Bone Aging in DNA Repair Deficient Trichothiodystrophy Mice

Total Page:16

File Type:pdf, Size:1020Kb

Bone Aging in DNA Repair Deficient Trichothiodystrophy Mice Bone Aging in DNA Repair Deficient Trichothiodystrophy Mice Botveroudering in trichothiodystrophy muizen met een defect in DNA schadeherstel ISBN: 978-90-8559-915-9 Omslag: Ruud Koppenol en Karin Diderich Lay-out en drukwerk: Optima Grafische Communicatie Dit proefschrift kwam tot stand binnen de vakgroep Celbiologie en Genetica van de faculteit der Geneeskunde en Gezondheidswetenschappen van de Erasmus Universiteit Rotterdam. De vakgroep maakt deel uit van het Medisch Genetisch centrum Zuid-West Nederland. Het onderzoek is financieel ondersteund door de Nederlandse Organisatie voor Wetenschap- pelijk Onderzoek via het Research Institute for Diseases of the Elderly, the National Institutes of Health, the National Institute of Environmental Health Sciences, de Stichting Koningin Wilhelmina Fonds voor de Nederlandse Kankerbestrijding en de Europese Commissie. Bijdragen in de drukkosten zijn verkregen van de Erasmus Universiteit Rotterdam, de Neder- landse Paget patiënten vereniging en DNage BV, Leiden. Bone Aging in DNA Repair Deficient Trichothiodystrophy Mice Botveroudering in trichothiodystrophy muizen met een defect in DNA schadeherstel Proefschrift ter verkrijging van de graad van doctor aan de Erasmus Universiteit Rotterdam op gezag van de rector magnificus Prof.dr. H.G. Schmidt en volgens besluit van het College voor Promoties. De openbare verdediging zal plaatsvinden op woensdag 6 januari 2010 om 13.30 uur door Karin Elin Maria Diderich geboren te Rotterdam Promotiecommissie Promotoren: Prof.dr. J.H.J. Hoeijmakers Prof.dr. G.T.J. van der Horst Prof.dr. J.P.T.M. van Leeuwen Overige leden: Prof.dr. H. van Steeg Prof.dr.ir. A.P.N. Themmen Prof.dr.ir. H. Weinans “Als mijn proefschrift klaar is, zal er met geen woord gewag worden gemaakt van ontvelde schouders, geschaafde knieën, de beukende hoofdpijn, de muggen en de vleesetende vliegen.’’ Uit ‘’Nooit meer slapen’’ van Willem Frederik Hermans Voor mijn moeder In memoriam Ragnhild Hellestam Prof.dr. J. Sanders-Woudstra Contents Chapter 1 Introduction 9 1 Premature aging in DNA repair deficient disorders 11 2 Trichothiodystrophy and bone aging 24 3 Bone metabolism 25 4 Scope of this thesis 37 Chapter 2 Osteoporosis and decline in stem cells in prematurely aging DNA 51 repair deficient trichothiodystrophy mice Chapter 3 Age-related skeletal dynamics in DNA repair deficient male 75 trichothiodystrophy mice Chapter 4 Increased bone mass in vertebrae of DNA repair deficient 93 trichothiodystrophy mice strongly resembling patients Chapter 5 Endocrine parameters in relation to accelerated bone loss in 107 prematurely aging DNA repair deficient trichothiodystrophy mice Chapter 6 Concluding remarks and future perspectives 133 Summary/ Samenvatting 141 Appendix I Accelerated aging pathology in ad libitum fed XpdTTD mice is 147 accompanied by features suggestive of caloric restriction Appendix II Dysregulation of the peroxisome proliferator-activated receptor 169 target genes by XPD mutations Appendix III Impaired Genome Maintenance Suppresses the GH/IGF1 Axis in 195 Cockayne Syndrome Mice Curriculum vitae 231 Dankwoord 237 Colour figures 241 Chapter 1 Chapter 1 Chapter 1 Introduction Introduction 1 Premature aging in DNA repair deficient disorders 1.1.1 DNA damage Our genome is continuously damaged by environmental, endogenous agents as well as by the instrinsic instability of DNA. For example, UV light gives rise to helix-distorting cyclobu- tane pyrimidine dimers (CPDs) and pyrimidine-(6,4)-pyrimidone adducts (6-4PPs). Ionizing radiation can cause both single and double strand breaks in DNA and numerous types of oxi- dative lesions. Chemotherapeutics, that are used in cancer therapy, and other environmental chemical agents, which