AI Article Synopsis

  • A 39-year-old Japanese man with xeroderma pigmentosum (XP) group D suffered from severe solar sensitivity and developed various skin cancers since childhood.
  • His skin showed a decreased minimum erythema dose to UV radiation, and DNA synthesis levels in his fibroblasts were significantly reduced compared to normal.
  • Whole-exome sequencing revealed a specific mutation in the ERCC2 gene, and tests confirmed that this mutation is responsible for his XP-D diagnosis, indicating a link between the mutation and his skin sensitivity and lesions.

Article Abstract

A case of xeroderma pigmentosum (XP) group D in a 39-year-old Japanese man is reported. The patient had suffered from moderate to severe solar sensitivity and freckle-like pigmented macules in sun-exposed areas since 6 years of age, and developed skin malignancies such as squamous cell carcinoma, actinic keratosis, Bowen's disease and basal cell carcinoma. The minimal erythema dose for ultraviolet (UV) radiation was decreased with a delayed peak reaction. The level of unscheduled DNA synthesis of fibroblasts from the patient was 70% of normal, while they expressed POLH, a gene product responsible for the XP variant. Whole-exome sequencing indicated that the patient harbored a homozygous mutation of c.1802G>T, p.Arg601Leu in ERCC2. A genetic complementation test was carried out by host cell reactivation assay, which showed that the patient's fibroblasts recovered only when they were transfected with XPD cDNA, confirming the diagnosis of XP-D. Arg601Leu mutation in ERCC2 may be related to mild UV radiation sensitivity and moderate skin lesions.

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http://dx.doi.org/10.1111/1346-8138.15617DOI Listing

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