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Originally published In Press as doi:10.1074/jbc.M100381200 on March 14, 2001
J. Biol. Chem., Vol. 276, Issue 22, 18828-18835, June 1, 2001
Reduced Expression of the Epithelial Adhesion Ligand Laminin
5 in the Skin Causes Intradermal Tissue Separation*
Flavia
Spirito ,
Stéphane
Chavanas ,
Catherine
Prost-Squarcioni§,
Leena
Pulkkinen¶,
Sylvie
Fraitag ,
Christine
Bodemer ,
Jean-Paul
Ortonne, and
Guerrino
Meneguzzi**
From U385 INSERM, Faculté de Médecine, Avenue de
Valombrose, 06107 Nice cedex 2, France, the
§ Département d'Histologie, Embryologie, et
Cytogénétique, Faculté de Médecine
Lariboisière Saint Louis, 75730 Paris Cedex 15, France, the ¶ Institute of Molecular Medicine, Thomas
Jefferson University, Philadelphia, Pennsylvania 19107-5541, and Service de Dermatologie, Hôpital Necker Enfants
Malades, 75730 Paris Cedex 15 Paris, France
Laminin 5, the major keratinocyte adhesion
ligand, is found in the lamina lucida subregion of the epidermal
basement membrane of the skin, where it colocalizes with the anchoring
filaments. Mutations in the genes encoding laminin 5 cause junctional
epidermolysis bullosa, an inherited skin blistering disease
characterized by abnormal hemidesmosomes and cleavage of the
lamina lucida leading to epidermal detachment. In this work we describe
the genetic basis of a new subtype of lethal inherited epidermolysis
bullosa associated with reduced skin reactivity to laminin 5, presence of mature hemidesmosomes, and intradermal cleavage of the skin. The
epidermolysis bullosa patients were heterozygous for a nonsense mutation (Q896X) and a splice site mutation (764 10T G) in the gene
(LAMC2) for the 2 chain of laminin 5. The
nonsense mutation causes accelerated decay of the corresponding
mRNA, while the splice site mutation results in maturation of a
cryptic wild-type 2 mRNA leading to reduced expression of
wild-type laminin 5. In vitro studies using the
probands' keratinocytes showed that secretion of reduced
amounts of functional laminin 5 in the patient, although permitting
formation of hemidesmosomes, fail to restore efficient cell
adhesion. Our results provide the first evidence that laminin 5 contributes to the firm adhesion of the epithelial basement membrane to
the underlying stroma. They also show that a low expression level of
laminin 5 induces assembly of mature hemidesmosomes in vivo
but fails to assure a stable cohesion of the dermal-epidermal junction.
*
This work was supported by grants from EEC BIOMED 2 (BMH4-97-2062), the Program Hospitalier de Recherche Clinique
(France), the DEBRA Foundation (United Kingdom), and the Association
Francaise contre les Myopathies (France).The costs of publication of this article were defrayed in part by the
payment of page charges. The article
must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. Section
1734 solely to indicate this fact.
The first two authors contributed equally to this paper.
**
To whom correspondence should be addressed: INSERM U385, U.F.R de
Médecine, Av. de Valombrose, 06107 Nice cedex 2, France. Tel.: 33 493 37 77 79; Fax: 33 493 81 14 04; E-mail: meneguzz@unice.fr.
Copyright © 2001 by The American Society for Biochemistry and Molecular Biology, Inc.

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