the anion-exchanger, co-migrates with native human K16 on SDS-PAGE (M(r) 48 kD), and reacts with antisera directed against human K16. Based on the nucleotide sequence obtained and the properties of the corresponding recombinant protein, we conclude that we have cloned the coding portion of the human K16 cDNA. The sequence data obtained in this study is compared to earlier reports of the human K16 sequence, which are conflicting in many respects. The availability of K16 in a purified recombinant form will allow us to study how its properties may relate to its function during wound healing and in skin diseases.

1991
Article
Arch Dermatol.1991 May;127(5):701-703
Pachyonychia congenita tarda. A late-onset form of pachyonychia congenita
A. S. Paller
J. A. Moore
R. Scher
Pachyonychia congenita is an autosomal dominant disorder that usually develops in early infancy. We have observed five patients with the onset of the typical subungual hyperkeratoses of pachyonychia during the teenage years. Leukokeratosis and keratoderma of the palms and soles were associated. The family history of three of the patients suggests that pachyonychia congenita tarda is also inherited in an autosomal dominant manner.

0
Article Not Found
Reconst Surg.0 ;99():1142-1146
Five generations with steatocystoma multiplex congenita: a treatment regimen
V. N. Pamoukian, Westreich, M

1986
Article
J Indian Med Assoc.1986 Jan;84(1):22-23
Pachyonychia congenita
S. K. Panja
P. K. Datta
A. K. Jaiswal

1936
Article Not Found
.1936 ;():151
Diseases of nails
Pardo-Castello

1989
Article
J Postgrad Med.1989 Jul;35(3):189-190
Pachyonychia congenita (a case report)
A. Parikh
V. U. Vaidya
B. A. Bharucha
N. B. Kumta

1987
Article
Int J Pediatr Otor.1987 ;13(2):205-209
Pachyonichia congenita with laryngeal involvement
D. S. Parsons

This paper is correctly listed under Benjamin as first author.

1993
Article
Clinical Dermatol.1993 ;1():1-7
Pachyonychia congenita
J. B. Patterson

1901
Article Not Found
.1901 ;():
Encyclopedia Medica vol VII
Pernet

1973
Article (English)
Article (French)
Arch Dermatol Forsch.1973 Mar 19;246(2):114-124
[Ultrastructural study of cutaneous lesions in Jadassohn Lewandowsky syndrome]
H. Perrot
D. Schmitt
J. Thivolet

1975
Article (English)
Article (French)
Pediatrie.1975 Jul-Aug;30(5):535
[Proceedings: Pachyonychia congenita]
M. Pierson
M. Saborio
G. Grignon
G. Fortier
L. Wuilbercq

1992
Article
Clin Genet.1992 Jun;41(6):296-298
Hair-nail dysplasia--a new pure autosomal dominant ectodermal dysplasia
M. Pinheiro
N. Freire-Maia
An apparently hitherto undescribed pure ectodermal dysplasia of the tricho-onychic subgroup is described. Its cause is an autosomal dominant gene with complete penetrance and variable expressivity. Differential diagnosis considered 18 conditions belonging to the same subgroup, as well as Clouston syndrome. This report increases the number of conditions of the tricho-onychic subgroup to 19, and the total number of ectodermal dysplasias to 155.

1969
Article
Arch Dermatol.1969 ;100(2):245-246
Pachyonychia congenita
H. Pinkus

1992
Article
Anticancer Res.1992 Nov-Dec;12(6B):2315-2320
Morphology and intermediate filament composition of human mammary epithelial cells treated with stable butyrate derivative
P. Planchon
V. Magnien
G. Ronco
P. Villa
D. Brouty-Boye
A new stable butyrate derivative monobut-3 was previously shown to inhibit proliferation and promote differentiation in human mammary established cell lines. The present study on monobut-3's effects on mammary epithelial cells cultured from human non-malignant and malignant breast tissues demonstrated pronounced morphological alterations suggestive of cellular differentiation. In addition, some degree of architectural differentiation was also evident in treated primary cultures. Monobut-3 did not affect the expression of vimentin and cytokeratin 18 when assessed in human breast cell lines expressing one or both types of intermediate filaments. However, it did induce expression of cytokeratin 19, characteristic of fully differentiated mammary cells, in one of the two cell lines devoid of this cytokeratin subtype. Furthermore, the network of intermediate filaments was often more largely extended in cells treated with monobut-3 than in untreated ones. These results indicate that monobut-3 can induce subtle changes in intermediate filaments which may contribute to its ability to promote differentiation in human mammary cells.

1950
Article
Brit J Dermatol.1950 ;62():355-358
Vitamin A in a cae of acquired localized keratosis palmaris et plantaris and one of acquired pachyonychia
A. D. Porter, H. Haber

1951
Article Not Found
Br J Dermatol.1951 Apr;63(4):123-127
Vitamin A in some congenital anomalies of the skin
A. D. Porter

2001
Article
Br J Dermatol.2001 Oct;145(4):558-568
Keratin K6irs is specific to the inner root sheath of hair follicles in mice and humans
R. M. Porter
L. D. Corden
D. P. Lunny
F. J. Smith
E. B. Lane
W. H. McLean
BACKGROUND: Keratins are a multigene family of intermediate filament proteins that are differentially expressed in specific epithelial tissues. To date, no type II keratins specific for the inner root sheath of the human hair follicle have been identified. OBJECTIVES: To characterize a novel type II keratin in mice and humans. METHODS: Gene sequences were aligned and compared by BLAST analysis. Genomic DNA and mRNA sequences were amplified by polymerase chain reaction (PCR) and confirmed by direct sequencing. Gene expression was analysed by reverse transcription (RT)-PCR in mouse and human tissues. A rabbit polyclonal antiserum was raised against a C-terminal peptide derived from the mouse K6irs protein. Protein expression in murine tissues was examined by immunoblotting and immunofluorescence. RESULTS: Analysis of human expressed sequence tag (EST) data generated by the Human Genome Project revealed a fragment of a novel cytokeratin mRNA with characteristic amino acid substitutions in the 2B domain. No further human ESTs were found in the database; however, the complete human gene was identified in the draft genome sequence and several mouse ESTs were identified, allowing assembly of the murine mRNA. Both species' mRNA sequences and the human gene were confirmed experimentally by PCR and direct sequencing. The human gene spans more than 16 kb of genomic DNA and is located in the type II keratin cluster on chromosome 12q. A comprehensive immunohistochemical survey of expression in the adult mouse by immunofluorescence revealed that this novel keratin is expressed only in the inner root sheath of the hair follicle. Immunoblotting of murine epidermal keratin extracts revealed that this protein is specific to the anagen phase of the hair cycle, as one would expect of an inner root sheath marker. In humans, expression of this keratin was confirmed by RT-PCR using mRNA derived from plucked anagen hairs and epidermal biopsy material. By this means, strong expression was detected in human hair follicles from scalp and eyebrow. Expression was also readily detected in human palmoplantar epidermis; however, no expression was detected in face skin despite the presence of fine hairs histologically. CONCLUSIONS: This new keratin, designated K6irs, is a valuable histological marker for the inner root sheath of hair follicles in mice and humans. In addition, this keratin represents a new candidate gene for inherited structural hair defects such as loose anagen syndrome.

1977
Article
Arch Dermatol.1977 May;113(5):687
Pachyonychia congenita with cardiac involvement
S. Premalatha
A. S. Thambiah

1994
Article
Clin Exp Dermatol.1994 Nov;19(6):521-522
A family with pachyonychia congenita affecting the nails only
D. W. Pryce
J. L. Verbov
A family with pachyonychia congenita in which affected individuals showed nail involvement only is described. Pachyonychia congenita is a rare hereditary disorder inherited in an autosomal dominant manner. Various classifications of pachyonychia congenita have been suggested but none indicates nail involvement as a solitary finding.

1955
Article Not Found
Zbl Haut-u Geschl Kr.1955 ;50():309
J. J. Puente

1887
Article Not Found
Bulle et mem Soc Chir Paris.1887 ;13():252
Des limities de la matrce de l'ongle-applicationes au traitement de l'ongle incarne
Quenu

1959
Article (English)
Article (Russian)
Klin Med (Mosk).1959 May;37(5):149-151
[Congenital pachyonychia.]
A. S. Raben
L. D. Krymskii

1991
Article
Am J Dermatopathol.1991 ;13(3):28-33
Follicular hybrid cysts: An expanded spectrum
L. Requena, E. S. Yus

1995
Article
Nat Genet.1995 Dec;11(4):453-455
Keratin 13 point mutation underlies the hereditary mucosal epithelial disorder white sponge nevus
G. Richard
V. De Laurenzi
B. Didona
S. J. Bale
J. G. Compton
Although pathogenic keratin mutations have been well characterized in inherited epidermal disorders, analogous defects in keratins expressed in non-epidermal epithelia have yet to be described. White sponge nevus (WSN) is a rare autosomal dominant disorder of non-cornifying squamous epithelial differentiation that presents clinically as bilateral white, soft, thick plaques of the oral mucosa. Less frequently the mucous membranes of the nose, esophagus, genitalia and rectum are involved. Histopathological features, including epithelial thickening, parakeratosis, extensive vacuolization of the suprabasal keratinocytes and compact aggregates of keratin intermediate filaments (KIF) in the upper spinous layers, resemble those found in epidermal disorders due to keratin defects. We analysed a multigenerational family with WSN and found cosegregation of the disease with the keratin gene cluster on chromosome 17. We identified a missense mutation in one allele of keratin 13 that leads to proline substitution for a conserved leucine. The mutation occurred within the conserved 1A region of the helical rod domain, which is critical for KIF stability and is the site of most pathogenic keratin mutations. This mutation enlarges the spectrum of keratins with disease-causing defects to include mucosally expressed keratin 13, and extends the known keratin diseases to disorders of non-cornifying stratified squamous epithelia.

1923
Article Not Found
Zbl Haut-u Geschl Kr.1923 ;6():335
Eigenartige Keratosis Palmaris et Plantaris mit Nagelveraenderungen
G. Riehl

1998
Article
Oncogene.1998 Feb 19;16(7):853-863
Human keratin-1.bcl-2 transgenic mice aberrantly express keratin 6, exhibit reduced sensitivity to keratinocyte cell death induction, and are susceptible to skin tumor formation
J. Rodriguez-Villanueva
D. Greenhalgh
X. J. Wang
D. Bundman
S. Cho
M. Delehedde
D. Roop
T. J. McDonnell
Nonmelanoma skin cancers (NMSC) are among the most common malignancies in the world. Typically, these neoplasms grow slowly and are comparatively indolent in their clinical behavior. The most frequent molecular alterations implicated in the pathogenesis of these neoplasms involve genes known to be regulators of cell death including p53, Ha-ras and bcl-2. In order to evaluate the significance cell death deregulation during skin carcinogenesis, we generated a transgenic mouse model (HK1.bcl-2) using the human keratin 1 promoter to target the expression of a human bcl-2 minigene to the epidermis. Transgenic HK1.bcl-2 protein was expressed at high levels specifically in the epidermis extending from the stratum basale through the stratum granulosum. The epidermis of HK1.bcl-2 mice exhibited multifocal hyperplasia without associated hyperkeratosis and aberrant expression of keratin 6. The rate of proliferation was similar in HK1.bcl-2 and control epidermis although suprabasal BrdUrd incorporating cells were present only in HK1.bcl-2 skin. Keratinocytes from the HK1.bcl-2 mice were significantly more resistant to cell death induction by U.V.-B, DMBA, and TPA, compared to control keratinocytes. Furthermore, papillomas developed at a significantly greater frequency and shorter latency in the HK1.bcl-2 mice compared to control littermates following initiation with DMBA and promotion with TPA. Together these results support a role for bcl-2 in the pathogenesis of NMSC.

2000
Article
J Invest Dermatol.2000 Mar;114(3):464-472
Characterization of a 300 kbp region of human DNA containing the type II hair keratin gene domain
M. A. Rogers
H. Winter
L. Langbein
C. Wolf
J. Schweizer
Screening of an arrayed human genomic P1 artificial chromosome DNA library by means of the polymerase chain reaction with a specific primer pair from the human type II hair keratin hHb5 yielded two P1 artificial chromosome clones covering approximately 300 kb of genomic DNA. The contig contained six type II hair keratin genes, hHb1-hHb6, and four keratin pseudogenes psihHbA-psihHbD. This hair keratin gene domain was flanked by type II epithelial keratins K6b K6hf and K7, respectively. The keratin genes pseudogene are 5-14 kbp in size with intergenic distances of 5-19 kbp of DNA and do not exhibit a single direction of transcription. With one exception, type II hair keratin genes are organized into nine exons and eight introns, with strictly conserved exon-intron boundaries. The functional hair keratin genes are grouped into two distinct subclusters near the extremities of the hair keratin gene domain. One subcluster encodes the highly related hair keratins hHb1, hHb3, and hHb6; The second cluster encodes the structurally less related hair keratins hHb2, hHb4, and hHb5. Reverse transcription-polymerase chain reaction shows that all hair keratin genes are expressed in the hair follicle. Pseudogene psihHbD is also transcriptionally expressed, albeit with alterations in splicing and frameshift mutations, leading to premature stop codons in the splice forms analyzed. Evolutionary tree analysis revealed a divergence of the type II hair keratin genes from the epithelial keratins, followed by their segregation into the members of the two subclusters over time. We assume that the approximately 200 kbp DNA domain contains the entire complement of human type II hair keratin genes.

1990
Article
Pediatr Dermatol.1990 Dec;7(4):307-309
Pachyonychia congenita: therapeutic and immunologic aspects
A. E. Rohold
F. Brandrup
A 4-year-old girl with pachyonychia congenita was followed from birth. During childhood, slow progression of the nail hypertrophy was seen because she was not willing to have the nails ground or cut. After grinding of her nails under general anesthesia, the child has had acceptable nail thickness, and continued regular grinding without anesthesia. The child had recurrent oral and cutaneous candidiasis. Investigations showed a weakly positive response to Candida albicans in the lymphocyte transformation test, and absence of a delayed hypersensitivity skin test response to Candida. The secondary infection due to Candida seemed to prevail because of an immune defect.

1982
Article (English)
Article (Spanish)
Med Cutan Ibero Lat Am.1982 ;10(6):395-398
[Congenital pachyonychia treated by oral retinoid]
A. J. Rondon Lugo One female patient 18 years old who suffers from Congenital Uaquioniquis since infancy, with serious alterations of nails, was treated with oral retinoid (Ro 10-9359-Tigason) during 20 months, with clinical improvement of her lesions. Clinical and laboratory controls were carried out periodically and they did not show any alterations. The only side-effects were itching, discrete hair loss headache, chelitis, all which were moderate in degree and transient.

1995
Article
Science.1995 Jan 27;267(5197):474-475
Defects in the barrier
D. Roop

1987
Article
Curr Top Dev Biol.1987 ;22():195-207
Regulation of keratin gene expression during differentiation of epidermal and vaginal epithelial cells
D. R. Roop

1984
Article
J Biol Chem.1984 Jul 10;259(13):8037-8040
Synthetic peptides corresponding to keratin subunits elicit highly specific antibodies
D. R. Roop
C. K. Cheng
L. Titterington
C. A. Meyers
J. R. Stanley
P. M. Steinert
S. H. Yuspa
The presence of common antigenic determinants within all keratin proteins has made difficult the production of antisera which are monospecific for individual keratin subunits. Synthetic peptides corresponding to the carboxyl-terminal amino acid sequences of the mouse 59- and 67-kilodalton keratins were used to produce antibodies which were highly specific for these keratin subunits. This method of antibody production was chosen after examination of amino acid sequence data (which were deduced from the nucleotide sequence of cDNA clones for these and other mouse keratins) revealed that the carboxyl-terminal amino acid sequences of various keratins were unique. Indirect immunofluorescence staining of newborn-mouse skin with these antisera demonstrated that the 59- and 67-kilodalton keratins were only present within the differentiated cells of the epidermis (the suprabasal layers) and not in the undifferentiated cells (the basal layer). These results are consistent with our previous work concerning the expression of these keratin genes at the messenger RNA level (Roop, D. R., Hawley-Nelson, P., Cheng, C. K., and Yuspa, S. H. (1983) Proc. Natl. Acad. Sci. U.S.A. 80, 716-720). Data obtained with the antisera directed against the 67-kilodalton keratin also indicated that the carboxyl-terminal sequences of this subunit were not present in the nonliving layer (the stratum corneum) of the epidermis. This approach should be useful for the production of antisera specific for other keratin subunits as additional sequence information becomes available.

