Identification of ASAH1 as a susceptibility gene for familial keloids.

TitleIdentification of ASAH1 as a susceptibility gene for familial keloids.
Publication TypeJournal Article
Year of Publication2017
AuthorsSantos-Cortez, RLyn P, Hu, Y, Sun, F, Benahmed-Miniuk, F, Tao, J, Kanaujiya, JK, Ademola, S, Fadiora, S, Odesina, V, Nickerson, DA, Bamshad, MJ, Olaitan, PB, Oluwatosin, OM, Leal, SM, Reichenberger, EJ
JournalEur J Hum Genet
Date Published2017 10
KeywordsAcid Ceramidase, Adult, Female, Humans, Keloid, Male, Mutation, Missense, Pedigree

Keloids result from abnormal proliferative scar formation with scar tissue expanding beyond the margin of the original wound and are mostly found in individuals of sub-Saharan African descent. The etiology of keloids has not been resolved but previous studies suggest that keloids are a genetically heterogeneous disorder. Although possible candidate genes have been suggested by genome-wide association studies using common variants, by upregulation in keloids or their involvement in syndromes that include keloid formation, rare coding variants that contribute to susceptibility in non-syndromic keloid formation have not been previously identified. Through analysis of whole-genome data we mapped a locus to chromosome 8p23.3-p21.3 with a statistically significant maximum multipoint LOD score of 4.48. This finding was followed up using exome sequencing and led to the identification of a c.1202T>C (p.(Leu401Pro)) variant in the N-acylsphingosine amidohydrolase (ASAH1) gene that co-segregates with the keloid phenotype in a large Yoruba family. ASAH1 is an acid ceramidase known to be involved in tumor formation by controlling the ratio of ceramide and sphingosine. ASAH1 is also involved in cell proliferation and inflammation, and may affect the development of keloids via multiple mechanisms. Functional studies need to clarify the role of the ASAH1 variant in wound healing.

Alternate JournalEur. J. Hum. Genet.
PubMed ID28905881
PubMed Central IDPMC5602022
Grant ListM01 RR006192 / RR / NCRR NIH HHS / United States
R01 AR045286 / AR / NIAMS NIH HHS / United States
UM1 HG006493 / HG / NHGRI NIH HHS / United States