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J. Biol. Chem., Vol. 282, Issue 5, 3083-3094, February 2, 2007
Integrity and Barrier Function of the Epidermis Critically Depend on Glucosylceramide Synthesis* 12 1![]() ![]() ![]() ![]() 3
From the
Received for publication, November 3, 2006 , and in revised form, December 4, 2006.
Ceramides are vital components of the water barrier in mammalian skin. Epidermis-specific, a major ceramide portion contains -hydroxy very long chain fatty acids (C30C36). These -hydroxy ceramides (Cers) are found in the extracellular lamellae of the stratum corneum either as linoleic acyl esters or protein bound. Glucosylceramide is the major glycosphingolipid of the epidermis. Synthesized from ceramide and UDP-glucose, it is thought to be itself an intracellular precursor and carrier for extracellular -hydroxy ceramides. To investigate whether GlcCer is an obligatory intermediate in ceramide metabolism to maintain epidermal barrier function, a mouse with an epidermis-specific glucosylceramide synthase (Ugcg) deficiency has been generated. Four days after birth animals devoid of GlcCer synthesis in keratinocytes showed a pronounced desquamation of the stratum corneum and extreme transepidermal water loss leading to death. The stratum corneum appeared as a thick unstructured mass. Lamellar bodies of the stratum granulosum did not display the usual ordered inner structure and were often irregularly arranged. Although the total amount of epidermal protein-bound ceramides remained unchanged, epidermal-free -hydroxy ceramides increased 4-fold and -hydroxy sphingomyelins, almost not detectable in wild type epidermis, emerged in quantities comparable with lost GlcCer. We conclude that the transient formation of GlcCer is vital for a regular arrangement of lipids and proteins in lamellar bodies and for the maintenance of the epidermal barrier.
Glucosylceramide synthase (Ugcg), catalyzing the initial step of glycosphingolipid synthesis (see Fig. 1A), is vital during embryogenesis as revealed by systemic deletion in mice (1). To investigate the different functions of glucosylceramide (GlcCer)4-based glycolipids in vivo, cell-specific deletions of this enzyme are indispensable. Successful deletion of glucosylceramide synthase in neural cells led to loss of brain gangliosides. Nevertheless, mice were born developing severe dysfunctions postnatally (2, 3). In this report we focus on the function of GlcCer in skin.
Land dwelling animals have a water and electrolyte barrier in the skin to prevent dehydration and electrolyte disturbances. Both membrane proteins of keratinocytes and lipids generated in the epidermis are important for maintenance of the skin barrier and, therefore, for the impermeability of the skin to water. Ceramides (Cers) constitute a major component of the lipid barrier. They are synthesized by amidation of sphingoid bases with long chain fatty acids at the endoplasmic reticulum. Conversion into GlcCer by Ugcg takes place at the cytoplasmic surface of the Golgi apparatus (4, 5).
GlcCers are the dominant glycosphingolipids of the epidermis and constitute
Besides Cers and GlcCers with a fatty acid chain length of 1626 carbon atoms common to many cells, Cers and GlcCers with very long chain In the epidermis the genes expressing keratins K5 and K14 are expressed in basal cells (16, 17). Because of its early expression in the basal layer, the keratin K14 promoter seems optimal to express Cre recombinase to achieve epidermis-specific gene deficiencies (1820). K14-promoted Cre-mice were bred with mice with a loxP flanked glucosylceramide synthase gene (2) to obtain a blockade of the initial step of the GlcCer biosynthesis in epidermal keratinocytes.
