PMID- 20130896 OWN - NLM STAT- MEDLINE DCOM- 20100920 LR - 20220317 IS - 1432-069X (Electronic) IS - 0340-3696 (Linking) VI - 302 IP - 5 DP - 2010 Jul TI - Genetics of keloid scarring. PG - 319-39 LID - 10.1007/s00403-009-1014-y [doi] AB - Keloid scarring, also known as keloid disease (KD), is a common, abnormally raised fibroproliferative cutaneous lesion that can occur following even minor skin trauma. The aetiopathogenesis of KD has remained an enigma todate compounded by an ill-defined clinical management. There is strong evidence suggesting a genetic susceptibility in individuals affected by KD, including familial heritability, common occurrence in twins and high prevalence in certain ethnic populations. This review aims to address the genetic aspects of KD that have been described in present literature that include inheritance patterns, linkage studies, case-control association studies, whole genome gene expression microarray studies and gene pathways that were significant in KD. In addition to our clinical and scientific background in KD, we used search engines, Scopus, Scirus and PubMed, which searched for key terms covering various genetic aspects of KD. Additionally, genes reported in seven whole genome gene expression microarray studies were separately compared in detail. Our findings indicate a varied inheritance pattern in KD (predominantly autosomal dominant), linkage loci (chromosomes 2q23 and 7p11), several human leukocyte antigen (HLA) alleles (HLA-DRB1*15, HLA-DQA1*0104, DQ-B1*0501 and DQB1*0503), negative candidate gene case-control association studies and at least 25 dysregulated genes reported in multiple microarray studies. The major pathways reportedly proposed to be involved in KD include apoptosis, mitogen-activated protein kinase, transforming growth factor-beta, interleukin-6 and plasminogen activator inhibitor-1. In summary, involvement of more than one gene is likely to be responsible for susceptibility to KD. A better understanding of the genes involved in KD may potentially lead to the development of more effective diagnostic, therapeutic and prognostic measures. FAU - Shih, Barbara AU - Shih B AD - Plastic and Reconstructive Surgery Research, Epithelial Sciences, School of Translational Medicine, The Manchester Interdisciplinary Biocentre (MIB), University of Manchester, 131 Princess Street, Manchester M17ND, UK. FAU - Bayat, Ardeshir AU - Bayat A LA - eng PT - Journal Article PT - Review DEP - 20100204 PL - Germany TA - Arch Dermatol Res JT - Archives of dermatological research JID - 8000462 RN - 0 (HLA Antigens) RN - 0 (Plasminogen Activator Inhibitor 1) RN - 0 (SERPINE1 protein, human) RN - 0 (Transforming Growth Factor beta) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinases) SB - IM MH - Apoptosis MH - Cicatrix/*genetics/metabolism MH - Clinical Trials as Topic MH - *Genetic Predisposition to Disease MH - Genome-Wide Association Study MH - HLA Antigens/genetics MH - Humans MH - Inheritance Patterns MH - Keloid/*genetics/metabolism MH - Mitogen-Activated Protein Kinases/genetics MH - Oligonucleotide Array Sequence Analysis MH - Plasminogen Activator Inhibitor 1/genetics MH - Polymorphism, Genetic MH - Transforming Growth Factor beta/genetics RF - 148 EDAT- 2010/02/05 06:00 MHDA- 2010/09/21 06:00 CRDT- 2010/02/05 06:00 PHST- 2009/10/27 00:00 [received] PHST- 2009/12/07 00:00 [accepted] PHST- 2009/11/30 00:00 [revised] PHST- 2010/02/05 06:00 [entrez] PHST- 2010/02/05 06:00 [pubmed] PHST- 2010/09/21 06:00 [medline] AID - 10.1007/s00403-009-1014-y [doi] PST - ppublish SO - Arch Dermatol Res. 2010 Jul;302(5):319-39. doi: 10.1007/s00403-009-1014-y. Epub 2010 Feb 4.