ARTICLE
Auteur(s) :, Stéphane Duhieu*1, Céline Laperdrix*1, Takashi Hashimoto2, Marie-Aude
Le Bitoux1, Marek
Haftek1,*
1Université Claude Bernard, Lyon 1, EA3732/CNRS,
Department of Dermatology, Hôpital Edouard Herriot, Lyon,
FranceFax: (+33) 4 72 11 02 90.
2Department of Dermatology, Kurume Univ. School of
Medicine, Fukuoka, Japan
accepté le 27 Novembre 2004
Desmosomes are intercellular junctions, typical of epithelial
cells, which are associated with the keratin cytoskeleton.
Particular forms of this type of cell-cell junction are expressed
between the cardiac muscle cells, where they are associated with
desmin, and in the lymph node follicle reticulum [1]. In the
epidermis, desmosomes join together keratin cytoskeletons of
individual keratinocytes into a supracellular structure resistant
to mechanical stress [2]. Keratin filaments bind to the cytoplasmic
plaques of desmosomes. These button-like structures are expressed
symmetrically by two interacting cells at the sites of desmosome
formation. Proteins composing the plaques attach to and stabilise
the transmembrane molecules of desmosomes called desmosomal
cadherins. Cadherins stick to one another in the intercellular
spaces, thus binding together both desmosomal halves with the
attached cytoskeleton filaments. Two families of desmosomal
cadherins have been described: desmogleins (Dsg) and desmocollins
(Dsc). Each family is basically composed of three members, although
DSG4 gene has also been described recently [3] and linked to hair
development [4]. Various desmosomal cadherins are differentially
expressed by keratinocytes, according to the state of the cell
differentiation. Thus, Dsg 3 and Dsc 3 are most abundant in the
lower parts of the epidermis, whereas Dsg 1 and Dsc 1 are mainly
encountered in the upper malpighian layers [5, 6]. This
distribution explains the differences in the level of acantholytic
split observed in various bullous diseases. In pemphigus vulgaris
(Pv), where the auto-antibodies are directed against Dsg3, the
bullae appear deeper in the epithelia and are more tense, whereas
pemphigus foliaceus (Pf), characterised by more superficial
blisters, is provoked by auto-antibodies to Dsg1. Also, Dsc 1 has
been defined as an auto-antigen in the subcorneal pustular
dermatosis type of IgA pemphigus [7] and Dsg 1 was found to be a
target of bacterial proteases in Staphylococcal Scalded Skin
Syndrome [8].Desmosomal cadherins interact in the intercellular
space by displaying homophilic and heterophilic binding. Indeed,
the strongest interactions have been observed between Dsg and Dsc
molecules, whereas the homophilic Dsg – Dsg or Dsc – Dsc
interactions remain rather weak [2]. Desmosomes are constantly
recycled by keratinocytes evolving from the basal layer to the
stratum corneum. This implies a controlled degradation of
individual junctions and a constant re-expression of the desmosome
molecules at the keratinocyte surface [9]. Little is known about
this process, however, proteases may be involved and their action
could be regulated by the level of glycosylation of the desmosomal
extracellular domains [10].In the search for potential new
components of desmosome junctions, we have developed a murine
monoclonal antibody (MAb) which recognizes the extracellular parts
of desmosomes in a differentiation-related manner [11, 12]. On
epidermal cell suspensions, our KM48 MAb decorated exclusively
split desmosomes and did not react with melanocytes or Langerhans
cells. The quantity of the desmosome-bound KM48 antigen increased
progressively from the basal to the granular layers, as defined
with immunogold electron microscopy and flow cytometry. Because
desmosomal cadherins are the only molecules described so far in the
extracellular space of desmosomes, the aim of the present study was
to verify whether our KM48 MAb recognizes one of the Dsg or Dsc
present in the human epidermis.