1985
Article
Ann N Y Acad Sci.1985 ;455():426-435
The use of cDNA clones and monospecific antibodies as probes to monitor keratin gene expression
D. R. Roop
C. K. Cheng
R. Toftgard
J. R. Stanley
P. M. Steinert
S. H. Yuspa

1983
Article
J Invest Dermatol.1983 Jul;81(1 Suppl):144s-149s
Expression of keratin genes in mouse epidermis and normal and malignantly transformed epidermal cells in culture
D. R. Roop
P. Hawley-Nelson
C. K. Cheng
S. H. Yuspa
Complementary DNA (cDNA) clones constructed to the 55, 59 and 67 kilodalton (K) keratins, the major keratins synthesized in newborn mouse epidermis, were used as molecular hybridization probes to examine the expression of these genes in newborn epidermis and normal and malignantly transformed epidermal cells in culture. Transcripts of these three keratin genes are abundant in newborn epidermis. However, primary cultures of epidermal cells contain very low levels of these RNAs. The decreased expression of these keratin genes in primary cells appears to be due to factors within the culture system. Unlike primary-cell cultures, the malignantly transformed cell line Pam 212 synthesizes keratin proteins and mRNAs similar to newborn epidermis, including the 67 K keratin. However, synthesis of the 67 K keratin in Pam 212 cells is modulated by culture factors. Keratin gene expression in another Pam line, 321, differs from that of Pam 212 cells in that decreased expression of these three keratin genes occurs. These results indicate that keratin genes that are normally expressed in vivo in epidermis may be expressed in malignant epidermal cells under conditions that do not permit expression of these genes in nonmalignant primary epidermal cells.

1983
Article
Proc Natl Acad Sci U S A.1983 Feb;80(3):716-720
Keratin gene expression in mouse epidermis and cultured epidermal cells
D. R. Roop
P. Hawley-Nelson
C. K. Cheng
S. H. Yuspa
The major differentiation products of mouse epidermis are keratins of 40-70 kilodaltons (kDal). We have prepared a library of cDNA clones from total poly(A)+ RNA from newborn mouse epidermis. Clones corresponding to the major in vivo keratins of 55, 59, and 67 kDal have been isolated and characterized. By RNA blot analysis of poly(A)+ RNA from newborn mouse epidermis, we have identified RNA species that are approximately 1,600, 2,000, and 2,400 nucleotides in length and are complementary to the cDNAs for the 55-, 59-, and 67-kDal keratins, respectively. Analysis of RNA from primary cultures of newborn mouse epidermis by this same technique shows greatly reduced levels of these RNAs. Transcripts complementary to all three cloned cDNAs are abundant in 14- to 16-day embryonic and adult mouse skin. Thus, altered expression in culture does not appear to be due to induction of a developmentally programmed switch by placing the cells in culture but instead is due to factors modulating expression within the culture system. Because the 55-, 59-, and 67-kDal keratins are the major proteins in epidermis they probably represent keratin associated with terminal differentiation. The expression data suggest that cultured cells are blocked in expression of differentiation keratins but instead synthesize other keratin family members probably related to cytoskeletal functions.

1987
Article
Differentiation.1987 ;35(2):143-150
Regulated expression of differentiation-associated keratins in cultured epidermal cells detected by monospecific antibodies to unique peptides of mouse epidermal keratins
D. R. Roop
H. Huitfeldt
A. Kilkenny
S. H. Yuspa
Monospecific antibodies to mouse epidermal keratins were generated in rabbits and guinea pigs by injecting synthetic peptides of unique keratin sequences. The sequences were deduced from nucleotide sequences of cDNA clones representing basal (K14) and suprabasal (K1 and K10) cell-specific and hyperproliferative (K6) keratins of both the type-I and type-II subclasses. By applying single-and double-label immunofluorescence analysis, the expression of keratin peptides was analyzed in cultured keratinocytes maintained in the basal or suprabasal cell phenotypes. These cell types were selected by growth in medium containing 0.05 mM Ca2+ (basal cell) or 1.4 mM Ca2+ (suprabasal cell). The cultured basal cells expressed K6 and K14, but less than 1% expressed K1 and K10. Within a few hours after being placed in 1.4 mM Ca2+, K1 expression was observed, and by 24 h, 10%-17% of the cells expressed K1. K10 expression appeared to lag behind K1 expression, with only 5%-10% of cells in 1.4 mM Ca2+ exhibiting K10 immunoreactivity. Double-labeling studies indicated that virtually all K10-positive cells also expressed K1, while only about one-half of the K1-positive cells expressed K10. The treatment of basal cells with retinoic acid at pharmacological concentrations prevented the expression of K1 and K10 when cells were challenged by 1.4 mM Ca2+. Similarly, the introduction of the v-rasH oncogene into basal cells by a defective retroviral vector prevented the expression of suprabasal keratins in 1.4 mM Ca2+ medium.(ABSTRACT TRUNCATED AT 250 WORDS)

1988
Article
Cancer Res.1988 Jun 1;48(11):3245-3252
Transcriptional control of high molecular weight keratin gene expression in multistage mouse skin carcinogenesis
D. R. Roop
T. M. Krieg
T. Mehrel
C. K. Cheng
S. H. Yuspa
Monospecific antikeratin antisera and specific complementary DNA probes were used to analyze expression of keratin genes in newborn mouse skin and skin papillomas and carcinomas by indirect immunofluorescence, immunoblotting, and in situ hybridization. Tumors were induced by initiation with 7,12-dimethylbenz[a]anthracene and promotion with 12-O-tetradecanoylphorbol-13-acetate. Type I epidermal keratin K14 protein (Mr 55,000) is found in all living layers of the newborn skin but is most abundant in the lower strata. K1 (Mr 67,000) and K10 (Mr 59,000) proteins are predominantly suprabasal and K1 is processed in the stratum corneum. Transcripts for K14 were confined largely to the basal cell layer by in situ hybridization. Transcripts for K1 and K10 were highly expressed in suprabasal cells including the granular cell layer. In benign tumors, distribution of K14 protein is similar to that in newborn skin, while the abundance of K1 and K10 appears to be somewhat reduced although the tissue distribution remains suprabasal. Transcription of K14 is aberrant in benign tumors and transcripts persist throughout much of the suprabasal cell layers. Transcripts of K1 and K10 are normally distributed in papillomas but grain density is less intense than in newborn epidermis. Keratin expression in carcinomas is highly disturbed. K14 protein and transcripts are highly expressed in all strata in carcinomas while protein and transcripts for K1 and K10 are essentially absent. These results suggest that papilloma cells fail to respond to or generate signals to regulate K14 expression in the differentiating suprabasal cell layers and may not fully express their suprabasal cell keratins. Carcinomas fail to express suprabasal cell keratins and this is regulated at the transcriptional level. The loss of suprabasal keratin expression may provide a marker for malignant conversion in the mouse skin carcinogenesis model.

1989
Article
Carcinog Compr Surv.1989 ;11():257-271
Keratin expression in mouse epidermal tumors
D. R. Roop
T. Mehrel
T. M. Krieg
H. Nakazawa
C. K. Cheng
S. H. Yuspa

1991
Article
Cytogenet Cell Genet.1991 ;57(1):33-38
Three epidermal and one simple epithelial type II keratin genes map to human chromosome 12
M. Rosenberg
E. Fuchs
M. M. Le Beau
R. L. Eddy
T. B. Shows
We have localized the genes which encode the human type II epidermal keratins K5, K6a, and K6b and the simple epithelial keratin K7 (KRT5, KRT6A, KRT6B, and KRT7, respectively) to chromosome 12 using Southern blot analysis of somatic cell hybrids. In addition, we have sublocalized the genes for K6a and K7 to bands 12q12----q14 on the long arm of this chromosome by in situ hybridization of metaphase chromosomes.

1988
Article
Mol Cell Biol.1988 Feb;8(2):722-736
A group of type I keratin genes on human chromosome 17: characterization and expression
M. Rosenberg
A. RayChaudhury
T. B. Shows
M. M. Le Beau
E. Fuchs
The human type I keratins K16 and K14 are coexpressed in a number of epithelial tissues, including esophagus, tongue, and hair follicles. We determined that two genes encoding K16 and three genes encoding K14 were clustered in two distinct segments of chromosome 17. The genes within each cluster were tightly linked, and large parts of the genome containing these genes have been recently duplicated. The sequences of the two K16 genes showed striking homology not only within the coding sequences, but also within the intron positions and sequences and extending at least 400 base pairs 5' upstream and 850 base pairs 3' downstream from these genes. Despite the strong homologies between these two genes, only one of the genes encoded a protein which assembled into keratin filaments when introduced into simple epithelial cells. While there were no obvious abnormalities in the sequence of the other gene, its promoter seemed to be significantly weaker, and even a hybrid gene with the other gene's promoter gave rise to a much reduced mRNA level after gene transfection. To demonstrate that the functional K16 gene that we identified was in fact responsible for the K16 expressed in human tissues, we made a polyclonal antiserum which recognized our functional K16 gene product in both denatured and filamentous form and which was specific for bona fide human K16.

1992
Article
J Invest Dermatol.1992 Mar;98(3):343-350
Acute or chronic topical retinoic acid treatment of human skin in vivo alters the expression of epidermal transglutaminase, loricrin, involucrin, filaggrin, and keratins 6 and 13 but not keratins 1, 10, and 14
D. S. Rosenthal
C. E. Griffiths
S. H. Yuspa
D. R. Roop
J. J. Voorhees
Histologic and immunocytochemical analyses were performed on cutaneous biopsies from 10 patients treated with retinoic acid under occlusion for 4 d compared to biopsies from 19 patients treated nightly for 16 weeks. Acute application of RA caused epidermal thickening (9 of 10 samples), stratum granulosum thickening (7 of 10), parakeratosis (4 of 10), a marked increase in the number of cell layers expressing epidermal transglutaminase (7 of 10), and focal expression of two non-epidermal keratins, K6 (8 of 10) and K13 (2 of 10), changes also observed with chronic treatment. Involucrin, filaggrin, and loricrin were also altered in samples from both acute and chronic treatment. An increased number of cell layers expressed both involucrin and filaggrin from both the acute (7 of 10) and chronic (14 of 19) treatment groups. In the acute group, loricrin expression was significantly reduced or absent in some regions of the epidermis (5 of 10), whereas most chronic samples showed an increased number of cell layers expressing loricrin (12 of 19). The pattern of expression of three major epidermal differentiation products, keratins K1, K10, and K14, was not significantly altered in any of the acute or chronic samples, although there was a slight reduction in the detection of K10 in two of the acute samples. Thus, acute topical RA treatment under occlusion caused substantial changes in the epidermis, and reproduced most, but not all of the effects of chronic treatment.

1991
Article
Cell Growth Differ.1991 Feb;2(2):107-113
A human epidermal differentiation-specific keratin gene is regulated by calcium but not negative modulators of differentiation in transgenic mouse keratinocytes
D. S. Rosenthal
P. M. Steinert
S. Chung
C. A. Huff
J. Johnson
S. H. Yuspa
D. R. Roop
Keratins K1 and K10 represent the major differentiation products of the maturing epidermal keratinocytes. Primary epidermal cell cultures from newborn K1 transgenic mice containing a 12-kilobase human K1 genomic fragment were established in order to examine the expression of both human and mouse K1 in the presence of known modulators of epidermal differentiation. Elevated levels of Ca2+ in the culture medium induced both mouse K1 and human K1. Supplementing the medium with retinoic acid or 12-O-tetradecanoylphorbol-13-acetate or introducing a Harvey viral ras oncogene (v-rasHa) into the cells completely suppressed mouse K1 but not human K1. Our results suggest that: (a) the human 12-kilobase insert contains all the necessary cis-acting elements to respond to the Ca2+ signal, and (b) other cis-acting elements, not present within this insert, may function independently to regulate the response of K1 to retinoids, 12-O-tetradecanoylphorbol-13-acetate, and v-rasHa transformation. This transgenic model provides an approach to identify elements required for the regulation of an epidermal differentiation-specific gene.

1993
Article
Arch Dermatol.1993 Nov;129(11):1430-1436
Transgenic models of skin diseases
J. A. Rothnagel
D. A. Greenhalgh
X. J. Wang
K. Sellheyer
J. R. Bickenbach
A. M. Dominey
D. R. Roop
BACKGROUND: Transgenic animals have greatly enhanced our understanding of the contribution of various structural and regulatory components to epidermal biology. The expression of mutant versions of these components in the epidermis of transgenic mice has generated animal models of specific human skin diseases. OBSERVATIONS: The expression of mutant keratin genes has produced animal models of epidermolysis bullosa simplex and epidermolytic hyperkeratosis and, in doing so, has focused attention on the genetics of keratins in these and other skin disorders. Similarly, the generation of mice overexpressing growth factors and or oncogenes, exclusively in the epidermis, has identified the role of these factors in normal skin and produced models of disease states where the regulation of these factors is perturbed. CONCLUSIONS: These models of keratin disorders and other diseases not only enable the determination of the cause of these disorders, but also allow evaluation of novel therapeutic techniques for the amelioration of these skin diseases.

1999
Article
Differentiation.1999 Oct;65(2):119-130
The mouse keratin 6 isoforms are differentially expressed in the hair follicle, footpad, tongue and activated epidermis
J. A. Rothnagel
T. Seki
M. Ogo
M. A. Longley
S. M. Wojcik
D. S. Bundman
J. R. Bickenbach
D. R. Roop
Keratin 6 (K6) is expressed constitutively in a variety of internal stratified epithelia as well as in palmoplantar epidermis and in specialized cells of the hair follicle. K6 expression can also be induced by hyperproliferative conditions as in wound healing or by conditions that perturb normal keratinocyte function. The functional significance of the expression of K6 on keratinocyte biology under these disparate conditions is not known. Here we report on the characterization of two isoforms of mouse K6 that are encoded by separate genes. The two genes (denoted K6a and K6b) are linked, have the same orientation and are actively transcribed. Sequence analysis revealed, that although they encode almost identical products, they have distinctly different regulatory regions, suggesting that the two K6 genes would be differentially expressed. In an attempt to define the expression characteristics of the K6 isoforms, we produced transgenic mice with each gene after modifying the C-terminal sequences to enable detection of the transgenic proteins with specific antibodies. The constitutive expression of the K6a transgene paralleled that of the endogenous genes in all K6 expressing tissues, except in the tongue. The K6b transgene was also expressed in these tissues but, in contrast to K6a, was only expressed in suprabasal cells. Both K6 transgenes were also induced in the interfollicular epidermis in response to phorbol esters, with K6a induced in all layers of the treated epidermis, while K6b was expressed only in suprabasal cells. These studies suggest that the K6 isoforms have overlapping yet distinct expression profiles.

2000
Article
Prenat Diagn.2000 May;20(5):371-377
DNA based prenatal testing for the skin blistering disorder epidermolysis bullosa simplex
E. L. Rugg
D. Baty
C. S. Shemanko
G. Magee
S. Polak
R. Bergman
T. Kadar
M. Boxer
T. Falik-Zaccai
Z. Borochowitz
E. B. Lane
Epidermolysis bullosa simplex (EBS) is a skin fragility disorder in which mild physical trauma leads to blistering. The phenotype of the disorder is variable, from relatively mild affecting only the hands and or feet, to very severe with widespread blistering. For the severest forms of EBS there is a demand for prenatal diagnosis which until now has involved a fetal skin biopsy in the second trimester. The identification of mutations in the genes encoding keratins K5 and K14 as the cause of EBS opens up the possibility of much earlier diagnosis of the disease. We report here four cases in which prenatal testing was performed. In three of the cases the genetic lesions were unknown at the start of the pregnancy, requiring the identification of the causative mutation prior to testing fetal DNA. In two of the four cases novel mutations were identified in K14 and in the two remaining families, a previously identified type of mutation was found. Fetal DNA, obtained by chorionic villus sampling or amniocentesis, was analysed for the identified mutations. Three of the DNA samples were found to be normal; a mutant K14 allele was identified in the fourth case and the pregnancy was terminated. These results demonstrate the feasibility of DNA-based prenatal testing for EBS in families where causative mutations can be found.