are present in e.g. polluted air and tobacco smoke, induce a plethora of DNA lesions, including intra- and inter-strand cross-links and mono-adducts. In addition, endogenous agents cause a wide variety of DNA lesions. Metabolic processes within our cells lead to reactive oxygen species (ROS), which react with proteins, lipids and DNA. Although ROS participate in beneficial physiological processes as growth factor signal transduction (1), these by-products of metabolism also underlie a broad spectrum of oxidative DNA lesions, including 8-oxo-2’-deoxyguanosine (8-oxodG), thymine glycols, cylcopurines, as well as single and double strand breaks (2). Finally, lesions in the DNA can also form without a direct damaging agent. E.g. spontaneous hydrolysis or modifications of nucleotides occurs in cells, which leaves non-informative a-basic sites or altered, miscoding nucleotides (3). 1.1.2 Consequences of DNA damage Lesions in DNA have immediate effects on cell function as well as long-term consequences. For instance, DNA lesions will interfere with transcription and replication (4,5). This causes dysfunctioning of cells and -depending on the damage load- will lead to cell cycle arrest or programmed cell death (apoptosis) (6). Apoptosis is a way of eliminating cells that are at risk of malignant transformation. In addition to apoptosis, cellular senescence, i.e. limited growth potential followed by growth arrest, can neutralize potentially malignant cells (7). De Waard and co-workers found that different cell types exhibit different responses to DNA damage (8). For instance, pluripotent embryonic stem cells show increased apoptosis after treatment with several types of DNA damaging agents compared to differentiated keratinocytes (8). Persistent DNA lesions that are misinterpreted by the replication machinery, result in the induction of mutations. These mutations, as well as other changes in the DNA that result from genome instability or miss-segregation (rearrangements, deletions, insertions, loss of heterozygosity and numerical aberrations), can on the long-term give rise to cancer or inborn diseases. Furthermore, cellular dysfunction or depletion of proliferative capacity of cells by senescence or apoptosis can contribute to aging (9,10). These processes lead to compromised tissue homeostasis, most likely through diminished self-renewal or altered tissue structure 11 Chapter 1 (11). For example, cells that are lost via apoptosis might be replaced by progenitors and in time this may exhaust the regenerative capacity of a tissue. 1.2.1 Repair mechanisms To counteract the deleterious effects of DNA damage, the cell is equipped with a wide variety of genome caretaking mechanisms (12,13) (Figure 1). On the one hand, a transient block in the cell cycle can provide an extended time window for repair to take place (14). Various DNA repair machineries exist to repair the different DNA lesions (reviewed by (12,13)). On the other hand, cells with persisting DNA damage may bypass DNA damage during replication at the risk of mutation induction. This process is called trans-lesion synthesis and involves several polymerases that are more or less error-prone (15-17). Nucleotide excision repair (NER), which is discussed in more detail below, functions by a ‘cut and patch’-like mechanism, in which damage recognition, opening of the DNA helix around the lesion, damage excision, and gap-filling are the successive steps (reviewed by (12,18,19)). This repair mechanism can remove numerous types of helix-distorting and bulky lesions. Damaging agent Oxygen radicals Ionizing radiation Antitumor agents UV-light Replication errors Alkylating agents (MMC, cis-Pt) Polycyclic aromatic Spontaneous hydrocarbons T U T T G C T A G* G G T Uracil Double-strand Interstrand 6-4 PP A-G mismatch Abasic site break crosslink CPD T-C mismatch 8-oxodG Bulky adduct Insertion Single