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Xeroderma Pigmentosum: Clinical and Genetic Features and Therapeutic Approaches

https://doi.org/10.15690/vsp.v20i6S.2370

Abstract

Xeroderma pigmentosum is rare genetic disorder characterized by increased skin sensitivity to damaging ultraviolet (UV) light. First symptoms manifest at early age in most cases (up to 75%). Chronic damage due to sun exposure is common, it has different stages of changes and risk of further development of malignant tumors that depends on the gene involved. Additionally to skin manifestations there are various neurological disorders such as progressive cognitive dysfunctions, sensorineural hearing loss, ataxia, pyramid and extrapyramidal disorders, areflexia. Treatment of patients with xeroderma pigmentosum is mostly symptomatic and preventive (protection against UV). Nowadays targeted medications for DNA repair and increasing cells resistance to UV light, thus preventing the oncological diseases, are under development.

About the Authors

Tatyana S. Belysheva
National Medical Research Center of Oncology named after N.N. Blokhin
Russian Federation

Moscow


Disclosure of interest:

Not declared.



Tatyana V. Nasedkina
Engelhardt Institute of Molecular Biology
Russian Federation

Moscow


Disclosure of interest:

Not declared.



Iryna S. Kletskaya
Russian Children’s Clinical Hospital, Pirogov Russian National Research Medical University
Russian Federation

Moscow


Disclosure of interest:

Not declared.



Anastasiya S. Volkova
National Medical Research Center of Oncology named after N.N. Blokhin
Russian Federation

Moscow


Disclosure of interest:

Not declared.



Vera V. Semenova
National Medical Research Center of Oncology named after N.N. Blokhin; Engelhardt Institute of Molecular Biology; Research Center of Pediatric Hematology, Oncology and Immunology named after Dmitry Rogachev
Russian Federation

Moscow


Disclosure of interest:

Not declared.



Timur T. Valiev
National Medical Research Center of Oncology named after N.N. Blokhin
Russian Federation

Moscow


Disclosure of interest:

Not declared.



References

1. DiGiovanna JJ, Kraemer KH. Shining a light on xeroderma pigmentosum. J Invest Dermatol. 2012;132(3 Pt 2):785–796. doi: 10.1038/jid.2011.426

2. Nishigori C, Nakano E, Masaki T, et al. Characteristics of Xeroderma Pigmentosum in Japan: Lessons From Two Clinical Surveys and Measures for Patient Care. Photochem Photobiol. 2019;95(1):140–153. doi: 10.1111/php.13052

3. Bhutto AM, Shaikh A, Nonaka S. Incidence of xeroderma pigmentosum in Larkana, Pakistan: a 7-year study. Br J Dermatol. 2005; 152(3):545–551. doi: 10.1111/j.1365-2133.2004.06311.x

4. Lehmann AR, McGibbon D, Stefanini M. Xeroderma pigmentosum. Orphanet. J Rare Dis. 2011;6(1):1–6. doi: 10.1186/1750-1172-6-70

5. Al’banova VI. Multiple malignant tumors in 8-years old boy with xeroderma pigmentosum: a case report. Almanac of Clinical Medicine. 2014;(34):42–46. (In Russ).

6. Teleuova TS, Tadzhimetova NO, Tadzhimetov MM. Xeroderma pigmentosum: observation of changes. Heraldof Almaty State Institute of Advanced Medical Education. 2014;(1):70–73. (In Russ).

7. Gadzhimuradov MN, Alieva MG, Mamasheva GD, Gadzhimuradova KM. Xeroderma pigmentosa. Russian Journal of Clinical Dermatology and Venereology = Klinicheskaya dermatologiya i venerologiya. 2019;18(4):442–447. (In Russ). doi: 10.17116/klinderma201918041442

8. Cleaver JE. Defective repair replication of DNA in xeroderma pigmentosum. Nature. 1968;218:652–656. doi: 10.1038/218652A0

9. Mareddy S, Reddy J, Babu S, Balan P. Xeroderma pigmentosum: man deprived of his right to light. ScientificWorldJournal. 2013; 2013:534752. doi: 10.1155/2013/534752

10. Feltes BC, Bonatto D. Overview of xeroderma pigmentosum proteins architecture, mutations and post-translational modifications. Mutat Res Rev Mutat Res. 2015;763:306–320. doi: 10.1016/j.mrrev.2014.12.002.