1995
Article
Nat Genet.1995 Dec;11(4):450-452
A mutation in the mucosal keratin K4 is associated with oral white sponge nevus
E. L. Rugg
W. H. McLean
W. E. Allison
D. P. Lunny
R. I. Macleod
D. H. Felix
E. B. Lane
C. S. Munro
White sponge nevus (WSN) is a benign autosomal dominant disorder which affects non-cornifying stratified squamous epithelia (MIM 193900) (ref. 1). Phenotypically it presents as white 'spongy' plaques (oral leukokeratoses), most commonly in the mouth but also reported in the esophagus and anogenital mucosa. Histologically, the plaques show evidence of hyperproliferation, acanthosis and tonofilament aggregation. These types of pathogenic changes are characteristic of many of the epidermal keratin disorders. Keratins are expressed in pairs by epithelial cells in a tissue and cell specific manner. The major differentiation specific keratins of the buccal mucosa, nasal, esophageal and anogenital epithelia are K4 and K13 (ref. 7). The tissue distribution and nature of the lesions in patients affected by WSN suggested that mutations in K4 and or K13 might be responsible for this disorder. We have now confirmed this hypothesis and report here a three base-pair (bp) deletion in the helix initiation peptide of K4 in affected members from two families with this condition.

1977
Article
Int J Dermatol.1977 Oct;16(8):675-678
Pachyonychia congenita (Jadassohn-Lewandowsky) and Kyrle's disease in the same patient
R. Ruiz-Maldonado
L. Tamayo
An 11-year-old boy with typical lesions of pachyonychia congenita (Jadassohn-Lewandowsky) type II and with keratotic lesions histologically characteristic of Kyrle's Disease is described.

2004
Article
Endocrinology.2004 ;145(5):2357-2361
A role for thyroid hormone in wound healing through keratin gene expression
J. D. Safer, T. M. Crawford, M. F. Holick

1927
Article Not Found
Acta psychia et Neurol.1927 ;2():317
Onychogryphase hereditare congenitale alopecia totale et schizâ?¦
M. Schmidt

1980
Article
Acta Derm Venereol.1980 ;60(1):45-49
The pachyonychia congenita syndrome
P. H. Schonfeld This study presents two patients showing different clinical types of the Pachyonychia congenita Syndrome (PcS). For the first time there is a description of the histopathology of the blister and vesicle formation, as well as of the plantar keratosis. The essential resemblance in the histopathological changes of the different symptoms of the syndrome is discussed.

1986
Article (English)
Article (German)
Derm Wschr.1986 ;152():766-775
[Hereditare Onycholysis partialis mit Skleronychie]
H. D. Schulze

2003
Article
J Clin Inv.2003 ;112(4):487-494
The potential for gene repair via triple helix formation
M. M. Seidman, P. M. Glazer

2000
Article
Acta Paediatr.2000 May;89(5):610-612
Structural hair shaft abnormalities in hypomelanosis of ito and other ectodermal dysplasias
E. Selvaag
A. M. Aas
S. Heide
Hair samples from patients with different ectodermal dysplasias; hypohidrotic ectodermal dysplasia, pachyonychia congenita, tricho-dento-osseous syndrome, tricho-rhino-phalangeal syndrome, and hypomelanosis of Ito were investigated using a scanning electron microscope. The hairs of the patients showed different structural abnormalities; twisted hairs, longitudinal grooves, trichorrhexis nodosa as well as variations in the hair caliber. Hair shaft abnormalities, as in our patients with tricho-dento-osseous syndrome, and hypomelanosis of Ito have so far not been described.


Article Not Found
. ;():

1949
Article Not Found
Dermo-sifilographo.1949 ;24():268
Sopra una dsonichia ereditaria familiare
P. Sertoli

1995
Article
Hum Mol Genet.1995 Oct;4(10):1875-1881
Novel mutations in keratin 16 gene underly focal non-epidermolytic palmoplantar keratoderma (NEPPK) in two families
M. K. Shamsher
H. A. Navsaria
H. P. Stevens
R. C. Ratnavel
P. E. Purkis
D. P. Kelsell
W. H. McLean
L. J. Cook
W. A. Griffiths
S. Gschmeissner
et al.
Keratins K6 and K16 are expressed in suprabasal interfollicular epidermis in wound healing and other pathological conditions associated with hyperproliferation, such as psoriasis and are induced when keratinocytes are cultured in vitro. However, these keratins are also constitutively expressed in normal suprabasal mucosal and palmoplantar keratinocytes. Mutations in keratins have been reported in the basal keratin pair K5 and K14 in epidermolysis bullosa simplex and in suprabasal epidermal keratins K1, K2 and K10 in epidermolytic ichthyoses. Two families with autosomal dominant disorder of focal non epidermolytic palmoplantar keratoderma, have oral mucosal and follicular lesions in addition to the palmoplantar hyperkeratosis. Previous studies have shown linkage in these families to the type I keratin gene cluster at 17q12-q21 and this report shows that the cDNA of affected members of both families have novel heterozygous mutations in the expressed keratin 16 gene. These mutations (R10C and N8S) lie in the helix initiation motif of the 1A domain. These mutations do not appear to cause epidermolysis on light or electron microscopy, which may reflect differences in function, assembly or interaction of the 'hyperproliferative' or 'mucoregenerative' keratins from other major types of keratins. The mutations reported here are the first to describe the molecular pathology of focal non epidermolytic palmoplantar keratoderma.

1989
Article
Int J Dermatol.1989 Jun;28(5):332-333
Pachyonychia congenita with tuberous sclerosis
V. K. Sharma
R. Sharma
S. Kaur

1974
Article
.1974 ;():
Pachyonychia Congenita: Consultations in Dermatology
W. B. Shelley

1966
Article
Proc Roy Soc Med.1966 ;59():975-976
Pachyonychia congenita
A. B. Shrank

1981
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1981 ;(5):41-42
[Familial case of Jadassohn-Lewandowski syndrome]
V. I. Siano, A. K. Menshikova, Y. M. Bochkarev, V. T. Kuklin

1922
Article (English)
Article (German)
Arch Dermatol Syphilol (Berlin).1922 ;139():62-72
[Uber keratosis follicularis]
H. W. Siemens

1988
Article
J Am Acad Dermatol.1988 Apr;18(4 Pt 1):721-741
Cutaneous and immunologic reactions to phenytoin
A. K. Silverman
J. Fairley
R. C. Wong
Phenytoin (diphenylhydantoin; Dilantin) is a highly effective and widely prescribed anticonvulsant and antiarrhythmic agent. Since 1938 it has been invaluable in the treatment of grand mal and psychomotor epilepsy. Hydantoin derivatives have been used medicinally for more than a half-century. In recent years dermatologists have broadened the indications for phenytoin use to include recessive dystrophic epidermolysis bullosa, linear scleroderma, and pachyonychia congenita. In spite of widespread use and popularity, it is interesting that the frequency of complications relating to drug therapy remains low, relatively speaking. Nevertheless, a broad spectrum of cutaneous and immunologic reactions to phenytoin have been reported. These range from tissue proliferative syndromes (side effects), drug hypersensitivity syndromes (allergic effects), and a possible linkage with lymphoma (idiosyncratic effects). Therapeutic and toxic reactions to this commonly prescribed drug are comprehensively reviewed, analyzed, and summarized in this monograph.

1985
Article
Int J Dermatol.1985 Apr;24(3):179-180
Pachyonychia congenita
A. Sivasundram
K. Rajagopalan
T. Sarojini

1982
Article
The recognizable patterns of human malformations.1982 ;():406
Pachyonychia congenita syndrome
D. W. Smith

2003
Article
Am J Clin Dermatol.2003 ;4(5):347-364
The molecular genetics of keratin disorders
F. Smith Keratins are the type I and II intermediate filament proteins which form a cytoskeletal network within all epithelial cells. They are expressed in pairs in a tissue- and differentiation-specific fashion. Epidermolysis bullosa simplex (EBS) was the first human disorder to be associated with keratin mutations. The abnormal keratin filament aggregates observed in basal cell keratinocytes of some EBS patients are composed of keratins K5 and K14. Dominant mutations in the genes encoding these proteins were shown to disrupt the keratin filament cytoskeleton resulting in cells that are less resilient and blister with mild physical trauma.Identification of mutations in other keratin genes soon followed with attention focussed on disorders showing abnormal clumping of keratin filaments in specific cells. For example, in bullous congenital ichthyosiform erythroderma, clumping of filaments in the suprabasal cells led to the identification of mutations in the suprabasal keratins, K1 and K10. Mutations have now been identified in 18 keratins, all of which produce a fragile cell phenotype. These include ichthyosis bullosa of Siemens (K2e), epidermolytic palmoplantar keratoderma (K1, K9), pachyonychia congenita (K6a, K6b, K16, K17), white sponge nevus (K4, K13), Meesmann's corneal dystrophy (K3, K12), cryptogenic cirrhosis (K8, K18) and monilethrix (hHb6, hHb1).In general, these disorders are inherited as autosomal dominant traits and the mutations act in a dominant-negative manner. Therefore, treatment in the form of gene therapy is difficult, as the mutant gene needs to be inactivated. Ways of achieving this are actively being studied. Reliable mutation detection methods from genomic DNA are now available. This enables rapid screening of patients for keratin mutations. For some of the more severe phenotypes, prenatal diagnosis may be requested and this can now be performed from chorionic villus samples at an early stage of the pregnancy.This review article describes the discovery of, to date, mutations in 18 keratin genes associated with inherited human diseases.

2001
Article
J Invest Dermatol.2001 May;116(5):806-808
Novel keratin 17 mutations in pachyonychia congenita type 2
F. J. Smith
C. M. Coleman
N. M. Bayoumy
R. Tenconi
J. Nelson
A. David
W. H. McLean
Pachyonychia congenita type 2 is an inherited ectodermal dysplasia characterized by hypertrophic nail dystrophy and multiple pilosebaceous cysts. Focal nonepidermolytic palmoplantar keratoderma, natal teeth, and pili torti may also be present. Epithelial tissues affected in pachyonychia congenita type 2 express the keratin pair K6b K17. Here, we report three novel heterozygous mutations in the K17 gene (KRT17A) in patients presenting with pachyonychia congenita type 2. These mutations, R94-98del (deletion of the peptide sequence RLASY) and missense mutations R94P and L95Q, are all within the 1A domain hotspot for pathogenic keratin mutations.

1997
Article
J Invest Dermatol.1997 Feb;108(2):220-223
Missense mutations in keratin 17 cause either pachyonychia congenita type 2 or a phenotype resembling steatocystoma multiplex
F. J. Smith
L. D. Corden
E. L. Rugg
R. Ratnavel
I. M. Leigh
C. Moss
M. J. Tidman
D. Hohl
M. Huber
L. Kunkeler
C. S. Munro
E. B. Lane
W. H. McLean
Pachyonychia congenita (PC) is a group of autosomal dominant ectodermal dysplasias in which the main phenotypic characteristic is hypertrophic nail dystrophy. In the Jackson-Lawler form (PC-2), pachyonychia is accompanied by multiple pilosebaceous cysts, natal teeth, and hair abnormalities. By direct sequencing of genomic PCR products, we report heterozygous K17 missense mutations in the same conserved protein motif in a further five PC-2 families (K17 N92S in one familial and three sporadic cases; K17 Y98D in one familial case) confirming that mutations in this gene are a common cause of PC-2. We also show heterozygous missense mutations in K17 (N92H and R94H) in two families diagnosed as steatocystoma multiplex. Mild nail defects were observed in some but not all of these patients on clinical re-evaluation of these families. All the K17 mutations reported here were shown to co-segregate with the disease in the pedigrees analyzed and were excluded from 100 unaffected, unrelated chromosomes by restriction enzyme analysis of K17 genomic PCR products. We conclude that phenotypic variation is observed with K17 mutations, as is the case with other keratin disorders.

1999
Article
Br J Dermatol.1999 Dec;141(6):1010-1016
Novel proline substitution mutations in keratin 16 in two cases of pachyonychia congenita type 1
F. J. Smith
M. Del Monaco
P. M. Steijlen
C. S. Munro
M. Morvay
C. M. Coleman
F. J. Rietveld
J. Uitto
W. H. McLean
Pachyonychia congenita (PC) is a group of inherited ectodermal dysplasias, the characteristic phenotype being hypertrophic nail dystrophy. Two main clinical subtypes, PC-1 and PC-2, are inherited as autosomal dominant disorders, but other less well characterized clinical forms also exist. The PC-1 phenotype may be distinguished by the absence of the epidermal cysts found in PC-2, and it has been shown to be caused by mutations in either keratin K16 or its expression partner, the K6a isoform of K6. Mutations in K16 have also been shown to cause a milder related phenotype, focal non-epidermolytic palmoplantar keratoderma. Recently, we have developed a long-range polymerase chain reaction (PCR) strategy which allows specific amplification of the entire functional K16 gene (KRT16A), without amplification of the two K16 pseudogenes (psiKRT16B and psiKRT16C), enabling mutation analysis based on genomic DNA. Here, using this methodology, we describe novel mutations R127P and Q122P in the helix 1A domain of K16 in two families presenting with PC-1. Both mutations were excluded from 50 normal unrelated individuals by restriction enzyme analysis of K16 PCR fragments. In one family, ultrastructural analysis was performed, revealing distinctive tonofilament abnormalities. Specifically, keratin filament bundles were greatly condensed, but did not form the dense amorphous aggregates seen in a number of other keratin disorders. In the second kindred, autosomal dominant cataract was present in some but not all members affected by PC. As the cataract phenotype did not fully cosegregate with the K16 mutation, and given that K16 is not expressed in the lens, these two phenotypes may be coincidental.

2000
Article
Exp Dermatol.2000 Jun;9(3):170-177
Novel keratin 16 mutations and protein expression studies in pachyonychia congenita type 1 and focal palmoplantar keratoderma
F. J. Smith
M. P. Fisher
E. Healy
J. L. Rees
J. M. Bonifas
E. H. Epstein, Jr.
E. M. Tan
J. Uitto
W. H. McLean
Pachyonychia congenita type 1 (PC-1) is an autosomal dominant ectodermal dysplasia characterized by nail dystrophy, focal non-epidermolytic palmoplantar keratoderma (FNEPPK) and oral lesions. We have previously shown that mutations in keratin 16 (K16) cause fragility of specific epithelia resulting in phenotypes of PC-1 or FNEPPK alone. Here, we report 2 novel mutations in K16 causing distinct phenotypes. A heterozygous missense mutation (L124R) was detected in a kindred with PC-1. In a family where mild FNEPPK was the only phenotype, a 23 bp deletion and a separate 1 bp deletion downstream were found in exon 6: [1244-1266del; 1270delG]. At the protein level, these mutations remove 8 residues and substitute 2 residues in the helix termination motif (HTM) of the K16 polypeptide. The HTM sequence is conserved in all known intermediate filament proteins and for convenience, this complex mutation was designated deltaHTM. Transient expression of K16 cDNAs carrying either the L124R or the deltaHTM mutation in epithelial cell line PtK2 produced aggregation of the keratin cytoskeleton. However, the aggregates observed with the deltaHTM mutation were morphologically different and appeared to be less disruptive to the endogenous cytoskeleton. Therefore, loss of the HTM sequence may render this mutant K16 less capable of contributing to filament assembly and decrease its dominant-negative effect, resulting in the milder FNEPPK phenotype.