strand break deletion BER DSB repair Crosslink NER Mismatch (HR, NHEJ) repair repair Repair process Figure 1: DNA lesions and repair mechanisms. At the top of the figure, examples of common DNA damaging agents are depicted. As indicated by the arrows, many DNA damage inducing agents produce a spectrum of different (classes of) lesions. Oppositely, different DNA damaging agents can cause similar DNA lesions. The middle part of the figure shows the DNA helix, with several DNA lesions, as depicted under the figure. The lower part of the figure shows the various repair pathways that cells use to remove these lesions (adapted from de Boer et al., Carcinogenesis 2000). 12 Figure 1 Introduction Base excision repair (BER) is another ‘cut and patch’-like mechanism that involves the con- certed interplay of different specialized proteins. A battery of glycosylases with overlapping lesion specificity recognize and remove the lesions from the DNA. These different glycosyl- ases allow BER to remove a wide variety of (non helix-distorting) nucleotide modifications (reviewed by (20,21)). As BER removes base adducts from ROS, methylation, deamination, and hydroxylation, it is considered as the main guardian against DNA lesions caused by cel- lular metabolism. Mismatch repair is a ‘cut and patch’-like mechanism that removes single base-base mis- matches and small insertion/deletion loops caused by erroneous base incorporation, and slippage of DNA polymerases during replication or recombination (reviewed by (22)). As such it prevents the accumulation of these mutagenic lesions and is important in the prevention of cancer. This is illustrated by the fact that mutations in mismatch repair genes cause Lynch syndrome (previously called hereditary non-polyposis colorectal cancer or HNPCC) (23). Double strand breaks (DSBs) are deleterious lesions that arise from ionizing radiation, free radicals or chemicals, or are formed during replication of
Recommended publications
  • Open Full Page
    CCR PEDIATRIC ONCOLOGY SERIES CCR Pediatric Oncology Series Recommendations for Childhood Cancer Screening and Surveillance in DNA Repair Disorders Michael F. Walsh1, Vivian Y. Chang2, Wendy K. Kohlmann3, Hamish S. Scott4, Christopher Cunniff5, Franck Bourdeaut6, Jan J. Molenaar7, Christopher C. Porter8, John T. Sandlund9, Sharon E. Plon10, Lisa L. Wang10, and Sharon A. Savage11 Abstract DNA repair syndromes are heterogeneous disorders caused by around the world to discuss and develop cancer surveillance pathogenic variants in genes encoding proteins key in DNA guidelines for children with cancer-prone disorders. Herein, replication and/or the cellular response to DNA damage. The we focus on the more common of the rare DNA repair dis- majority of these syndromes are inherited in an autosomal- orders: ataxia telangiectasia, Bloom syndrome, Fanconi ane- recessive manner, but autosomal-dominant and X-linked reces- mia, dyskeratosis congenita, Nijmegen breakage syndrome, sive disorders also exist. The clinical features of patients with DNA Rothmund–Thomson syndrome, and Xeroderma pigmento- repair syndromes are highly varied and dependent on the under- sum. Dedicated syndrome registries and a combination of lying genetic cause. Notably, all patients have elevated risks of basic science and clinical research have led to important in- syndrome-associated cancers, and many of these cancers present sights into the underlying biology of these disorders. Given the in childhood. Although it is clear that the risk of cancer is rarity of these disorders, it is recommended that centralized increased, there are limited data defining the true incidence of centers of excellence be involved directly or through consulta- cancer and almost no evidence-based approaches to cancer tion in caring for patients with heritable DNA repair syn- surveillance in patients with DNA repair disorders.
