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Filaggrin Gene Defects and Dry Skin Barrier Function

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Abstract

Filaggrin (filament-aggregating protein) has an important function in epidermal differentiation and barrier function. In 2006, it was reported that the two most common loss-of-function mutations (R501X and 2282del4) within the filaggrin gene were associated with ichthyosis vulgaris and atopic dermatitis. Approximately 9–10% of European populations are carrying these variants. Null mutations in the filaggrin gene may also increase the risk of hand eczema and alopecia areata in atopics but seems not to be associated with psoriasis. The discovery of filaggrin null mutations has been a major breakthrough for dermatology in terms of diagnostics and prognostics, but it has not yet been translated into therapeutic advances for patients with eczema or other skin disorders. The wild-type allele carried by heterozygotic individuals might be upregulated by small molecules acting on pathways controlling filaggrin gene expression. Thus, a potential therapeutic target may exist.

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References

  1. Barker JN, Palmer CN, Zhao Y, Liao H, Hull PR, Lee SP, Allen MH, Meggitt SJ, Reynolds NJ, Trembath RC, McLean WH (2007) Null mutations in the filaggrin gene (FLG) determine major susceptibility to early-onset atopic dermatitis that persists into adulthood. J Invest Dermatol 127:564–567

    Article  PubMed  CAS  Google Scholar 

  2. Betz RC, Pforr J, Flaquer A, Redler S, Hanneken S, Eigelshoven S, Kortum AK, Tuting T, Lambert J, De WJ, Hillmer AM, Schmael C, Wienker TF, Kruse R, Lutz G, Blaumeiser B, Nothen MM (2007) Loss-of-function mutations in the filaggrin gene and alopecia areata: strong risk factor for a severe course of disease in patients comorbid for atopic disease. J Invest Dermatol 127:2539–2543

    Article  PubMed  CAS  Google Scholar 

  3. Brown SJ, McLean WH (2009) Eczema genetics: current state of knowledge and future goals. J Invest Dermatol 129:543–552

    Article  PubMed  CAS  Google Scholar 

  4. Carlsen BC, Johansen JD, Menne T, Meldgaard M, Szecsi PB, Stender S, Thyssen JP (2010) Filaggrin null mutations and association with contact allergy and allergic contact dermatitis: results from a tertiary dermatology clinic. Contact Dermatitis 63:89–95

    Article  PubMed  CAS  Google Scholar 

  5. Chang YC, Wu WM, Chen CH, Hu CF, Hsu LA (2008) Association between P478S polymorphism of the filaggrin gene and risk of psoriasis in a Chinese population in Taiwan. Arch Dermatol Res 300:133–137

    Article  PubMed  CAS  Google Scholar 

  6. de Jongh CM, Khrenova L, Verberk MM, Calkoen F, van Dijk FJ, Voss H, John SM, Kezic S (2008) Loss-of-function polymorphisms in the filaggrin gene are associated with an increased susceptibility to chronic irritant contact dermatitis: a case–control study. Br J Dermatol 159:621–627

    Article  PubMed  Google Scholar 

  7. Gan SQ, McBride OW, Idler WW, Markova N, Steinert PM (1991) Organization, structure, and polymorphisms of the human profilaggrin gene. Biochemistry 30:5814

    Article  PubMed  CAS  Google Scholar 

  8. Ginger RS, Blachford S, Rowland J, Rowson M, Harding CR (2005) Filaggrin repeat number polymorphism is associated with a dry skin phenotype. Arch Dermatol Res 297:235–241

    Article  PubMed  CAS  Google Scholar 

  9. Giwercman C, Lerbaek A, Bisgaard H, Menne T (2008) Classification of atopic hand eczema and the filaggrin mutations. Contact Dermatitis 59:257–260

    Article  PubMed  Google Scholar 

  10. Huffmeier U, Traupe H, Oji V, Lascorz J, Stander M, Lohmann J, Wendler J, Burkhardt H, Reis A (2007) Loss-of-function variants of the filaggrin gene are not major susceptibility factors for psoriasis vulgaris or psoriatic arthritis in German patients. J Invest Dermatol 127:1367–1370

