This report describes a model of Darier-White disease (DAR), also known as keratosis follicularis, an autosomal dominant skin disorder. The human gene implicated in this disease is ATP2A2, a SERCA Ca(2+)-ATPase; members of this family function as intracellular pumps located in the sarcoplasmic or endoplasmic reticulum. There is a single orthologous gene in Drosophila, Dmel\SERCA, for which classical loss-of-function alleles, RNAi targeting constructs, and alleles caused by insertional mutagenesis have been generated. Dmel\SERCA is also orthologous to ATP2A1 and ATP2A3; see the human disease model report for 'neuromuscular disease, ATP2A-related' (FBhh0000729).
The human ATP2A2 gene has not been introduced into flies.
Several mutations isolated in flies as alleles of SERCA, based on the temperature-sensitive uncoordinated phenotype of mutations of that gene, were subsequently determined to affect conserved amino acids with analogous variants implicated in Darier-White disease; an additional variant implicated in Darier-White disease was introduced in a transgenic construct. Variant(s) implicated in human disease tested (as analogous mutation in fly gene): R751Q in the fly SERCA gene (corresponds to R750Q in the human ATP2A2 gene), E412K in the fly SERCA gene (corresponds to E412K in the human ATP2A2 gene), R131H in the fly SERCA gene (corresponds to R131Q, R131L in the human ATP2A2 gene), M494L in the fly SERCA gene (corresponds to M494L, M494I in the human ATP2A2 gene).
Experiments in flies support a disease model invoking a gain-of-function mechanism of ionic leakage, rather than a loss of function that results in haploinsufficiency. Genetic and many physical interactions have been described for Dmel\SERCA; see below and in the SERCA gene report.
[updated Jan 2020 by FlyBase; FBrf0222196]
[DARIER-WHITE DISEASE; DAR](https://omim.org/entry/124200)
[ATPase, Ca(2+)-TRANSPORTING, SLOW-TWITCH; ATP2A2](https://omim.org/entry/108740)
Darier-White disease, also known as keratosis follicularis, is a skin disorder characterized by warty papules and plaques in seborrheic areas (central trunk, flexures, scalp, and forehead), palmoplantar pits, and distinctive nail abnormalities (Sakuntabhai et al., 1999; pubmed:10080178). Onset is usually before the third decade, and penetrance is complete in adults, although expressivity is variable. Involvement may be severe, with widespread itchy malodorous crusted plaques, painful erosions, blistering, and mucosal lesions. Secondary infection is common. [from MIM:124200; 2018.02.15]
Darier-White disease is caused by heterozygous mutation in the ATP2A2 gene (autosomal dominant inheritance). [from MIM:124200; 2018.02.15]
Electron microscopy reveals loss of desmosomal attachments, perinuclear aggregations of keratin filaments, and cytoplasmic vacuolization. Ultrastructural and immunologic studies suggest the disease results from an abnormality in the desmosome-keratin filament complex leading to a breakdown in cell adhesion (Medgen, 5956; 2018.02.15).
ATP2A2 encodes a SERCA Ca(2+)-ATPase; members of this family function as intracellular pumps located in the sarcoplasmic or endoplasmic reticulum. SERCA Ca(2+)-ATPases catalyze the hydrolysis of ATP coupled with the translocation of calcium from the cytosol to the sarcoplasmic reticulum lumen. [Gene Cards, ATP2A2; 2018.02.15]
ATP2A2 encodes the sarcoplasmic reticulum Ca(2+)-ATPase-2. [from MIM:124200; 2018.02.15]
Sarcoplasmic/endoplasmic reticulum Ca(2+)-ATPases (SERCAs), such as ATP2A2, are intracellular pumps located in the sarcoplasmic or endoplasmic reticula of muscle cells. They are closely related to the plasma membrane Ca(2+)-ATPases, or PMCAs. [from MIM:108740; 2018.02.15]
Many to one: 3 human to 1 Drosophila. The human genes are ATP2A1, ATP2A2, and ATP2A3.
High-scoring ortholog of human ATP2A1, ATP2A2, and ATP2A3 (1 Drosophila to 3 human). Dmel\SERCA shares 68-72% identity and 80-85% similarity with the human genes.