11. Bradford PT, Goldstein AM, Tamura D, et al. Cancer and neurologic degeneration in xeroderma pigmentosum: long term follow-up characterises the role of DNA repair. J Med Genet. 2011;48(3): 168–176. doi: 10.1136/jmg.2010.083022

12. Lehmann AR, Fassihi H. Molecular analysis directs the prognosis, management and treatment of patients with xeroderma pigmentosum. DNA Repair (Amst). 2020;93:102907. doi: 10.1016/j.dnarep.2020.102907

13. Yang R, Kong Q, Duan Y, et al. Identification of a novel DDB2 mutation in a Chinese Han family with Xeroderma pigmentosum group E: a case report and literature review. BMC Med Genet. 2020;21(1):67. doi: 10.1186/s12881-020-00997-0

14. Musich PR, Li Z, Zou Y. Xeroderma Pigmentosa Group A (XPA), Nucleotide Excision Repair and Regulation by ATR in Response to Ultraviolet Irradiation. Adv Exp Med Biol. 2017;996:41–54. doi: 10.1007/978-3-319-56017-5_4

15. Fassihi H, Sethi M, Fawcett H, et al. Deep phenotyping of 89 xeroderma pigmentosum patients reveals unexpected heterogeneity dependent on the precise molecular defect. Proc Natl Acad Sci U S A. 2016;113(9):E1236–E1245. doi: 10.1073/pnas.1519444113

16. Kraemer KH, Patronas NJ, Schiffmann R, et al. Xeroderma pigmentosum, trichothiodystrophy and Cockayne syndrome: a complex genotype-phenotype relationship. Neuroscience. 2007;145(4): 1388–1396. doi: 10.1016/j.neuroscience.2006.12.020

17. Jaspers NG, Raams A, Silengo MC, et al. First reported patient with human ERCC1 deficiency has cerebro-oculo-facio-skeletal syndrome with a mild defect in nucleotide excision repair and severe developmental failure. Am J Hum Genet. 2007;80(3):457–466. doi: 10.1086/512486

18. Zheng JF, Mo HY, Wang ZZ. Clinicopathological characteristics of xeroderma pigmentosum associated with keratoacanthoma: a case report and literature review. Int J Clin Exp Med. 2014;7(10):3410–3414

19. Abeti R, Zeitlberger A, Peelo C, et al. Xeroderma pigmentosum: overview of pharmacology and novel therapeutic strategies for neurological symptoms. Br J Pharmacol. 2019;176(22):4293–4301. doi: 10.1111/bph.14557

20. Natale V, Raquer H. Xeroderma pigmentosum-Cockayne syndrome complex. Orphanet J Rare Dis. 2017;12(1):65. doi: 10.1186/s13023-017-0616-2

21. Metlo A, Rehan A, Akmal M, et al. Xeroderma Pigmentosum — Cockayne Syndrome Complex (XP-CS) — Another case. J Pak Med Assoc. 2018;68(10):1531–1534.

22. Reid-Bayliss KS, Arron ST, Loeb LA, et al. Why Cockayne syndrome patients do not get cancer despite their DNA repair deficiency. Proc Natl Acad Sci U S A. 2016;113(36):10151–10156. doi: 10.1073/pnas.1610020113

23. Olson MT, Puttgen KB, Westra WH. Angiosarcoma arising from the tongue of an 11-year-old girl with xeroderma pigmentosum. Head Neck Pathol. 2012;6(2):255–257. doi: 10.1007/s12105-011-0303-x

24. Marcon I, Collini P, Casanova M, et al. Cutaneous angiosarcoma in a patient with xeroderma pigmentosum. Pediatr Hematol Oncol J. 2004;21(1):23–26.

25. Arora R, Sharma A, Gupta R, Vijayaraghavan M. Cutaneous angiosarcoma in a patient with xeroderma pigmentosum. Indian J Pathol Microbiol. 2008;51(4):504–506. doi: 10.4103/0377-4929.43741

26. Montgomery H, Reuter MJ. Xeroderma pigmentosum: Report of a mild case with histopathologic studies. Arch Dermatol Syphilol.. 26.2 (1932): 256-267. doi: 10.1001/ARCHDERM.1932.01450030253004

27. Urabe K, Hori Y. Dyschromatosis. Semin Cutan Med Surg. 1997; 16(1):81–85. doi: 10.1016/s1085-5629(97)80039-9

28. Kono M, Akiyama M. Dyschromatosis symmetrica hereditaria and reticulate acropigmentation of Kitamura: an update. J Dermatol Sci. 2019;93(2):75–81. doi: 10.1016/j.jdermsci.2019.01.004

29. Praetorius C, Sturm RA, Steingrimsson E. Sun-induced freckling: ephelides and solar lentigines. Pigment Cell Melanoma Res. 2014;27(3):339–350. doi: 10.1111/pcmr.12232

30. Singh M, Alavi A, Wong R, Akita S. Radiodermatitis: a review of our current understanding. Am J Clin Dermatol. 2016;17(3):277–292.

