Biallelic HEPHL1 Variants Impair Ferroxidase Activity and Cause an Abnormal Hair Phenotype

    May 2019 in “ PLOS genetics
    Prashant Sharma, Marie C. Reichert, Yan Lu, Thomas C. Markello, David R. Adams, Peter Steinbach, Brie K. Fuqua, Xenia Parisi, Stephen G. Kaler, Christopher D. Vulpe, Gregory J. Anderson, William A. Gahl, May Christine V. Malicdan
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    Studysummary This study reports that compound heterozygous loss-of-function mutations in the HEPHL1 gene in a child were associated with abnormal hair and cognitive issues, linking altered ferroxidase activity to hair disorders.
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    Researchers identified a child with compound heterozygous mutations in the HEPHL1 gene, presenting with abnormal hair and cognitive dysfunction. The maternal mutation caused an in-frame deletion of 85 amino acids, while the paternal mutation altered a conserved methionine in a copper binding site. These mutations led to a loss of HEPHL1's ferroxidase activity, resulting in intracellular iron accumulation and reduced lysyl oxidase activity in the patient's fibroblasts. A Hephl1 knockout mouse model exhibited similar hair abnormalities, supporting the role of HEPHL1 in hair growth and implicating its ferroxidase activity in hair disorders.
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