Evidence map›Paper›PMID 35972041›Full record

ArticleAmerican journal of medical genetics. Part A2022

Segmental basaloid follicular hamartomas derive from a post-zygotic SMO p.L412F pathogenic variant and express hair follicle development-related proteins in a pattern that distinguish them from basal cell carcinomas.

Lihi Atzmony, Nelson Ugwu, Lionel G Bercovitch, Leslie Robinson-Bostom, Christine J Ko, Peggy Myung, Keith A Choate

Open access · greenAbstract readCase Reports
In one paragraph

Article in American journal of medical genetics. Part A, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.6field-weighted citation impact, top 36% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Does Basal Cell Carcinoma Arise from a Precursor Lesion?The Journal of investigative dermatology · 2026
    Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. The development of hair follicles and nail.Developmental biology · 2024
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Lihi AtzmonyDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0001-5149-5777
Nelson UgwuDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.
Lionel G BercovitchDepartment of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Leslie Robinson-BostomDepartment of Dermatology, Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA.
Christine J KoDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.
Peggy MyungDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.
Keith A ChoateDepartment of Dermatology, Yale University School of Medicine, New Haven, Connecticut, USA.ORCID 0000-0003-1010-6354
Yale University · USBrown University · USTel Aviv University · IL

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Yale Center for Mendelian DisordersU54HG006504 · NHGRI · YALE UNIVERSITY · PI GERSTEIN, MARK BENDER, GUNEL, MURAT · 2012 to 2015
$11.0M
Genetics and Pathobiology of Cutaneous Mosaic DisordersR01AR071491 · NIAMS · YALE UNIVERSITY · PI KEITH A CHOATE · 2018 to 2026
$4.2M
NCATS NIH HHS UL1 TR001863NHGRI NIH HHS U54 HG006504NIAMS NIH HHS R01 AR071491
6 · The paper itself

Abstract

Basaloid follicular hamartomas (BFH) are benign small basaloid skin tumors that can present as solitary or multiple lesions. Congenital BFH lesions arranged in a segmental distribution have been described, suggesting they derive from a somatic post-zygotic mutational event. Previously, BFH were described in Happle-Tinschert syndrome, which results from a post-zygotic SMO variant and is characterized by segmental BFH with variable involvement of the teeth, skeleton, and central nervous system. Here, we describe two patients with isolated segmental BFH and no systemic involvement. Paired whole exome sequencing of BFH and normal tissue revealed a pathogenic SMO c.1234 C>T, p.L412F variant restricted to BFH tissue. We characterized the proliferation index and expression of Hedgehog and Wnt/beta-catenin pathway related proteins in segmental BFH compared to sporadic basal cell carcinomas (BCCs) and found that segmental BFH had a lower proliferation index. Although segmental BFH expressed a similar level of Gli-1 compared to BCCs, levels of LEF-1 and SOX-9 expression in BFH were weaker for both and patchier for LEF-1. Our results show that a somatic SMO activating variant causes segmental BFH. Since these patients are prone to developing BCCs, differences in SOX9, LEF1, and Ki-67 expression can help distinguish between these two basaloid lesions.

Indexed as

Basal Cell CarcinomaHamartomaSkin DiseasesSkin NeoplasmsHair FollicleHedgehog ProteinsHumansSmoothened ReceptorHedgehog ProteinsSmoothened ReceptorSMO protein, humanbasal cell carcinomagenetic skin diseasemosaicism

Identifiers

PMID35972041
PMCPMC9669121
OpenAlexW4291954905

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.