    Article  PubMed  Google Scholar 

  11. Irvine AD, McLean WH (2006) Breaking the (un)sound barrier: filaggrin is a major gene for atopic dermatitis. J Invest Dermatol 126:1200–1202

    Article  PubMed  CAS  Google Scholar 

  12. Lerbaek A, Bisgaard H, Agner T, Ohm KK, Palmer CN, Menne T (2007) Filaggrin null alleles are not associated with hand eczema or contact allergy. Br J Dermatol 157:1199–1204

    Article  PubMed  CAS  Google Scholar 

  13. McGrath JA, Uitto J (2008) The filaggrin story: novel insights into skin-barrier function and disease. Trends Mol Med 14:20–27

    Article  PubMed  CAS  Google Scholar 

  14. Molin S, Vollmer S, Weiss EH, Ruzicka T, Prinz JC (2009) Filaggrin mutations may confer susceptibility to chronic hand eczema characterized by combined allergic and irritant contact dermatitis. Br J Dermatol 161:801–807

    Article  PubMed  CAS  Google Scholar 

  15. Novak N, Baurecht H, Schafer T, Rodriguez E, Wagenpfeil S, Klopp N, Heinrich J, Behrendt H, Ring J, Wichmann E, Illig T, Weidinger S (2008) Loss-of-function mutations in the filaggrin gene and allergic contact sensitization to nickel. J Invest Dermatol 128:1430–1435

    Article  PubMed  CAS  Google Scholar 

  16. O’Regan GM, Irvine AD (2010) The role of filaggrin in the atopic diathesis. Clin Exp Allergy 40:965–972

    Article  PubMed  Google Scholar 

  17. O’Regan GM, Sandilands A, McLean WH, Irvine AD (2009) Filaggrin in atopic dermatitis. J Allergy Clin Immunol 124:R2–R6

    Article  PubMed  Google Scholar 

  18. Palmer CN, Irvine AD, Terron-Kwiatkowski A, Zhao Y, Liao H, Lee SP, Goudie DR, Sandilands A, Campbell LE, Smith FJ, O’Regan GM, Watson RM, Cecil JE, Bale SJ, Compton JG, DiGiovanna JJ, Fleckman P, Lewis-Jones S, Arseculeratne G, Sergeant A, Munro CS, El HB, McElreavey K, Halkjaer LB, Bisgaard H, Mukhopadhyay S, McLean WH (2006) Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet 38:441–446

    Article  PubMed  CAS  Google Scholar 

  19. Presland RB, Coulombe PA, Eckert RL, Mao-Qiang M, Feingold KR, Elias PM (2004) Barrier function in transgenic mice overexpressing K16, involucrin, and filaggrin in the suprabasal epidermis. J Invest Dermatol 123:603–606

    Article  PubMed  CAS  Google Scholar 

  20. Rawlings AV, Harding CR (2004) Moisturization and skin barrier function. Dermatol Ther 17(Suppl 1):43–48

    Article  PubMed  Google Scholar 

  21. Rodriguez E, Baurecht H, Herberich E, Wagenpfeil S, Brown SJ, Cordell HJ, Irvine AD, Weidinger S (2009) Meta-analysis of filaggrin polymorphisms in eczema and asthma: robust risk factors in atopic disease. J Allergy Clin Immunol 123:1361–1370

    Article  PubMed  CAS  Google Scholar 

  22. Ross-Hansen K, Menne T, Johansen JD, Carlsen BC, Linneberg A, Nielsen NH, Stender S, Meldgaard M, Szecsi PB, Thyssen JP (2011) Nickel reactivity and filaggrin null mutations - evaluation of the filaggrin bypass theory in a general population. Contact Dermatitis 64:24–31