    [Show full text]
  • CCR PEDIATRIC ONCOLOGY SERIES CCR Pediatric Oncology Series Recommendations for Surveillance for Children with Leukemia-Predisposing Conditions Christopher C
    CCR PEDIATRIC ONCOLOGY SERIES CCR Pediatric Oncology Series Recommendations for Surveillance for Children with Leukemia-Predisposing Conditions Christopher C. Porter1, Todd E. Druley2, Ayelet Erez3, Roland P. Kuiper4, Kenan Onel5, Joshua D. Schiffman6, Kami Wolfe Schneider7, Sarah R. Scollon8, Hamish S. Scott9, Louise C. Strong10, Michael F. Walsh11, and Kim E. Nichols12 Abstract Leukemia, the most common childhood cancer, has long been patients. The panel recognized that for several conditions, recognized to occasionally run in families. The first clues about routine monitoring with complete blood counts and bone the genetic mechanisms underlying familial leukemia emerged marrow evaluations is essential to identify disease evolution in 1990 when Li-Fraumeni syndrome was linked to TP53 muta- and enable early intervention with allogeneic hematopoietic tions. Since this discovery, many other genes associated with stem cell transplantation. However, for others, less intensive hereditary predisposition to leukemia have been identified. surveillance may be considered. Because few reports describ- Although several of these disorders also predispose individuals ing the efficacy of surveillance exist, the recommendations to solid tumors, certain conditions exist in which individuals are derived by this panel are based on opinion, and local expe- specifically at increased risk to develop myelodysplastic syn- rience and will need to be revised over time. The development drome (MDS) and/or acute leukemia. The increasing identifica- of registries and clinical trials is urgently needed to enhance tion of affected individuals and families has raised questions understanding of the natural history of the leukemia-predis- around the efficacy, timing, and optimal methods of surveil- posing conditions, such that these surveillance recommenda- lance.
    [Show full text]
  • Disease Reference Book
    The Counsyl Foresight™ Carrier Screen 180 Kimball Way | South San Francisco, CA 94080 www.counsyl.com | [email protected] | (888) COUNSYL The Counsyl Foresight Carrier Screen - Disease Reference Book 11-beta-hydroxylase-deficient Congenital Adrenal Hyperplasia .................................................................................................................................................................................... 8 21-hydroxylase-deficient Congenital Adrenal Hyperplasia ...........................................................................................................................................................................................10 6-pyruvoyl-tetrahydropterin Synthase Deficiency ..........................................................................................................................................................................................................12 ABCC8-related Hyperinsulinism........................................................................................................................................................................................................................................ 14 Adenosine Deaminase Deficiency .................................................................................................................................................................................................................................... 16 Alpha Thalassemia.............................................................................................................................................................................................................................................................
    [Show full text]
  • Blueprint Genetics Bone Marrow Failure Syndrome Panel
