PMID- 10652003 OWN - NLM STAT- MEDLINE DCOM- 20000315 LR - 20131121 IS - 0022-202X (Print) IS - 0022-202X (Linking) VI - 114 IP - 2 DP - 2000 Feb TI - A glutamine insertion in the 1A alpha helical domain of the keratin 4 gene in a familial case of white sponge nevus. PG - 388-91 AB - White Sponge Nevus (WSN) is a rare, autosomal dominant disorder that predominantly affects noncornified stratified squamous epithelia. Clinically, it is characterized by the presence of soft, white, and "spongy" plaques in the oral mucosa. The characteristic histopathologic features are epithelial thickening, parakeratosis, and vacuolization of the suprabasal layer of oral epithelial keratinocytes. Mutations in keratin 4 (K4) and keratin 13 (K13) genes have already been demonstrated to be responsible for WSN; the identification of new keratin mutations in a stratified squamous epithelia closely related to epidermis is of relevance for the understanding of the biochemistry of intermediate filaments, and for genotype phenotype correlations. In this study we investigated a 27-y-old, female Italian patient, affected by white asymptomatic oral plaques. Sequence analysis revealed a 3 bp (ACA) heterozygous insertion localized in the helix initiation motif of the 1A alpha helical domain of K4. We report this new K4 gene mutation and describe an amino acid insertion, in the 1A domain, responsible for a keratin disease. FAU - Terrinoni, A AU - Terrinoni A AD - Biochemistry Laboratory, IDI-IRCCS, c/o Department of Experimental Medicine, University of Rome "Tor Vergata", Rome, Italy. FAU - Candi, E AU - Candi E FAU - Oddi, S AU - Oddi S FAU - Gobello, T AU - Gobello T FAU - Camaione, D B AU - Camaione DB FAU - Mazzanti, C AU - Mazzanti C FAU - Zambruno, G AU - Zambruno G FAU - Knight, R AU - Knight R FAU - Melino, G AU - Melino G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Invest Dermatol JT - The Journal of investigative dermatology JID - 0426720 RN - 0 (DNA Transposable Elements) RN - 0RH81L854J (Glutamine) RN - 68238-35-7 (Keratins) SB - IM MH - Adult MH - DNA Mutational Analysis MH - DNA Transposable Elements MH - Family Health MH - Female MH - Glutamine/*genetics MH - Hamartoma/*genetics MH - Humans MH - Keratins/*genetics MH - Mouth Diseases/*genetics MH - *Mouth Mucosa MH - Pedigree MH - Protein Structure, Tertiary EDAT- 2000/01/29 09:00 MHDA- 2000/03/18 09:00 CRDT- 2000/01/29 09:00 PHST- 2000/01/29 09:00 [pubmed] PHST- 2000/03/18 09:00 [medline] PHST- 2000/01/29 09:00 [entrez] AID - S0022-202X(15)40781-X [pii] AID - 10.1046/j.1523-1747.2000.00890.x [doi] PST - ppublish SO - J Invest Dermatol. 2000 Feb;114(2):388-91. doi: 10.1046/j.1523-1747.2000.00890.x.