31. Weon JL, Glass DA 2nd. Novel therapeutic approaches to xeroderma pigmentosum. Br J Dermatol. 2019;181(2):249–255. doi: 10.1111/bjd.17253

32. Yarosh D, Klein J, O’Connor A, et al. Effect of topically applied T4 endonuclease V in liposomes on skin cancer in xeroderma pigmentosum: a randomised study. Xeroderma Pigmentosum Study Group. Lancet. 2001;357(9260):926–929. doi: 10.1016/s0140-6736(00)04214-8

33. Kuschal C, DiGiovanna JJ, Khan SG, et al. Repair of UV photolesions in xeroderma pigmentosum group C cells induced by translational readthrough of premature termination codons. Proc Natl Acad Sci U S A. 2013;110(48):19483–19488. doi: 10.1073/pnas.1312088110

34. Mazouzi A, Battistini F, Moser SC, et al. Repair of UV-Induced DNA Damage Independent of Nucleotide Excision Repair Is Masked by MUTYH. Mol Cell. 2017;68(4):797–807.e7. doi: 10.1016/j.molcel.2017.10.021

35. Galloway JA, McMahon RE, Culp HW, et al. Metabolism, blood levels and rate of excretion of acetohexamide in human subjects. Diabetes. 1967;16(2):118–127. doi: 10.2337/diab.16.2.118

36. Hosseini M, Ezzedine K, Taieb A, Rezvani HR. Oxidative and energy metabolism as potential clues for clinical heterogeneity in nucleotide excision repair disorders. J Invest Dermatol. 2015;135(2): 341–351. doi: 10.1038/jid.2014.365

37. Kraemer KH, DiGiovanna JJ, Peck GL. Chemoprevention of skin cancer in xeroderma pigmentosum. J Dermatol. 1992;19(11): 715–718. doi: 10.1111/j.1346-8138.1992.tb03766.x

38. Cai H, Yang QQ, Ma C, et al. Photodynamic therapy in the treatment of xeroderma pigmentosum: A case report. Photodiagnosis Photodyn Ther. 2020;30:101761. doi: 10.1016/j.pdpdt.2020.101761

39. Dirar QS, Musalem HM, Al-Hazzaa SAF, et al. Effect of Pegylated Interferon and Mitomycin C on Ocular Surface Squamous Neoplasia in Xeroderma Pigmentosum: A Case Series. Am J Case Rep. 2020;21:e921301. doi: 10.12659/AJCR.921301

40. Hauschild A, Eichstaedt J, Mobus L, et al. Regression of melanoma metastases and multiple non-melanoma skin cancers in xeroderma pigmentosum by the PD1-antibody pembrolizumab. Eur J Cancer. 2017;77:84–87. doi: 10.1016/j.ejca.2017.02.026.

41. Salomon G, Maza A, Boulinguez S, et al. Efficacy of antiprogrammed cell death-1 immunotherapy for skin carcinomas and melanoma metastases in a patient with xeroderma pigmentosum. Br J Dermatol. 2018;178:1199–1203. doi: 10.1111/bjd.16270

42. Gromov GB. Rak kozhi u detei (klinika, diagnostika i lechenie). [dissertation]. Dushanbe; 1998. 177 p. (In Russ).

43. Kraemer KH, Lee MM, Scotto J. Xeroderma pigmentosum. Cutaneous, ocular, and neurologic abnormalities in 830 published cases. Arch Dermatol. 1987;123(2):241–250. doi: 10.1001/archderm.123.2.241

44. Grampurohit VU, Dinesh US, Rao R. Multiple cutaneous malignancies in a patient of xeroderma pigmentosum. J Cancer Res Ther. 2011;7(2):205–207. doi: 10.4103/0973-1482.82932

45. Mohanty P, Mohanty L, Devi BP. Multiple cutaneous malignancies in xeroderma pigmentosum. Indian J Dermatol Venereol Leprol. 2001;67(2):96–97.

46. Ben Rekaya M, Laroussi N, Messaoud O, et al. A founder large deletion mutation in Xeroderma pigmentosum-Variant form in Tunisia: implication for molecular diagnosis and therapy. Biomed Res Int. 2014;2014:256245. doi: 10.1155/2014/256245


Review

For citations:


Belysheva T.S., Nasedkina T.V., Kletskaya I.S., Volkova A.S., Semenova V.V., Valiev T.T. Xeroderma Pigmentosum: Clinical and Genetic Features and Therapeutic Approaches. Current Pediatrics. 2021;20(6s):611-617. (In Russ.) https://doi.org/10.15690/vsp.v20i6S.2370

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