    Bone Marrow Failure Syndrome Panel Test code: HE0801 Is a 135 gene panel that includes assessment of non-coding variants. Is ideal for patients with a clinical suspicion of inherited bone marrow failure syndromes. The genes on this panel are included in the Comprehensive Hematology Panel. About Bone Marrow Failure Syndrome Inherited bone marrow failure syndromes (IBMFS) are a diverse set of genetic disorders characterized by the inability of the bone marrow to produce sufficient circulating blood cells. Bone marrow failure can affect all blood cell lineages causing clinical symptoms similar to aplastic anemia, or be restricted to one or two blood cell lineages. The clinical presentation may include thrombocytopenia or neutropenia. Hematological manifestations may be accompanied by physical features such as short stature and abnormal skin pigmentation in Fanconi anemia and dystrophic nails, lacy reticular pigmentation and oral leukoplakia in dyskeratosis congenita. Patients with IBMFS have an increased risk of developing cancer—either hematological or solid tumors. Early and correct disease recognition is important for management and surveillance of the diseases. Currently, accurate genetic diagnosis is essential to confirm the clinical diagnosis. The most common phenotypes that are covered by the panel are Fanconi anemia, Diamond-Blackfan anemia, dyskeratosis congenita, Shwachman-Diamond syndrome and WAS-related disorders. Availability 4 weeks Gene Set Description Genes in the Bone Marrow Failure Syndrome Panel and their clinical significance
    [Show full text]
  • Pediatric Photosensitivity Disorders Dr
    FAST FACTS FOR BOARD REVIEW Series Editor: William W. Huang,MD,MPH W. Series Editor:William Swetha N.Pathak,MD;JacquelineDeLuca,MD Pediatric PhotosensitivityDisorders Table 1. Pediatric Photosensitivity Disorders Disease Pathophysiology Clinical Features Management/Prognosis Other/Pearls Actinic prurigo Strong association Pruritic crusted papules Phototesting: lesions Native Americans, (hydroa aestivale, with HLA-DR4 and nodules in both provoked by UVA or UVB; especially mestizos; Hutchinson (HLA-DRB1*0401/0407); sun-exposed and less spontaneous resolution hardening does not summer prurigo) may be a persistent frequently nonexposed may occur during late occur; histopathology: variant of PMLE sites (ie, buttocks); heal adolescence; may follow dermal perivascular (delayed-type with scarring; mucosal a chronic course that mononuclear cell hypersensitivity) and conjunctival persists in adulthood; infiltrate, lacks papillary from UVA or UVB involvement, with cheilitis photoprotection; topical dermal edema, can see often an initial or only corticosteroids and lymphoid follicles feature; worse in summer topical tacrolimus; from lip biopsies; but can extend to winter NB-UVB or PUVA; occurs hours to cyclosporine or days following azathioprine; thalidomide sun exposure (treatment of choice) for (vs solar urticaria) resistant disease noconflictofinterest. The authorsreport Long Beach,California. Center, LaserSkinCare DeLucaisfrom Dr. North Carolina. Winston-Salem, University, Forest Wake Pathakisfrom Dr. Bloom syndrome AR; BLM (encodes Malar telangiectatic
    [Show full text]
  • Natural Gene Therapy May Occur in All Patients with Generalized Non-Herlitz Junctional Epidermolysis Bullosa with COL17A1 Mutations Anna M.G
    CORE Metadata, citation and similar papers at core.ac.uk Provided by Elsevier - Publisher Connector ORIGINAL ARTICLE Natural Gene Therapy May Occur in All Patients with Generalized Non-Herlitz Junctional Epidermolysis Bullosa with COL17A1 Mutations Anna M.G. Pasmooij1, Miranda Nijenhuis1, Renske Brander1 and Marcel F. Jonkman1 Mutations in the type XVII collagen gene (COL17A1) result in the blistering disorder non-Herlitz junctional epidermolysis bullosa (JEB-nH). The incidence of revertant mosaicism, also called ‘‘natural gene therapy’’, was identified in a cohort of 14 patients with JEB-nH caused by COL17A1 mutations in the Netherlands. Five different in vivo reversions, all correcting the germ-line COL17A1 mutation c.2237delG in exon 30, were found in four mosaic JEB-nH patients. The correcting DNA changes involved a wide variety of somatic mutations, from which an indel mutation (c.2228-101_2263 þ 70delins15) and a large deletion of 2,165 base pairs (c.2227 þ 153_2336- 318del) have not been previously observed in patients with revertant mosaicism. Our results show that there is no preference for a repair mechanism. Moreover, revertant mosaicism was confirmed on a DNA level in 6 out of 10 generalized JEB-nH patients. Further, photo-material and clinical history of the other four generalized JEB-nH patients demonstrated that each patient has revertant skin patches. In contrast, revertant mosaicism was not detected in the four localized JEB-nH patients. The fact that so many, if not all, generalized JEB-nH COL17A1 patients have revertant patches offers opportunities for cell therapies in which the patient’s own naturally corrected cells are used as a source.
