Current approaches to the diagnosis and treatment of white sponge nevus
Abstract
White sponge nevus (WSN) in the oral mucosa is a rare autosomal dominant genetic disease. The involved mucosa is white or greyish, thickened, folded and spongy. The genes associated with WSN include mutant cytokeratin keratin 4 (KRT4) and keratin 13 (KRT13). In recent years, new cases of WSN and associated mutations have been reported. Here, we summarise the recent progress in our understanding of WSN, including clinical reports, genetics, animal models, treatment, pathogenic mechanisms and future directions. Gene-based diagnosis and gene therapy for WSN may become available in the near future and could provide a reference and instruction for treating other KRT-associated diseases.
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White Sponge Nevus (WSN) is a rare autosomal dominant keratinopathy with variable expressivity and irregular penetrance, affecting approximately one in 200,000 individuals.
“White Sponge Nevus (WSN) is a rare autosomal dominant keratinopathy3 with variable expressivity and irregular penetrance, affecting approximately one in 200,000 individuals.4”
From Oral white sponge nevus in patients with ectrodactyly-ectodermal dysplasia-cleft syndrome: two patients treated with liquid nitrogen cryotherapy (2026) · cites this paper as [4]
Cites
Takahashi, K., & Yamanaka, S. (2006) · Cell · doi:10.1016/j.cell.2006.07.024 · Cited by 26,673 · see citing works
The human keratins: biology and pathology
Moll, R., Divo, M., & Langbein, L. (2008) · Histochemistry and Cell Biology · doi:10.1007/s00418-008-0435-6 · Cited by 1,465 · see citing works
Genetic programs in human and mouse early embryos revealed by single-cell RNA sequencing
Xue, Z., Huang, K., Cai, C., Cai, L., Jiang, C.-Y., Feng, Y., Liu, Z., Zeng, Q., Cheng, L., Sun, Y. E., et al. (2013) · Nature · doi:10.1038/nature12364 · Cited by 963 · see citing works
Self-citationClinical applications of mesenchymal stem cells
Wang, S., Qu, X., & Zhao, R. C. (2012) · Journal of Hematology & Oncology · doi:10.1186/1756-8722-5-19 · Cited by 491 · see citing works
Irvine, A. D., & McLean, W. H. I. (1999) · British Journal of Dermatology · doi:10.1046/j.1365-2133.1999.02810.x · Cited by 397 · see citing works
Cordon, L. D., & McLean, W. H. I. (1996) · Experimental Dermatology · doi:10.1111/j.1600-0625.1996.tb00133.x · Cited by 204 · see citing works
The Molecular Genetics of Keratin Disorders
Smith, F. J. D. (2003) · American Journal of Clinical Dermatology · doi:10.2165/00128071-200304050-00005 · Cited by 164 · see citing works
Recent advances in the use of Sus scrofa (pig) as a model system for proteomic studies
Verma, N., Rettenmeier, A. W., & Schmitz‐Spanke, S. (2010) · PROTEOMICS · doi:10.1002/pmic.201000320 · Cited by 162 · see citing works
Bendixen, E., Danielsen, M., Larsen, K., & Bendixen, C. (2010) · Briefings in Functional Genomics · doi:10.1093/bfgp/elq004 · Cited by 155 · see citing works
A mutation in the mucosal keratin K4 is associated with oral white sponge nevus
Rugg, E. L., McLean, W. H. I., Allison, W. E., Lunny, D. P., Macleod, R. I., Felix, D. H., Lane, E. B., & Munro, C. S. (1995) · Nature Genetics · doi:10.1038/ng1295-450 · Cited by 148 · see citing works
Keratin 13 point mutation underlies the hereditary mucosal epithelia disorder white sponge nevus
Richard, G., Laurenzi, V. D., Didona, B., Bale, S. J., & Compton, J. G. (1995) · Nature Genetics · doi:10.1038/ng1295-453 · Cited by 123 · see citing works
Harnessing HIV for therapy, basic research and biotechnology.
