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Change of the clinical picture with aging is noted in some patients suffering from junctional epidermolysis bullosa (JEB), an inherited blistering disorder caused by extensive disadhesion of the epithelia. We have studied a patient born with severe JEB associated with absent expression of laminin 5. A remarkable reduction of the blistering tendency was observed with aging that correlated with a restored expression of immunoreactive laminin 5 molecules. Genetic analysis of the gene LAMB3 detected compound heterozygosity for the nonsense mutation R635X and a novel 2 bp deletion (1587delAG) resulting in a downstream premature termination codon. RT–PCR amplification of total RNA purified from skin biopsies demonstrated that the mutated β3 mRNAs underwent rapid decay shortly after birth, and that illegitimate splicing of the mRNA carrying mutation 1587delAG generated a new internally shortened β3 transcript with advancing age. Our genetic and biochemical data show that (i) the illegitimate splicing of the β3 pre-mRNA results in synthesis and secretion of a laminin 5 heterotrimer with an internally deleted β3 polypeptide, (ii) expression of the mutated β3 polypeptide is up-regulated in the basal keratinocytes with high proliferative potential, (iii) absence of the N-terminal region of the β3 rod domain II thought to stabilize the tertiary structure of the laminin 5 is not required for the assembly of the protein and (iv) the mutant laminin 5 retains its adhesive potential. Our results demonstrate that mRNA rescue may underlie the evolution of the clinical phenotype in inherited skin conditions. Received July 2, 2001; Revised and Accepted August 8, 2001. « Previous | Next Article » Table of Contents This Article Hum. Mol. Genet. (2001) 10 (21): 2453-2461. doi: 10.1093/hmg/10.21.2453 » Abstract Free Full Text (HTML) Free Full Text (PDF) Free Classifications Report Services Article metrics Alert me when cited Alert me if corrected Find similar articles Similar articles in Web of Science Similar articles in PubMed Add to my archive Download citation Request Permissions Citing Articles Load citing article information Citing articles via CrossRef Citing articles via Scopus Citing articles via Web of Science Citing articles via Google Scholar Google Scholar Articles by Gache, Y. Articles by Meneguzzi, G. Search for related content PubMed PubMed citation Articles by Gache, Y. Articles by Allegra, M. Articles by Bodemer, C. Articles by Pisani-Spadafora, A. Articles by de Prost, Y. Articles by Ortonne, J. P. Articles by Meneguzzi, G. Related Content Load related web page information Share Email this article CiteULike Delicious Facebook Google+ Mendeley Twitter What's this? 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Human Molecular Genetics – Oxford University Press
Published: Oct 2, 2001
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