It is now shown that lack of GlcCer in the epidermis led to an irregular arrangement of the lamellar bodies in stratum granulosum cells and of extracellular lipids in the stratum corneum. Protein-bound ceramides were not reduced, and free and esterified
Transgenic AnimalsMice with loxP-flanked exons 68 of the Ugcg gene locus were generated as described (2) (see Fig. 1B). Generation of mutant animals and experiments were performed according to federal laws for animal experiments and approved (Regierungspräsidium Karlsruhe, Germany). For the generation of mice with the Ugcg gene deletion in the epidermis, homozygous floxed mice were crossed with K14-constitutive Cre animals (18). In a second mating step, heterozygous floxed mice with the respective K14 promoted Cre transgene were mated again with homozygous floxed Ugcgflox/flox mice, resulting in epidermal cell-specific glycosylceramide synthase-deficient Ugcgflox/flox//K14Cre mice. Genotyping of Mutant MicePCR and Southern blot analysis of tail biopsies were performed for confirmation of the wild type, floxed, and null allele (see Fig. 1C). For PCR, the following primers were used: Ugcg wild type forward, 5'-GATCTA AGAGGGTGAAGGCGCA-3'; wild type/Ugcg-flox reversed, 5'-AAGCCAGTCCAGTCAAACCGAG-3'; Ugcg-null reversed, 5'-CTGCCTTGCAATCCTGTCTGTC-3'. PCR products of 259, 383, and 458 bp indicated the wild type, floxed, and null alleles (see Fig. 1C, upper). The constitutive K14Cre transgene was determined using the primers K14Cre forward, 5'-ATTGCCAGGATCAGGGTTAAAGA-3', and K14Cre, reverse, 5'-CCCGGCAAAACAGGTAGTTATTC-3'. A 200-bp PCR product was indicative for the K14Cre transgene (see Fig. 1C, lower image). The data obtained from PCR were further confirmed by Southern blot analysis after BglII restriction digestion using a digoxigenin-labeled 3' "outside" southern probe amplified according to the protocol of the DIG Probe Synthesis Kit and DIG Luminescent detection kit (Roche Applied Science). mRNA Isolation, Analysis, ProfileSkins were prepared from decapitated animals at different time points after birth. Adhering adipose tissue was removed. The epidermis was separated from the dermis after incubation with 0.5 M ammonium thiocyanate in 0.1 M potassium sodium hydrogen phosphate, pH 6.8, for 30 min on ice according to Diaz et al. (21). Total mRNA was extracted using the RNA easy kit (Qiagen GmbH, Hilden, Germany) as described by the manufacturer. Quantitative real-time reverse transcription-PCR was done using the LC-fast DNA Master SYBR Green I kit PCR for the LightCycler (Roche Applied Science) as described, and glyceraldehyde-3-phosphate dehydrogenase was used as reference gene (2). Lipid ExtractionSkins were trypsinized in 0.25% trypsin for 16 h at 4 °C. Epidermis was separated from dermis (22). Tissue was lyophilized, and glycosphingolipids were extracted from epidermis essentially according to Doering et al. (12).
In brief, For the extraction of protein-bound sphingolipids, pellets, which were obtained after extraction above, were treated 3 times with 2 ml of 100% methanol at room temperature for 10 min followed by two additional extraction steps with 2 ml of 95% methanol in H20 at 60 °C for 2 h to remove residual free lipids. The respective supernatants were taken after centrifugation as described, and the absence of free ceramides in the final supernatant was confirmed by nano-ESI-MS/MS analyses. From the residual pellet, protein-bound sphingolipids were cleaved after treatment with 1 ml of 1 M KOH in 95% methanol at 60 °C for 2 h. Supernatants were taken as described, neutralized with 1 M acetic acid, and dried and desalted using reversed phase RP-18 columns of 100 µl of volume as described (23). TLC running solvents used were chloroform/methanol/water 65:25:4 (see Fig. 2, A and B) and chloroform/methanol/glacial acetic acid 190:9:1 (used twice; see Fig. 2, C and E). The amounts spotted corresponded to extracts from 1 mg of dry epidermis. Visualization was performed with 0.2% orcinol in 10% sulfuric acid, 120 °C, 10 min (TLC, see Fig. 2A) and 10% CuSO4 in 8% H3PO4 at 180 °C for 10 min (TLC, see Fig. 2, B, C, and E). Quantification of sphingolipids was performed by nano-ESI-MS/MS using a precursor ion scan of m/z +184 for sphingomyelin (collision energy, 35 eV) (25) and of m/z +264 for ceramide and GlcCer detection (collision energy, 50 eV) as described by Sandhoff (26) with slight modifications: Starting with 35 V at m/z = 500, the cone voltage was increased in a linear way up to 65 V at m/z = 1300 during the measurement. For quantification of GlcCers, sphingomyelins (SMs), and Cers, the following internal standards were synthesized and mixed in an equimolar ratio according to Sandhoff et al. (26): Cer(d18:1,14:0), Cer(d18:1,19:0), Cer(d18:1,25:0), Cer(d18:1,31:0), and