1998
Article
Hum Mol Genet.1998 Jul;7(7):1143-1148
A mutation in human keratin K6b produces a phenocopy of the K17 disorder pachyonychia congenita type 2
F. J. Smith
M. F. Jonkman
H. van Goor
C. M. Coleman
S. P. Covello
J. Uitto
W. H. McLean
Type I and type II keratins form the heteropolymeric intermediate filament cytoskeleton, which is the main stress-bearing structure within epithelial cells. Pachyonychia congenita (PC) is a group of autosomal dominant disorders whose most prominent phenotype is hypertrophic nail dystrophy accompanied by other features of ectodermal dysplasia. It has been shown previously that mutations in either K16 or K6a, which form a keratin expression pair, produce the PC-1 variant (MIM 184510). Mutations in K17 alone, an unpaired accessory keratin, result in the PC-2 phenotype (MIM 184500). Here, we describe a family with PC-2 in which the K17 locus on 17q was excluded and linkage to the type II keratin locus on 12q was obtained (Z max 3.31 at straight theta = 0). Mutation analysis of candidate keratins revealed the first reported missense mutation in K6b, implying that this keratin is the previously unknown expression partner of K17, analogous to the K6a K16 pair. Co-expression of these genes was confirmed by in situ hybridization and immunohistochemical staining. These results reveal the hitherto unknown role of the K6b isoform in epithelial biology, as well as genetic heterogeneity in PC-2.

1999
Article
Exp Dermatol.1999 Apr;8(2):109-114
A mutation detection strategy for the human keratin 6A gene and novel missense mutations in two cases of pachyonychia congenita type 1
F. J. Smith
K. E. McKenna
A. D. Irvine
E. A. Bingham
C. M. Coleman
J. Uitto
W. H. McLean
Pachyonychia congenita type 1 (PC-1) is an autosomal dominant ectodermal dysplasia characterized by hypertrophic nail dystrophy, focal non-epidermolytic palmoplantar keratoderma and variable features of oral leukokeratosis and follicular keratosis. Previously, we have shown that this disease can be caused by mutations in type I keratin K16 and one mutation has been reported in its type II keratin expression partner, K6a. Mutation analysis for K6a has been hampered by the presence of multiple copies of the K6 gene in the human genome, of which some are expressed and others are pseudogenes. Here, we describe a mutation detection strategy where the entire KRT6A gene, approximately 7 kb, is specifically amplified by long-range PCR. Using this technique, we have detected two novel mutations in the 1A domain of the K6a polypeptide, N171K and F174S. Mutations were confirmed in the affected individuals and were excluded from 50 unaffected unrelated individuals by restriction enzyme analysis of KRT6A PCR products. Additionally, mutation N171K was confirmed by RT-PCR in mRNA derived from lesional palmoplantar epidermis of an affected individual, confirming the specificity of the genomic PCR for the functional K6a gene. This, together with a similar strategy which we have developed for the K16 gene, provide a robust system for mutation detection and prenatal diagnosis for patients with PC-1.

1999
Article
Prenat Diagn.1999 Oct;19(10):941-946
Cloning of multiple keratin 16 genes facilitates prenatal diagnosis of pachyonychia congenita type 1
F. J. Smith
V. A. McKusick
K. Nielsen
E. Pfendner
J. Uitto
W. H. McLean
Pachyonychia congenita type 1 (PC-1) is an autosomal dominant ectodermal dysplasia characterized by severe nail dystrophy, focal non-epidermolytic palmoplantar keratoderma (FNEPPK) and oral lesions. We have previously shown that mutations in keratin K16 cause fragility of specific epithelia resulting in phenotypes of PC-1 or FNEPPK alone. These earlier analyses employed an RT-PCR approach to avoid amplification of K16-like pseudogenes. Here, we have cloned the K16 gene (KRT16A) and two homologous pseudogenes (psiKRT16B and psiKRT16C), allowing development of a genomic mutation detection strategy based on a long-range PCR, which is specific for the functional K16 gene. We report a novel heterozygous 3 bp deletion mutation (388del3) in K16 in a sporadic case of PC-1. The mutation was detected in genomic DNA and confirmed at the mRNA level by RT-PCR, showing that our genomic PCR system is reliable for K16 mutation detection. Using this system, we carried out the first prenatal diagnosis for PC-1 using CVS material, correctly predicting a normal fetus. This work will greatly improve K16 mutation analysis and allow predictive testing for PC-1 and the related phenotype of FNEPPK.

2002
Article
J Invest Dermatol.2002 Mar;118(3):530-532
A novel connexin 30 mutation in Clouston syndrome
F. J. Smith
S. M. Morley
W. H. McLean
Clouston syndrome (hidrotic ectodermal dysplasia) is an autosomal dominant ectodermal dysplasia characterized by alopecia, palmoplantar hyperkeratosis, and nail dystrophy. Recently, mutations in the GJB6 gene encoding the gap junction protein connexin 30 have been shown to cause this disorder. To date, all mutations have involved two codons: G11R and A88V. Here, we report a novel mutation V37E within the first transmembrane domain of connexin 30 in a spontaneous case of Clouston syndrome. The mutation was detected in genomic DNA, confirmed in reverse transcription polymerase chain reaction products, and was excluded from 100 ethnically matched control individuals by restriction enzyme analysis.

2004
Article
Soc Inv Derm.2004 ;122():X-XI
Nail that mutation - keratin defect in late-onset pachyonichia
F.J. D. Smith

1990
Article
Cell Growth Differ.1990 Apr;1(4):161-170
Differential keratin gene expression in developing, differentiating, preneoplastic, and neoplastic mouse mammary epithelium
G. H. Smith
T. Mehrel
D. R. Roop
Two keratins whose expression has been associated with proliferation (K14) and hyperproliferation (K6) in mouse epithelia were detected in normal, preneoplastic, and neoplastic mouse mammary tissues. K6 and K14 keratins were independently expressed in distinct epithelial cell populations in developing mammary anlage. K6 was confined to a small number of mammary epithelial cells associated with the growing end buds and among the proximal luminal epithelium, whereas K14 expression appeared in basally located fusiform cells that correspond to the location of mammary myoepithelial cells. This pattern was maintained in mature glands and through full functional differentiation with the exception that K6-positive cells were only rarely detectable. During lobuloalveolar growth in early pregnancy, K6 and K6 K14 coexpressing cells were observed among the luminal and suprabasal cells in the expanding lobular epithelium. This K6 K14 coexpressing epithelial subset persisted throughout pregnancy, lactation, and involution, albeit in much smaller numbers than observed in early pregnancy. Two patterns of K6 and K14 expression in preneoplastic and neoplastic lesions of mouse mammary glands were induced by various carcinogenic stimuli. In one, increased numbers of K6- or K14-positive cells were present in distinct cellular populations; in the other, coexpression of K6 K14 was found in a large subpopulation of both preneoplastic and neoplastic mammary epithelium. These observations suggest that expression of K6 and K14 keratins in the mouse mammary gland is associated with growth and expansion of specific mammary epithelial cell populations, and as such these keratins may be useful probes with which to identify mammary epithelium-specific primordial cells. In agreement with this possibility, K6 K14 expression was demonstrated within a distinct subset of morphologically distinct luminal mammary epithelial cells that have been reported to possess kinetic properties in vitro consistent with those expected of latent mammogenic stem cells.

1968
Article
Arch Dermatol.1968 Jan;97(1):31-33
Pachyonychia congenita with epidermal cysts and other congenital dyskeratoses
N. A. Soderquist
W. B. Reed

1935
Article
Arch Dermatol Syphilol.1935 ;32():370-376
Pachyonychia congenita
A. W. Sohrweide

1973
Article
Sov Med.1973 Sep;36(9):147-148
[Hereditary pachyonychia]
B. A. Somov
A. V. Khamaganova
M. A. Bogomil'skaia


Translation not yet available

1981
Article (English)
Article (Spanish)
Med Cutan Ibero Lat Am.1981 ;9(2):129-133
[Pichyonychia congenita]
B. Somoza de Fernandez
A. J. Rondon Lugo
G. Cortez de Castro
The Authors have followed three cases of congenital pachyonychia. Genetical studies were done to them and their families. The patients had a thorough physical examination, Histopathological studies of the nails and Aminoaciduria was investigated. Different treatments were considered.

1991
Article
Semin Dermatol.1991 Mar;10(1):12-16
The nature and significance of the transverse white band of human nails
T. S. Sonnex
W. A. Griffiths
W. J. Nicol
The nomenclature relating to structures at the distal part of the nail is confusing. A distal yellow line traversing the nail, described by Pinkus, has been relatively ignored in the literature and remains unnamed. Clinical and histological studies presented in this article show that this band is present in more than 90% of normal adult fingernails and represents the most proximal point of attachment of the fingertip stratum corneum to the nail plate. Therefore, it should be referred to as the onychocorneal band or junction. This region has distinctive histological features and is the first major barrier to material passing proximally beneath the nail plate. It is possible that abnormalities of this structure may result in onycholysis, pachyonychia congenita, and pterygium inversum unguis.

1981
Article (English)
Article (Spanish)
Actas Dermosifiliogr.1981 Nov-Dec;72(11-12):527-532
[Congenital pachyonychia. Jadassohn-Lewandowsky syndrome. 3 cases]
Gago Sotillo
Panduro De la Rosa
Sotillo Yebra

1987
Article
Br J Dermatol.1987 Aug;117(2):264
Failure of etretinate therapy in pachyonychia congenita
U. Soyuer
M. F. Candan

1966
Article
Oral Surg Oral Med Oral Pathol.1966 ;22():198-208
Erupted teeth in the newborn
J. D. Spouge, W. H. Feasby

1987
Article
Differentiation.1987 ;35(3):236-248
Keratins of the human hair follicle: "hyperproliferative" keratins consistently expressed in outer root sheath cells in vivo and in vitro
H. J. Stark
D. Breitkreutz
A. Limat
P. Bowden
N. E. Fusenig
Keratins produced by morphologically distinct compartments of the human hair folicle (hHF) were analysed and compared to those produced by cultured hHF and interfollicular keratinocytes. Five of the major keratins, the basic keratins nos. 5 and 6 (apparent mol. mass 60 and 58 kDa) and the acidic keratins nos. 14, 16, and 17 (51, 49 and 48 kDa), could be labelled in intact hHF and were found in all fractions of the outer root sheath (ORS). The other major keratins, which were not labelled under these conditions (basic-neutral hHbI and -II; 60-62 kDa and acidic hHaI and -II; 40-42 kDa) were associated with hair shaft (hHS) both in the follicle and, virtually unchanged, in the distal part of the hair. Another, previously undescribed, group of proteins with keratin-like properties exhibiting a broad pI-spectrum (basic to slightly acidic: hIC-I, -II, -III, 64-67 kDa; distinctly acidic: hIC-IV, about 54 kDa) was detected in isolated inner root sheath (IRS), in the cuticular material shed from denuded hHS, and also in nail plates. In our experiments only ORS cells grew readily in culture irrespective of their origin from peripheral (mesenchyme-adjacent) or more central ORS-cell layers. In contrast to keratinocytes from interfollicular epidermis (IFE) the cultured ORS cells expressed a keratin set virtually identical to that expressed in vivo. This set also closely resembled that expressed by IFE keratinocyte cultures. The identity of the respective keratins (nos. 5, 6, 14, 16, and 17) present in all these cells in vivo and in vitro was confirmed by tryptic peptide mapping. The data indicated that the microenvironment (in situ) directs the differentiation of ORS cells in a manner comparable to the way it is directed by conventional culture conditions, with consistent expression of the "basal" and "hyperproliferative" set of keratins. This, however, does not exclude the possibility that other types of environmentally induced response may occur, as seen for example during the reepithelialization of superficial skin wounds by ORS cells.

1942
Article
J Hered.1942 ;33():285
Hyperkeratosis of the large toe-nails and sebaceous cysts
J. Stauffer, I. Simmons

1994
Article
J Invest Dermatol.1994 Sep;103(3):282-285
Genetic linkage of the keratin type II gene cluster with ichthyosis bullosa of Siemens and with autosomal dominant ichthyosis exfoliativa
P. M. Steijlen
H. Kremer
F. Vakilzadeh
R. Happle
A. P. Lavrijsen
H. H. Ropers
E. C. Mariman
Ichthyosis bullosa of Siemens is an autosomal dominant disease characterized by mild hyperkeratosis and blistering. Autosomal dominant ichthyosis exfoliativa is a recently described disease with clinical features similar to ichthyosis bullosa of Siemens, but in contrast to ichthyosis bullosa of Siemens no histologic signs typical for epidermolytic hyperkeratosis are observed. We used linkage analysis to test whether keratin gene mutations might underlie both diseases. This analysis showed linkage of both disorders with the region of chromosome 12 in which the keratin type II gene cluster is located. The keratin type I gene cluster on chromosome 17 is excluded. These data, combined with clinical observations, strongly suggest that the genes coding for keratin 1 or keratin 2e, both expressed in the suprabasal compartment of the epidermis and located in the type II gene cluster, are candidate genes for ichthyosis bullosa of Siemens and ichthyosis exfoliativa.

1985
Article
Ann N Y Acad Sci.1985 ;455():451-461
Structural and functional implications of amino acid sequences of keratin intermediate filament subunits
P. M. Steinert
W. W. Idler
X. M. Zhou
L. D. Johnson
D. A. Parry
A. C. Steven
D. R. Roop

1985
Article
J Biol Chem.1985 Jun 10;260(11):7142-7149
Amino acid sequences of mouse and human epidermal type II keratins of Mr 67,000 provide a systematic basis for the structural and functional diversity of the end domains of keratin intermediate filament subunits
P. M. Steinert
D. A. Parry
W. W. Idler
L. D. Johnson
A. C. Steven
D. R. Roop
From the nucleotide sequences of specific cDNA clones, we present partial amino acid sequences (75-90% of the total) of 67-kDa type II keratin subunits expressed in terminally differentiating mouse and human epidermis. Analysis of the sequence information reveals that their secondary structures conform to the pattern common for all intermediate filament (IF) subunits. Together with the previously published sequence of the mouse 59-kDa type I keratin (Steinert, P. M., Rice, R. H., Roop, D. R., Trus, B. L., and Steven, A. C. (1983) Nature 302, 794-800) these data allow us to make comparisons between two keratins which are coexpressed in an epithelial cell type and which coassemble into the same IF. Moreover, these comparisons suggest a systematic plan for the general organization of the end domains of other keratin subunits. We postulate that each end domain consists of a set of subdomains which are distributed with bilateral symmetry with respect to the central alpha-helical domain. Type II (but not type I) keratins contain short globular sequences, H1 and H2, immediately adjacent to the central domain, that have been conserved in size and sequence and which account for most of the difference in mass between coexpressed type II and type I keratins. These are flanked by subdomains V1 and V2 that are highly variable in both length and sequence, often contain tandem peptide repeats, and are conspicuously rich in glycines and or serines. At the termini are strongly basic subdomains (N and C, respectively) that are variable in sequence. Among keratins of a given type, their variability in mass appears to reside in the size of their V1 and V2 subdomains. However, coexpressed type I and type II keratins have generally similar V1 and or V2 sequences. By virtue of the ease with which large portions of these subdomain sequences can be removed from intact keratin IF by limited proteolysis, we hypothesize that they lie on the periphery of the IF where they participate in interactions with other constituents of epithelial cells.

1984
Article
Proc Natl Acad Sci U S A.1984 Sep;81(18):5709-5713
The complete cDNA and deduced amino acid sequence of a type II mouse epidermal keratin of 60,000 Da: analysis of sequence differences between type I and type II keratins
P. M. Steinert
D. A. Parry
E. L. Racoosin
W. W. Idler
A. C. Steven
B. L. Trus
D. R. Roop
We present the complete nucleotide and deduced amino acid sequences of a mouse epidermal keratin subunit of 60,000 Da. The keratin possesses a central alpha-helical domain of four tracts (termed 1A, 1B, 2A, and 2B) that can form coiled-coils, interspersed by short linker sequences, and has non-alpha-helical terminal domains. This pattern of secondary structure is emerging as common to all intermediate filament subunits. The alpha-helical sequences conform to the type II class of keratins. Accordingly, this is the first type II keratin for which complete sequence information is available, and thus it facilitates elucidation of the fundamental distinctions between type I and type II keratins. It has been observed that type I keratins are acidic and type II keratins are neutral--basic in charge. We suggest that the basis for this empirical correlation between type and charge resides in the respective net charges of the 1A and 2B tracts. Calculations on interchain interactions between charged residues in the alpha-helical domains indicate that this keratin prefers to participate in dimers according to an in-register parallel arrangement. The terminal domains of this keratin possess characteristic glycine-rich sequences, and the carboxyl-terminal domain is highly homologous to that of a human epidermal keratin of 56,000 Da. According to the hypothesis that end-domains are located on the periphery of keratin filaments, we conclude that the corresponding mouse and human keratins are closely related, both structurally and functionally.

1983
Article
Nature.1983 Apr 28;302(5911):794-800
Complete amino acid sequence of a mouse epidermal keratin subunit and implications for the structure of intermediate filaments
P. M. Steinert
R. H. Rice
D. R. Roop
B. L. Trus
A. C. Steven
We have determined the complete primary structure of an intermediate filament subunit, the 59,000 molecular weight subunit of mouse epidermal keratin, from the nucleotide sequence of cDNA clones. The central portion of the sequence forms extended tracts of a coiled-coil alpha-helical conformation. This is flanked at both termini by similar non-alpha-helical sequences that are extremely rich in glycine residues, frequently configured in tandem peptide repeats. Limited chymotryptic digestion of keratin filaments containing this protein suggests a structural organization whereby the terminal glycine-rich sequences protrude from a conserved core structure into which the coiled-coil alpha-helical segments are packed.

1985
Article
Cell.1985 Sep;42(2):411-420
The molecular biology of intermediate filaments
P. M. Steinert
A. C. Steven
D. R. Roop

1983
Article
J Invest Dermatol.1983 Jul;81(1 Suppl):86s-90s
Structural features of epidermal keratin filaments reassembled in vitro
P. M. Steinert
A. C. Steven
D. R. Roop
We have studied the structure of epidermal keratin filaments polymerized in vitro, addressing two different levels of organization. First, we have determined the amino acid sequence of a mouse epidermal keratin subunit from the nucleotide sequence of a cDNA clone. The subunit contains a large central region, representing about 50 percent, whose sequence strongly suggests that it assumes a coiled-coil alpha-helical conformation. This is flanked on the amino and carboxyl terminals by long glycine-rich sequences. Second, we have used scanning transmission electron microscopy to study the structure of frozen, unstained filaments. Analyses of such images provides information on the mass per unit length and on the distribution of mass within the filament. These data impose rigorous constraints on possible models for the packing of protofilaments within the filament. Epidermal keratin filaments assembled in vitro are polymorphic; however, the majority of bovine filaments weigh about 37 kD nm, but most human filaments have masses of only about 27 kD nm. The filament width is at least 15 nm, substantially more than the generally accepted value of 8 to 10 nm, owing to the existence of low-density mass at the periphery that has not been visualized by conventional microscopic methods. We currently postulate that the alpha-helical regions of the subunits comprise the structural core or backbone of the filament from which at least some of the glycine-rich sequences protrude.

1984
Article
J Invest Dermatol.1984 Dec;83(6):445-447
Epidermal cell confluence and implications for a two-step mechanism of wound closure
K. S. Stenn
L. M. Milstone
In contrast to freshly isolated cells, some cultured keratinocytes have the ability to adhere and spread in protein-free media. Reported here are experiments testing the hypothesis that the social history of keratinocytes influences their ability to spread in defined media. The experiments indicate that confluent cells lack the ability to spread in defined media while subconfluent cells have this property. The inability of dissociated confluent cells to spread in protein-free media is referred to phenomenologically as a "confluent block." The confluent block is acquired rapidly (1-3 days) and lost slowly (5-7 days). The ability of subconfluent cells to spread in the absence of media protein is sensitive to cycloheximide. Aortic endothelial cells and dermal fibroblasts do not demonstrate a confluent block. These observations are consonant with a two-step mechanism of epidermal wound repair: the first occurs immediately after wounding during which the cells require substratum-active proteins, and the second occurs 5-7 days later when the cells are able to synthesize their own substratum.

1959
Article
J Hered.1959 ;50():299-301
Hereditary multiple sebaceous cysts
F. E. Stephens

1996
Article
Arch Dermatol.1996 ;132():640-651
Linkage of an American pedigree with palmoplantar keratoderma â?¦
H. P. Stevens, D. P. Kelsell, S. P. Bryant, T. Bishop, N. K. Spurr, J. Weissenbach, D. Marger, R. S. Marger, I. M. Leigh

1983
Article
Am J Med Genet.1983 Jan;14(1):21-28
Pachyonychia Congenita (Jadassohn-Lewandowsky syndrome): a seventeen-member, four-generation pedigree with unusual respiratory and dental involvement
J. B. Stieglitz
W. R. Centerwall
Pachyonychia Congenita (PC) is an autosomal dominant syndrome of thick nails and other epithelial defects. A hospitalization for severe respiratory distress in a 3-year-old boy with PC and an affected father led to the discovery of 17 affected persons in a kindred spanning four generations. Nine relatives had varying degrees of upper respiratory tract obstruction, and eleven had dental aberrations. We review PC and discuss other unusual findings in this kindred, ie, arthritis in four affected relatives and a discrepancy between expected and observed ratios of affected to unaffected offspring of mothers with PC.

2002
Article
Curr Opin Mol Therapeut.2002 ;4(4):299-305
Extrachromosomal plasmid vectors for gene therapy
S. M. Stoll, M. P. Calos

1915
Article Not Found
J Dermatol Z.1915 ;22():218-287
Stranberg

2001
Article
Arch Dermatol.2001 ;137():1463-1471
Unraveling the molecular mechanisms of hair and nail genodermatoses
A. J. Stratigos, H. P. Baden

2003
Article
J Invest Dermatol.2003 Feb;120(2):198-203
Light-induced resistance of the keratin network to the filament-disrupting tyrosine phosphatase inhibitor orthovanadate
P. Strnad
R. Windoffer
R. E. Leube
Epidermal keratinocytes respond to low-dose light irradiation by inducing signaling cascades that lead to long-term effects on gene transcription thereby protecting cells against damage. In contrast, little is known about immediate light-induced alterations of structural proteins. We have made the intriguing observation that light produces fundamental changes in the properties of the keratin filament system of cultured epidermoid A-431 cells. A short light exposure (1-10 min) causes the keratin cytoskeleton to become immediately resistant to the tyrosine phosphatase inhibitor orthovanadate, which otherwise disrupts the keratin filament network completely in just a few minutes. This protective effect is inducible throughout the entire visible spectrum and is elicited by normal room light (<200 Lux). Exposure of cells to monochromatic light of various wavelengths is therefore equally effective. In addition, the acquisition of orthovanadate resistance has been directly monitored in living cells; a partially disrupted keratin cytoskeleton recovers to a completely filamentous network in half an hour. Finally, the protective light effect is largely reversed in 2 h and can be mimicked by preincubation with the p38 kinase inhibitor SB203580. In contrast, the mitogen-activated protein kinase inhibitor PD98059 and epidermal growth factor inhibit orthovanadate action to a lesser extent. Taken together, these observations suggest a stabilizing function of light on the keratin filament network; this may be of relevance to the treatment of skin diseases with reduced keratin stability.

2003
Article
Dermatol Online J.2003 Oct;9(4):12
Pachyonychia congenita, type II
B. E. Strober A 5-year-old girl presented with extensor hyperkeratotic papules and subungual hyperkeratosis with nail-plate discoloration affecting all twenty nails. The mother reported that her daughter had natal teeth. By report, the father has a similar history and constellation of clinical findings. The patient's clinical presentation and history was consistent with pachyonychia congenita, which is a genodermatosis linked to mutations in the genes encoding keratins 6, 16, and 17.

1977
Article
Int J Dermatol.1977 Jul-Aug;16(6):500-502
Oral vitamin A acid in treatment of dermatoses with pathologic keratinization
G. Stuttgen
H. Ippen
G. Mahrle

1990
Article
Pediatr Dermatol.1990 Mar;7(1):33-38
Pachyonychia congenita: a clinical study of 12 cases and review of the literature
W. P. Su
S. I. Chun
D. E. Hammond
H. Gordon
Twelve cases of pachyonychia congenita were reviewed. The mode of inheritance was autosomal dominant. The clinical features of these patients included thickened nails, hyperkeratosis of the palms and soles, thinning of hair or alopecia, painful bullae or ulcerations of the palms and soles, leukokeratosis oris, verrucous lesions of the extremities, hyperhidrosis, premature eruption of teeth, paronychial infections, epidermal cysts with milia, and corneal dyskeratosis at times associated with cataracts. Biopsy from the plantar lesions usually revealed marked hyperkeratosis, acanthosis, moderate hypergranulosis, and minimal dermal inflammatory infiltration. Treatment with keratolytic agents and lubricants is indicated to areas of palmar and plantar hyperkeratosis but usually produces only transient benefit. Squamous cell carcinoma developed in one of the patients over the site of chronic plantar ulcerations. Areas of chronic bullous formation or ulceration should be observed for possible skin malignancy.

1981
Article
Brit J Dermatol.1981 ;105(19):21-22
Pachyonychia congenita: A clinical study of eleven cases
W. P. Su-Daniel

1990
Article (English)
Article (Russian)
Vestn Dermatol Venerol.1990 ;(6):60-63
[Early detection lymphedema of the lower extremities combined with pachyonychia]
G. I. Sukolin, O. A. Pasportnikova

1967
Article
J. Invest Dermatol.1967 ;47():456-465
Studies on blisters produced by friction
M. B. Sulzberger, T. A. Cortese, L. Fishman, H. S. Wiley

1974
Article (English)
Article (Russian)
Vest Derm Mookva.1974 ;(8):62-66
[Jadassohn - Levandovskii syndrome]
K. N. Suvorova, M. F. Roytburd, N. I. Levitina

1956
Article (English)
Article (Dutch)
Nederlands tijdschrift voor geneeskunde.1956 ;100(7):486-488
Pachyonychia congenita
A. J. Swaak

1999
Article
Hautarzt.1999 Jul;50(7):483-490
[Pachyonychia congenita. Keratin gene mutations with pleiotropic effect]
O. Swensson Pachyonychia congenita (PC) comprises a heterogeneous group of autosomal dominantly inherited conditions showing characteristic nail thickening and associated signs such as palmoplantar keratoderma, follicular keratoses, and mucosal leukokeratoses. Less frequently epidermal cysts, hairshaft abnormalities, natal teeth and laryngeal involvement may be seen. Phenotypically and genetically two major forms of PC are recognized, pachyonychia congenita Jadassohn-Lewandowsky PC type I (Medelian inheritance in man-MIM-167200) and pachyonychia congenita Jackson-Lawler PC type II (MIM 167210). Both conditions show nail deformities, focal palmoplantar keratoderma, and follicular hyperkeratoses. Diagnostically relevant are leukokeratoses of the oral mucosa in patients with PC type I. In contrast individuals affected with PC type II show premature dentition and multiple pilosebaceous cysts predominantly affecting the upper trunk. The latter closely resemble eruptive vellus hair cysts and steatocystoma multiplex. By mutational analysis keratin K6a and K16 gene mutations have been detected in patients with PC type I, and keratin K6b and K17 gene mutations have been shown to be the underlying genetic defect in patients with PC type II.

1998
Article
Br J Dermatol.1998 Nov;139(5):767-775
Specialized keratin expression pattern in human ridged skin as an adaptation to high physical stress
O. Swensson
L. Langbein
J. R. McMillan
H. P. Stevens
I. M. Leigh
W. H. McLean
E. B. Lane
R. A. Eady
We have analysed the expression of keratins in the epidermis of normal human palm and sole skin (ridged skin) using immunohistochemistry and in situ hybridization. The epidermis of human ridged skin expresses a more complex pattern of keratins than thin skin, which is probably due to the greater stress that ridged skin has to withstand. In addition to keratin K9, we document specific expression patterns of keratins K6, K16 and K17 which are suggestive of regional adaptations of this epidermis to a high cell turnover rate. In particular, the sequestered location of nests of K17-positive cells at the bottom of the deep primary epidermal ridges supports the notion of functional heterogeneity of basal cells and suggests that the K17-positive sites may include stem cells. Expression of K6 and K16 in some basal and most suprabasal keratinocytes is compatible with a constitutively high proliferative activity of normal ridged epidermis, but may also reflect different physical properties of the suprabasal cells, in contrast with regions expressing K9. The distinct labelling patterns observed in primary and secondary epidermal ridges as well as epidermal layers above dermal papillae suggest the existence of local microenvironmental niches leading to differences in keratinocyte differentiation.

1997
Article
Oxford Monographs On Medical Genetics.1997 ;33():675
Genetic Skin Disorders
V.P. Sybert

1888
Article
Lancet.1888 ;1():722-723
Congenital deformity of the nails (onychogryphosis)
Sympson

1997
Article
J Biol Chem.1997 May 2;272(18):11979-11985
Defining a region of the human keratin 6a gene that confers inducible expression in stratified epithelia of transgenic mice
K. Takahashi
P. A. Coulombe
Injury to the epidermis and other stratified epithelia triggers a repair response involving the rapid induction of several genes, including keratin 6 (K6). The signaling pathways and mechanisms presiding over this induction in keratinocytes at the wound edge remain to be defined. We reported previously that of the multiple genes encoding K6 isoforms in human, K6a is dominant in skin epithelia (Takahashi, K., Paladini, R., Coulombe, P. A. (1995) J. Biol. Chem. 270, 18581-18592). Using bacterial LacZ as a reporter gene in transgenic mice, we show that the proximal 5.2 kilobases of 5'-upstream sequence from the K6a gene fails to direct sustained expression in any adult tissue, including those where K6 is constitutively expressed (e.g. hair follicle, nail, oral mucosa, tongue, esophagus, forestomach). In contrast, the proximal 960 base pairs of 5'-upstream sequence suffice to mediate an induction of beta-galactosidase expression in a near-correct spatial and temporal fashion after injury to epidermis and other stratified epithelia. Transgene expression also occurs following topical application of phorbol esters, all-trans-retinoic acid, or 2-4-dinitro-1-fluorobenzene, all known to induce K6 expression in skin. Our data show that critical regulatory sequences for this inducibility are located between -960 and -550 bp in the 5'-upstream sequence of K6a and that their activity is influenced by enhancer element(s) located between -2500 and -5200 base pairs. These findings have important implications for the control of gene expression after injury to stratified epithelia.

1996
Article
Proc Natl Acad Sci U S A.1996 Dec 10;93(25):14776-14781
A transgenic mouse model with an inducible skin blistering disease phenotype
K. Takahashi
P. A. Coulombe
One of the current limitations of gene transfer protocols involving mammalian genomes is the lack of spatial and temporal control over the desired gene manipulation. Starting from a human keratin gene showing a complex regulation as a template, we identified regulatory sequences that confer inducible gene expression in a subpopulation of keratinocytes in stratified epithelia of adult transgenic mice. We used this cassette to produce transgenic mice with an inducible skin blistering phenotype mimicking a form of epidermolytic hyperkeratosis, a keratin gene disorder. Upon induction by topical application of a phorbol ester, the mutant keratin transgene product accumulates in the differentiating layers of epidermis, leading to keratinocyte lysis after application of mechanical trauma. This mouse model will allow for a better understanding of the complex relationship between keratin mutation, keratinocyte cytoarchitecture, and hypersensitivity to trauma. The development of an inducible expression vector showing an exquisite cellular specificity has important implications for manipulating genes in a spatially and temporally controlled fashion in transgenic mice, and for the design of gene therapy strategies using skin as a tissue source for the controlled delivery of foreign substances.

