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Ichthyosis and Porokeratosis v2.4 ERO1A chirag patel Marked gene: ERO1A as ready
Ichthyosis and Porokeratosis v2.4 ERO1A chirag patel Gene: ero1a has been classified as Amber List (Moderate Evidence).
Ichthyosis and Porokeratosis v2.4 ERO1A chirag patel Classified gene: ERO1A as Amber List (moderate evidence)
Ichthyosis and Porokeratosis v2.4 ERO1A chirag patel Gene: ero1a has been classified as Amber List (Moderate Evidence).
Ichthyosis and Porokeratosis v2.3 ERO1A chirag patel gene: ERO1A was added
gene: ERO1A was added to Ichthyosis and Porokeratosis. Sources: Other
Mode of inheritance for gene: ERO1A was set to BIALLELIC, autosomal or pseudoautosomal
Phenotypes for gene: ERO1A were set to Ichthyosis, keratoderma and bone fragility
Review for gene: ERO1A was set to AMBER
Added comment: ESHG 2026

3 individuals from 2 unrelated families (1 consanguineous) with homozygous variants in ERO1A ((p.His22Glnfs19) and p.(Gln154*)). They presented with ichthyosis (3), palmoplantar keratoderma (3), sparse eyebrows (2), fragile nails (2), microcephaly (2), low bone mineral density (1), and recurrent long bone fractures in early childhood (2). The variants segregated in the families.

Endoplasmic reticulum (ER) oxidoreductase 1α (ERO1A) oxidizes the protein disulfide isomerase (PDI) and promotes disulfide bond formation in newly synthesized polypeptides such as collagen I. The 3 patient-derived fibroblasts showed significantly reduced ERO1A mRNA levels, indicating nonsense-mediated mRNA decay. This was accompanied by absence of ERO1A protein and increased PDI levels. In whole-cell lysates from fibroblasts of 2 patients, collagen I was detected as a triple band, whereas only two bands were observed in control cells. They found disordered collagen I aggregates in the extracellular matrix of all patient-derived fibroblasts. As a possible compensatory response, mRNA and protein levels for the collagen-specific ER chaperone HSP47 were increased in patient cells.
Sources: Other