Cer(t18:0,31:0), GlcCer(d18:1,14:0), GlcCer(d18:1,19:0), GlcCer(d18:1,25:0), and Cer(d18:1,31:0), and SM(d18:1,14:0), SM(d18:1,25:0), and SM(d18:1,31:0). Linoleic acid-esterified sphingolipids were determined by subtraction of the amount of OS sphingolipids of the non-treated epidermal extracts from the respective amounts of OS sphingolipids evaluated in the saponified extracts (linoleic acid esterified-sphingolipid standards were not available). For determination of total GlcCer, mildly alkaline-treated epidermal extracts were quantified densitometrically using a Shimadzu CS-9301PC TLC-scanner (Shimadzu Europe, Duisburg, Germany). Skin Permeability AssaySkin permeability was tested by Lucifer yellow diffusion essentially as described (27, 28). In brief, animals at P4 were sacrificed with CO2, briefly washed with 70% ethanol, and incubated in 1 mM Lucifer yellow (Sigma) dissolved in isotonic NaCl at 37 °C for 1 h. The solution was removed, and bodies were incubated for one additional hour at 37 °C in the dark. Subsequently, skin sections were mounted, and slices with a thickness of 5 µm were prepared. Nuclear counterstaining was performed using DRAQ5 (Alexis, San Diego, CA), and slices were investigated by confocal laser microscopy (Leica, Wetzlar, Germany). Determination of Transepidermal Water LossTransepidermal water loss was measured using a Tewameter® TM 300 (Courage-Khazaka Electronics, Cologne, Germany) as described (27). Light Microscopy and ImmunohistochemistrySkin of snout, ear, and midline abdomen (two pieces of each tissue type) of Ugcgflox/flox//K14Cre mice and their respective controls were immersion-fixed at several time points with 4% phosphate-buffered formaldehyde or zinc buffer. Tissue was embedded in paraffin wax. Sections of 3-µm thickness were stained by hematoxylin (HE), periodic acid-Schiff (PAS), and Goldner trichrome. Tissues from same locations were immediately frozen in isopentane precooled with liquid nitrogen. Cryo-conserved skin sections (5 µm) were used for indirect immunofluorescence microscopy for membrane-associated proteins and cytoskeleton components (27, 29). Primary antibodies were as follows: 1) guinea pig antibodies against keratins K5 (1:2000), K14 (1:3000), K17 (1:2000), K2e (1:2000), Ha5 (1:2000), Hb5 (1:1000), and K6hf (1:2000) as well as cingulin (1:5000) (all from PROGEN Biotechnik, Heidelberg, Germany) and desmoplakin (Dp495rb, 1:4000, German Cancer Research Center, Dept. of Cell Biology Heidelberg, Germany), 2) mouse antibodies against transglutaminase 1 (1:20, Cell Systems, St. Katharinen, Germany), occludin (1:300, Zytomed, Berlin, Germany), and keratin K16 (1:30, NatuTec, Frankfurt, Germany), and 3) rabbit antibodies against keratins K10 (1:500) and K6 (1:500, both from Covance, Berkeley, CA), K6 (1:1000, a gift of P. Coulombe, Dept. of Biological Chemistry, The Johns Hopkins University, Baltimore, MD), mK6irs1 (1:500, a gift of A. Aoki, Dept. of Dermatology, Niigata University, School of Medicine, Niigata, Japan), filaggrin (1:500, Covance, Berkeley, CA), loricrin (1:500, Covance, Berkeley, CA), claudin-1 (1:100, Neo Markers Labvision, Fremont, CA), ZO-1 (1:250, Zytomed, Berlin, Germany), and occludin (1:100, Zytomed, Berlin, Germany). The secondary antibodies used for indirect immunofluorescence were goat anti-guinea pig, anti-rabbit, or anti-mouse immunoglobulins coupled to Cy3 (1:300, Dianova, Hamburg, Germany) or Alexa 568 (1:200; Invitrogen). Furthermore, rat anti-mouse Ki67, (1:200, DAKO, Hamburg, Germany), rat anti-mouse HR3, (1:50, Acris, Hiddenhausen, Germany), and rat anti-mouse F4/80, (1:2000, Serotech, Düsseldorf, Germany) as well as a biotinylated secondary rabbit anti-rat antibodies (1:200) and alkaline phosphatase-labeled streptavidin, (1:200, Vector BA-4001, Vector Laboratories, Burlington, CA) were used for immunohistochemistry on paraffin-embedded tissue sections fixed either in paraformaldehyde or in zinc buffer. Terminal dUTP nick-end labeling was performed according to the instructions of the in situ cell death detection kit (Roche Applied Science). Electron MicroscopyFreshly dissected skin sections were fixed in 0.5% ruthenium tetroxide, 2.5% glutaraldehyde, 0.2 m cacodylate buffer pH 7.2, 1:1:1 v/v, and embedded in araldite (Serva, Heidelberg, Germany). For detection of lamellar bodies, tissues were fixed with 2.5% glutaraldehyde for 30 min followed by 0.5% ruthenium tetroxide (Polysciences, Eppelheim, Germany) for 1 h. Ultrathin sections were stained with lead citrate and uranyl acetate. Photographs were taken with a digital camera mounted on an electron microscope (Zeiss EM 9000, Carl Zeiss Inc. Germany). StatisticsAll experiments were done at least twice, and statistics were calculated using Student's unpaired t test.
