Abstract: ZHANG Xue-qi, SHAO Xiao-hong, CAI Jian-feng, LIU Jing-jing, LI Zhi-ming, LIN Xiao-hua, LI Bing-xu, XU Yun-sheng. First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, Zhejiang, China Corresponding author: XU Yun-sheng, Email: zxq9898@yahoo.com.cn 【Abstract】 Objective To report a Chinese pedigree with benign familial chronic pemphigus （BFCP）, and to screen mutations of ATP2C1 gene in this family. Methods A 39-year-old male patient with BFCP and his family members underwent a clinical investigation. Blood samples were collected from all the members in this family and from 50 unrelated healthy controls. Genomic DNA was extracted from the blood samples, and PCR was performed to amplify all the 28 exons and flanking sequences of the ATP2C1 gene followed by DNA direct sequencing. The resulted DNA sequences were compared with the reported sequences of APT2C1 gene in Genbank （Number：NM_014382.2 and NC_000003.9）. Results There were 24 family members in the four-generation pedigree, with 8 members affected by BFCP. A single-nucleotide substitution, c（1696C→T）, in exon 17 of the ATP2C1 gene was identified in all of the members with BFCP, but not in unaffected third- or second-generation members or unrelated healthy controls. This substitution was also found in 1 out of 4 family members of fourth-generation. Conclusions The nonsense mutation c（1696C→T） in the ATP2C1 gene, is likely to be responsible for BFCP in this Chinese four-generation pedigree. The underage family member of fourth-generation who carried the mutation c（1696C→T） but had no clinical symptoms of BFCP, should be closely followed.

Key words: Hailey-Hailey disease