Wiznerowicz, M., & Trono, D. (2005) · Trends in Biotechnology · doi:10.1016/j.tibtech.2004.11.001 · Cited by 113 · see citing works
WHITE SPONGE NEVUS OF THE MUCOSA (NAEVUS SPONGIOSUS ALBUS MUCOSAE)
Cannon, A. B. (1935) · Archives of Dermatology · doi:10.1001/archderm.1935.01460210076008 · Cited by 110 · see citing works
Genetically Modified Pig Models for Human Diseases
Fan, N., & Lai, L. (2013) · Journal of genetics and genomics/Journal of Genetics and Genomics · doi:10.1016/j.jgg.2012.07.014 · Cited by 107 · see citing works
Jorgenson, R. J. (1981) · Archives of Dermatology · doi:10.1001/archderm.1981.01650020015015 · Cited by 85 · see citing works
Marrelli, M., Tatullo, M., Dipalma, G., et al. (2012) · International Journal of Medical Sciences · doi:10.7150/ijms.9.47 · Cited by 70 · see citing works
Mouse Keratin 4 Is Necessary for Internal Epithelial Integrity
Ness, S. L., Edelmann, W., Jenkins, T. D., et al. (1998) · Journal of Biological Chemistry · doi:10.1074/jbc.273.37.23904 · Cited by 67 · see citing works
Genetically Modified Pig Models for Human Diseases
Fan, Liangxue, & Lai (2013) · Acta Scientiarum Naturalium Universitatis Sunyatseni · Cited by 65 · see citing works
The keratins and their disorders
Rugg, E. L., & Leigh, I. M. (2004) · American Journal of Medical Genetics Part C Seminars in Medical Genetics · doi:10.1002/ajmg.c.30029 · Cited by 56 · see citing works
Animal models got you puzzled?: think pig
Walters, E. M., Ağca, Y., Ganjam, V. K., et al. (2011) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2011.06345.x · Cited by 53 · see citing works
Oral tetracycline rinse improves symptoms of white sponge nevus
Lim, J., & Ng, S. K. (1992) · Journal of the American Academy of Dermatology · doi:10.1016/s0190-9622(08)80340-4 · Cited by 51 · see citing works
Keratins in colorectal epithelial function and disease
Majumdar, D., Tiernan, J. P., Lobo, A., Evans, C. A., & Corfe, B. M. (2012) · International Journal of Experimental Pathology · doi:10.1111/j.1365-2613.2012.00830.x · Cited by 50 · see citing works
A Novel Mutation in the Keratin 13 Gene Causing Oral White Sponge Nevus
Terrinoni, A., Rugg, E. L., Lane, E. B., Melino, G., Felix, D. H., Munro, C. S., & McLean, W. H. I. (2001) · Journal of Dental Research · doi:10.1177/00220345010800031401 · Cited by 47 · see citing works
White sponge naevus successfully treated with topical tetracycline
McDonagh, A. J. G., Gawkrodger, D. J., & Walker, Z. (1990) · Clinical and Experimental Dermatology · doi:10.1111/j.1365-2230.1990.tb02056.x · Cited by 47 · see citing works
Constitutional mutation of keratin 13 gene in familial white sponge nevus
Shibuya, Y., Zhang, J., Yokoo, S., Umeda, M., & Komori, T. (2003) · Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology · doi:10.1016/s1079-2104(03)00372-x · Cited by 46 · see citing works
White sponge nevus: successful treatment with penicillin
Alinovi, A., Benoldi, D., & Pezzarossa, E. (1983) · Acta Dermato Venereologica · doi:10.2340/00015555638385 · Cited by 40 · see citing works
Terrinoni, A., Candi, E., Oddi, S., Melino, G., Gobello, T., Camaione, D., Mazzanti, C., Zambruno, G., & Knight, R. A. (2000) · Journal of Investigative Dermatology · doi:10.1046/j.1523-1747.2000.00890.x · Cited by 40 · see citing works
White sponge nevus (leukoedema exfoliativum mucosae oris): Ultrastructural observations
Frithiof, L., & Banoczy, J. (1976) · Oral Surgery Oral Medicine Oral Pathology · doi:10.1016/0030-4220(76)90313-3 · Cited by 39 · see citing works
A novel mutation in the keratin 4 gene causing white sponge naevus
Chao, S.-C., Tsai, Y.-M., Yang, M.-H., et al. (2003) · British Journal of Dermatology · doi:10.1046/j.1365-2133.2003.05337.x · Cited by 36 · see citing works
White sponge nevus: report of a three-generation family
Júnior, H. M., Pereira, S. M., Rocha, T. M., dos Santos, P. L. A. N., de Paula, A. M. B., & Bonan, P. R. F. (2006) · Oral Surgery Oral Medicine Oral Pathology Oral Radiology and Endodontology · doi:10.1016/j.tripleo.2006.05.029 · Cited by 35 · see citing works