    [Show full text]
  • Nationwide Survey of Baller‑Gerold Syndrome in Japanese Population
    3222 MOLECULAR MEDICINE REPORTS 15: 3222-3224, 2017 Nationwide survey of Baller‑Gerold syndrome in Japanese population HIDEO KANEKO1, RIE IZUMI2, HIROTSUGU ODA3, OSAMU OHARA4, KIYOKO SAMESHIMA5, HIDENORI OHNISHI6, TOSHIYUKI FUKAO6 and MICHINORI FUNATO1 1Department of Clinical Research, National Hospital Organization Nagara Medical Center, Gifu 502-8558; 2Niigata Prefecture Hamagumi Medical Rehabilitation Center for Children, Niigata 951-8121; 3Laboratory for Integrative Genomics, RIKEN Center for Integrative Medical Sciences (RIKEN‑IMS), Yokohama, Kanagawa 230-0045; 4Department of Technology Development, Kazusa DNA Research Institute, Kisarazu, Chiba 292-0818; 5Division of Medical Genetics, Gunma Children's Medical Center, Shibukawa, Gunma 377‑8577; 6Department of Pediatrics, Graduate School of Medicine, Gifu University, Gifu 501-1194, Japan Received July 19, 2016; Accepted March 10, 2017 DOI: 10.3892/mmr.2017.6408 Abstract. Baller-Gerold syndrome (BGS) is a rare autosomal mutations of the RECQL4 gene causes Rothmund-Thomson genetic disorder characterized by radial aplasia/hypoplasia syndrome (3,4). and craniosynostosis. The causative gene for BGS encodes However, mutations in the RECQL4 gene have been associ- RECQL4, which belongs to the RecQ helicase family. To ated with two other recessive disorders: One is RAPADILINO understand BGS patients in Japan, a nationwide survey was syndrome (OMIM 266280) which is characterized by radial conducted, which identified 2 families and 3 patients affected hypoplasia, patella hypoplasia and arched plate, diarrhoea and by the syndrome. All the three patients showed radial defects dislocated joints, little size and limb malformation, slender and craniosynostosis. In one patient who showed a dislocated nose and normal intelligence (4). The other is Baller-Gerold joint of the hip and flexion contracture of both the elbow syndrome (BGS) (OMIM 218600) characterized by radial joints and wrists at birth, a homozygous large deletion in the aplasia/hypoplasia and craniosynostosis (5).
    [Show full text]
  • Table I. Genodermatoses with Known Gene Defects 92 Pulkkinen
    92 Pulkkinen, Ringpfeil, and Uitto JAM ACAD DERMATOL JULY 2002 Table I. Genodermatoses with known gene defects Reference Disease Mutated gene* Affected protein/function No.† Epidermal fragility disorders DEB COL7A1 Type VII collagen 6 Junctional EB LAMA3, LAMB3, ␣3, ␤3, and ␥2 chains of laminin 5, 6 LAMC2, COL17A1 type XVII collagen EB with pyloric atresia ITGA6, ITGB4 ␣6␤4 Integrin 6 EB with muscular dystrophy PLEC1 Plectin 6 EB simplex KRT5, KRT14 Keratins 5 and 14 46 Ectodermal dysplasia with skin fragility PKP1 Plakophilin 1 47 Hailey-Hailey disease ATP2C1 ATP-dependent calcium transporter 13 Keratinization disorders Epidermolytic hyperkeratosis KRT1, KRT10 Keratins 1 and 10 46 Ichthyosis hystrix KRT1 Keratin 1 48 Epidermolytic PPK KRT9 Keratin 9 46 Nonepidermolytic PPK KRT1, KRT16 Keratins 1 and 16 46 Ichthyosis bullosa of Siemens KRT2e Keratin 2e 46 Pachyonychia congenita, types 1 and 2 KRT6a, KRT6b, KRT16, Keratins 6a, 6b, 16, and 17 46 KRT17 White sponge naevus KRT4, KRT13 Keratins 4 and 13 46 X-linked recessive ichthyosis STS Steroid sulfatase 49 Lamellar ichthyosis TGM1 Transglutaminase 1 50 Mutilating keratoderma with ichthyosis LOR Loricrin 10 Vohwinkel’s syndrome GJB2 Connexin 26 12 PPK with deafness GJB2 Connexin 26 12 Erythrokeratodermia variabilis GJB3, GJB4 Connexins 31 and 30.3 12 Darier disease ATP2A2 ATP-dependent calcium 14 transporter Striate PPK DSP, DSG1 Desmoplakin, desmoglein 1 51, 52 Conradi-Hu¨nermann-Happle syndrome EBP Delta 8-delta 7 sterol isomerase 53 (emopamil binding protein) Mal de Meleda ARS SLURP-1
    [Show full text]