Skin-specific Glycosphingolipid Deletion in MiceOffspring with the deleted Ugcg gene in the epidermis, Ugcgflox/flox//K14Cre (mutant), were born according to Mendelian inheritance constituting 25% of the litter, indicating no prenatal death. Southern blot analysis showed an approximately 70% deletion of the Ugcg gene locus in the epidermis of newborn mice at P0 (Fig. 1D). An almost complete deletion of the gene was observed at P4 (Fig. 1D), and minimal mRNA expression could be demonstrated using real time reverse transcription-PCR (Fig. 1E). Residual Ugcg DNA and mRNA might be explained by expression in non-keratinocyte cells in which the K14 promoter is not active, e.g. Langerhans cells. Glucosylceramide Was Deleted in the Epidermis of Ugcg-deficient MiceDNA and mRNA levels of the glucosylceramide synthase were negligibly low in epidermis of mutant mice at P4 (Fig. 1, D and E). The enzyme product, GlcCer, was determined at different days after birth. The total GlcCer content in epidermis of control animals decreased approximately by 40% within the first 4 days after birth (Fig. 2, A and D, controls).
Compared with controls, a significant decrease (42%) of GlcCer could be seen in the epidermis of animals with Ugcg gene deletion at P0, p < 0.01 (Fig. 2, A and D, P0). Two days after birth, epidermal GlcCer was reduced by 80% in Ugcg-deficient mice compared with their respective controls, p < 0.0009 (Fig. 2, A and D, P2). The highest degree of GlcCer reduction of
Free (Fig. 2, B and C) and protein-bound epidermal sphingolipids (Fig. 2E) were analyzed by TLC. In the SM pattern a slight decrease of the slow migrating SM band could be seen in Ugcg-deficient epidermis at P2/P4 (Fig. 2B) that correlates with a 50% decrease of -hydroxy palmitoyl containing sphingomyelin measured by mass spectrometry. In the ceramide pattern slight quantitative differences occurred (Fig. 2C). A TLC of the protein-bound epidermal lipids reflected no striking changes in lipid compositions between wild type and mutant mice (Fig. 2E).
To analyze changes of sphingolipid subpopulations grouped according to their fatty acid residues, the C18-sphingosine (d18:1)-based sphingolipids of free extractable and protein-bound lipid extracts of wild type and Ugcg-deleted epidermis were quantitatively analyzed by nano-ESI-MS/MS at the age of P4. The sum of GlcCerd18:1 with all its different fatty acid moieties, as already seen by TLC (Fig. 2, A and D) was similarly reduced. No OS- and EOS-GlcCersd18:1 were detectable in these mutant mice (p < 0.0009 for NS/AS and p < 0.03 for EOS; Fig. 2F). Ceramidesd18:1, nonhydroxy as well as K14 Promoted Ugcg-deficient Mice Displayed Strong Skin AlterationsMutant mice could not be distinguished from their respective control littermates immediately after birth, showing no skin abnormalities or differences in size at P0 (Fig. 3, C versus A, control). By days P3/P4, skin desquamation was observed in joints, periorally, and in parts of skin of the tail. Peeling of the cornified layer increased quickly, progressing to desquamation covering large areas of the body at P4/P5 (Fig. 3, D, Ugcg-deficient, and B, control). HE staining of different skin regions demonstrated that skin desquamation exclusively involved the stratum corneum (Fig. 3D2; compare D1 intact skin and D3 skin section as indicated without stratum corneum).
