Working together to find a cure. Abeona Therapeutics is focused on developing novel gene and cell therapy approaches for potential treatment of individuals impacted by rare diseases including Epidermolysis Bullosa, Sanfilippo Syndrome, and Batten Disease. What is Epidermolysis Bullosa? Epidermolysis Bullosa EB is a group of devastating, life-threatening connective tissue disorders that are genetic in origin and characterized by skin blisters throughout the body as well as severe impact to internal organs.
Anne Lucky, and Dr. In addition, we thank all the members who contributed to the original website text, including: The following information describes a group of genetic blistering disorders of the skin that are collectively referred to as Epidermolysis Bullosa or EB.
It has been written for patients, their families and friends, and health professionals to explain what we know about these disorders. Blistering occurs within the uppermost layer of the skin within the epidermis intraepidermal. EBS may be localized to the hands and feet or there may be a generalized distribution, with relatively mild internal involvement.
Those with a subtype of EBS may develop thickened calluses on the palms and soles as they age. Junctional EB JEB Junctional EB is recessively inherited, and involves disorders of several different protein components of the junction between the epidermis and dermis such as laminin 5 now known as lamininplectin, collagen XVII, and a 6 b 4 integrin.
Blisters occur between the upper and lower layers of the skin at the level of the lamina lucida within the basement membrane zone and skin involvement is typically generalized. There are three main subtypes of JEB: Death often occurs prior to the second year of life due to overwhelming infection sepsismalnutrition, dehydration, electrolyte imbalance or pulmonary failure secondary to internal blistering.
There is a wide clinical spectrum of non-Herlitz JEB. JEB infants presenting with pyloric atresia will have trouble with feeding and abdominal distension as neonates and will require surgical intervention to treat the atresaia.
Blisters occur within the lower layer of the skin sub-lamina densa basement membrane zone separation. Blistering may be localized to the hands, feet, elbows and knees or it may be generalized. Common findings include scarring, milia, mucous membrane involvement, and abnormal or absent nails.
Typically more generalized and severe than DDEB. In addition to the findings of DDEB, other common manifestations include malnutrition, anemia, osteoporosis, esophageal strictures, growth retardation, webbing, or fusion of the fingers and toes causing mitten deformity pseudosyndactylydevelopment of muscle contractures, malformation of teeth, microstomia and scarring of the eye.
The risk of squamous cell carcinoma is greatly increased in this group as well as death from metastatic squamous cell carcinoma. Kindler Syndrome Kindler Syndrome is an extremely rare recessively inherited genodermatosis which involves mutations in the gene that codes for the structural protein Kindlin The blistering can occur at any layer of the skin.
Kindler Syndrome involves a generalized distribution, with internal involvement that can include colitis as well as anal stenosis. Those with Kindler syndrome may have thickened calluses on the palms and soles, photosensitization and these patients are at increased risk of developing squamous carcinoma of the oral mucosa.
EBA is not a genetic disorder. Image used with permission from eMedicine. They may develop on the soft tissues mucous membranes inside the body such as the linings of the mouth, esophagus, stomach, intestines, lungs, bladder and genitals.
The extent of tissue involvement experienced by an individual is usually determined by the severity of the disease and the subtype present. On May 19,18 leading EB authorities met to review the classification system of EB and update it to reflect current knowledge.
The findings of this meeting were published in the American Academy of Dermatology in June as "The classification of inherited epidermolysis bullosa EB: Kindler Syndrome is now classified as a fourth subtype.
Kindler syndrome is an autosomal recessive disorder involving kindlin, and the cleavage plan varies in these individuals. Level of skin cleavage.Abeona Therapeutics is focused on developing novel gene and cell therapy approaches for potential treatment of individuals impacted by rare diseases including Epidermolysis Bullosa, Sanfilippo Syndrome, and Batten Disease.
Dermolytic (Dystrophic epidermolysis bullosa, Type VII collagen defects) with recessive or dominant glycine substitution mutations in COL7A1 gene.
and dystrophic epidermolysis bullosa (collagen IV, laminin, or both, and keratin all at the epidermal roof). Altogether, electron microscopic examination subclassified epidermolysis bullosa. Dystrophic epidermolysis bullosa: a review Satoru Shinkuma Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan Abstract: Dystrophic epidermolysis bullosa is a rare inherited blistering disorder caused by mutations in the COL7A1 gene encoding type VII collagen.
Its advantages have already been proven in practice by the first pilot study on treatment of human junctional epidermolysis bullosa with keratinocyte gene therapy.
clearly show that the main determinant of the blistering phenotype in DEB is the absence or reduced expression of type VII collagen due to gene mutations. Therefore. Directory of Services. Anand Diagnostic Laboratory strives for excellence in patient care with its highly efficient and accuracy-oriented processes.
DEB is caused by mutation(s) (or mistakes) in a gene in the DNA called the COL7A1 gene. This gene is responsible for the formation of collagen type VII (C7) protein that forms anchoring fibrils that bind the dermal (inner) and .