Materials and methods
Antibodies
Murine monoclonal KM48 antibody of IgM class was obtained after
immunization of mice with a suspension of normal human epidermal
keratinocytes [12]. Maja 7, a monoclonal IgM antibody of undefined
specificity, not reacting with human epidermis on Western blot or
on immunofluorescence, was used as a control in all experiments.
Pemphigus vulgaris and pemphigus foliaceus sera (antibody titer
160) were collected from patients in the acute phase of disease and
controlled for reactivity with Dsg 3 and Dsg 1, respectively, using
indirect immunofluorescence and Western blot. For
immunofluorescence studies, KM48 MAb was used undiluted and the
sera were employed at 1:50 dilution, resulting in a specific
intercellular staining of intensity comparable to the monoclonal.
Immunofluorescence assays
Human skin specimens were obtained from plastic surgery. For
immunohistochemical studies, small tissue fragments were
snap-frozen in liquid nitrogen, embedded in Tissue-Tek (Sakura
Finetek, Zoeterwoude, Holland), and stored at –20 °C. Five mμ-thick
cryosections collected on glass slides were used for sequential
immunolabelling. Briefly, the sections were re-hydrated in PBS with
10% bovine serum albumin, incubated with KM48 MAb (undiluted
culture supernatant), washed in PBS (3 × 5 min.), incubated with
human Pv or Pf sera diluted 1:50, washed again, and revealed with a
mixture of fluorescent conjugates: rhodamine (TRITC)-conjugated
F(ab’)2 fragment goat anti-mouse IgM and FITC-conjugated F(ab’)2
fragment goat anti-human IgG (diluted 1:100; Jackson ImmunoResearch
Labs., West Grove, PA). Alternatively, the sequence of incubations
with the primary antibodies was inversed or they were mixed and
incubated simultaneously. Labelling with only one primary antibody
at a time served as positive controls, whereas incubations with the
fluorescent conjugates alone were used to determine the background.
The results were observed and photographed in an epifluorescent
microscope (Nikon, Japan) using appropriate filters.
Immunoblot
Protein extracts were obtained from normal human epidermis,
dissociated from the dermis by heat (1 min. at 60 °C). The
epidermal sheets were minced and sonicated in the presence of
antiproteases (Complete mini inhibitor of proteases,
Boehringer-Manneheim, Manneheim, Germany) in 10 mM Tris HCl buffer,
pH 7.4, supplemented with 150 mM NaCl, 0.5% nonidet P40 and 1%
Triton X100 (Sigma, L’Isle-d’Abeau, France). The protein samples
were separated by electrophoresis on 8% polyacrylamide gels
(SDS-PAGE) and electro-transferred onto nitrocellulose membranes
(Protran BA85; Schleicher & Schuell, Dassel, Germany).
Antibodies used for the Western blot detection: DG3.10 MAb to Dsg1
and 2, anti-Dsc 1 and anti-Dsc 3 (1:500; Progen, Heidelberg,
Germany).
Enzyme-linked immunosorbent assay
ELISA test using recombinant human Dsg 1 and Dsg 3 was prepared and
applied as described previously [13]. KM48 and control Maja7 MAb
were used at 1:100 to 1:1000 dilutions, whereas the secondary goat
anti-mouse IgM immunoperoxidase conjugate (Zymed, San Francisco,
CA) was applied at 1:5000 to 1:25000.
Surface immunofluorescence of transfected COS-7 cells
COS-7 cells transfected with cDNA of human desmocollins 1, 2 and 3,
expressing on their surface extracellular portions of the
recombinant human desmocollins were used for immunolabelling with
KM48 MAb according to the protocol of Hashimoto et al. [7]. The
positive controls included anti- Dsc 1, 2 and 3 MAb and a human IgA
pemphigus serum. The appropriate secondary antibodies were
FITC-conjugated and the results were read in an epifluorescence
microscope.