Su, L., Morgan, P. R., Thomas, J. A., et al. (1993) · Journal of Oral Pathology and Medicine · doi:10.1111/j.1600-0714.1993.tb01054.x · Cited by 33 · see citing works
White Sponge Nevus: Clinical Suspicion and Diagnosis
Songu, M., Adibelli, H., & Dınız, G. (2012) · Pediatric Dermatology · doi:10.1111/j.1525-1470.2011.01414.x · Cited by 31 · see citing works
White sponge naevus: improvement with tetracycline mouth rinse: report of four cases
Otobe, I. F., de Sousa, S. O. M., Matthews, R. W., et al. (2007) · Clinical and Experimental Dermatology · doi:10.1111/j.1365-2230.2007.02538.x · Cited by 30 · see citing works
Oral white sponge naevus: response to antibiotic therapy
LAMEY, BOLAS, Napier, et al. (1998) · Clinical and Experimental Dermatology · doi:10.1046/j.1365-2230.1998.00325.x · Cited by 29 · see citing works
Ultrastructure of the white sponge nevus
McGinnis, J. P., & Turner, J. E. (1975) · Oral Surgery Oral Medicine Oral Pathology · doi:10.1016/0030-4220(75)90374-6 · Cited by 27 · see citing works
Mutational analysis in familial and sporadic patients with white sponge naevus
Liu, X., Li, Q., Gao, Y., et al. (2011) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2011.10404.x · Cited by 26 · see citing works
Mutation of keratin 4 gene causing white sponge nevus in a Japanese family
Kimura, M., Nagao, T., Machida, J., et al. (2012) · International Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.ijom.2012.10.030 · Cited by 26 · see citing works
White sponge naevus with minimal clinical and histological changes: report of three cases
Lucchese, A., & Favia, G. (2006) · Journal of Oral Pathology and Medicine · doi:10.1111/j.1600-0714.2006.00424.x · Cited by 25 · see citing works
Two new mutations in the keratin 4 gene causing oral white sponge nevus in Chinese family
Zhang, J. M., Yang, Z., Chen, R. Y., et al. (2008) · Oral Diseases · doi:10.1111/j.1601-0825.2008.01498.x · Cited by 23 · see citing works
Identification of two novel mutations in keratin 13 as the cause of white sponge naevus
Rugg, E. L., Magee, G., Wilson, N., et al. (1999) · Oral Diseases · doi:10.1111/j.1601-0825.1999.tb00097.x · Cited by 23 · see citing works
McGowan, K. A., Fuchs, H., de Angelis, M. H., et al. (2006) · Journal of Investigative Dermatology · doi:10.1038/sj.jid.5700498 · Cited by 21 · see citing works
White sponge nevus treated with chlorhexidine
Satriano, R. A., Errichetti, E., & Baroni, A. (2012) · The Journal of Dermatology · doi:10.1111/j.1346-8138.2012.01508.x · Cited by 19 · see citing works
White sponge nevus: a case report.
Aghbali, A., Pouralibaba, F., Eslami, H., et al. (2012) · PubMed · doi:10.5681/joddd.2009.017 · Cited by 17 · see citing works
White Sponge Nevus: Presentation of a New Family
López‐Jornet, P. (2008) · Pediatric Dermatology · doi:10.1111/j.1525-1470.2007.00599.x · Cited by 17 · see citing works
Ade novomissense mutation in the keratin 13 gene in oral white sponge naevus
Nishizawa, A., Nakajima, R., Nakano, H., et al. (2008) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2008.08716.x · Cited by 16 · see citing works
Beyond Mice: Genetically Modifying Larger Animals to Model Human Diseases
Li, X., & Li, W. (2012) · Journal of genetics and genomics/Journal of Genetics and Genomics · doi:10.1016/j.jgg.2012.05.006 · Cited by 15 · see citing works
Keratin 13 mutations associated with oral white sponge nevus in two Chinese families
Cai, W., Chen, Z., Jiang, B., et al. (2014) · Meta Gene · doi:10.1016/j.mgene.2014.04.008 · Cited by 15 · see citing works
Self-citationWhite sponge nevus presenting as genital lesions in a 28‐year‐old female
Cutlan, J. E., Saunders, N. A., Olsen, S. H., et al. (2009) · Journal of Cutaneous Pathology · doi:10.1111/j.1600-0560.2009.01294.x · Cited by 14 · see citing works
White sponge naevus successfully treated with tetracycline mouth rinse.
