PMID- 29689068 OWN - NLM STAT- MEDLINE DCOM- 20180720 LR - 20210109 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 13 IP - 4 DP - 2018 TI - Role of the keratin 1 and keratin 10 tails in the pathogenesis of ichthyosis hystrix of Curth Macklin. PG - e0195792 LID - 10.1371/journal.pone.0195792 [doi] LID - e0195792 AB - Ichthyosis Hystrix of Curth-Macklin (IH-CM) is a rare manifestation of epidermolytic ichthyosis (EI) that is characterised by generalised spiky or verrucous hyperkeratosis. The disorder is further distinguished by the presence of binucleated cells in the affected skin, whereas epidermolysis and clumping of tonofilaments, as seen in EI, are absent. While IH-CM is associated with mutations in the keratin 1 (KRT1) gene, reports to date have indicated that mutations in the KRT1 gene result in an aberrant and truncated protein tail, essentially affecting the function of the V2 domain. Here, we studied a female sporadic patient who was born with diffused erythrodermic hyperkeratosis and who presented at the age of 13 months with an intense and widespread hyperkeratosis with a papillomatous appearance and typical palmoplantar keratoderma. Genetic analysis demonstrated a "de novo" mutation in the keratin 10 gene (KRT10) consisting of a three-base-pair deletion, resulting in the substitution of amino acids p.Glu445 and p.Ile446 by Asp at the end of the 2B domain of the protein. We performed structural and functional studies showing that this mutation modifies the structure of the paired 2B and V2 K1/10 domains, leading to the disease phenotype. Our results highlight the importance and complexity of the KRT1/10 V2 domain in keratin dimer formation and the potential consequences of its alteration. FAU - Terrinoni, Alessandro AU - Terrinoni A AUID- ORCID: 0000-0002-7442-2252 AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. FAU - Didona, Biagio AU - Didona B AD - Center of Dermatological Rare Diseases, IDI-IRCCS, Via dei Monti di Creta, Rome Italy. FAU - Caporali, Sabrina AU - Caporali S AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. FAU - Chillemi, Giovanni AU - Chillemi G AD - SCAI SuperComputing Applications and Innovation Department, Cineca, Via dei Tizii 6, Rome, Italy. FAU - Lo Surdo, Alessandro AU - Lo Surdo A AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. FAU - Paradisi, Mauro AU - Paradisi M AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. FAU - Annichiarico-Petruzzelli, Margherita AU - Annichiarico-Petruzzelli M AUID- ORCID: 0000-0002-4717-4740 AD - Biochemistry Laboratory, IDI-IRCCS, via Monti di Creta, Rome, Italy. FAU - Candi, Eleonora AU - Candi E AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. AD - Biochemistry Laboratory, IDI-IRCCS, via Monti di Creta, Rome, Italy. FAU - Bernardini, Sergio AU - Bernardini S AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. FAU - Melino, Gerry AU - Melino G AUID- ORCID: 0000-0001-9428-5972 AD - Department of Experimental Medicine and Biochemical Sciences, University of Rome "Tor Vergata", Rome, Italy. LA - eng GR - MC_U132670600/MRC_/Medical Research Council/United Kingdom GR - MC_UU_00025/2/MRC_/Medical Research Council/United Kingdom PT - Case Reports PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180424 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (KRT1 protein, human) RN - 0 (KRT10 protein, human) RN - 0 (Keratin-1) RN - 147785-83-9 (Keratin-10) RN - Ichthyosis hystrix, Curth Macklin type SB - IM MH - *Amino Acid Substitution MH - Dermatitis, Seborrheic/*genetics MH - Female MH - Humans MH - Ichthyosis/*genetics MH - Infant MH - Keratin-1/chemistry/*genetics MH - Keratin-10/chemistry/*genetics MH - Models, Molecular MH - Protein Conformation MH - Protein Domains PMC - PMC5918167 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2018/04/25 06:00 MHDA- 2018/07/22 06:00 PMCR- 2018/04/24 CRDT- 2018/04/25 06:00 PHST- 2017/07/17 00:00 [received] PHST- 2018/03/29 00:00 [accepted] PHST- 2018/04/25 06:00 [entrez] PHST- 2018/04/25 06:00 [pubmed] PHST- 2018/07/22 06:00 [medline] PHST- 2018/04/24 00:00 [pmc-release] AID - PONE-D-17-26735 [pii] AID - 10.1371/journal.pone.0195792 [doi] PST - epublish SO - PLoS One. 2018 Apr 24;13(4):e0195792. doi: 10.1371/journal.pone.0195792. eCollection 2018.