Identification of a Novel Mutation in the KITLG Gene in a Chinese Family with Familial Progressive Hyper- and Hypopigmentation
Abstract Background Familial progressive hyper- and hypopigmentation (FPHH, MIM 145250) is a rare hereditary skin disorder that is predominantly characterized by progressive, diffuse, partly blotchy hyperpigmented lesions intermingled with scattered hypopigmented spots, lentigines and sometimes Cafe-au-lait spots (CALs). Heterozygous mutations of KIT ligand (KITLG, MIM 184745) gene, which encodes KIT ligand protein, is responsible for FPHH.Results A novel mutation c.104A > T (p.Asn35Ile) and a recurrent mutation c.101C > T (p.Thr34Ile) in the KITLG gene with two Chinese FPHH families were identified. So far, various pathogenic gain-of-function mutations in the KITLG gene have been described, which are located in or near the conserved VTNN motif (amino acid 33–37) in exon 2 of the KITLG gene. The reported mutations are only involved in 33V, 34T, 36N, 37V but not 35N. As SIFT and Polyphen-2 softwares showed, these two mutations were both predicted to be detrimental variations. Three-dimensional protein structures modeling indicated the mutant KITLG proteins might affect KITLG affinity to its receptor c-KIT. To date, only eight KITLG mutations were associated with FPHH and no clear genotype-phenotype correlations had been well established.Conclusions We have now identified a novel mutation c.104A > T (p.Asn35Ile) of KITLG gene, which was first reported in FPHH located within the conserved 35N of the motif. These results strengthen our understanding of FPHH and expand the mutational spectrum of the KITLG gene.