Laboratory Investigation
United States and Canadian Academy of Pathology The United States and Canadian Academy of Pathology
LWW Lippincott Williams and Wilkins
publishes Laboratory Investigation
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  Hemidesmosome Assembly Assessed by Expression of a Wild-Type Integrin [beta]4 CDNA in Junctional Epidermolysis Bullosa Keratinocytes
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  Laurent Gagnoux-Palacios, Yannick Gache, Jean-Paul Ortonne, and Guerrino Meneguzzi 
   
  Institut National de la Sante et de la Recherche Medicale (LG-P, YG, J-PO, GM), Faculte de Medecine, and Service de Dermatologie (J-PO), Hopital de l'Archet 2, Nice, France 
   
  The cytoplasmic domain of integrin [beta]4, which contains four type III fibronectin-like motifs, seems to be involved in the regulation of the assembly of hemidesmosomes (HD) and, therefore, in cell adhesion. An in-frame deletion of 17 amino acids in the second fibronectin type III repeat of integrin [beta]4 ([Delta]17-[beta]4) has been associated with junctional epidermolysis bullosa with pyloric atresia (PA-JEB), a genetic disease characterized by altered HD and disadhesion of the epidermis. To determine the effect of deletion [Delta]17-[beta]4 on HD assembly, we have examined the expression and localization of the HD components in the skin and cultured keratinocytes of a patient with PA-JEB, which express the mutated integrin [beta]4. Our results show that the mutated [beta]4 subunit associates with integrin [alpha]6, but the resulting heterodimer does not induce nucleation of the bullous pemphigoid antigens BP180 and BP230, and that of the inner plaque component plectin/HD1, into hemidesmosomal structures. The integrity of the cytoplasmic tail of integrin [beta]4 seems to be essential to the targeting and stabilization of plectin/HD1 and BP180 in HD, because transfection of a recombinant wild-type [beta]4 cDNA in the [Delta]17-[beta]4 PA-JEB keratinocytes restores the synthesis of a functional [alpha]6[beta]4 heterodimer, which promotes the polarization of plectin/HD1 and BP180, to the basal aspect of the cells. Because in the transfected keratinocytes the distribution of BP230 remains diffuse in the cytoplasm, we suggest that the interaction between plectin/HD1 and integrin [alpha]6[beta]4, followed by the association with BP180, constitutes the first step in the nucleation of the HD.