1999
Article
J Dermatol Sci.1999 Sep;21(2):73-95
Using transgenic models to study the pathogenesis of keratin-based inherited skin diseases
K. Takahashi
P. A. Coulombe
Y. Miyachi
In the past decade, the production of transgenic animals whose genome is modified to contain DNA transgenes of interest has significantly contributed to expand our understanding of the molecular etiology and pathobiology of several inherited skin diseases. This technology has led to the discovery that mutations affecting specific keratin genes are responsible for a wide spectrum of inherited bullous diseases, which are collectively characterized by blistering after minor trauma. Type I and type II keratin proteins are restricted to, and very abundant in, epithelial cells, where they occur as a pancytoplasmic network of cytoskeletal filaments. Although it had long been suspected that a primary function of keratin filaments may be to contribute to the physical strength of epithelial sheets, a formal demonstration came from studies of transgenic mouse models and patients suffering from keratin-based blistering diseases. Here we review the basic characteristics of keratin gene and their proteins and relate them to the molecular pathogenesis of relevant inherited skin blistering diseases. A particular emphasis is placed on the role of transgenic mouse models in the past, current, and future studies of these genodermatoses.

1994
Article
J Cell Biol.1994 Oct;127(2):505-520
Increased expression of keratin 16 causes anomalies in cytoarchitecture and keratinization in transgenic mouse skin
K. Takahashi
J. Folmer
P. A. Coulombe
Injury to epidermis and other stratified epithelia triggers profound but transient changes in the pattern of keratin expression. In postmitotic cells located at the wound edge, a strong induction of K6, K16, and K17 synthesis occurs at the expense of the keratins produced under the normal situation. The functional significance of these alterations in keratin expression is not known. Here, we report that overexpression of a wild-type human K16 gene in a tissue-specific fashion in transgenic mice causes aberrant keratinization of the hair follicle outer root sheath and proximal epidermis, and it leads to hyperproliferation and increased thickness of the living layers (acanthosis), as well as cornified layers (hyperkeratosis). The pathogenesis of lesions in transgenic mouse skin begins with a reorganization of keratin filaments in postmitotic keratinocytes, and it progresses in a transgene level-dependent fashion to include disruption of keratinocyte cytoarchitecture and structural alterations in desmosomes at the cell surface. No evidence of cell lysis could be found at the ultrastructural level. These results demonstrate that the disruption of the normal keratin profile caused by increased K16 expression interferes with the program of terminal differentiation in outer root sheath and epidermis. They further suggest that when present at sufficiently high intracellular levels, K16, along with K6 and K17, appear capable of inducing a reorganization of keratin filaments in the cytoplasm of skin epithelial cells.

1995
Article
J Biol Chem.1995 Aug 4;270(31):18581-18592
Cloning and characterization of multiple human genes and cDNAs encoding highly related type II keratin 6 isoforms
K. Takahashi
R. D. Paladini
P. A. Coulombe
The human type II keratin 6 (K6; 56 kDa) is expressed in a heterogeneous array of epithelial tissues under normal conditions, but is better known for its strong induction in stratified epithelia that feature an enhanced cell proliferation rate or abnormal differentiation. Previous work has established the existence of two functional genes encoding K6 protein isoforms in the human genome, although only a partial cDNA clone is available for K6a, the dominant human K6 isoform in skin epithelial tissues (Tyner, A., and Fuchs, E. (1986) J. Cell Biol. 103, 1945-1955). We screened human genomic and skin cDNA libraries with probes derived from the K6b gene, and isolated clones containing the full-length gene and cDNA predicted to encode K6a. A thorough characterization of a large number of genomic (57) as well as cDNA (64) clones further revealed the existence of as many as six different human K6 protein isoforms that are highly related at the gene structure, nucleotide sequence, and predicted amino acid sequence levels. Based on the information accumulated to date we propose an evolutionary model in which the multiplicity of human K6 genes is explained by successive gene duplication events. We further demonstrate that K6a is clearly the dominant K6 isoform in skin tissue samples and cultured epithelial cell lines and that the various isoforms are differentially regulated within and between epithelial tissue types. Our findings have direct implications for an understanding of the regulation and function of K6 during hyperproliferation in stratified epithelia and the search for disease-causing mutations in K6 sequences in the human population.

1998
Article
Genomics.1998 Oct 15;53(2):170-183
The two functional keratin 6 genes of mouse are differentially regulated and evolved independently from their human orthologs
K. Takahashi
B. Yan
K. Yamanishi
S. Imamura
P. A. Coulombe
The type II keratin 6 (K6) features a complex expression pattern, with a constitutive component in a subset of stratified epithelia and an inducible component following injury and other types of acute challenges. Multiple genes encoding highly related K6 isoforms have been described for human and bovine, a unique feature among mammalian keratin genes. Here we report on the cloning and characterization of two functional genes and their cDNAs encoding the K6 isoforms in mouse and two related pseudogenes. A systematic comparison of the mouse and human K6 genes suggests that they evolved independently after these species diverged. The mK6alpha and mK6beta genes are organized in tandem with the same transcriptional orientation in the mouse genome. Similar to the human isoforms, the coding sequences for mK6alpha and mK6beta isoforms show approximately 95% identity. The two mouse K6 genes are differentially regulated at the mRNA level in several stratified epithelia. The mK6alpha isoform mRNA clearly predominates in intact trunk skin of adult mice, where it is restricted to the outer root sheath of hair follicles. Both mRNAs are induced in epidermis and proximal hair follicles as early as 1 h following acute injury or topical application of phorbol esters and subsequently increase to a comparable extent but with different kinetics. These novel findings have important implications for the evolution, regulation, and function of K6 genes in mammalian species.

2000
Article
J Dermatol.2000 Oct;27(10):655-657
Eruptive vellus hair cyst and epidermoid cyst in a patient with pachyonychia congenita
T. Takeshita
H. Takeshita
K. Irie
We report the first case of pachyonychia congenita (PC) associated with both eruptive vellus hair cyst (EVHC) and epidermoid cyst. The patient is a 12-year-old Japanese girl who presented with two natal teeth at birth. She had thickening and discoloration of the fingernails and toenails, plantar hyperkeratosis, palmar-plantar hyperhidrosis and multiple cutaneous cysts. Histologic examination revealed EVHC and epidermoid cyst.

1936
Article
JAMA.1936 ;107():29-30
Clinical notes, suggestions, and new instruments
E. B. Tauber, L. Goldman, H. Claassen

1997
Article
Am J Dermatopathol.1997 Apr;19(2):180-184
Pachyonychia congenita-associated alopecia. A microscopic analysis using transverse section technique
S. F. Templeton
S. E. Wiegand
Pachyonychia congenita (PC) is a rare genodermatosis with characteristic nail abnormalities and occasional palmoplantar keratoderma and leukokeratosis oris; alopecia may occur (10% of patients). This report is the first microscopic description of a patient with PC-associated alopecia. Transverse section histologic features include diminished follicular density with preservation of follicular units, prominent miniaturization of follicles, dyskeratosis of outer root sheath keratinocytes, and moderate parakeratotic and orthokeratotic follicular hyperkeratosis. These microscopic features may be seen individually in other nonscarring alopecias, but the combination may be unique to PC-associated alopecia. Differential diagnoses include alopecia areata, androgenetic alopecia and traction alopecia trichotillomania.

2000
Article
J Invest Dermatol.2000 Jun;114(6):1136-1140
A mutation in the V1 domain of K16 is responsible for unilateral palmoplantar verrucous nevus
A. Terrinoni
P. Puddu
B. Didona
V. De Laurenzi
E. Candi
F. J. Smith
W. H. McLean
G. Melino
Palmoplantar keratodermas are a group of heterogeneous diseases characterized by thickening, and marked hyperkeratosis, of the epidermis of the palms and soles. Palmoplantar keratodermas can be divided into four major classes: diffuse, focal, punctate, and palmoplantar ectodermal dysplasias. All forms are genetic diseases inherited as autosomal dominant disorders. We studied a patient exhibiting a localized thickening of the skin in parts of the right palm and the right sole, following Blaschko's lines, that does not fit into any classes already described. We sequenced the keratin 16 cDNA derived from skin biopsy material from affected and non affected palms. The keratin 16 cDNA sequence from lesional epidermis showed a 12 base pair deletion (309-320del), which deletes codons 104-107. The mutation is predicted to delete four amino acids, GGFA, from the V1 domain of the keratin 16 polypeptide, close to the 1A domain. Full-length keratin 16 cDNA sequence derived from the unaffected palm was completely normal, consistent with a postzygotic mutation as is suggested by the mosaicism observed. We defined this new clinical entity, "unilateral palmoplantar verrucous nevus", rather than localized or focal epidermolytic palmoplantar keratodermas, as the lesions are present only on one side of the body and follow Blaschko's lines. This study is a report of a mosaic mutation in keratin 16 and also the association of a mutation in the V1 domain of a type I keratin associated with a human disease.

2001
Article
J Invest Dermatol.2001 Dec;117(6):1391-1396
Novel and recurrent mutations in the genes encoding keratins K6a, K16 and K17 in 13 cases of pachyonychia congenita
A. Terrinoni
F. J. Smith
B. Didona
F. Canzona
M. Paradisi
M. Huber
D. Hohl
A. David
A. Verloes
I. M. Leigh
C. S. Munro
G. Melino
W. H. McLean
Thirteen patients with pachyonychia congenita types 1 and 2 were studied, two of which had a family history of pachyonychia and 11 of which were sporadic cases. Heterozygous mis-sense or small in-frame insertion deletion mutations were detected in the genes encoding keratins K6a, K16, and K17 in all cases. Three novel mutations, F174V, E472K, and L469R were found in the K6a gene. Two novel mutations, M121T and L128Q were detected in K16. Similarly, three novel mutations, L95P, S97del, and L99P were found in K17. In addition, we identified recurrent mutations N171del (three instances) and F174S in K6a and R94H in K17. Analysis of both phenotype and genotype data led to the following conclusions: (i) K6a or K16 mutations produce the pachyonychia congenita type 1 phenotype, whereas K17 (or K6b) mutations cause pachyonychia congenita type 2; (ii) the presence of pilosebaceous cysts following puberty is the best indicator of pachyonychia congenita type 2; (iii) prepubescent patients are more difficult to classify due to the lack of cysts; and (iv) natal teeth are indicative of pachyonychia congenita type 2, although their absence does not preclude the pachyonychia congenita type 2 phenotype. This study establishes useful diagnostic criteria for pachyonychia congenita types 1 and 2, which will help limit unnecessary DNA analysis in the diagnosis and management of this genetically heterogeneous group of genodermatoses.

2002
Article
J Invest Dermatol.2002 Oct;119(4):966-971
Two cases of primarily palmoplantar keratoderma associated with novel mutations in keratin 1
A. Terron-Kwiatkowski
A. S. Paller
J. Compton
D. J. Atherton
W. H. McLean
A. D. Irvine
Mutations in keratin 1 were initially described in the classical form of bullous congenital ichthyosiform erythroderma (also known as epidermolytic hyperkeratosis). More recently the range of phenotypes associated with mutations in this gene has been extended to include annular ichthyosiform erythroderma and mild epidermolytic palmoplantar keratoderma. Here we present two novel mutations in the keratin 1 gene (KRT1): a 5' donor splice site mutation in exon 1 (591 + 2T > A) that predicts a 22 amino acid in-frame deletion in the keratin 1 1A domain; and an in-frame deletion in exon 7 (1376del24) that predicts a foreshortened 2B coiled-coil domain of keratin 1. In each case these mutations are associated with palmoplantar keratoderma and mild ichthyosis, largely limited to the flexural areas. These mutations appear to have a less damaging effect than previously reported mis-sense mutations sited in the helix boundary motifs. This report extends the range of phenotypes associated with mutations in KRT1.

1984
Article
Arch Dermatol.1984 Nov;120(11):1475-1479
Pachyonychia congenita. Electron microscopic and epidermal glycoprotein assessment before and during isotretinoin treatment
D. R. Thomas
J. L. Jorizzo
M. M. Brysk
J. A. Tschen
J. Miller
E. H. Tschen
Two patients, a father and son, with pachyonychia congenita were treated with orally administered isotretinoin because the extreme deformity and discomfort associated with their massive keratoderma interfered with their work and school, respectively. While clinical benefits could not be sustained, electron microscopic findings compatible with suppression of abnormal keratinization were observed. In addition, skin biopsy samples were analyzed by sodium dodecyl sulfate-polyacrylamide gel electrophoresis, and the gels were then subjected to a lectin overlay technique with concanavalin A labeled with iodine 125. The distribution of specific glycoproteins was found to be different for lesional as against normal epidermis. The procedure was repeated after oral treatment with isotretinoin. The labeled glycoprotein pattern of the lesional epidermis was clearly distinguishable from both the pretreatment lesional and the normal epidermis; it was mostly intermediate between the two. The normal epidermis was virtually unaffected by the retinoid treatment.

1982
Article
J Dermatol Surg Oncol.1982 Jan;8(1):24-28
Pachyonychia congenita: surgical management of the nail changes
R. J. Thomsen
R. L. Zuehlke
B. I. Beckman
The fingernails of a woman with pachyonychia congenita were ablated by several different methods. The most effective, most rapidly performed, and most acceptable method was vigorous curettage and electrofulguration of the matrices and beds of the nails. The responses to treatment suggest that the matrix, rather than the bed, is the site from which the abnormality of the nails develops in pachyonychia congenita. Removal of the nail beds is not necessary to prevent recurrence of deformed nails, but it may reduce hyperkeratosis in their sites.

1977
Article
Acta Derm Venereol.1977 ;57(1):63-67
Pachyonychia congenita Jadassohn-Lewandowsky: a disorder of keratinization
J. Thormann
T. Kobayasi
A 15-month-old boy with pachyonychia congenita is described. The patient also had follicular keratosis, leukokeratosis of the tongue, and blisters on the soles. Histopathological examination of the follicular keratosis showed hyperkeratosis and acanthosis. Horny plugs were located in sweat pores. By electron microscopy abnormal keratinization was demonstrated.

1988
Article
Br J Dermatol.1988 Mar;118(3):451-452
Control of plantar blisters in pachyonychia congenita with topical aluminium chloride
M. J. Tidman
R. S. Wells

1987
Article
J Am Acad Dermatol.1987 May;16(5 Pt 1):935-940
Pachyonychia congenita with cutaneous amyloidosis and hyperpigmentation--a distinct variant
M. J. Tidman
R. S. Wells
D. M. MacDonald
Two kindreds manifesting an unusual form of pachyonychia congenita are described. Clinical involvement consists of nail dystrophy, which tends to improve with age, and moderate palmoplantar hyperkeratosis. In addition, all affected members show a characteristic pattern of cutaneous hyperpigmentation, which resembles macular amyloidosis around the neck and waist, but which confers a dappled appearance to the axillae, popliteal fossae, thighs, buttocks, and lower aspect of the abdomen. With advancing age the pigmentation fades. Histologic and ultrastructural examination of the hyperpigmented skin has revealed pigmentary incontinence and deposition of amyloid within the papillary dermis. These features appear to constitute a distinct variant of pachyonychia congenita.

1990
Article
Br J Dermatol.1990 Nov;123(5):663-666
Pachyonychia congenita complicated by hidradenitis suppurativa: a family study
P. Todd
J. Garioch
M. Rademaker
W. Susskind
C. Gemell
J. Thomson
A family is described in which five of the six members with the Jackson-Lawler type of pachyonychia congenita also had varying degrees of hidradenitis suppurativa. We suggest an association between this type of pachyonychia congenita and hidradenitis suppurativa.