When the skin of control animals was incubated with Lucifer yellow solution, diffusion of the fluorescent dye was restricted to the outer sheaths of the stratum corneum (Fig. 3B1'). Regions of Ugcg-deficient epidermis without detachment of the cornified layer also had an intact barrier (Fig. 3D1'). However, in areas displaying intense peeling, Lucifer yellow easily entered the total epidermis and dermis (Fig. 3D3'). Hairs principally developed normally but mostly were atrophic (data not shown). Concomitantly with the detachment of the stratum corneum, a loss of barrier function with a drastic increase of transepidermal water loss in mutant mice could be demonstrated at P4 (p < 0.0001; Fig. 3E). Furthermore, a significant increase of 15.5 ± 2.2% of the blood hematocrit levels could be measured in Ugcgflox/flox//K14Cre mice at developmental stage P4/P5 (p = 0.0017, n = 3 each). The drastic increase in transepidermal water loss during postnatal development went along with a decrease in body weight. Neonatally, the body weight increased for both, mutant and control animals until P2 (Fig. 3F). Starting from P3, the weight in mutant mice stagnated and during further development decreased. Compared with their respective control littermates, the bodyweight at P4 was only half that of controls (p < 0.0001; Fig. 3F). As a result of water loss all mutant animals died postnatally within 5 days (Fig. 3G). Structural Analysis Revealed Severe Abnormalities in the Skin of Ugcgflox/flox//K14Cre MiceNo significant differences in epidermal morphology between newborn controls (Fig. 4A) and mutant animals could be seen at birth (Fig. 4B). All epidermal layers, the stratum basale, stratum spinosum, stratum granulosum, and stratum corneum, appeared normal. In addition, Ki67 staining showed no alteration in proliferation of basal cells (Fig. 4, F, mutant, versus E, control). In the following days, epidermal defects appeared such as an absence of granules in the stratum granulosum at P4 in mutant mice (Fig. 4D). The epidermis, including stratum corneum, broadened compared with control mice (Fig. 4C). Ki67-positive proliferating cells increased significantly in the stratum basale and could also be seen in the lower stratum spinosum (Fig. 4, H, mutant, versus G, control (green brackets)). At P4, a drastic increase of apoptosis (terminal dUTP nickend labeling assay) could be observed at the interphase of stratum granulosum and stratum corneum (red dotted line, Fig. 4J), in contrast to normal skin from age-matched littermates with only few labeled apoptotic cells (red dotted line, Fig. 4I). Furthermore, in P4/P5 mutant mice the number of monocytes, macrophages, and dendritic cells was elevated in the dermis (HR3 staining, Fig. 4N compared with the control, Fig. 4M; arrows mark positive Langerhans cells in the epidermal basal cell area, which were not more numerous in GlcCer-deficient animals, and F4/80 staining, Fig. 4O, control versus 4P mutant).
These severe skin abnormalities in mutant mice at P4 were seen not only in ventral skin (Fig. 4) but also on foot sole, ear, and snout epidermis (data not shown), indicating a homogenous Ugcg gene deletion in all epidermal skin regions. However, the non-cornified stratified epithelia of cornea and esophagus, in which the K14 promoter has been shown to be active (18), demonstrated no alteration. Keratins and Junction Proteins in the Epidermis of Ugcgflox/flox//K14Cre and Control AnimalsStages of differentiation of keratinocytes, in particular the process of keratinization, as judged by the occurrence and distribution of specific keratins, cornified envelope proteins, and tight junction proteins were studied in detail. In various locations the skin of mutant mice had a hyperplastic, hyperkeratotic, and hyperparakeratotic appearance (Fig. 5B and B', phase contrast images of A/A'; compare with the HE staining in Fig. 4D). In contrast to control mice, immunostaining pattern of keratin K14 (Fig. 5, A' and B') and K5 (not shown) in skin parts of mutant mice revealed a clear extension of labeling to the suprabasal layers (yellow brackets) of snout, indicating an enhanced basal cell proliferation. The hair follicle outer root sheath and the sebaceous glands were positive for these keratins. In control mice keratins K6 (Fig. 5C), K16 (Fig. 5D), and K17 (Fig. 5E) were generally negative except for single keratinocytes of the basal layer in the snout (Fig. 5, CE) or ear (data not shown). The activated "stress" stage and the higher proliferative activity of the keratinocytes of mutant mice was associated with an intense reaction of keratins K6 (Fig. 5C'), K16 (Fig. 5D'), and K17 (Fig. 5E') in the stratum basale and in the suprabasal layers stratum spinosum and, in particular, stratum granulosum (Fig. 5C'E', yellow brackets). The keratin K10 label appeared considerably broader in Ugcg-deficient epidermis (Fig. 5F'), staining in addition the stratum corneum. Moreover, in the normally parakeratotic ear epidermis, keratin K2 (formerly K2e) was positive in some keratinocytes of the stratum spinosum and in the stratum granulosum of control mice (Fig. 5G, white bracket, sg). In mutant mice K2 staining was greatly enhanced to numerous cells of the middle and upper stratum spinosum (Fig. 5G'; yellow bracket, ss+sg). We also investigated the expression of hair follicle specific keratins, characterizing the differentiation of hair follicle keratinocytes and trichocytes, as hair follicles appeared atrophic. The keratins K75 (formerly K6hf), specific for the companion layer (Fig. 5, cl) and hair medulla (med), K71 (formerly K6irs1), specific for the three layers, Henle, Huxley, and IRS cuticle of the hair inner root sheath (IRS), and the hair keratins K35 (formerly Ha5) and K85 (formerly Hb5), which are expressed in the hair cuticle and hair matrix/cortex (for review, see Ref. 30) were studied. Although in the mutant animals the hair follicles were considerably smaller and reduced in number compared with wild type, the expression of the epithelial keratins K75 (Fig. 5H') and K71 (Fig. 5I') as well as the hair keratins K35 (Fig. 5J') and K85 (data not shown) indicated that all of these structures of the hair follicles were normally developed (compare with Figs. 5, HJ) at least in terms of the expression of these structural proteins. K75 is precisely seen in the hair companion layer (Fig. 5, H and H', cl) and medulla (Fig. 5H, med), and K71 is seen in all the three inner root sheath compartments (Fig. 5, I and I', irs) while leaving the interfollicular skin negative; similar observations were made for the hair keratins K35 and K85, restricted to the hair fiber (hf) cuticle and hair matrix/cortex (Fig. 5, J and J').
The stage of cornification of the epidermal keratinocytes was investigated by the immunostaining of filaggrin (fil, Fig. 5, K and K'), loricrin (lor, Fig. 5, L and L'), and transglutaminase I (tg1, Fig. 5, M and M'); all of these proteins were seen in their typical localizations in both the control (Fig. 5, KM) and the mutant (Fig. 5, K'M') animals, with filaggrin and transglutaminase I in the stratum spinosum and stratum granulosum and loricrin in the stratum granulosum alone. The only consistent difference was that the width of immune positivity was higher in the snout (Fig. 5, K'M') and ventral skin (data not shown) of Ugcg-deficient epidermis, indicative of their hyperkeratinization.
Immunohistochemical staining of the desmosomal protein, desmoplakin (dp), was not altered in the various Ugcg-deficient tissues when comparing the staining pattern with that of the control mice (representatively dp-staining of snout is shown (Fig. 5, N and N'). Immunolabeling of the tight junction proteins claudin-1, cingulin, occluding and protein ZO-1 appeared in their typical, wild-type localization (31) i.e. claudin-1 (cl-1, Fig. 5, O and O'), and protein ZO-1 (data not shown) could be detected at the margins of cells of the lower strata, including those of the stratum basale of control (Fig. 5O, white bracket) and mutant mice (Fig. 5O', yellow bracket); cingulin (cing, Fig. 5P') and occludin (data not shown) were restricted to the cell margins of keratinocytes of the stratum granulosum in the control animals (sg, Fig. 5P) but often were positive in the upper stratum spinosum (uss+sg, Fig. 5P') of Ugcg-deficient mice. Transmission Electron MicroscopyUltrastructural differences in skin of mutant animals were investigated postnatally at day P4. Hyperplasia of the epidermal cell layers could be confirmed. The stratum corneum was extremely broadened without clear cut layers (Fig. 6A, control, versus D, mutant). In addition, as already seen by light microscopy (Fig. 4D), a drastic reduction of almost all granules in the stratum granulosum cell layer was observed in Ugcg-deficient epidermis. Furthermore, numerous apoptotic cells could be detected in stratum granulosum and stratum corneum of mutant mice (Fig. 6, D and E, asterisks; compare terminal dUTP nick-end labeling assay, Fig. 4, I and J). Moreover, autophagy could be seen in some cells of the stratum granulosum of mutant mice (Fig. 6E, inset). In Ugcg-deficient epidermis, lamellar bodies displayed an irregular arrangement of lipid lamellae (Fig. 6, C, control versus F, Ugcgflox/flox//K14Cre), and extrusion of lamellar sheaths into the stratum corneum interphase was disordered. In addition, in some instances accumulation of lipid depots could be observed in the interstices of the stratum corneum as well as between single corneocytes of the stratum corneum (data not shown). However, alterations in desmosomes and tight junctions could not be detected in mutant mice (data not shown). These findings corroborated the immunofluorescence data (Fig. 5, N'P' versus NP, control).
