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The Role of Filaggrin Mutations as an Etiologic Factor in Atopic Dermatitis
Matthew J. Zirwas, MD
Arch Dermatol. 2007;143(11):1437-1438.
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INTRODUCTION
Common Loss-of-Function Variants of the Epidermal Barrier Protein Filaggrin Are a Major Predisposing Factor for Atopic Dermatitis Palmer CN, Irvine AD, Terron-Kwiatkowski A, et al Nat Genet. 2006;38(4):441-446
Atopic disease, including atopic dermatitis (eczema), allergy and asthma, has increased in frequency in recent decades and now affects 20% of the population in the developed world. Twin and family studies have shown that predisposition to atopic disease is highly heritable. Although most genetic studies have focused on immunological mechanisms, a primary epithelial barrier defect has been anticipated. Filaggrin is a key protein that facilitates terminal differentiation of the epidermis and formation of the skin barrier. Here we show that two independent loss-of-function genetic variants (R510X and 2282del4) in the gene encoding filaggrin (FLG) are very strong predisposing factors for atopic dermatitis. These variants are carried by 9% of people of European origin. These variants also show . . . [Full Text of this Article]
COMMENT
AUTHOR INFORMATION
Division of Dermatology, Department of Medicine, Ohio State University School of Medicine, Columbus
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