    Article  PubMed  CAS  Google Scholar 

  23. Sandilands A, Terron-Kwiatkowski A, Hull PR, O’Regan GM, Clayton TH, Watson RM, Carrick T, Evans AT, Liao H, Zhao Y, Campbell LE, Schmuth M, Gruber R, Janecke AR, Elias PM, van Steensel MA, Nagtzaam I, van GM, Steijlen PM, Munro CS, Bradley DG, Palmer CN, Smith FJ, McLean WH, Irvine AD (2007) Comprehensive analysis of the gene encoding filaggrin uncovers prevalent and rare mutations in ichthyosis vulgaris and atopic eczema. Nat Genet 39:650–654

    Article  PubMed  CAS  Google Scholar 

  24. Smith FJ, Irvine AD, Terron-Kwiatkowski A, Sandilands A, Campbell LE, Zhao Y, Liao H, Evans AT, Goudie DR, Lewis-Jones S, Arseculeratne G, Munro CS, Sergeant A, O’Regan G, Bale SJ, Compton JG, DiGiovanna JJ, Presland RB, Fleckman P, McLean WH (2006) Loss-of-function mutations in the gene encoding filaggrin cause ichthyosis vulgaris. Nat Genet 38:337–342

    Article  PubMed  CAS  Google Scholar 

  25. Thyssen JP, Carlsen BC, Johansen JD, Meldgaard M, Szecsi PB, Stender S, Menne T (2010) Filaggrin null-mutations may be associated with a distinct subtype of atopic hand eczema. Acta Derm Venereol 90:528

    Article  PubMed  Google Scholar 

  26. Thyssen JP, Carlsen BC, Menne T, Linneberg A, Nielsen NH, Meldgaard M, Szecsi PB, Stender S, Johansen JD (2010) Filaggrin null mutations increase the risk and persistence of hand eczema in subjects with atopic dermatitis: results from a general population study. Br J Dermatol 163:115–120

    PubMed  CAS  Google Scholar 

  27. Thyssen JP, Johansen JD, Linneberg A, Menne T, Nielsen NH, Meldgaard M, Szecsi PB, Stender S, Carlsen BC (2010) The association between null mutations in the filaggrin gene and contact sensitization to nickel and other chemicals in the general population. Br J Dermatol 162(6):1278–1285

    Article  PubMed  CAS  Google Scholar 

  28. van den Oord RA, Sheikh A (2009) Filaggrin gene defects and risk of developing allergic sensitisation and allergic disorders: systematic review and meta-analysis. BMJ 339:b2433

    Article  PubMed  Google Scholar 

  29. Weichenthal M, Ruether A, Schreiber S, Nair R, Voorhees JJ, Schwarz T, Kabelitz D, Christophers E, Elder JT, Jenisch S (2007) Filaggrin R501X and 2282del4 mutations are not associated with chronic plaque-type psoriasis in a German cohort. J Invest Dermatol 127:1535–1537

    Article  PubMed  CAS  Google Scholar 

  30. Zhang H, Guo Y, Wang W, Shi M, Chen X, Yao Z (2011) Mutations in the filaggrin gene in Han Chinese patients with atopic dermatitis. Allergy 66(3):420–427

    Article  PubMed  CAS  Google Scholar 

  31. Zhao Y, Terron-Kwiatkowski A, Liao H, Lee SP, Allen MH, Hull PR, Campbell LE, Trembath RC, Capon F, Griffiths CE, Burden D, McManus R, Hughes R, Kirby B, Rogers SF, Fitzgerald O, Kane D, Barker JN, Palmer CN, Irvine AD, McLean WH (2007) Filaggrin null alleles are not associated with psoriasis. J Invest Dermatol 127:1878–1882

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Martin Willy Meyer M.D. .

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© 2012 Springer-Verlag Berlin Heidelberg

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Meyer, M.W., Thyssen, J.P. (2012). Filaggrin Gene Defects and Dry Skin Barrier Function. In: Lodén, M., Maibach, H. (eds) Treatment of Dry Skin Syndrome. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-27606-4_9

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  • DOI: https://doi.org/10.1007/978-3-642-27606-4_9

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  • Online ISBN: 978-3-642-27606-4

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