1985
Article
Cancer Res.1985 Nov;45(11 Pt 2):5845-5850
Keratin gene expression in mouse skin tumors and in mouse skin treated with 12-O-tetradecanoylphorbol-13-acetate
R. Toftgard
S. H. Yuspa
D. R. Roop
Alterations in the pattern of epidermal differentiation and proliferation occur during mouse skin carcinogenesis. We have used cDNA clones corresponding to the major keratin subunits synthesized in differentiating epidermal cells (Mr 67,000 and 59,000) and in proliferating epidermal cells (Mr 60,000, 55,000, and 50,000) to study changes in keratin gene transcript levels in mouse epidermis exposed to tumor promoters. The same probes were used to characterize the keratin expression patterns in benign and malignant skin tumors. A single topical treatment with 12-O-tetradecanoylphorbol-13-acetate caused a rapid initial decrease in the epidermal transcript levels corresponding to the Mr 67,000 and 59,000 keratin subunits. By 48 h the transcript level for the Mr 67,000 keratin subunit was restored to control values, whereas the transcript levels for the Mr 59,000 subunit returned to control at a slower rate. In contrast, the transcript level for the Mr 55,000 subunit was increased substantially 12- 48 h after treatment, the Mr 50,000 subunit transcript increased to a lesser extent, and the Mr 60,000 subunit message was transiently decreased at 12 h but returned to the level of solvent-treated skin by 24 h. Single exposure to the incomplete tumor promoters 4-O-methyl-12-O-tetradecanoylphorbol-13-acetate, the ionophore A23187, and mezerein induced changes in keratin gene transcripts similar to those of 12-O-tetradecanoylphorbol-13-acetate. The antipromoter fluocinolone acetonide, administered with 12-O-tetradecanoylphorbol-13-acetate, partially inhibited the decrease in the Mr 59,000 and 67,000 transcripts and completely inhibited the increase in the Mr 55,000 transcript. In skin papillomas produced by initiation and promotion, keratin gene expression was similar to normal skin, with the exception of a two-fold increase in the transcript levels for the Mr 55,000 keratin subunit. However, in carcinomas, the transcript levels for the Mr 67,000 and 59,000 subunits were only 1-3% of those observed in untreated mouse epidermis. In concert with other data, the rapid and selective loss of transcripts for differentiation-related keratins after exposure to both complete and incomplete tumor promoters is most consistent with an accelerated rate of maturation in differentiating keratinocytes, resulting in the rapid production of transcript-depleted fully mature squames. The enhanced level of Mr 55,000 transcripts suggests a concomitant increase in the number of all cells or a subset of cells in the proliferative compartment.(ABSTRACT TRUNCATED AT 400 WORDS)

1996
Article
J Biol Chem.1996 Jan 19;271(3):1416-1423
Novel regulation of keratin gene expression by thyroid hormone and retinoid receptors
M. Tomic-Canic
D. Day
H. H. Samuels
I. M. Freedberg
M. Blumenberg
Expression of keratin proteins, markers of epidermal differentiation and pathology, is uniquely regulated by the nuclear receptors for retinoic acid (RAR) and thyroid hormone (T3R) and their ligands: it is constitutively activated by unliganded T3R, but it is suppressed by ligand-occupied T3R or RAR. This regulation was studied using gel mobility shift assays with purified receptors and transient transfection assays with vectors expressing various receptor mutants. Regulation of keratin gene expression by RAR and T3R occurs through direct binding of these receptors to receptor response elements of the keratin gene promoters. The DNA binding "C" domain of these receptors is essential for both ligand-dependent and -independent regulation. However, the NH2-terminal "A B" domain of T3R is not required for either mode of regulation of keratin gene expression. Furthermore, v-ErbA, an oncogenic derivative of cT3R, also activates keratin gene expression. In contrast to the previously described mechanism of gene regulation by T3R, heterodimerization with the retinoid X receptor is not essential for activation of keratin gene expression by unliganded T3R. These findings indicate that the mechanism of regulation of keratin genes by RAR and T3R differs significantly from the mechanisms described for other genes modulated by these receptors.

1996
Article
Exp Cell Res.1996 Apr 10;224(1):96-102
Codominant regulation of keratin gene expression by cell surface receptors and nuclear receptors
M. Tomic-Canic
I. M. Freedberg
M. Blumenberg
Epidermal keratinocytes are subject to a large variety of signals that modulate their differentiation in health and their activation in disease. Hormones and vitamins, which act via nuclear receptors, affect the differentiation process, whereas growth factors and cytokines, which act via cell surface receptors, affect keratinocyte activation and related events. Using expression of keratin genes as markers for keratinocyte phenotype, we examined the interaction between the nuclear receptor and cell surface receptor pathways. We expected to find dominance of one of the pathways. Surprisingly, we found that the two pathways are codominant. Specifically, while EGF induces expression of K6 and K16 keratin genes, retinoic acid suppresses their expression, and when both mediators are present simultaneously, the level of expression is intermediate, a product of both signals. Similar codominant effects were found on other keratin genes using interferon gamma, TGF beta, and thyroid hormone signaling molecules. These codominant effects are specific only for genes that are regulated by both pathways. Our results suggest that a judicious combination of hormones, vitamins, growth factors, and cytokines may be used to target specific expression of appropriate genes in the treatment of human epidermal diseases.

1997
Article
Am J Dermatopathol.1997 Jun;19(3):250-253
Expression of keratins (K10 and K17) in steatocystoma multiplex, eruptive vellus hair cysts, and epidermoid and trichilemmal cysts
H. Tomkova
W. Fujimoto
J. Arata
We compared the patterns of keratin 10 (K10) and keratin 17 (K17) expression in epidermoid cysts, trichilemmal cysts, eruptive vellus hair cysts, and steatocystoma multiplex. Epidermoid cysts expressed K10 and eruptive vellus hair cysts expressed K17, whereas trichilemmal cysts and steatocystoma multiplex showed expression of both K10 and K17. Our findings support the opinion that eruptive vellus hair cysts, which stained negative for K10, and steatocystoma multiplex are distinct entities and not variants of one disorder.

2004
Article
J Invest Dermatol.2004 Apr;122(4):965-970
A novel mouse type I intermediate filament gene, keratin 17n (K17n), exhibits preferred expression in nail tissue
X. Tong
P. A. Coulombe
Inactivating the type I keratin 17 gene (mK17) causes severe but reversible hair loss in a strain-dependent fashion in mouse (McGowan et al, Genes Dev. 16:1412, 2002). Missense mutations in human K17 give rise to two dominantly inherited disorders apparented to ectodermal dysplasias, pachyonychia congenita (PC), and steatocystoma multiplex (SM). In contrast to the null phenotype in mouse, marked lesions are seen in the nail and nail bed and sebaceous glands of PC and SM patients, respectively. In an effort to understand the lack of nail involvement in mK17 null mice, we discovered that the gene located immediately 5' upstream from mK17 is functional and encodes a type I keratin protein highly analogous to mK17. mRNA and protein localization studies show that the expression of this novel gene is highly restricted and most prevalent in the nail bed and matrix, leading to its designation as mK17n (n stands for nail). Weak expression of mK17n also occurs in vibrissae follicles, in filiform and fungiform papillae of oral mucosa. These findings have direct implications for the mK17 null phenotype. Depending on the existence of a human ortholog or a functional equivalent, our findings may also provide a molecular explanation for several unusual aspects of hK17-based diseases.

1973
Article Not Found
Acta Dermatovener.1973 ;53():211-216
Pachyonychia congenita: A histologic and microradiographic study
Torslind

2000
Article (English)
Article (Dutch)
Ned Tijdschr Geneeskd.2000 Aug 5;144(32):1563-1564
[Pachyonychia congenita type 2 due to mutation in the keratin 6b gene]
G. G. Toth
H. Van Goor
W. H. McLean
M. F. Jonkman

1937
Article (English)
Article (French)
Presse Med.1937 ;45():395
[Congenital generalized onychogryphosis of the toes]
A. Touraine, Soulignac

1937
Article (English)
Article (French)
Bull Soc Franc Dermatol Syphilol.1937 ;44():649-655
[Hyperectodermose congenitale et familiale (Pachyonychie du type Jadassohn-Riehl avec Keratomes, Keratoses folliculaires et leucoplasie)]
A. Touraine, Granjon

1937
Article Not Found
Zbl Haut-u Geschl Kr.1937 ;56():514
Onychogryphase congenitale et generalisee des ortei
A. Touraine, Soulignac

1992
Article
European J Cell Biol.1992 ;59(1):127-137
Characterization of the human gene encoding cytokeratin 17 and its expression pattern
S. M. Troyanovsky, R. E. Leube, W. W. Franke

1989
Article
J Cell Sci.1989 ;93():419-426
Patterns of expression of keratin 17 in human epithelia: dependency on cell position
S. M. Troyanovsky, V. I. Guelstein, T. A. Tchipysheva, V. A. Krutovskikh, G. A. Bannikov

1985
Article
Proc Natl Acad Sci U S A.1985 Jul;82(14):4683-4687
The sequence of a type II keratin gene expressed in human skin: conservation of structure among all intermediate filament genes
A. L. Tyner
M. J. Eichman
E. Fuchs
We report here the coding sequence of the gene for a 56-kDa type II keratin (designated K6b). Using a subclone specific for a unique 3' noncoding region of the encoded mRNA, we have shown that this gene is one of at least two 56-kDa keratin genes expressed in abundance in human epidermis. Segmenting the coding portion of this gene are eight introns, six of which are identically positioned with those of a distantly related type III intermediate filament gene (vimentin), and five of which are identically positioned with those of a distantly related type I gene (50-kDa keratin). These results indicate a common ancestral origin for all three classes of intermediate filament genes. All of the highly conserved intron positions are located within, but do not demarcate, the four central alpha-helical domains common to all intermediate filament polypeptides, suggesting that these genes were probably not created piecemeal by recombination-mediated linkage of separate structural domains as they presently are known.

1986
Article
J Cell Biol.1986 Nov;103(5):1945-1955
Evidence for posttranscriptional regulation of the keratins expressed during hyperproliferation and malignant transformation in human epidermis
A. L. Tyner
E. Fuchs
Keratin K6 is a protein that is expressed in human skin under conditions of hyperproliferation (e.g., wound-healing, psoriasis, and cell culture) and malignant transformation (e.g., squamous cell carcinomas). When induced, the appearance of K6 is rapid: if skin tissue is placed in radiolabeled culture medium, this protein can be detected within an hour. The regulation of K6 seems to be controlled partly by a posttranscriptional mechanism: At least two K6 genes are actively transcribed both in vivo, when the protein is not made, as well as in vitro, when abundant levels of the protein are expressed. Substantial levels of K6a and K6b RNAs can be detected in skin by Northern Blot analysis, and these RNAs are largely, if not fully translatable in vitro. In situ hybridizations reveal that the RNAs are distributed throughout the living layers of the epidermis. The rapid induction of K6 expression through a posttranscriptional regulatory mechanism suggests that this keratin may play an important role in designing a cytoskeletal architecture that is compatible with the hyperproliferative state.

1894
Article Not Found
.1894 ;():
Histopatholigie d. Huatkrank-heiten.
P.G. Unna

1986
Article (English)
Article (German)
Zahnarztl Prax.1986 Sep 12;37(9):333-335
[Jadassohn-Lewandowsky syndrome--dental aspects]
D. Uthoff

2003
Article
Society for Investigative Dermatology.2003 ;121(5):1035-1038
Clouston Syndrome can mimic Pachyonychia congenita
M. A. van Steensel, Jonkman, M. F., van Geel, M., Steijlen, P. M., McLean, W. H. I. and Smith, F. J. D. We studied three families suffering from nail abnormalities who had previously been diagnosed as pachyonychia congenita. No keratin gene mutations were detected. Sequencing of connexin 30 (GJB6 gene) in these patients identified heterozygous missense mutations G11R and A88V that are known to be associated with Clouston syndrome. This unexpected finding expands the Clouston syndrome phenotype and suggests that some patients diagnosed with pachyonychia may in fact be suffering from Clouston syndrome. PMID: 14708603 [PubMed - indexed for MEDLINE]

2001
Article
Eur J Dermatol.2001 May-Jun;11(3):188-190
A new type of pachyonychia congenita
M. A. van Steensel
F. J. Smith
P. M. Steijlen
We describe two patients with an apparently unique autosomal dominant ectodermal dysplasia. Symptoms consist of thickening of all nails as seen in pachyonychia congenita and severe generalized hypotrichosis. No other abnormalities were present. Histopathological examination of scalp skin showed a reduction in the number of hair follicles, but other abnormalities were not found. Direct sequencing of the keratins known to be associated with pachyonychia congenita, Krt 6a, 6b, 16 and 17, failed to detect mutations. This suggests that this may be a new type of pachyonychia caused by a mutation in a so-called hard keratin.

1991
Article
Cell.1991 Jan 25;64(2):365-380
Mutant keratin expression in transgenic mice causes marked abnormalities resembling a human genetic skin disease
R. Vassar
P. A. Coulombe
L. Degenstein
K. Albers
E. Fuchs
To explore the relationship between keratin gene mutations and genetic disease, we made transgenic mice expressing a mutant keratin in the basal layer of their stratified squamous epithelia. These mice exhibited abnormalities in epidermal architecture and often died prematurely. Blistering occurred easily, and basal cell cytolysis was evidence at the light and electron microscopy levels. Keratin filament formation was markedly altered, with keratin aggregates in basal cells. In contrast, terminally differentiating cells made keratin filaments and formed a stratum corneum. Recovery of outer layer cells was attributed to down-regulation of mutant keratin expression and concomitant induction of differentiation-specific keratins as cells terminally differentiate, and the fact that these cells arose from basal cells developing at a time when keratin expression was relatively low. Collectively, the pathobiology and biochemistry of the transgenic mice and their cultured keratinocytes bore a resemblance to a group of genetic disorders known as epidermolysis bullosa simplex.

1972
Article
Int J Dermatol.1972 Apr-Jun;11(2):77-81
Sebocystomatosis with congenital pachyonychia
J. P. Velasquez
J. Bustamante

1951
Article (English)
Article (French)
Bull Soc Fr Dermatol Syphiligr.1951 Nov-Dec;58(5):542-543
[Pachyonychia with hyperkeratosis follicularis.]
P. Vermenouze

1948
Article
Ann Eugen Lond.1948 ;14():139-141
Hereditary onychogryphosis
A. Videback

1991
Article Not Found
Acta Dermatol Jug.1991 ;18():173-180
Pachynychia congenita (Jadassohn-Lew): A review of 25 cases in Croatia
N. Videni, A. Kansky, A. Basta-Juzbasic

2001
Article
Pediatr Dermatol.2001 Nov-Dec;18(6):541-543
Pachyonychia congenita: a case report
M. Vijaikumar
D. M. Thappa
C. Laxmisha

1961
Article
Arch Dermatol.1961 Nov;84():824-827
Steatocystoma multiplex with pachyonychia congenita. Eight cases in four generations
W. R. Vineyard
R. A. Scott

1999
Article
Proc Assoc Am Physicians.1999 May-Jun;111(3):190-197
A direct in vivo approach for skin gene therapy
J. C. Vogel In vivo gene therapy is a direct and effective way to express genes in the epidermis. Plasmid DNA that contains the desired gene can be injected intradermally, and it is rapidly absorbed and expressed by the epidermis. Because gene expression following plasmid injection is transient, the two principal therapeutic uses of this approach are genetic immunization and the expression of biological response modifiers to treat skin disease.

1993
Article
Arch Dermatol.1993 Nov;129(11):1478-1483
Keratinocyte gene therapy
J. C. Vogel BACKGROUND: Gene therapy is currently being used in clinical trials to treat a variety of diseases. In keratinocyte gene therapy, the gene that will correct the disease by expressing the normal protein or enzyme is inserted and expressed in keratinocytes. Keratinocytes have significant potential, as a target cell of gene therapy, in the treatment of both systemic diseases as well as skin diseases caused by a genetic defect in keratinocytes. OBSERVATIONS: Although keratinocyte gene therapy is not yet being tested in clinical trials, animal models do exist where keratinocytes are being used to secrete factors such as human growth hormone and factor IX (for hemophilia) into the systemic circulation. Genetic diseases of the skin such as recessive epidermolysis bullosa dystrophica or xeroderma pigmentosum have not yet been treated with keratinocyte gene therapy in animal models. CONCLUSIONS: Keratinocytes have many advantages as a target cell in gene therapy, and progress has been made using animal models. However, the sustained and efficient delivery of factors to the bloodstream by keratinocytes expressing a transgene has not yet been accomplished. Future goals are to obtain adequate levels of the desired factors, hormones, or enzymes for sustained periods of time, either in keratinocytes or in the vascular system.

