Clinical, Molecular, and Cellular Features of Non-Puerto Rican Hermansky–Pudlak Syndrome Patients of Hispanic Descent  Carmelo Carmona-Rivera, Gretchen.

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Clinical, Molecular, and Cellular Features of Non-Puerto Rican Hermansky–Pudlak Syndrome Patients of Hispanic Descent  Carmelo Carmona-Rivera, Gretchen Golas, Richard A. Hess, Nicholas D. Cardillo, Elijah H. Martin, Kevin O'Brien, Ekaterini Tsilou, Bernadette R. Gochuico, James G. White, Marjan Huizing, William A. Gahl  Journal of Investigative Dermatology  Volume 131, Issue 12, Pages 2394-2400 (December 2011) DOI: 10.1038/jid.2011.228 Copyright © 2011 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 1 Clinical and molecular findings among non-Puerto Rican Hispanic Hermansky–Pudlak syndrome (HPS) patients. (a) Pigmentation and sequencing chromatograms of all six patients reported in this study. All patients showed hypopigmented skin with hair colors ranging from blond to brown. (b) Representative images of iris transillumination (in HPS117-1) and pale fundus (in HPS118-1), compared with controls (Ctrl). Journal of Investigative Dermatology 2011 131, 2394-2400DOI: (10.1038/jid.2011.228) Copyright © 2011 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 2 Hallmarks of Hermansky–Pudlak syndrome (HPS) patients. (a) Representative whole-mount (top panel) and transmission (bottom panel) electron microscope images of selected patients compared with controls (Ctrl), showing an absence of platelet delta granules (arrows in control images). (b) Conventional chest computed tomography (CT) of HPS117-1 (top image) shows diffuse bilateral peripheral interstitial pulmonary infiltrates (arrows). A CT scan from HPS118-1 (middle image) shows mild bilateral interstitial opacities (arrows) predominantly in subpleural areas. In contrast, no pulmonary infiltrates were found on a CT scan from HPS361-1 (bottom image), who is a 22-year-old man with HPS-1 and no lung disease. Journal of Investigative Dermatology 2011 131, 2394-2400DOI: (10.1038/jid.2011.228) Copyright © 2011 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 3 Immunoblot analysis of patients' fibroblast extracts. Immunoblotting was performed with antibodies against Hermansky–Pudlak syndrome (HPS)4 (to detect BLOC-3 defects), HPS5 (to detect BLOC-2 defects), and α-tubulin (loading control). (a) Normal, HPS-3, and HPS-1 fibroblast extracts were loaded as controls (lanes 1–3) and compared with the patients' protein expression. Patient HPS117-1 showed decreased HPS4 expression, similar to that of control HPS-1 cells (lane 3), suggesting an HPS-1 defect. Patients HPS125-5 and HPS353-5 expressed no HPS5 protein, confirming an HPS-5 defect. Patient HPS150-4 expressed no HPS4 protein, confirming an HPS-4 defect. (b) Patient HPS163-1 showed reduced levels of HPS4 protein, similar to the HPS-1 loading control (lane 1), suggesting HPS-1 disease in this patient. Journal of Investigative Dermatology 2011 131, 2394-2400DOI: (10.1038/jid.2011.228) Copyright © 2011 The Society for Investigative Dermatology, Inc Terms and Conditions

Figure 4 Complementary DNA (cDNA) analysis of patient HPS353-5. (a) Schematic representation of the HPS5 gene and location of the primers used for PCR analysis to detect splice-site alteration in patient HPS353-5. The patient's splice-site variant c.1,634+1G>A (intron 13) is located 1-bp intronic from the exon12–exon13 boundary (asterisk). (b) cDNA amplification of exons 11–16 of the HPS5 cDNA transcript showing the expected band of 694 bp and a lower-molecular-weight band around 570 bp. (c) Sequence analysis of the lower-molecular-weight band revealed skipping of exon 13 (124-bp) in patient HPS353-5, confirming the pathogenicity of the new HPS5 splice-site variant in this patient. Journal of Investigative Dermatology 2011 131, 2394-2400DOI: (10.1038/jid.2011.228) Copyright © 2011 The Society for Investigative Dermatology, Inc Terms and Conditions