Cited by 132DNA Repair MechanismsGenetic and rare skin diseases.Genomics and Rare Diseases

Neurological symptoms and natural course of xeroderma pigmentosum

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Anttinen, A., Koulu, L., Nikoskelainen, E., Portin, R., Kurki, T., Erkinjuntti, M., Jaspers, N. G. J., Raams, A. +5 more·2008·Brain

Abstract

We have prospectively followed 16 Finnish xeroderma pigmentosum (XP) patients for up to 23 years. Seven patients were assigned by complementation analysis to the group XP-A, two patients to the XP-C group and one patient to the XP-G group. Six of the seven XP-A patients had the identical mutation (Arg228Ter) and the seventh patient had a different mutation (G283A). Further patients were assigned to complementation groups on the basis of their consanguinity to an XP patient with a known complementation group. The first sign of the disease in all the cases was severe sunburn with minimal sun exposure in early infancy. However, at the time the diagnosis was made in only two cases. The XP-A patients developed neurological and cognitive dysfunction in childhood. The neurological disease advanced in an orderly fashion through its successive stages, finally affecting the whole nervous system and leading to death before the age of 40 years. Dermatological and ocular damage of the XP-A patients tended to be limited. The two XP-C patients were neurologically and cognitively intact despite mild brain atrophy as seen by neuroimaging. The XP-G patients had sensorineural hearing loss, laryngeal dystonia and peripheral neuropathy. The XP-C patients had severe skin and ocular malignancies that first presented at pre-school age. They also showed immunosuppression in cell-mediated immunity. Neurological disease appears to be associated with the complementation group and the failure of fibroblasts to recover RNA synthesis following UV irradiation, but not necessarily to the severity of the dermatological symptoms, the hypersensitivity of fibroblasts to UVB killing or the susceptibility of keratinocytes to UVB-induced apoptosis.

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  • XPC is one of the key DNA damage-recognition proteins in GGR, and mutations in XPC can increase cancer risk, although neurodegeneration is rarely seen in this group of patients.

    “XPC is one of the key DNA damage-recognition proteins in the GGR and mutations in this gene can increase cancer risk, although neurodegeneration is rarely seen on this group of patients [5,243].”

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Research works printed but not linked: 2

  1. De Sanctis C, Cacchione A. L'idiozia xerodermica. Riv Sper Fren 1932; 56: 269-92.
  2. Hebra F, Kaposi M. On diseases of the skin including exanthemata. New Sydenham Soc 1874; 61: 252-8.

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Authors
Anttinen, A., Koulu, L., Nikoskelainen, E., Portin, R., Kurki, T., Erkinjuntti, M., Jaspers, N. G. J., Raams, A., Green, M. H. L., Lehmann, A. R., Wing, J. F., Arlett, C. F., & Marttila, R. J.
Affiliations
  • Turku University Hospital (FI)
  • University of Sussex (GB)
Venue
Brain
Published
2008-01-10
Volume
131
Issue
8
Pages
1979-1989
ISSN
  • 0006-8950 (ISSN-L)
  • 1460-2156
OpenAlex
W2100634501
Cited by
132
References
28
Citations by year
2026: 2 · 2025: 7 · 2024: 4 · 2023: 2 · 2022: 11 · 2021: 10 · 2020: 12 · 2019: 8 · 2018: 12 · 2017: 10 · 2016: 7 · 2015: 8 · 2014: 6 · 2013: 13 · 2012: 4
FWCI
2.18
Type
journal article
Language
en
Open access
Locations
  • Brain (publishedVersion)
  • PubMed (publishedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
  • Sussex Research Online (University of Sussex) (submittedVersion)
  • EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Topics
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic and rare skin diseases.
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genomics and Rare Diseases
Keywords
xeroderma pigmentosum, neurological symptoms, complementation groups, cognitive impairment, sensorineural hearing loss, laryngeal dystonia, peripheral neuropathy, immunosuppression, cell-mediated immunity, keratinocyte apoptosis, natural history (disease)
MeSH terms
DNA Excision Repair Protein ERCC-5, Adult, Brain Diseases, Child, Child, Preschool, DNA Repair, DNA-Binding Proteins, Endonucleases, Eye Diseases, Female, Finland, Genetic Complementation Test, Hearing Disorders, Humans, Magnetic Resonance Imaging, Male, Mutation, Neuropsychological Tests, Nuclear Proteins, Prospective Studies, Skin Diseases, Tomography, X-Ray Computed, Transcription Factors, Xeroderma Pigmentosum, Xeroderma Pigmentosum Group A Protein

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