  • A Young Diabetic Case with Bloom Syndrome a Case of Dyskeratosis
    J Clin Res Pediatr Endocrinol 2015;7(Suppl 2):77-92 A Young Diabetic Case with Bloom Syndrome A Case of Dyskeratosis Congenita Associated with Hypothyroidism and Hypogonadism Nilüfer Özdemir Kutbay1, Banu Şarer Yürekli1, Mehmet Erdoğan1, Şevki Çetinkalp1, Nilüfer Özdemir Kutbay1, Zehra Erdemir2, Özgür Çoğulu2, A. Gökhan Özgen1, Banu Şarer Yürekli1, Emin Karaca3, L. Füsun Saygılı1 Mehmet Erdoğan1, Şevki Çetinkalp1, Gülşen Kandiloğlu4, A. Gökhan Özgen1, 1Ege University Faculty of Medicine, Department of Ferda Özkınay3, L. Füsun Saygılı1 Endocrinology, İzmir, Turkey 1Ege University Faculty of Medicine, Department of 2Ege University Faculty of Medicine, Department of Medical Endocrinology, İzmir, Turkey Genetics, İzmir, Turkey 2Ege University Faculty of Medicine, Department of Internal Medicine, İzmir, Turkey Bloom syndrome (BS) is a rare autosomal recessive 3Ege University Faculty of Medicine, Department of Medical disorder characterized by short stature, telangiectasias, Genetics, İzmir, Turkey and a rash on the face triggered by the sun. Other clinical 4Ege University Faculty of Medicine, Department of Pathology, features include immune deficiency and predisposition to İzmir, Turkey the development of cancer and diabetes. We present this Dyskeratosis congenital (DC) is a rare multisystemic case as the diabetic BS is rare. disease characterized by skin atrophy, pigmentation, nail Case: A 20-year-old male patient who had diabetes dystrophy, leukoplakia in mucous membrane, bone marrow for 3 years was admitted. The patient had complaints of failure, and tendency to malignancy. We present a rare case rash on sun-exposed parts of the body such as cheeks of DC associated with hypothyroidism and hypogonadism. and arms since he was 2 years old. In his medical history, Case: A 30-year-old male patient was referred to us with he was found to be followed up for growth failure.
    [Show full text]
  • Oral Manifestation of Genodermatoses L
    Journal of Medicine, Radiology, Pathology & Surgery (2017), 4, 22–27 NARRATIVE REVIEW Oral manifestation of genodermatoses L. Kavya, S. Vandana, Swetha Paulose, Vishwanath Rangdhol, W. John Baliah, T. Dhanraj Department of Oral Medicine and Radiology, Indira Gandhi Institute of Dental Sciences, Pudhucherry, India Keywords Abstract Genodermatoses, mutation, oral Genodermatoses are inherited dermatological disorders associated with the structure manifestation and functions of skin and its appendages. Several genodermatoses presenting with Correspondence multisystem involvement lead to increased morbidity and mortality. Dermatological Dr. L. Kavya, Department of Oral Medicine and diseases, besides including the skin and its supplements may also involve the oral cavity, Radiology, Indira Gandhi Institute of Dental which deserves special attention considering that they may be the only presenting sign Sciences, Pudhucherry, India. of these disorders. The important aspect to be noted about these disorders is the rarity Phone: +91-9442902745. of the conditions and lack of awareness among the population which are the major E-mail: [email protected] drawbacks in the early diagnosis and prompt management of these diseases. This review intends to outline various genodermatoses with their characteristic oral manifestations. Received: 11 April 2017; Accepted: 15 May 2017 doi: 10.15713/ins.jmrps.97 Introduction hence, it is simplified under three classifications based on its distinct features. Genodermatoses or genetic diseases are a group of inherited According to William et al. 2005:[3] skin disorders with a collection of cutaneous and systemic signs 1. Chromosomal and symptoms. In the oral cavity, a wide spectrum of diseases 2. Single gene occurs due to genetic modifications ranging from developmental 3.
