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Filaggrin gene variants and skin diseases

https://doi.org/10.25557/2073-7998.2026.05.3-9

Abstract

Numerous studies on the prevalence and associations of variants of the gene encoding the filaggrin protein with skin diseases have yielded conflicting and ambiguous results for different populations. For example, the R501X and 2282del4 variants are common among European patients with ichthyosis vulgaris (IV), but they have not been detected in Saudi Arabian patients with this disease. At the same time, the R501X variant is the most common among Mexican patients with IV. In addition, the R501X variant and the R501X and 2282del4 variants in the compound heterozygous state are associated with the severity of atopic dermatitis (AD) in Indian patients. Another common variant, R2447X, has been observed in Russian and Spanish patients with AD. It is worth noting that the 2282del4 variant is generally the most common in Russian patients with dermatoses. In a number of studies, these variants were not detected in patients with IV and AD from Asian countries. Some authors suggest that non-genetic factors may play an important role in the development of dermatoses.

About the Authors

S. A. Butkeyev
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences
Russian Federation

175/1 B. Bogatkova str., Novosibirsk 630089



A. A. Ivanova
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences
Russian Federation

175/1 B. Bogatkova str., Novosibirsk 630089



V. N. Maksimov
Research Institute of Internal and Preventive Medicine – Branch of the Institute of Cytology and Genetics, Siberian Branch of Russian Academy of Sciences
Russian Federation

175/1 B. Bogatkova str., Novosibirsk 630089



References

1. Alakloby O.M., Almuqarrab F., Zschocke J. et al. Filaggrin gene variants among Saudi patients with ichthyosis vulgaris. BMC Med Genomics. 2023 Oct 23;16(1):256.

2. Touati A., Saeidian A.H., Youssefian L., et al. The matriptaseprostasin proteolytic cascade in dermatologic diseases. Exp Dermatol. 2020 Jul;29(7):580-587.

3. Kandrashkina Yu.A. Orlova E.A., Levashova O.A, et al. Izucheniye roli filaggrina v patogeneze atopicheskogo dermatita pri beremennosti. [A study on the role of filaggrin in pathogenesis of atopic dermatitis during pregnancy]. Sibirskoye meditsinskoye obozreniye [Siberian medical review]. 2022; 133 (1): 45-50. (In Russ.)

4. Liu C., Han C., Liang J. et al. Variants in the gene encoding filaggrin cause autosomal-dominant symmetrical acral keratoderma. J Invest Dermatol. 2023;143(7):1313-1317.

5. Aleksandrova A.K., Smolynnikova V.A., Tertychnyy A.S. Seboreynyy keratoz i vul’garnyye borodavki u patsiyenta s vul’garnym ikhtiozom [Seborrheic keratosis and warts in patient with ichthyosis vulgaris]. Kubanskiy nauchnyy meditsinskiy vestnik [Kuban scientific medical bulletin]. 2014; 146(4): 150-153. (In Russ.)

6. Vasserman N.N., Bayazutdinova G.M., Braslavskaya S.I. et al. Spektr mutatsiy pri autosomno-retsessivnom vrozhdennom ikhtioze u bol’nykh v Rossiyskoy Federatsii [Spectrum mutations in autosomal recessive congenital ichthyosis patients from Russian Federation]. Meditsinskaya genetika [Medical Genetics]. 2015;14(11):23-28. (In Russ.)

7. Maksimov V.N., Kulikov I.V., Semaev S.E et al. Deletsiya 2282del4 v gene filaggrina v populyatsii zhiteley Novosibirska i u bol’nykh vul’garnym ikhtiozom [2282DEL4 deletion of filaggrin gene in Novosibirsk population and in ichthyosis vulgaris patients]. Meditsinskaya genetika [Medical Genetics]. 2007;6(8):21-23. (In Russ.)

8. Wells R.S., Kerr C.B. Clinical features of autosomal dominant and sex-linked ichthyosis in an English population. British Medical Journal. 1966 Apr 16;1(5493):947-50.

