PMID- 10594761 OWN - NLM STAT- MEDLINE DCOM- 20000113 LR - 20061115 IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 113 IP - 6 DP - 1999 Dec TI - Two different mutations in the same codon of a type II hair keratin (hHb6) in patients with monilethrix. PG - 1123-7 AB - Monilethrix is an autosomal dominant hair disorder characterized by a beaded appearance of the hair due to periodic thinning of the shaft. The phenotype shows variable penetrance and results in hair fragility and patchy dystrophic alopecia. Mutations of the helix-encoding region in two hair-specific keratins (hHb1 and hHb6) have been identified. We have now investigated two unrelated monilethrix patients and identified two different novel heterozygous point mutations of the same codon in exon 7 of the hHb6 gene. Dystrophic hair samples obtained from both patients showed the typical beaded appearance by scanning electron microscopy. Both mutations affected the first base of codon 402 (glutamic acid). In patient A, a G to C transition occurred causing a glutamine substitution (GAG to CAG: E402Q) whereas in patient B, the transition was G to A yielding a lysine substitution (GAG to AAG: E402K). The sequence of the 1A helical regions of hHb1 and hHb6 as well as the 2B helical region of hHb1, were normal. Unaffected relatives did not have the hHb6 mutation and this codon was found to be highly conserved showing no alteration in the normal population (100 alleles examined). Both mutations disrupted a Taq I restriction site and restriction fragment length polymorphism analysis showed that a diagnostic 361 bp fragment could confirm the mutation. Thus, two new point mutations of the hair-specific keratin gene hHb6 have been identified in this genetic disease. FAU - Pearce, E G AU - Pearce EG AD - Department of Dermatology, University of Wales College of Medicine (UWCM), Heath Park, Cardiff, UK. FAU - Smith, S K AU - Smith SK FAU - Lanigan, S W AU - Lanigan SW FAU - Bowden, P E AU - Bowden PE LA - eng PT - Journal Article PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (Codon) RN - 68238-35-7 (Keratins) SB - IM MH - Alopecia/*genetics/pathology MH - *Codon MH - Hair/pathology MH - Humans MH - Keratins/*genetics MH - *Mutation MH - Polymorphism, Restriction Fragment Length EDAT- 1999/12/14 00:00 MHDA- 1999/12/14 00:01 CRDT- 1999/12/14 00:00 PHST- 1999/12/14 00:00 [pubmed] PHST- 1999/12/14 00:01 [medline] PHST- 1999/12/14 00:00 [entrez] AID - S0022-202X(15)40708-0 [pii] AID - 10.1046/j.1523-1747.1999.00777.x [doi] PST - ppublish SO - J Invest Dermatol. 1999 Dec;113(6):1123-7. doi: 10.1046/j.1523-1747.1999.00777.x.