An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata

Background: Hidradenitis suppurativa (HS) is a complex, chronic inflammatory skin disorder whose pathophysiology is poorly understood. Genetic studies have shown that HS is predisposed by mutations in the γ-secretase gene, but only a proportion of familial and partial sporadic cases have been shown...

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Published in:Indian Journal of Dermatology
Main Authors: Uppala Ratnamala, Nayan K Jain, Devendrasinh D Jhala, Pullabatla V S. Prasad, Nazia Saiyed, Sreelatha Nair, Uppala Radhakrishna
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=2;spage=141;epage=147;aulast=Ratnamala
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author Uppala Ratnamala
Nayan K Jain
Devendrasinh D Jhala
Pullabatla V S. Prasad
Nazia Saiyed
Sreelatha Nair
Uppala Radhakrishna
author_facet Uppala Ratnamala
Nayan K Jain
Devendrasinh D Jhala
Pullabatla V S. Prasad
Nazia Saiyed
Sreelatha Nair
Uppala Radhakrishna
author_sort Uppala Ratnamala
collection DOAJ
container_title Indian Journal of Dermatology
description Background: Hidradenitis suppurativa (HS) is a complex, chronic inflammatory skin disorder whose pathophysiology is poorly understood. Genetic studies have shown that HS is predisposed by mutations in the γ-secretase gene, but only a proportion of familial and partial sporadic cases have been shown to possess such mutations. HS has high genetic heterogeneity and is thought to be triggered by a combination of genetics and environmental factors. Aims: The study aimed to investigate the genetic causes of HS in a large cohort of patients and to update the mutation spectrum of γ-secretase complex genes. Methods: We conducted mutational screening of 95 sporadic HS cases and one large family with both HS and acne conglobata (AC) to identify mutations in the coding and splice junction region of γ-secretase complex genes (nicastrin (NCSTN), presenilin 1 (PSEN1), presenilin enhancer 2 (PSENEN), and aph-1 homolog B, gamma-secretase subunit (APH1B)). Results: Our study identified a nucleotide substitution of 1876C>T in the NCSTN gene, which caused a stop codon (p.Arg626X) in the affected members of a large family with HS and AC. No pathogenic variants were detected in 95 sporadic cases of HS, indicating there is possible genetic heterogeneity. Conclusion: We report a new family with a nonsense mutation in the NCSTN gene that supports the role of the γ-secretase complex genes in HS with AC. The updated γ-secretase mutation spectrum for HS now includes 78 mutations.
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spelling doaj-art-a40394acccdd4f1eb331eb832e29ffe42025-08-19T21:46:34ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112023-01-0168214114710.4103/ijd.ijd_995_21An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobataUppala RatnamalaNayan K JainDevendrasinh D JhalaPullabatla V S. PrasadNazia SaiyedSreelatha NairUppala RadhakrishnaBackground: Hidradenitis suppurativa (HS) is a complex, chronic inflammatory skin disorder whose pathophysiology is poorly understood. Genetic studies have shown that HS is predisposed by mutations in the γ-secretase gene, but only a proportion of familial and partial sporadic cases have been shown to possess such mutations. HS has high genetic heterogeneity and is thought to be triggered by a combination of genetics and environmental factors. Aims: The study aimed to investigate the genetic causes of HS in a large cohort of patients and to update the mutation spectrum of γ-secretase complex genes. Methods: We conducted mutational screening of 95 sporadic HS cases and one large family with both HS and acne conglobata (AC) to identify mutations in the coding and splice junction region of γ-secretase complex genes (nicastrin (NCSTN), presenilin 1 (PSEN1), presenilin enhancer 2 (PSENEN), and aph-1 homolog B, gamma-secretase subunit (APH1B)). Results: Our study identified a nucleotide substitution of 1876C>T in the NCSTN gene, which caused a stop codon (p.Arg626X) in the affected members of a large family with HS and AC. No pathogenic variants were detected in 95 sporadic cases of HS, indicating there is possible genetic heterogeneity. Conclusion: We report a new family with a nonsense mutation in the NCSTN gene that supports the role of the γ-secretase complex genes in HS with AC. The updated γ-secretase mutation spectrum for HS now includes 78 mutations.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=2;spage=141;epage=147;aulast=Ratnamalachronic skin disordersgenetic heterogeneityhidradenitis suppurativancstn gene mutation
spellingShingle Uppala Ratnamala
Nayan K Jain
Devendrasinh D Jhala
Pullabatla V S. Prasad
Nazia Saiyed
Sreelatha Nair
Uppala Radhakrishna
An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata
chronic skin disorders
genetic heterogeneity
hidradenitis suppurativa
ncstn gene mutation
title An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata
title_full An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata
title_fullStr An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata
title_full_unstemmed An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata
title_short An updated mutation spectrum of the γ-secretase complex: Novel NCSTN gene mutation in an Indian family with hidradenitis suppurativa and acne conglobata
title_sort updated mutation spectrum of the γ secretase complex novel ncstn gene mutation in an indian family with hidradenitis suppurativa and acne conglobata
topic chronic skin disorders
genetic heterogeneity
hidradenitis suppurativa
ncstn gene mutation
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2023;volume=68;issue=2;spage=141;epage=147;aulast=Ratnamala
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