Becker, L. E., Lutz, C., Erbard, H., et al. (1997) · Acta Dermato Venereologica · doi:10.2340/0001555577413 · Cited by 14 · see citing works
Otobe, I. F., de Sousa, S. O. M., Migliari, D. A., et al. (2006) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2006.02922.x · Cited by 13 · see citing works
Caso familiar de nevo branco esponjoso oral: uma rara condição hereditária
Filho, P. R. S. M., Brasileiro, B. F., Piva, M. R., et al. (2011) · Anais Brasileiros de Dermatologia · doi:10.1590/s0365-05962011000700009 · Cited by 12 · see citing works
Orthodontic therapy in a patient with white sponge nevus
Quintella, C., Janson, G., de Azevedo, L. R., & Damante, J. H. (2004) · American Journal of Orthodontics and Dentofacial Orthopedics · doi:10.1016/j.ajodo.2003.07.003 · Cited by 11 · see citing works
Legler, A. A., Thomas, T., & Zlotoff, B. J. (2010) · Pediatric Dermatology · doi:10.1111/j.1525-1470.2009.01046.x · Cited by 9 · see citing works
White sponge nevus caused by a missense mutation in the keratin 4 gene
Shimizu, A., Yokoyama, Y., Shimomura, Y., et al. (2012) · European Journal of Dermatology · doi:10.1684/ejd.2012.1765 · Cited by 8 · see citing works
[Current therapeutic approach of the white sponge naevus of the oral cavity].
Dufrasne, L., Magremanne, M., Parent, D., et al. (2011) · Bulletin du Groupement international pour la recherche scientifique en stomatologie & odontologie · Cited by 8 · see citing works
White sponge nevus in a patient with EEC syndrome
Dalben, G. S., Cursino, H. A., Barbosa, B. A., Costa, B., & Consolaro, A. (2010) · Dermatology Online Journal · doi:10.5070/d3482528nt · Cited by 7 · see citing works
Dadlani, C., Mengden, S. J., & Kerr, A. R. (2008) · Dermatology Online Journal · doi:10.5070/d3768308n1 · Cited by 5 · see citing works
Familial white sponge nevus of the oral mucosa: report of occurrence in three generations.
Samatha, Y., Kiran, A. R., Sankar, A. J. S., Mupparapu, M., Singer, S. R., & Lakshmi, C. (2012) · PubMed · Cited by 4 · see citing works
[Siblings present different clinical manifestations in white sponge nevus].
Lin, D., Wu, L., Zhang, L., et al. (2013) · PubMed · Cited by 2 · see citing works
White sponge nevus: presentation of sixteen cases corresponding to six families.
Mj, D., Sebastián, J. V. B., Donat, F. J. S., et al. (2001) · PubMed · Cited by 2 · see citing works
White sponge nevus. A case report.
Maahs, M. A. P., Cherubini, K., Yurgel, L. S., et al. (2008) · PubMed · Cited by 2 · see citing works
Hereditary mucosal leukokeratosis
Cheong, M.-L. J. (2009) · International Journal of Dermatology · doi:10.1111/j.1365-4632.2008.04046.x · Cited by 1 · see citing works
A 6-month-old Boy with White Oral Lesions
Polcari, I. C., & Chamlin, S. L. (2006) · Pediatric Annals · doi:10.3928/0090-4481-20061201-09 · Cited by 1 · see citing works
Oral medicine case book 25. White sponge naevus.
Allie, A., Wp, D., & de Waal, J. (2010) · PubMed · Cited by 1 · see citing works
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White sponge nevus: report of three cases in a single family
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Gerlero, P., Lourenço, S. V., & Nico, M. M. S. (2026) · Anais Brasileiros de Dermatologia · doi:10.1016/j.abd.2026.501401
- Authors
- Cai, W., Jiang, B., Yu, F., Yang, J., Chen, Z., Liu, J., Wei, R., Zhao, S., Wang, X., & Liu, S.
- Affiliations
- Fudan University (CN)
- Tongji University (CN)
- Corresponding author
- Zhao, Shouliang
- Wang, Xiaoping
- Liu, Shangfeng
- ORCID
- Venue
- Expert Reviews in Molecular Medicine
- Publisher
- Cambridge University Press (CUP)
- Published
- 2015
- Volume
- 17
- Pages
- e9-e9
- ISSN
- 1462-3994 (ISSN-L)
- OpenAlex
- W1454600080
- Cited by
- 33
- References
- 64
- Citations by year
- 2026: 4 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 7 · 2019: 3 · 2018: 5 · 2017: 1 · 2016: 2
- FWCI
- 0.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Expert Reviews in Molecular Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Skin and Cellular Biology Research
- Health Sciences › Dentistry › Periodontics › Oral Health Pathology and Treatment
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and rare skin diseases.
- Keywords
- white sponge nevus, oral mucosa, keratin 4, keratin 13, gene therapy, animal models, pathophysiological mechanisms, diagnosis, treatment
- MeSH terms
- Animals, Humans, Mouth Mucosa, Rare Diseases, Leukokeratosis, Hereditary Mucosal
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