Department of Dermatology, Wakayama Medical University, Wakayama, Japan.
J Dermatol. 2011 Sep;38(9):900-4. doi: 10.1111/j.1346-8138.2010.01101.x. Epub 2011 Feb 1.
Woolly hair is characterized by fine and tightly curled hair. It has recently been revealed that both LPAR6 and lipase H (LIPH) mutations cause autosomal recessive woolly hair (ARWH)/hypotrichosis. This notion has provided critical evidence to the concept that LPA6 activation by LIPH-catalyzed lipid mediator lysophosphatidic acid has a key role in regulation of hair follicle development. Very recently, novel mutations in exon 6, homozygous 736T>A and compound heterozygous 736T>A and 742C>A have been identified in Japanese ARWH/hypotrichosis patients. Here, we report on siblings (a 7-year-old Japanese girl and her 5-year-old brother) both showing woolly hair. Determination of their genomic sequence showed presence of a homozygous 736T>A transition in exon 6 of the LIPH gene changing cysteine at position 246 to serine, without any mutation in the LPAR6 gene. Additionally, the same mutation was found in one out of a 100 alleles of Japanese healthy controls and identified homozygously in three out of four other Japanese sporadic cases with woolly hair. Collectively, it has been suggested that 736T>A transition is highly specific and common in ARWH/hypotrichosis of Japanese origin.
羊毛状发的特征是细软且紧密卷曲的头发。最近有研究揭示 LPAR6 和脂肪酶 H(LIPH)突变均会导致常染色体隐性羊毛状发(ARWH)/毛发稀少症。这一观点为 LIPH 催化的脂类介质溶血磷脂酸激活 LPA6 在调控毛囊发育中的关键作用提供了重要证据。最近,在日本 ARWH/毛发稀少症患者中发现了 LIPH 基因外显子 6 中的新型突变,纯合子 736T>A 和杂合子 736T>A 和 742C>A。在此,我们报告了一对(7 岁日本女孩及其 5 岁弟弟)均患有羊毛状发的兄弟姐妹。他们的基因组序列测定显示,LIPH 基因外显子 6 中的 736T>A 转换导致第 246 位的半胱氨酸突变为丝氨酸,而 LPAR6 基因无任何突变。此外,在 100 个日本健康对照者的等位基因中发现了一个相同的突变,并在另外 4 个具有羊毛状发的日本散发病例中发现了 3 个纯合突变。综上,736T>A 转换在日本来源的 ARWH/毛发稀少症中具有高度特异性和常见性。