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Letter to the Editor| Volume 53, ISSUE 3, P222-225, March 2009

The novel p.G150R missense mutation in the cartilage matrix protein subdomain of type VII collagen in compound heterozigosity with the c.682+1G>A COL7A1 splicing mutation leads to mild dystrophic epidermolysis bullosa

  • Author Footnotes
    1 These authors contributed equally to this work.
    B. Drera
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Division of Biology and Genetics, Department of Biomedical Sciences and Biotechnology, University of Brescia, Viale Europa 11, 25123 Brescia, Italy
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  • Author Footnotes
    1 These authors contributed equally to this work.
    M. Ritelli
    Footnotes
    1 These authors contributed equally to this work.
    Affiliations
    Division of Biology and Genetics, Department of Biomedical Sciences and Biotechnology, University of Brescia, Viale Europa 11, 25123 Brescia, Italy
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  • G. Tadini
    Affiliations
    Institute of Dermatological Sciences, Fondazione Ospedale Maggiore Policlinico, Mangiagalli, Regina Elena, IRCCS, Milano, Italy
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  • N. Zoppi
    Affiliations
    Division of Biology and Genetics, Department of Biomedical Sciences and Biotechnology, University of Brescia, Viale Europa 11, 25123 Brescia, Italy
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  • M. Venturini
    Affiliations
    Division of Dermatology, University of Brescia and Azienda Ospedaliera Spedali Civili, Brescia, Italy
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  • P.G. Calzavara-Pinton
    Affiliations
    Division of Dermatology, University of Brescia and Azienda Ospedaliera Spedali Civili, Brescia, Italy
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  • S. Barlati
    Affiliations
    Division of Biology and Genetics, Department of Biomedical Sciences and Biotechnology, University of Brescia, Viale Europa 11, 25123 Brescia, Italy
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  • M. Colombi
    Correspondence
    Corresponding author. Tel.: +39 030 3717265; fax: +39 030 3701157.
    Affiliations
    Division of Biology and Genetics, Department of Biomedical Sciences and Biotechnology, University of Brescia, Viale Europa 11, 25123 Brescia, Italy
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  • Author Footnotes
    1 These authors contributed equally to this work.
      Dystrophic epidermolysis bullosa (DEB) is a rare genodermatosis characterized by fragility, blistering and abnormal scarring of the skin and mucous membranes, showing different degree of cutaneous and extracutaneous involvement. Several variants have been described [
      • Anton-Lamprecht I.
      • Gedde-Dahl Jr., T.
      Epidermolysis bullosa.
      ,
      • Fine J.D.
      • Eady R.A.
      • Bauer E.A.
      • Bauer J.W.
      • Bruckner-Tuderman L.
      • Heagerty A.
      • et al.
      The classification of inherited epidermolysis bullosa (EB): Report of the Third International Consensus Meeting on Diagnosis and Classification of EB.
      ], due to dominant (DDEB) or recessive (RDEB) mutations in COL7A1 gene encoding for pro-α1 (VII) collagen chain [
      • Anton-Lamprecht I.
      • Gedde-Dahl Jr., T.
      Epidermolysis bullosa.
      ,
      • Fine J.D.
      • Eady R.A.
      • Bauer E.A.
      • Bauer J.W.
      • Bruckner-Tuderman L.
      • Heagerty A.
      • et al.
      The classification of inherited epidermolysis bullosa (EB): Report of the Third International Consensus Meeting on Diagnosis and Classification of EB.
      ]. Three identical pro-α1 (VII) chains, consisting of a central collagenous domain, and two flanking amino- and carboxy-terminal noncollagenous domains (NC1 and NC2, respectively), assemble into type VII collagen homotrimers (COLLVII), which aggregate to form anchoring fibrils (AF). These structures ensure the dermal–epidermal adhesion [
      • Anton-Lamprecht I.
      • Gedde-Dahl Jr., T.
      Epidermolysis bullosa.
      ]. The NC1 globular domain, pointing outwards the AF, is composed by several subdomains with homology to adhesive proteins: a segment with a 40% homology to cartilage matrix protein (CMP), nine consecutive fibronectin type III-like repeats, and a von Willebrand factor motif [
      • Chen M.
      • O’Toole E.A.
      • Li Y.Y.
      • Woodley D.T.
      Alpha 2 beta 1 integrin mediates dermal fibroblast attachment to type VII collagen via a 158-amino-acid segment of the NC1 domain.
      ]. All these modules may exert an important role in the attachment of COLLVII to other proteins of the dermal–epidermal junction (DEJ).

      Keywords

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