Epidermal GlcCer Deletion Is Complete Shortly after Birth At birth the epidermis of mice, with floxed alleles for glucosylceramide synthase and with K14Cre transgene, still contained the glucosylceramide synthase gene, although K14 promoter activity has been observed to start at E9.5 during ectoderm development (17). It has been shown that K14 promoter-driven Cre recombinase activity appeared in a mosaic pattern at E15 and reached strong ubiquitous expression in the basal cell layer of the epidermis and in the outer root sheaths of the hair follicles after birth (18). Accordingly GlcCer content in the epidermis of Ugcg-deficient mice decreased to 20% of wild type control values 2 days after birth and to 5% at P4. This remnant of GlcCer might be due to expression of glucosylceramide synthase in cells in epidermis other than keratinocytes (Langerhans cells, melanocytes) or appendage structures negative for K14 (e.g. hair fiber trichocytes). Therefore, a focal incomplete deficiency of glucosylceramide synthase down to 4% could still be detected at P4 and would be plausible.
The fall in GlcCer in wild type mice after birth is due to an increased degradation by
Absence of GlcCer Leads to Severe Skin DefectsConcomitant with the reduction of GlcCer content in the epidermis, mice showed severe signs of failure of the skin water barrier along with detachment of the stratum corneum, leading to death of all animals 5 days post-partum. An altered ceramide metabolism apparently led to this failure of skin function. Ceramides are synthesized in the endoplasmic reticulum and enzymatically released from SM or GlcCer in the extracellular space.
During late embryonic development GlcCer content in mouse embryo skin decreases in favor of the formation of ceramide by the action of
In mice in which
Surprisingly, in our mutant mice lacking epidermal GlcCer, the amount of protein-bound ceramides was not significantly altered in epidermal extracts. In the absence of GlcCer synthesis, the corresponding non-esterified With regard to the protein bound ceramides, two possibilities cannot be excluded. There might be differences of POS-Cer in stratum corneum between wild type and mutant mice that are not detectable by the values obtained from total epidermal extracts. The turnover of POS-Cer is a slow process because the continued renewal of epidermis needs about 7 days in wild type mice (39). Therefore, it could very well be that measured POS-Cer levels at P4 have, at least to a certain extent, their origin from an earlier time point at which synthesis of EOS/POS-GlcCer still took place. Disordered Arrangement of Lipid Lamellae by Lack of GlcCerIn addition, OS- and EOS-SMs apparently cannot qualitatively substitute for corresponding GlcCers. Using electron microscopy, an abnormal arrangement of lamellae in lamellar bodies could be seen in cells of the stratum granulosum of Ugcg-deficient epidermis. The loss of geometry in LB might be explained in several ways. Sphingomyelin is synthesized at the luminal side, whereas GlcCer is produced at the cytosolic side of the Golgi. Because of the different topology of the synthesis of these two compounds, lamellar arrangement of lipids within the LB might be altered during GlcCer deficiency. A change in the polarity of the lamellae might also occur. Compared with glucose, the zwitterionic phosphocholine head group of SM may have caused a stronger repulsion of the lamellae, resulting in disorganization of lamellae within the LB. Furthermore, a 4-fold increase of free OS-ceramide also could affect the stability of the sandwich-like structure of the extracellular lamellae. In this structure the linoleyl portion of EOS ceramides sticks out of the crystalline into the fluid sublattice (10). Increased free ceramides, therefore, should dilute the sublattices connecting EOS-ceramides per area. Similar alterations in LB appearance were observed in mice in which GlcCer synthesis was partially inhibited by D,L-threo-1-phenyl-2-hexadecanoylamino-3-pyrrolidino-1-propanol-HCl (40). However, analysis of sphingolipid alterations had not been performed in this study. GlcCer may have exerted additional effects on LB with regard to sorting of proteins and electrolyte composition (41, 42). Until now, this effect has not been characterized in detail. As a consequence, lipid-lamellae were not extruded in an orderly fashion to the extracellular cleft as indicated by droplet-like structures in the stratum corneum. The severe disturbance of lamellar membranes apparently changed the interaction between corneal proteins and lipids to such an extent that the stratum corneum appeared as a broadened, compact, homogeneous