9. Amelina S.S., Degtereva E.V., Temnikov V.E., et al. Rasprostranennost’ vul’garnogo ikhtioza i chastota mutatsiy R501X i 2282DEL4 v gene FLG v Rostovskoy oblasti [Prevalence of ichthyosis vulgaris and frequency of FLG r501x and 2282del4 mutations in the population of the Rostov region]. Vestnik Rossiyskogo gosudarstvennogo meditsinskogo universiteta [Bulletin of Russian State Medical University]. 2018;(1):51-55. (In Russ.)

10. Amelina S.S., Vetrova N.V., Degtereva E.V., et al. Raznoobraziye nasledstvennykh zabolevaniy kozhi u naseleniya Rostovskoy oblasti [Variety of hereditary skin diseases in Rostov region population]. Valeologiya [Valeology]. 2014;(4):12-17. (In Russ.)

11. Chawla H.S., Kosta S., Namdeo C. et al. Genotype study of filaggrin gene loss-of-function mutations in Central India population with atopic dermatitis and ichthyosis vulgaris. Indian dermatology online journal. 2023;14(5):611-615.

12. Li M., Cheng R., Shi M. Analyses of FLG mutation frequency and filaggrin expression in isolated ichthyosis vulgaris (IV) and atopic dermatitis-associated IV. Br J Dermatol. 2013;168(6):1335-8.

13. Handa S., Khullar G., Pal A., et al. Filaggrin gene mutations in hand eczema patients in the Indian subcontinent: a prospective case-control study. Contact Dermatitis. 2019;80(6):359-364.

14. Makeenko O.A., Kokh N.V., Sergeeva I.G. Klinicheskaya kharakteristika patsiyentov s mutatsiyey v gene filaggrina na priyeme dermatologa [Clinical presentation of patients with a mutation in the filaggrin gene at the dermatologist’s office]. Klinicheskaya dermatologiya i venerologiya [Russian journal of clinical dermatology and venereology]. 2022;21(3):317-324. (In Russ.)

15. Hu Z., Xiong Z., Xu X., et al. Loss-of-function mutations in filaggrin gene associate with psoriasis vulgaris in Chinese population. Hum Genet. 2012;131(7):1269-74.

16. Chen H., Common J.E.A., Haines R.L., et al. Wide spectrum of filaggrin null mutations in atopic dermatitis highlights differences between Singaporean Chinese and European populations. British Journal of Dermatology. 2011;165(1):106–114.

17. Novikova M.S., Kokh N.V., Mikailova D.A. et al. Mutatsii gena filaggrina i polimorfizm genov tsitokinov u sibsov s atopicheskim dermatitom [Filaggrin gene mutations and cytokine genes polymorphism in siblings with atopic dermatitis]. Klinicheskaya dermatologiya i venerologiya [Russian journal of clinical dermatology and venereology]. 2021;20(3):43-50. (In Russ.)

18. Makarova S.I., Mitrofanov D.V., Komova E.G. et al. Rol’ mutatsiy gena filaggrina, vedushchikh k snizheniyu kolichestva belka, v razvitii atopicheskogo dermatita i bronkhial’noy astmy u detey [The role of filaggrin mutations leading to a decrease in the amount of protein in the development of atopic dermatitis and bronchial asthma in children]. Sibirskiy nauchnyy meditsinskiy zhurnal [The Siberian scientific medical journal]. 2021;41(3):58-63. (In Russ.)

19. Maksimova Yu.V., Svechnikova E.V., Maksimov V.N. et al. Mutatsii v gene filaggrina i atopicheskiy dermatit [Mutations in the filaggrin gene and atopic dermatitis]. Klinicheskaya dermatologiya i venerologiya [Russian journal of clinical dermatology and venereology]. 2014;12(3):58-62. (In Russ.)

20. Smith F.J., Irvine A.D., Terron-Kwiatkowski A. et al. Loss-of-function mutations in the gene encoding filaggrin cause ichthyosis vulgaris. Nat Genet. 2006;38(3):337–42.

