Desmosomes are adhesive intercellular junctions that play critical roles in epidermal homeostasis by mediating robust cell-cell adhesion and by modulating signaling pathways that regulate epidermal differentiation. The importance of desmosomes is highlighted by numerous autoimmune and inherited skin diseases that compromise desmosome function and cause epidermal fragility. These diseases include pemphigus vulgaris (PV), a severe autoimmune epidermal blistering disease caused by autoantibodies (IgG) directed against the desmosomal cadherin desmoglein-3 (Dsg3), and severe dermatitis, multiple allergies and metabolic wasting (SAM) syndrome caused by DSG1 loss of function mutations. Our previous studies of PV revealed that desmosomal proteins are associated with lipid rafts, and our recent findings indicate that a mutation in the Dsg1TMD that abrogates lipid raft association, compromises desmosome formation, and causes SAM syndrome. Lipid rafts are important for a variety of cellular functions, including signaling, endocytosis and membrane domain formation. The important role of lipid rafts in regulating Dsg function in different skin diseases underscores the importance of Dsg association with lipid rafts in normal desmosome function and epidermal homeostasis. We hypothesize that Dsg association with rafts is required for desmosome assembly, segregation from adherens junctions, and for Dsg adhesive and signaling activities necessary for epidermal homeostasis. The experiments outlined in this proposal are designed to reveal the raft targeting features of desmosomal cadherins, how raft association regulates desmosome and adherens junction membrane domain formation, and how loss of Dsg raft association leads to SAM syndrome. The outcome of these studies will produce fundamentally new conceptual models for desmosome regulation and will form a foundation for the treatment of skin diseases associated with loss of desmosome function.

Public Health Relevance

These studies are designed to generate new insights into the basic cellular mechanisms that regulate cell-cell interactions, and to expose new therapeutic targets for the treatment of pemphigus and other skin diseases characterized by skin fragility.

Agency
National Institute of Health (NIH)
Institute
National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
Type
Research Project (R01)
Project #
2R01AR048266-16A1
Application #
9972479
Study Section
Arthritis, Connective Tissue and Skin Study Section (ACTS)
Program Officer
Cibotti, Ricardo
Project Start
2002-08-01
Project End
2025-03-31
Budget Start
2020-04-01
Budget End
2021-03-31
Support Year
16
Fiscal Year
2020
Total Cost
Indirect Cost
Name
Emory University
Department
Anatomy/Cell Biology
Type
Schools of Medicine
DUNS #
066469933
City
Atlanta
State
GA
Country
United States
Zip Code
30322
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