Deficiency of the Human Cysteine Protease Inhibitor Cystatin M/E Causes Hypotrichosis and Dry Skin
July 2019
in “
Genetics in medicine
”
![Image of study](/images/research/e4a9637f-a5a9-47d7-ad16-8e2d79586b7a/medium/35488.jpg)
TLDR Lack of cystatin M/E causes thin hair and dry skin.
The study investigated the role of the cysteine protease inhibitor cystatin M/E, encoded by the CST6 gene, in hair and skin diseases. Genetic analysis of two related patients with hypotrichosis revealed a homozygous c.361C>T (p.Gln121*) variant in CST6, leading to a premature stop codon. This mutation was associated with symptoms like hypotrichosis, eczema, blepharitis, photophobia, and impaired sweating. Functional assays showed that the mutant cystatin M/E could not inhibit its target proteases (legumain and cathepsins L and V). The findings highlighted the critical role of cystatin M/E in maintaining epidermal homeostasis and hair follicle development.