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In a study of two unrelated Indian families, Monilethrix segregated with distinct HTM region variants in KRT81 in the context of an E413K mutation in KRTHB6. Twenty-one affected individuals carried a homozygous exonic variant haplotype in KRT81 and these variants were absent in 150 unaffected controls, supporting a modulatory role for KRT81 in disease severity (PMID:15050877).
These findings are consistent with an autosomal recessive modifier effect of KRT81 HTM variants in monilethrix. Genetic testing of KRT81 HTM region variants may refine diagnosis and prognostication in monilethrix. Key take-home: KRT81 variants influence monilethrix severity and warrant inclusion in diagnostic panels.
Gene–Disease AssociationLimitedSingle study of 21 affected individuals in two families with segregation and absence in 150 controls. Genetic EvidenceLimitedHTM region variants in KRT81 co-segregated with disease in 21 individuals; no additional cohorts. Functional EvidenceLimitedNo functional studies directly assess KRT81 in monilethrix. |