21. González-Huerta L.M., Zúñiga-Rodríguez F.G., Valerio-Gómez V.I., et al. Novel filaggrin variants are associated with ichthyosis vulgaris in Mexicans. Genes (Basel). 2025;16(4):380.

22. Eremina A.A., Gerlinger A.V., Makeenko O.A., et al. Vnedreniye sovremennykh geneticheskikh i instrumental’nykh metodov obsledovaniya v vedenii patsiyentov s vul’garnym ikhtiozom i atopicheskim dermatitom [Introduction of modern genetic and instrumental examination methods in patients with ichthyosis vulgaris and atopic dermatitis]. Klinicheskaya dermatologiya i venerologiya [Russian journal of clinical dermatology and venereology]. 2023;22(4):399-405. (In Russ.)

23. Palmer C.N., Irvine A.D., Terron-Kwiatkowski A. et al. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet. 2006;38(4):441–6.

24. Weidinger S., Illig T., Baurecht H. et al. Loss-of-function variations within the filaggrin gene predispose for atopic dermatitis with allergic sensitizations. J Allergy Clin Immunol 2006;118: 1:214—219.

25. Zheng B.W., Zhu X.Z., Lan Y., et al. Unique variants in the FLG gene and FERMT1 gene in a Chinese patient with ichthyosis and Kindler syndrome. Journal of the American Academy of Dermatology Case Reports. 2019;5(12):1061-1064.

26. Richards S., Aziz N., Bale S. Standards and guidelines for the interpretation of sequence variants: a joint consensus recommendation of the American College of Medical Genetics and Genomics and the Association for Molecular Pathology. Genet Med. 2015;17(5):405423.

27. Xiong Z., Luo S., Xu X., et al. Novel FLG mutations associated with ichthyosis vulgaris in the Chinese population. Clin Exp Dermatol. 2012;37(2):177-80.

28. Gu Y., Shao M., Du X. et al. Mutation analysis of FLG gene in 10 Chinese families with ichthyosis vulgaris. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2013;30(3):257-60.

29. Zhang Q., Yang Y., Cai L., et al. Novel missense mutations of the FLG gene identified in two Chinese families affected with ichthyosis vulgaris. Zhonghua Yi Xue Yi Chuan Xue Za Zhi. 2016;33(5):645-8.

30. Zhang X., Liu S., Chen X. et al. Novel and recurrent mutations in the filaggrin gene in Chinese patients with ichthyosis vulgaris. Br J Dermatol. 2010;163(1):63-9.

31. Nomura T., Sandilands A., Akiyama M. et al. Unique mutations in the filaggrin gene in Japanese patients with ichthyosis vulgaris and atopic dermatitis. J Allergy Clin Immunol. 2007;119(2):434–40.

32. Polcari I., Becker L., Stein S.L. et al. Filaggrin Gene mutations in African americans with both ichthyosis vulgaris and atopic dermatitis. Pediatr Dermatol. 2014;31(4):489–92.

33. Hassani B., Isaian A., Shariat M., et al. Filaggrin gene polymorphisms in Iranian ichthyosis vulgaris and atopic dermatitis patients. Int J Dermatol. 2018;57(12):1485–91.

34. Winge M.C., Bilcha K.D., Liedén A., et al. Novel filaggrin mutation but no other loss-of-function variants found in Ethiopian patients with atopic dermatitis. Br J Dermatol. 2011;165(5):1074-80.

35. Shah K., Mehmood S., Jan A., et al. Sequence variants in nine different genes underlying rare skin disorders in 10 consanguineous families. Int J Dermatol. 2017;56(12):1406-1413.

36. Fozia F., Nazli R., Alam Khan S. et al. Novel Homozygous Mutations in the Genes TGM1, SULT2B1, SPINK5 and FLG in Four Families Underlying Congenital Ichthyosis. Genes (Basel). 2021;12(3):373.


Review

For citations:


Butkeyev S.A., Ivanova A.A., Maksimov V.N. Filaggrin gene variants and skin diseases. Medical Genetics. 2026;25(5):3-9. (In Russ.) https://doi.org/10.25557/2073-7998.2026.05.3-9

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