2000
Article
Hum Gene Ther.2000 Nov 1;11(16):2253-2259
Nonviral skin gene therapy
J. C. Vogel Nonviral skin gene therapy is an effective method to directly deliver and transiently express genes in the skin. Several different nonviral delivery methods have been successfully used and are analyzed here for their efficiency and efficacy in achieving specific therapeutic applications. For one important and frequently used application of nonviral skin gene therapy, genetic immunization, the types of resulting immune responses (Th1 versus Th2) will depend on which delivery method is used. In addition, we discuss the contributions of DNA as an immunostimulatory adjuvant in genetic immunization and how activation of skin dendritic cells and induction of IL-12 expression are mechanistically important in this process. Nonviral skin gene therapy has also been successfully used to enhance tumor regression in animal models, frequently by inducing a specific immune response against the tumor. In the future, nonviral skin gene therapy may be successfully used for the treatment of additional skin diseases if genes can be selectively delivered and expressed in specific skin cells, and if increased level and duration of gene expression can be achieved.

1971
Article (English)
Article (German)
Hautarzt.1971 ;22(7):294-299
[Jadassohn-Lewandowski syndrome with microphthalmos]
H. J. Vogt, J. Calap

2001
Article
Zhonghua Yi Xue Za Zhi.2001 May 10;81(9):540-543
[Keratin 17 gene mutation in patients with steatocystoma multiplex]
X. Wang
Y. Shi
Y. Ye
F. Liu
W. Jin
W. Chen
M. Wang
L. Hu
G. Zhao
X. Kong
OBJECTIVE: To study the relationship between steatocystoma multiplex (SCM) and keratin 17 gene mutation. METHODS: The keratin 17 gene mutation in the cDNA of cystic tissue of 5 patients of SCM and in the DNA in peripheral blood of 25 patients with SCM from a SCM family was studied by direct sequencing of the RT-PCR products, nested PCR, and restricted fraction length polymorphism (RFLP) analysis. Thirty-nine blood specimens from the unaffected members of that family were collected and tested too. Ten DNA pool specimens and other 2000 DNA pool specimens of normal individuals outside that SCM family were used as controls. RESULTS: In the base 428, 94(th) codon in keratin 17 gene in the cDNA of patients' cystic tissue, R94C mutation, a G-->A mutation, was detected Nested PCR, and restricted enzyme Acil polymorphism analysis showed that in the DNA specimens of peripheral blood of patients a mutated allele lacking enzyme cutting locus was detected, thus causing an uncut band with 200 bp while the corresponding allele was cut and caused two bands with 108 bp and 92 bp. In the DNA pool specimens of normal controls only these two bands with 108 bp and 92 bp were observed. CONCLUSION: The R94C mutation in keratin 17 gene is one of the genetic bases of SCM in Chinese. The results of this study provide scientific data for genetic diagnosis and counseling of SCM.

2003
Article
Clin Exp Dermatol.2003 Jul;28(4):434-436
Identification of a recurrent mutation in keratin 6a in a patient with overlapping clinical features of pachyonychia congenita types 1 and 2
K. M. Ward
F. E. Cook-Bolden
A. M. Christiano
J. T. Celebi
Pachyonychia congenita is characterized by hypertrophic nail dystrophy and associated ectodermal features. PC-1 subtype is associated with mutations in keratins 6a or 16, whereas PC-2 subtype is linked to mutations in keratins 6b or 17. The correlation between the mutated gene and the type of PC has generally been consistent. In this report, we describe a case with overlapping clinical features of PC-1 and PC-2 in which a mutation in K6a was identified.

2000
Article
Mol Biol Cell.2000 Oct;11(10):3315-3327
Forced expression of keratin 16 alters the adhesion, differentiation, and migration of mouse skin keratinocytes
M. Wawersik
P. A. Coulombe
Injury to the skin results in an induction of keratins K6, K16, and K17 concomitant with activation of keratinocytes for reepithelialization. Forced expression of human K16 in skin epithelia of transgenic mice causes a phenotype that mimics several aspects of keratinocyte activation. Two types of transgenic keratinocytes, with forced expression of either human K16 or a K16-C14 chimeric cDNA, were analyzed in primary culture to assess the impact of K16 expression at a cellular level. High K16-C14-expressing and low K16-expressing transgenic keratinocytes behave similar to wild type in all aspects tested. In contrast, high K16-expressing transgenic keratinocytes show alterations in plating efficiency and calcium-induced differentiation, but proliferate normally. Migration of keratinocytes is reduced in K16 transgenic skin explants compared with controls. Finally, a subset of high K16-expressing transgenic keratinocytes develops major changes in the organization of keratin filaments in a time- and calcium concentration-dependent manner. These changes coincide with alterations in keratin content while the steady-state levels of K16 protein remain stable. We conclude that forced expression of K16 in progenitor skin keratinocytes directly impacts properties such as adhesion, differentiation, and migration, and that these effects depend upon determinants contained within its carboxy terminus.

1997
Article
J Biol Chem.1997 Dec 19;272(51):32557-32565
A proline residue in the alpha-helical rod domain of type I keratin 16 destabilizes keratin heterotetramers
M. Wawersik
R. D. Paladini
E. Noensie
P. A. Coulombe
The type I keratins 14 (K14) and 16 (K16) are distinct in their assembly properties and their expression pattern despite a high degree of sequence identity. Understanding K16 function and regulation is of interest, given its strong induction in keratinocytes located at the wound edge after injury to stratified epithelia. We reported previously that, compared with K14, K16 forms unstable heterotetramers with either K5 or K6 as the type II keratin pairing partner (Paladini, R. D., Takahashi, K., Bravo, N. S., and Coulombe, P. A. (1996) J. Cell Biol. 132, 381-397). We show here that yet another related type I keratin, K17, forms stable heterotetramers with a variety of type II keratins, further accentuating the unique nature of K16. Analysis of chimeric K14-K16 proteins in a heterotetramer formation assay indicated that the instability determinant resides in a 220-amino acid segment within the alpha-helical rod domain of K16. Site-directed mutagenesis revealed that Pro188, an amino acid residue located in subdomain 1B of the rod, accounts quantitatively for the instability of K16-containing heterotetramers under denaturing conditions. In vitro polymerization studies suggest that the presence of Pro188 correlates with a reduction in assembly efficiency. In addition to their implications for the stable conformation of the keratin heterotetramers, these findings suggest that the tetramer-forming properties of K16 may influence its partitioning between the soluble and polymer pools, and hence contribute to its regulation in epithelial cells under resting and wound repair conditions.

2001
Article
Mol Biol Cell.2001 Nov;12(11):3439-3450
Increased levels of keratin 16 alter epithelialization potential of mouse skin keratinocytes in vivo and ex vivo
M. J. Wawersik
S. Mazzalupo
D. Nguyen
P. A. Coulombe
The process of wound repair in adult skin is complex, involving dermal contraction and epithelial migration to repair the lesion and restore the skin's barrier properties. At the wound edge, keratinocytes undergo many changes that engender an epithelialization behavior. The type II keratin 6 and type I keratins 16 and 17 are induced well before cell migration begins, but the role of these proteins is not understood. Forced expression of human K16 in skin epithelia of transgenic mice has been shown to cause dose-dependent skin lesions concomitant with alterations in keratin filament organization and in cell adhesion. Here we show, with the use of a quantitative assay, that these transgenic mice show a delay in the closure of full-thickness skin wounds in situ compared with wild-type and low-expressing K16 transgenic mice. We adapted and validated an ex vivo skin explant culture system to better assess epithelialization in a wound-like environment. Transgenic K16 explants exhibit a significant reduction of keratinocyte outgrowth in this setting. This delay is transgene dose-dependent, and is more severe when K16 is expressed in mitotic compared with post-mitotic keratinocytes. Various lines of evidence suggest that the mechanism(s) involved is complex and not strictly cell autonomous. These findings have important implications for the function of K16 in vivo.

1977
Article
Plast Reconstr Surg.1977 Jun;59(6):855-858
Pachyonychia congenita (Jadassohn-Lewandowski syndrome: case report
R. R. th White
R. B. Noone
We report an illustrative case of pachyonychia congenita, with a description of the presenting complaints, the associated physical findings, the rationale for surgical treatment, and the technical aspects of the surgical treatment.

1978
Article
Arch Dermatol.1978 Dec;114(12):1795-1796
Cornoid lamella in pachyonychia congenita
J. K. Wilkin
E. W. Rosenberg
T. Kanzaki
A 13-year-old white girl was admitted with pachyonychia congenita, Kumer and Loos type 1. In addition to all nails being distally elevated, plantar keratoses and bullae, and a scalloped tongue, the patient also had keratotic papules on the elbows and knees. A cornoid lamella was identified in the histologic examination of keratotic papule. The cornoid lamella, widely regarded as pathognomonic for porokeratosis (Mibeli) and its variants, may not be specific. This histologic marker should be sought in other localized disorders of keratinization.

1971
Article Not Found
Proc Roy Soc Med.1971 ;64():298-299
Localized primary cutaneous amyloid tumefactive type
D. I. William

1905
Article
Arch Dermatol Syphilol.1905 ;17():13-14
Three cases of hereditary hyperkeratosis of the nailbed
A. G. Wilson

1867
Article
On the diseases of the skin: A system of cutaneous medicine.1867 ;():708-714
Ungual affections
Erasmus Wilson

1999
Article (English)
Article (German)
Klin Padiatr.1999 May-Jun;211(3):179-183
[Type I pachyonychia congenita (Jadarssohn-Lewandowsky)]
M. B. Wimmershoff
W. Stolz
R. Schiffner
M. Landthaler
BACKGROUND: Pachyonychia congenita is considered to be a genodermatosis of autosomal inheritance. It is characterized by nail hypertrophy, shortly present after birth. Later on follicular keratosis of the extremities and hyperkeratosis of palms and soles can be found. HISTORY AND CLINICAL FINDINGS: We report a child with pachyonychia congenita type-I (Jadassohn-Lewandowsky). Shortly after birth nail hypertrophy of all finger- and toenails and leukoplakia of the palate and tongue were found. At the age of 3 years follicular keratosis of the extremities and plantar bullae could be found additionally. CONCLUSION: The underlying disturbance is a mutation within genes for keratin 6, 16 and 17 which leads to formation of abnormal tonofilaments. In adult patients retinoids can be used for symptomatic treatment especially of the palmoplantar keratosis.

1997
Article
Hum Genet.1997 Dec;101(2):165-169
A new mutation in the type II hair cortex keratin hHb1 involved in the inherited hair disorder monilethrix
H. Winter
M. A. Rogers
M. Gebhardt
U. Wollina
L. Boxall
D. Chitayat
R. Babul-Hirji
H. P. Stevens
A. Zlotogorski
J. Schweizer
Monilethrix is a rare dominant hair disease characterized by beaded or moniliform hair which results from the periodic thinning of the hair shaft and shows a high propensity to excess weathering and fracturing. Several cases of monilethrix have been linked to the type II keratin gene cluster on chromosome 12q13 and causative heterozygous mutations of a highly conserved glutamic acid residue (Glu 410 Lys and Glu 410 Asp) in the helix termination motif of the type II hair keratin hHb6 have recently been identified in monilethrix patients of two unrelated families. In the present study, we have investigated two further unrelated monilethrix families as well as a single case. Affected members of one family and the single patient exhibited the prevalent hHb6 Glu 410 Lys mutation. In the second family, we identified in affected individuals a lysine substitution of the corresponding glutamic acid residue, Glu 403, in the type II hair keratin hHb1, suggesting that this site represents a mutational hotspot in these highly related type II hair keratins. Both hHb1 and hHb6 are largely coexpressed in cortical trichocytes of the hair shaft. This indicates that monilethrix is a disease of the hair cortex.

1997
Article
Nat Genet.1997 Aug;16(4):372-374
Mutations in the hair cortex keratin hHb6 cause the inherited hair disease monilethrix
H. Winter
M. A. Rogers
L. Langbein
H. P. Stevens
I. M. Leigh
C. Labreze
S. Roul
A. Taieb
T. Krieg
J. Schweizer
Pathogenic mutations in a large number of human epithelial keratins have been well characterized. However, analogous mutations in the hard alpha-keratins of hair and nail have not yet been described. Monilethrix is a rare autosomal dominant hair defect with variable expression. Hairs from affected individuals show a beaded structure of alternating elliptical nodes and constrictions (internodes). These internodes exhibit a high prospensity to weathering and fracture. Strong evidence that trichocyte keratin defects might underlie this hair disorder was provided by genetic linkage analyses that mapped this disease to the type-II keratin gene cluster on 12q13. All affected individuals from a four-generation British family with monilethrix, previously linked to the type-II keratin gene cluster, as well as three unrelated single monilethrix patients, exhibited a heterozygous point mutation in the gene for type-II hair cortex keratin hHb6, leading to lysine substitution of a highly conserved glutamic acid residue in the helix termination motif (Glu 410 Lys). In a three-generation French family with monilethrix of a milder and variable phenotype, we detected another heterozygous point mutation in the same glutamic acid codon of hHb6, which resulted in a conservative aspartic acid substitution (Glu 410 Asp). These mutations provide the first direct evidence for involvement of hair keratins in hair disease.

1991
Article
.1991 ;():
Multiple Congenital Anomalies. A Diagnostic Compendium 1st ed
R. M. Winter, M. Baraitser

1949
Article
Arch Dermatol Syphilol.1949 ;60():846-847
Pachyonychia Congenita Keratosis Palmaris et Plantaris: Diptrophia Inquirium and Leukoplakia Oris
F. Wise

1948
Article
Arch Dermatol Syphilol.1948 ;58():608-609
Pachyonychia congenita with keratoderma of palms & soles and leukoplakia oris
F. Wise

1961
Article
Arch Dermatol.1961 ;84():762-771
Four hereditary mucosal syndromes: comparative histology and exfoliative cytology of Darier-White's disease, hereditary benign intraepithelial dyskeratosis, white sponge nevus, and pachyonychia congenita
C. J. Witkop, R. J. Gorlin

2000
Article
Mol Cell Biol.2000 Jul;20(14):5248-5255
Delayed wound healing in keratin 6a knockout mice
S. M. Wojcik
D. S. Bundman
D. R. Roop
Keratin 6 (K6) expression in the epidermis has two components: constitutive expression in the innermost layer of the outer root sheath (ORS) of hair follicles and inducible expression in the interfollicular epidermis in response to stressful stimuli such as wounding. Mice express two K6 isoforms, MK6a and MK6b. To gain insight into the functional significance of these isoforms, we generated MK6a-deficient mice through mouse embryonic stem cell technology. Upon wounding, MK6a was induced in the outer ORS and the interfollicular epidermis including the basal cell layer of MK6a(+ +) mice, whereas MK6b induction in MK6a(- -) mice was restricted to the suprabasal layers of the epidermis. After superficial wounding of the epidermis by tape stripping, MK6a(- -) mice showed a delay in reepithelialization from the hair follicle. However, the healing of full-thickness skin wounds was not impaired in MK6a(- -) animals. Migration and proliferation of MK6a(- -) keratinocytes were not impaired in vitro. Furthermore, the migrating and the proliferating keratinocytes of full-thickness wounds in MK6a(- -) animals expressed neither MK6a nor MK6b. These data indicate that MK6a does not play a major role in keratinocyte proliferation or migration but point to a role in the activation of follicular keratinocytes after wounding. This study represents the first report of a keratin null mutation that results in a wound healing defect.

1999
Article
Differentiation.1999 Oct;65(2):97-112
Expression of MK6a dominant-negative and C-terminal mutant transgenes in mice has distinct phenotypic consequences in the epidermis and hair follicle
S. M. Wojcik
S. Imakado
T. Seki
M. A. Longley
L. Petherbridge
D. S. Bundman
J. R. Bickenbach
J. A. Rothnagel
D. R. Roop
Mouse keratin 6a (MK6a) is constitutively expressed in a single cell layer of the outer root sheath (ORS) of hair follicles, but its synthesis can be induced in interfollicular epidermis including the basal cell layer in response to perturbing stimuli. A basally inducible human K6 (HK6) isoform has not been described, and it is not clear which of the known HK6 isoforms is expressed in the ORS. In this study we show that expression of a dominant-negative MK6a construct (Delta2B-P) in the interfollicular epidermis caused severe blistering and neonatal lethality, suggesting that mutations in a yet to be identified basally expressed HK6 isoform might result in a severe bliste