    [Show full text]
  • Bloom Syndrome
    Bloom syndrome What is Bloom syndrome? Bloom syndrome is an inherited disease characterized by short stature, sun-sensitivity, and increased risk of cancer. Cancer is caused by the instability of DNA during cell division and the inability of the body to repair damaged DNA. Symptoms associated with Bloom syndrome are the result of unrepaired gaps and breaks in the genetic material, which impairs normal cell functions.1 Bloom syndrome is also known as Bloom-Torre-Mackacek syndrome and congenital telangiectatic erythema.2 What are the symptoms of Bloom syndrome and what treatment is available? The symptoms of Bloom syndrome may include:3 • Prenatal and postnatal growth deficiency, which may be the only symptom apparent at birth, and short stature in all stages of life • Feeding difficulties in infancy • Gastrointestinal reflux, which may contribute to repeated lung and ear infections • Red (butterfly-shaped) rash that appears after sun exposure, typically on the face and less often, on the hands, and forearms • Immunodeficiency • Learning problems • Infertility in males and early menopause in females • Serious medical complications that appear at unusually early ages, including chronic obstructive pulmonary disease and diabetes mellitus • Increased risk of multiple cancers at an early age (average age of diagnosis 26.6 years, range (<1-49) There is no cure for Bloom syndrome at this time. Lifespan may be shortened, most commonly by cancer, but survival to the teens or 20’s is expected. Preventative management is important, such as avoiding sun exposure and having regular cancer screening from a young age. Treatment focuses on managing symptoms, preventing secondary complications, and surveillance.3 How is Bloom syndrome inherited? Bloom syndrome is an autosomal-recessive disease caused by mutations in the BLM gene.1 An individual who inherits one BLM mutation is a carrier and is not expected to have related health problems.
    [Show full text]
  • DNA Repair Disorders
    178 Arch Dis Child 1998;78:178–184 REGULAR REVIEW Arch Dis Child: first published as 10.1136/adc.78.2.178 on 1 February 1998. Downloaded from DNA repair disorders C GeoVrey Woods Over the past 30 years a number of rare DNA Exogenous DNA mutants have been classi- repair disorder phenotypes have been deline- cally divided into ultraviolet irradiation, ionis- ated, for example Bloom’s syndrome, ataxia ing irradiation, and alkylating agents. telangiectasia, and Fanconi’s anaemia. In each Ultraviolet irradiation and alkylating agents phenotype it was hypothesised that the under- can cause a number of specific base changes, as lying defect was an inability to repair a particu- well as cross linking bases together. Ionising lar type of DNA damage. For some of these irradiation is thought to generate the majority disorders this hypothesis was supported by of its mutational load by free radical produc- cytogenetics studies using DNA damaging tion. A wide variety of other DNA damaging agents, these tests defined the so-called chro- agents, both natural and man made, are mosome breakage syndromes. A number of the known, many are used as chemotherapeutic aetiological genes have recently been cloned, agents. confirming that some DNA repair disorder phenotypes can be caused by more than one DNA repair gene and vice versa. This review deals only with The DNA double helix seems to have evolved the more common DNA repair disorders. so that mutations, even as small as individual Rarer entities, such as Rothmund-Thomson base damage, are easily recognised. Such syndrome and dyskeratosis congenita, are recognition is usually by a change to the physi- excluded.
    [Show full text]