title: Harlequin ichthyosis. Variability in expression and hypothesis for disease mechanism.
abstract: BACKGROUND
  Harlequin ichthyosis is an inherited skin disorder that usually results in death shortly after birth. Although the clinical features of this disorder are well described, the underlying molecular basis is not understood. In this article, we discuss the results of the latest histologic, immunochemical, and Western immunoblotting studies done in our laboratory and propose a hypothesis for molecular basis of this disorder.
  
  
  METHODS
  Previous experiments done in our laboratory show suggestive evidence for defective lipid synthesis and protein dephosphorylation in harlequin ichthyosis. Our latest study shows that the catalytic subunit of one of the most prevalent protein phosphatase, type 2A protein phosphatase, appears to be altered in some cases of type 2 harlequin ichthyosis.
  
  
  CONCLUSIONS
  Based on these observations and the known functions of protein phosphatase in keratinocytes, we hypothesize that the underlying molecular basis of harlequin ichthyosis may be related to mutations affecting protein dephosphorylation. We further describe approaches by which this hypothesis can be tested.
authors.affiliation: Department of Oral Biology, University of Washington, Seattle.
authors.forename: B A
authors.initials: BA
authors.lastname: Dale
authors.forename: E
authors.initials: E
authors.lastname: Kam
mesh_terms: D002478:Cells, Cultured; D006801:Humans; D007057:Ichthyosis / Q000150:complications / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D017490:Ichthyosis, Lamellar / Q000235:genetics / Q000473:pathology; D007231:Infant, Newborn; D015603:Keratinocytes / Q000378:metabolism / Q000473:pathology* / Q000648:ultrastructure; D007633:Keratins / Q000096:biosynthesis / Q000235:genetics; D007642:Keratosis / Q000150:complications / Q000235:genetics / Q000378:metabolism / Q000473:pathology*; D008967:Molecular Biology; D009154:Mutation; D010749:Phosphoprotein Phosphatases / Q000096:biosynthesis; D012867:Skin / Q000473:pathology
chemical_list: D007633:Keratins; D010749:Phosphoprotein Phosphatases