PMID- 10581027 OWN - NLM STAT- MEDLINE DCOM- 19991220 LR - 20101118 IS - 1061-4036 (Print) IS - 1061-4036 (Linking) VI - 23 IP - 4 DP - 1999 Dec TI - Loss-of-function mutations in the cathepsin C gene result in periodontal disease and palmoplantar keratosis. PG - 421-4 AB - Papillon-Lefevre syndrome, or keratosis palmoplantaris with periodontopathia (PLS, MIM 245000), is an autosomal recessive disorder that is mainly ascertained by dentists because of the severe periodontitis that afflicts patients. Both the deciduous and permanent dentitions are affected, resulting in premature tooth loss. Palmoplantar keratosis, varying from mild psoriasiform scaly skin to overt hyperkeratosis, typically develops within the first three years of life. Keratosis also affects other sites such as elbows and knees. Most PLS patients display both periodontitis and hyperkeratosis. Some patients have only palmoplantar keratosis or periodontitis, and in rare individuals the periodontitis is mild and of late onset. The PLS locus has been mapped to chromosome 11q14-q21 (refs 7, 8, 9). Using homozygosity mapping in eight small consanguineous families, we have narrowed the candidate region to a 1.2-cM interval between D11S4082 and D11S931. The gene (CTSC) encoding the lysosomal protease cathepsin C (or dipeptidyl aminopeptidase I) lies within this interval. We defined the genomic structure of CTSC and found mutations in all eight families. In two of these families we used a functional assay to demonstrate an almost total loss of cathepsin C activity in PLS patients and reduced activity in obligate carriers. FAU - Toomes, C AU - Toomes C AD - Department of Medical Genetics, St. Mary's Hospital, Manchester, UK. FAU - James, J AU - James J FAU - Wood, A J AU - Wood AJ FAU - Wu, C L AU - Wu CL FAU - McCormick, D AU - McCormick D FAU - Lench, N AU - Lench N FAU - Hewitt, C AU - Hewitt C FAU - Moynihan, L AU - Moynihan L FAU - Roberts, E AU - Roberts E FAU - Woods, C G AU - Woods CG FAU - Markham, A AU - Markham A FAU - Wong, M AU - Wong M FAU - Widmer, R AU - Widmer R FAU - Ghaffar, K A AU - Ghaffar KA FAU - Pemberton, M AU - Pemberton M FAU - Hussein, I R AU - Hussein IR FAU - Temtamy, S A AU - Temtamy SA FAU - Davies, R AU - Davies R FAU - Read, A P AU - Read AP FAU - Sloan, P AU - Sloan P FAU - Dixon, M J AU - Dixon MJ FAU - Thakker, N S AU - Thakker NS LA - eng GR - Wellcome Trust/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Nat Genet JT - Nature genetics JID - 9216904 RN - 0 (DNA Primers) RN - 0 (DNA, Complementary) RN - EC 3.4.14.1 (Cathepsin C) SB - IM CIN - Nat Genet. 1999 Dec;23(4):378-80. PMID: 10581013 MH - Aggressive Periodontitis/*enzymology/*genetics/pathology MH - Base Sequence MH - Cathepsin C/*deficiency/*genetics MH - Chromosomes, Human, Pair 11/genetics MH - DNA Primers/genetics MH - DNA, Complementary/genetics MH - Exons MH - Female MH - Genes, Recessive MH - Genetic Linkage MH - Humans MH - Introns MH - Male MH - Microsatellite Repeats MH - Papillon-Lefevre Disease/*enzymology/*genetics/pathology MH - Pedigree MH - *Point Mutation EDAT- 1999/12/02 09:00 MHDA- 2001/03/23 10:01 CRDT- 1999/12/02 09:00 PHST- 1999/12/02 09:00 [pubmed] PHST- 2001/03/23 10:01 [medline] PHST- 1999/12/02 09:00 [entrez] AID - 10.1038/70525 [doi] PST - ppublish SO - Nat Genet. 1999 Dec;23(4):421-4. doi: 10.1038/70525.