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Short Communication

Xeroderma Pigmentosum-Trichothiodystrophy overlap patient with novel XPD/ERCC2 mutation

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Article: e24932 | Received 15 Feb 2013, Accepted 03 May 2013, Published online: 06 May 2013

Figures & data

Figure 1. Cell cultures and results. Patient's cells were mixed 1:1 with normal control fibroblasts preloaded with cytoplasmic beads. The mixed cultures were assayed for unscheduled DNA synthesis (A) and recovery from transcription inhibition (B). Red fluorescence shows the NER activity, and blue color reflects the DAPI signal. White arrows indicate the 238DOD cells, as recognized by not containing cytoplasmic beads. (C) Mixed cultures as described for panels A/B,immunostained for TFIIH core component XPB (green fluorescence). (D) Measured NER-activity in TTD238DOD and a control cell line. (E) Measured XPB expression in TTD238DOD and a control cell line

Figure 1. Cell cultures and results. Patient's cells were mixed 1:1 with normal control fibroblasts preloaded with cytoplasmic beads. The mixed cultures were assayed for unscheduled DNA synthesis (A) and recovery from transcription inhibition (B). Red fluorescence shows the NER activity, and blue color reflects the DAPI signal. White arrows indicate the 238DOD cells, as recognized by not containing cytoplasmic beads. (C) Mixed cultures as described for panels A/B,immunostained for TFIIH core component XPB (green fluorescence). (D) Measured NER-activity in TTD238DOD and a control cell line. (E) Measured XPB expression in TTD238DOD and a control cell line

Figure 2. Cell survival assay.

Figure 2. Cell survival assay.

Figure 3. ERCC2/XPD sequence analysis of TTD238DOD Relevant parts of peak plots from standard capillary sequencing analysis of TTD238DOD fibroblast DNA. The patient is a compound heterozygote for two mutations. Top: XPD exon 2, bottom XPD exon 22.

Figure 3. ERCC2/XPD sequence analysis of TTD238DOD Relevant parts of peak plots from standard capillary sequencing analysis of TTD238DOD fibroblast DNA. The patient is a compound heterozygote for two mutations. Top: XPD exon 2, bottom XPD exon 22.

Table 1. Clinical findings of TTD238DOD.

Figure 4.(A) TTD238DOD age 8. (B) TTD238DOD age 10. (C) TTD238DOD age 22. (D) TTD238DOD age 28.

Figure 4.(A) TTD238DOD age 8. (B) TTD238DOD age 10. (C) TTD238DOD age 22. (D) TTD238DOD age 28.

Figure 5. Lentiginous and dry skin. (A) Lentiginous back of TTD238DOD. (B) Close-up of (A) with ichthyosiform skin.

Figure 5. Lentiginous and dry skin. (A) Lentiginous back of TTD238DOD. (B) Close-up of (A) with ichthyosiform skin.

Figure 6.(A−D) Nail changes with distal nail splitting and koilonychias.

Figure 6.(A−D) Nail changes with distal nail splitting and koilonychias.

Figure 7. Eye changes. (A) Retinal degenerative changes. (B) Limbal corneal neovascularization.

Figure 7. Eye changes. (A) Retinal degenerative changes. (B) Limbal corneal neovascularization.