title: Papillon-Lefèvre syndrome: mutations and polymorphisms in the cathepsin C gene.
abstract: The Papillon-Lefèvre syndrome, inherited in an autosomal recessive pattern, manifests with palmoplantar keratoderma and early, destructive periodontitis. Recently, mutations in the gene encoding cathepsin C have been disclosed in a limited number of families with Papillon-Lefèvre syndrome. We have examined two multiplex families with Papillon-Lefèvre syndrome, and evaluated the gene encoding cathepsin C for mutations. The mutation detection strategy consisted of polymerase chain reaction amplification of all seven exons and flanking intronic sequences, followed by direct nucleotide sequencing. This strategy identified two missense mutations, W39S and G301S, affecting highly conserved amino acid residues within the cathepsin C polypeptide. The affected individuals were homozygotes whereas heterozygous carriers of the mutations were clinically unaffected, confirming the recessive nature of the mutations. Addition of these cathepsin C gene mutations into the expanding Papillon-Lefèvre syndrome mutation database allows further development of genotype/phenotype correlations towards understanding this severe genodermatosis.
authors.affiliation: Department of Dermatology and Cutaneous Biology, Jefferson Medical College, Jefferson Institute of Molecular Medicine, 233 South 10th Street, Suite 450 BLSB, Philadelphia, PA 19107, USA.
authors.forename: A
authors.initials: A
authors.lastname: Nakano
authors.forename: K
authors.initials: K
authors.lastname: Nomura
authors.forename: H
authors.initials: H
authors.lastname: Nakano
authors.forename: Y
authors.initials: Y
authors.lastname: Ono
authors.forename: S
authors.initials: S
authors.lastname: LaForgia
authors.forename: L
authors.initials: L
authors.lastname: Pulkkinen
authors.forename: I
authors.initials: I
authors.lastname: Hashimoto
authors.forename: J
authors.initials: J
authors.lastname: Uitto
mesh_terms: D020789:Cathepsin C / Q000235:genetics; D005192:Family Health; D005260:Female; D006579:Heterozygote; D006720:Homozygote; D006801:Humans; D008875:Middle Aged; D020125:Mutation, Missense; D010214:Papillon-Lefevre Disease / Q000235:genetics; D010375:Pedigree; D017354:Point Mutation; D011110:Polymorphism, Genetic
chemical_list: D020789:Cathepsin C