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Sjögren-Larsson syndrome presents with ichtyosis, spastic diplegia and cognitive deficits. It is caused by a deficiency of fatty aldehyde dehydrogenase. Treatments are limited to symptomatic therapies; for example, ziluteon (an inhibitor of 5-lipoxygenase) can reduce pruritus.
In a recent article, bezafibrate has been shown to induce the expression of the deficient protein in fibroblasts from some patients. This discovery could become of clinical importance.
Mol Genet Metab. 2006 September - October;89(1-2):111-115.
Bezafibrate induces FALDH in human fibroblasts; implications for Sjogren-Larsson syndrome.
Gloerich J, Ijlst L, Wanders RJ, Ferdinandusse S.
For an excellent review of Sjögren-Larsson syndrome, see this article in which we learn that a knockout mouse has been created for this condition :
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Philippe Campeau, MD
Resident in Medical Genetics at McGill University
OMMBID Blog Administrator
In the September 2006 issue of Nature Genetics, three groups identify a new microdeletion syndrome (microdeletion 17q21.31). The major clinical features of this syndrome are severe hypotonia and moderate mental retardation
See the News and Views article by James R. Lupski:
Nat Genet. 2006 Sep;38(9):974-6.
Genome structural variation and sporadic disease traits.
Lupski JR.
James R. Lupski is in the Department of Molecular and Human Genetics and the
Department of Pediatrics, Baylor College of Medicine and Texas Children’s
Hospital, Houston, Texas, USA.
See also the artcles by Koolen DA et al., Shaw-Smith C et al. and Sharp J et al.
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Philippe Campeau, MD
Resident in Medical Genetics at McGill University
OMMBID Blog Administrator
Nat Genet. 2003 Jun;34(2):157-65.
Tufarelli C, Stanley JA, Garrick D, Sharpe JA, Ayyub H, Wood WG, Higgs DR.
In this article, Tufarelli and colleagues describe a new genetic mechanism of human disease, in a patient with alpha-thalassemia. A deletion in a nearby gene, LUC7L, causes antisense mediated cis-acting methylation and silencing of the HBA2 gene.
For more information on the epigenetic silencing of genes, please see chapter 18.1
For more information on thalassemia, please see chapter 181.
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Philippe Campeau, MD
Resident in Medical Genetics at McGill University
OMMBID Blog Administrator
For the comprehensive coverage of the topics mentioned here, visit the
continually updated online version of the textbook that continues to
define medical genetics: