Hailey-Hailey Disease: A Genetic Analysis

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According to Ralf Sudbrak and other authors, a mutation in the gene ATP2C1 is associated with the cause of the Hailey-Hailey Disease. The disease is an autosomal dominant inherited skin disorder. The defect in the gene alters the expression of calcium pumps thus altering calcium signaling and their role in maintaining the epidermis (Sudbrak et al. 1). The gene encodes a protein that acts as a calcium pump in cells. This protein pumps calcium ions into the lumen of the Golgi apparatus. Calcium ions are vital in cell-to-cell adhesion processes and differentiation, and if the calcium pump does not function properly, the affected cells will not stick together, thus causing damage to the skin (Szigeti 1). The protein encoded by ATP2C1 has the same transmembrane organization, including all the conserved domain characteristics like ATP binding, phosphorylation, and conformational changes enzymes, of Phosphorylation-type (P-Type) ATPases (Sudbrak et …show more content…

The P-type ATPases help maintain the concentration of free calcium in the cytosol at low levels (Lodish et al 1). Dysfunction of the ATP2C1 protein encoded pump leads to a build-up of calcium in the cytosol and decreases concentration in the lumen of the Golgi, which leads to impaired signaling pathways that regulate cell adhesion and differentiation of cell epidermis. The most noticeable feature of Hailey-Hailey Disease is a defect in keratinocyte adhesion in layers of the epidermis (Sudbrak et al. 6). The ion transport pump encoded by a mutated ATP2C1 does not properly uptake the free calcium in cytosol due to either the pump functioning incorrectly or not being there at all. The cytosol is now over concentrated with calcium, while the lumen has very little available calcium. The lack of calcium in the lumen inhibits differentiation of cell epidermis since there is no calcium to regulate keratinocytes and

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