Abstract
BackgroundXeroderma Pigmentosum (XP) is a rare skin disorder characterized by skin hypersensitivity to sunlight and abnormal pigmentation. The aim of this study was to investigate the genetic cause of a severe XP phenotype in a consanguineous Pakistani family and in silico characterization of any identified disease-associated mutation.ResultsThe XP complementation group was assigned by genotyping of family for known XP loci. Genotyping data mapped the family to complementation group A locus, involving XPA gene. Mutation analysis of the candidate XP gene by DNA sequencing revealed a novel deletion mutation (c.654del A) in exon 5 of XPA gene. The c.654del A, causes frameshift, which pre-maturely terminates protein and result into a truncated product of 222 amino acid (aa) residues instead of 273 (p.Lys218AsnfsX5). In silico tools were applied to study the likelihood of changes in structural motifs and thus interaction of mutated protein with binding partners. In silico analysis of mutant protein sequence, predicted to affect the aa residue which attains coiled coil structure. The coiled coil structure has an important role in key cellular interactions, especially with DNA damage-binding protein 2 (DDB2), which has important role in DDB-mediated nucleotide excision repair (NER) system.ConclusionsOur findings support the fact of genetic and clinical heterogeneity in XP. The study also predicts the critical role of DDB2 binding region of XPA protein in NER pathway and opens an avenue for further research to study the functional role of the mutated protein domain.
Highlights
Xeroderma Pigmentosum (XP) is a rare skin disorder characterized by skin hypersensitivity to sunlight and abnormal pigmentation
We have identified a two generational Pakistani family suffering from XP
To find out the underlying molecular basis of XP, genetic analysis was carried out and we have identified a novel homozygous deletion mutation in exon 5 of XPA gene in this Pakistani family
Summary
Xeroderma Pigmentosum (XP) is a rare skin disorder characterized by skin hypersensitivity to sunlight and abnormal pigmentation. The aim of this study was to investigate the genetic cause of a severe XP phenotype in a consanguineous Pakistani family and in silico characterization of any identified disease-associated mutation. Xeroderma Pigmentosum (XP) is one of the rare autosomal recessive inherited skin disorders. The incidence of the disease is 1 in 20,000 to 1 in 250,000 births in Japan and USA respectively and, approximately 2.3 per million live births in Western Europe has been reported [1,2]. The disorder is characterized by extreme sensitivity to sunlight which leads to high incidence of skin sunburn, pigmentary changes, skin dryness and frequent neurological abnormalities. Severity of the disease depends on the gene involved, site of mutation and residual activity of the gene. A wide variability in clinical features exists both between and within XP groups [6,11]
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