Lu Antong, Li Kezhen, Huang Cong, Yu Bo, Zhong Weilong
Department of Dermatology, Peking University Shenzhen Hospital, Shenzhen, China.
Shenzhen Key Laboratory for Translational Medicine of Dermatology, Biomedical Research Institute, Shenzhen Peking University-The Hong Kong University of Science and Technology Medical Center, Shenzhen, China.
Front Genet. 2024 Dec 11;15:1459109. doi: 10.3389/fgene.2024.1459109. eCollection 2024.
Olmsted syndrome is characterized by symmetrically distributed, destructive, inflammatory palmoplantar keratoderma with periorificial keratotic plaques, most commonly due to gain-of-function mutations in the transient receptor potential vanilloid 3 (TRPV3) gene, which involves multiple pathological functions of the skin, such as hyperkeratosis, dermatitis, hair loss, itching, and pain. Recent studies suggest that mutations of located in different structural domains lead to cases of varying severity, suggesting a potential genotype-phenotype correlation resulting from TRPV3 gene mutations. This paper reviews the genetics and pathogenesis of Olmsted syndrome, as well as the potential management and treatment. This review will lay a foundation for further developing the individualized treatment for TRPV3-related Olmsted syndrome.
奥姆斯特德综合征的特征是掌跖角化病呈对称性分布、具有破坏性且伴有炎症,同时伴有口周角化性斑块,最常见的病因是瞬时受体电位香草酸亚型3(TRPV3)基因的功能获得性突变,该基因涉及皮肤的多种病理功能,如角化过度、皮炎、脱发、瘙痒和疼痛。最近的研究表明,位于不同结构域的突变会导致病情严重程度不同的病例,这表明TRPV3基因突变可能存在基因型与表型的相关性。本文综述了奥姆斯特德综合征的遗传学和发病机制,以及潜在的管理和治疗方法。这篇综述将为进一步开展针对TRPV3相关奥姆斯特德综合征的个体化治疗奠定基础。