Ann Dermatol.  2020 Jun;32(3):237-242. 10.5021/ad.2020.32.3.237.

Novel Mutation of the NCSTN Gene Identified in a Chinese Acne Inversa Family

Affiliations
  • 1Department of Dermatology of First Affiliated Hospital, Anhui Medical University, China
  • 2Key Laboratory of Dermatology, Ministry of Education, Anhui Medical University, China
  • 3Anhui Province Key Laboratory of Major Autoimmune Disease, Hefei, China
  • 4Department of Dermatology, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China

Abstract

Acne inversa is a chronic inflammatory follicular disease with autosomal dominant inheritance. In recent years, many functional mutations in the NCSTN genes have been identified as the cause of familial acne inversa. Herein, we recruited four patients and seven unaffected individuals from a Chinese family and performed Sanger sequencing of the NCSTN gene. One novel frameshift mutation, c.450_459del (p.Ser 151GlnfsX48), was identified in exon 5 of the NCSTN gene. Three normal-looking children carrying the mutation were proven to be patients. We also presented a literature review from previous studies of acne inversa, suggesting that NCSTN is a hotspot gene for acne inversa. Most affected individuals experienced onset in adolescence. We confirmed the diagnosis in this family based on the mutation. This finding will help expound the relationship between the NCSTN gene and the pathogenesis of acne inversa and emphasize the value of genetic diagnosis in monogenic disorder.

Keyword

Chinese patients; Hidradenitis suppurativa; Mutation analysis; NCSTN gene
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