title: Mutations in the mevalonate pathway genes in Chinese patients with porokeratosis.
abstract: BACKGROUND
  Porokeratosis (PK, MIM 175800) is a chronic autosomal dominant cutaneous keratinization disorder, which has a wide variety of clinical manifestations.
  
  
  OBJECTIVE
  We analysed the molecular basis of 10 families and 12 sporadic cases with different subtypes of porokeratosis in the Chinese population.
  
  
  METHODS
  Genomic DNA was extracted from peripheral blood samples. Mutation screening was performed by direct sequencing of exons and flanking intron-exon boundaries for the entire coding region of four mevalonate pathway genes and SLC17A9 gene.
  
  
  RESULTS
  We detected three novel mutations and seven previously described mutations by direct sequence analysis of the PCR products. Mutations p.Phe249Ser and p.Asn292Ser in mevalonate decarboxylase (MVD) were the most common mutations in this PK cohort; their presence was 27.3% and 13.6% respectively.
  
  
  CONCLUSIONS
  This study extended the mutation spectrum of PK in the Chinese Han population and provided further evidence for the genetic basis of PK. We first identified MVD simultaneously responsible for porokeratosis palmaris et plantaris disseminate development and confirmed the genotype-phenotype correlations.
authors.affiliation: Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.|Centre for Dermatology and Genetic Medicine, College of Life Sciences and Medicine, Dentistry and Nursing, University of Dundee, Dundee, UK.
authors.forename: M
authors.initials: M
authors.lastname: Li
authors.affiliation: Department of Dermatology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Li
authors.affiliation: Department of Dermatology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
authors.forename: J
authors.initials: J
authors.lastname: Wang
authors.affiliation: Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
authors.forename: C
authors.initials: C
authors.lastname: Ni
authors.affiliation: Department of Dermatology, Fengxian Institute of Dermatosis Prevention, Shanghai, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Sun
authors.affiliation: Centre for Dermatology and Genetic Medicine, College of Life Sciences and Medicine, Dentistry and Nursing, University of Dundee, Dundee, UK.
authors.forename: N J
authors.initials: NJ
authors.lastname: Wilson
authors.affiliation: Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
authors.forename: J
authors.initials: J
authors.lastname: Zhang
authors.affiliation: Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
authors.forename: F
authors.initials: F
authors.lastname: Chen
authors.affiliation: Department of Dermatology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
authors.forename: X
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Dermatology, Nanjing Medical University, Affiliated Wuxi People's Hospital, Wuxi, China.
authors.forename: X
authors.initials: X
authors.lastname: Du
authors.affiliation: Department of Dermatology, Henan Provincial People's Hospital, Zhengzhou, Henan, China.
authors.forename: H
authors.initials: H
authors.lastname: Yu
authors.affiliation: Institute of Photomedicine, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: L
authors.initials: L
authors.lastname: Zhang
authors.affiliation: Centre for Dermatology and Genetic Medicine, College of Life Sciences and Medicine, Dentistry and Nursing, University of Dundee, Dundee, UK.
authors.forename: F J D
authors.initials: FJ
authors.lastname: Smith
authors.affiliation: Institute of Photomedicine, Shanghai Skin Disease Hospital, Tongji University School of Medicine, Shanghai, China.
authors.forename: G
authors.initials: G
authors.lastname: Zhang
authors.affiliation: Department of Dermatology, Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
authors.forename: Z
authors.initials: Z
authors.lastname: Yao
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002681:China; D005260:Female; D005799:Genes, Dominant; D006801:Humans; D008297:Male; D008798:Mevalonic Acid / Q000378:metabolism*; D008875:Middle Aged; D009154:Mutation; D017499:Porokeratosis / Q000235:genetics / Q000378:metabolism*
chemical_list: D008798:Mevalonic Acid