RT Journal Article SR Electronic T1 Exome sequencing identifies a COL14A1 mutation in a large Chinese pedigree with punctate palmoplantar keratoderma JF Journal of Medical Genetics JO J Med Genet FD BMJ Publishing Group Ltd SP 563 OP 568 DO 10.1136/jmedgenet-2012-100868 VO 49 IS 9 A1 Bi-Rong Guo A1 Xin Zhang A1 Gang Chen A1 Jian-Guo Zhang A1 Liang-Dan Sun A1 Wei-dong Du A1 Qing Zhang A1 Yong Cui A1 Jun Zhu A1 Xian-Fa Tang A1 Ruo Xiao A1 Yuan Liu A1 Min Li A1 Hua-Yang Tang A1 Xu Yang A1 Hui Cheng A1 Ming Li A1 Min Gao A1 Ping Li A1 Jian-Bo Wang A1 Feng-Ping Xu A1 Xian-Bo Zuo A1 Xiao-Dong Zheng A1 Xiao-Guang Zhang A1 Lin Yang A1 Jian-Jun Liu A1 Jun Wang A1 Sen Yang A1 Xue-Jun Zhang YR 2012 UL http://jmg.bmj.com/content/49/9/563.abstract AB Background Punctate palmoplantar keratoderma (PPPK) is a rare autosomal dominant skin disorder characterised by numerous hyperkeratotic papules irregularly distributed on the palms and soles. To date, no causal gene for this disease has been identified. Methods We performed exome sequencing analysis of four affected individuals and two unaffected controls from one Chinese PPPK family where disease locus was mapped at 8q24.13-8q24.21 by our previous linkage analysis. Results We identified a novel heterozygous mutation in COL14A1 gene (c.4505C→T (p.Pro1502Leu)), which located within the linkage region that we previously identified for PPPK. The mutation was shared by the four affected individuals, but not for the two controls of the family. Sanger sequencing confirmed this mutation in another four cases from this family. This mutation was invisible in the normal controls of this family as well as the additional 676 unrelated normal controls and 781 patients with other disease. The shared COL14A1 mutation, p.Pro1502Leu, is a missense substitution at a highly conserved amino acid residue across multiple species. Conclusions The power of combining exome sequencing and linkage information in the study of genetics of autosomal dominant disorders, even in simplex cases, has been demonstrated. Our results suggested that COL14A1 would be a casual gene for PPPK, which was helpful for advancing us on understanding of the pathogenesis of PPPK.