
CLOUSTON SYNDROME: FIRST CASE IN RUSSIA Marakhonov AV, Skoblov MYu, Galkina VA, Zinchenko RA *Corresponding Author: Andrey V. Marakhonov, Scientifi c Associale Laboratory of Genetic Epidemiology,
Federal State Budgetary Institution “Research Centre for Medical Genetics” under The Russian Academy
of Medical Sciences, Moskvorechie St., 1, 115478 Moscow, Russian Federation; Tel./Fax: +7(499)612-80-
45; E-mail: marakhonov@generesearch.ru page: 51
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INTRODUCTION
Hidrotic ectodermal dysplasia type 2 (HED2)
or Clouston syndrome (OMIM #129500) is a rare
autosomal dominant genetic disorder which affects
skin and its derivatives, characterized by the major
triad of features: nail dystrophy, generalized hypotrichosis
with alopecia and palmoplantar hyperkeratosis,
frequently accompanied by normal perspiration
and dentition. The one and only genetic cause
of Clouston syndrome is thought to be a mutation
in the GJB6 gene localized on chromosome 13q12
[1]. This gene encodes for a 30 kDa gap junction
protein, subunit B6 (connexin 30, Cx30), forming
gap junctions between adjacent cells which allow
molecules and ions to pass between them.
In some cases, mutations in the GJB6 gene
are known to cause autosomal dominant (locus
DFNA3) and autosomal recessive (locus DNFB1)
non syndromic sensorineural hearing loss [2,3]. It
has also been reported that a mutation in the GJB6
gene is the cause, in at least one case, of keratitisichthyosis-
deafness (KID) syndrome [4].
Four mutations were found in Clouston syndrome
patients: G11R, V37E, D50N and A88V
[5]. These cases of hidrotic ectodermal dysplasia
were described in British, French, Spanish, African,
Malaysian and Chinese populations [6-8]. Although
the cases of Clouston syndrome were reported in
different populations, there are no documented cases
of HED2 in Russia. Here we describe the fi rst
report of Clouston syndrome in Russia and the molecular
genetic analysis of this case.
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