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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
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Reduced Expression of the Epithelial Adhesion Ligand Laminin 5 in the Skin Causes Intradermal Tissue Separation*

Flavia SpiritoDagger , Stéphane ChavanasDagger , 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 (764-10Tright-arrowG) in the gene (LAMC2) for the gamma 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 gamma 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.

Dagger 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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