mass. Its mechanical properties were such that it easily detached from the stratum granulosum after mechanical strain. In mutant mice the skin covering joints was primarily afflicted, constituting the nidus for large area denuding of the corneal layer. These areas had an extreme increase in water permeability. Therefore, the stratum corneum is an essential component of the skin barrier independent of occluding junctions in the cellular part of the epidermis. The structural composition of the lamellar bodies seemed to determine whether the lipid lamellae of the stratum corneum are regularly arranged. GlcCer is needed to achieve this result. These findings demonstrate an interacting evolutionary aspect of the skin barrier in land-bound vertebrates. Skin barrier function is of such vital importance that different systems were built up to assure water impermeability; that is, a multitude of proteins for elaborate construction of hydrophobic occluding junctions and different lipids including ceramides for an intricate layering of lipids. The interdependence of these systems makes skin barrier vulnerable to default in case one component fails (43). Compensatory Mechanisms to Loss of Water BarrierSeveral phenomena were observed that might be interpreted as reactive and compensatory mechanisms. As signs of hyperkeratosis, the distribution of keratins K14, K5, and K10 was considerably broader and was also indicative of an enhanced cell proliferation in epidermis of mutant mice. Keratins might play a role in the sequestration of 14-3-3 and thereby indirectly modulate cell cycle progression (44, 45). Keratins K6 and K16 and K17, which are only expressed in single keratinocytes of control skin, showed a strong staining in tissue from mutant mice, indicating physical stress. Characteristic proteins of the hair follicle in mutant mice showed a regular distribution; follicles seemed to develop normally. However, hairs were obviously not able to enter the stratum corneum; this might be due to the tightly clustered stratum corneum acting like a carapace. The increased number of apoptotic bodies in the upper epidermis could be interpreted as a consequence of the increased number of keratinocytes entering the anuclear stratum corneum. For the tight junction-based water barrier, a protein model in which integral membrane proteins are arranged linearly with two lipid bilayers as well as a lipid model in which inverted cylindrical lipid bilayers constitute the tight junctions between keratinocytes (46), are assumed. In Ugcg-deficient epidermis, the tight junction proteins claudin-1, cingulin, occludin, and protein ZO-1 were typically localized (31); therefore, tight junction alterations did not seem to be involved in the barrier loss in Ugcg-deficient epidermis. Besides lipids, transglutaminases are important for the cornified envelope as they may catalyze the formation of stable isopeptide bonds during cornified envelope assembly (47). In mutant mice, transglutaminase-1 was similarly expressed as in controls. At present it is not known whether a deficiency or a decrease of glucosylceramide synthase in the epidermis of man can occur and whether this would lead to disease. A total deletion of the enzyme is lethal during mouse embryogenesis (1). This study has shown that disruption of glucosylceramide synthesis in epidermal GlcCer synthase-deficient mice induced multiple alterations in skin leading to a breakdown of barrier function and death due to dehydration. GlcCer was necessary for correct lamellar body formation and for regular metabolism and arrangement of lipids in the stratum corneum. The stratum corneum was essential to maintain the water barrier of the skin.
* This work was supported by Deutsche Forschungsgemeinschaft Grants SFB 405, B10, and Graduiertenkolleg 886 (to H.-J. G.) SFB 645 (to K. S.), and TZ-FSP I./3 (to L. L.). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 These authors contributed equally to this work. 2 To whom correspondence may be addressed. Tel.: 49-6221-424356; Fax: 49-6221-424352; E-mail: r.jennemann{at}dkfz.de. 3 To whom correspondence may be addressed. Tel.: 49-6221-424350; Fax: 49-6221-424352; E-mail: h.-j.groene{at}dkfz.de.
4 The abbreviations used are: GlcCer, glucosylceramide; AS, sphingolipids containing
We thank Professor Walter Birchmeier, Max-Delbrück Center for Molecular Medicine for providing the K14Cre mice, and C. Schmidt, S. Praetzel-Wunder, M. Volz, T. Sijmonsma, and G. Schmidt for superb technical assistance. We are especially grateful to B. Brügger for providing the triple quadrupole nano-ESI-MS/MS for measurements.
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