Results
Labelling of epidermal sections with the mixture of KM48 MAb and Pv
or Pf sera resulted only in a slight decrease of respective
immunofluorescence intensities, when compared to the mono-specific
staining. The initial application of KM48 MAb did not prevent the
subsequent binding of Pv and Pf sera but only attenuated it. In the
same manner, when the pemphigus sera containing antibodies to
desmosomal cadherins were applied in the first place, their binding
only partially interfered with the following KM48 MAb attachment
(figures 1 and 2). Reduction of the KM48-related
immunofluorescence was most pronounced in the intermediate layers
of the stratum spinosum pre-treated with the Pv serum ( (figure 2) ).
To test the hypothesis that KM48 MAb recognizes one of the
desmosomal cadherins, we used the antibody in ELISA with
recombinant human Dsg 1 and 3 and in indirect immunofluorescence
studies on COS-7 cells expressing on their surface recombinant
human Dsc 1, 2 and 3. Both assays revealed no specific binding of
KM48 MAb when compared to the control, non-relevant IgM
antibody.
These results were also confirmed by immunoblot analysis ( (figure 3) ).
KM48 MAb detected a whole spectrum of epidermal proteins presenting
as a smear ranging from 250 to 110 kDa, whereas antibodies to
desmosomal cadherins revealed only individual bands of apparent
molecular weight characteristic of each molecule. Additionally, a
huge polydispersity of molecules reactive with KM48 MAb, visible on
the Western blot, indicates a highly glycosylated nature of the
recognized antigen.
Discussion
Double labelling studies with KM48 MAb and pemphigus sera have
demonstrated that the epidermal epitopes recognized by these immune
probes were not identical. The attenuation of the signal belonging
to the antibody applied in the second position was mostly visible
in the tissue regions expressing lower levels of the corresponding
antigen. Such changes induced by the preincubation of skin sections
with the Pv serum before KM48 MAb, or by the pre-treatment with the
monoclonal before the Pf serum, occurring in the lower epidermis
which expresses high levels of Dsg3 but less KM48 or Dsg1,
indicated that the KM48 epitope was located close enough to the
desmosomal cadherins to provoke interference. However, it was
impossible to establish with this technique whether these epitopes
belonged to the same protein or to different, closely packed
molecules.
The fact that on Western blot KM48 MAb reacted with a wide range
of differentially glycosylated proteins, instead of detecting the
individual protein bands typical for the commercially available
antibodies to desmosomal cadherins, indicated that the recognized
antigens were not identical.
The use of recombinant desmosomal cadherins definitively solved
this question, clearly demonstrating that KM48 MAb was unable to
detect the extracellular moieties of human desmogleins 1 and 3 and
desmocollins 1-3. We can, therefore, conclude that the
extracellular parts of desmosomes do contain an antigen different
from these desmosomal cadherins.
Recent reports indicate that at least one additional desmoglein,
Dsg 4, is expressed in human skin and provide evidence that this
molecule is a key mediator of keratinocyte cell adhesion in the
hair follicle, where it coordinates the transition from
proliferation to differentiation [3, 4]. Although, based on our
results, we can not formally exclude the possibility that KM48 MAb
recognises Dsg 2, Dsg 4, or a new member of the family of
desmosomal cadherins, we consider this unlikely. Indeed, the level
of glycosylation of the antigen recognised by KM48 MAb, observed on
immunoblot, is clearly unusual for a cadherin [14] and the well
individualised bands detected with the commercially available
antibodies support our reasoning.
The presence of a new, highly glycosylated protein in the
desmosome “cores” may be functionally important, since sugars have
been demonstrated to play a protective role against the proteolytic
degradation of the junctions [10].
KM48 antigen is expressed in desmosomes of all living epidermal
layers, with a gradient of expression proportional to the degree of
keratinocyte differentiation [12]. Desmosomes from the upper
epidermal layers, known to be more resistant to the mechanical
stress, are more numerous and express higher amounts of the KM48
protein. Moreover, the antigen disappears from the highly
de-differentiated epithelial tumours like squamous cell carcinomas,
which is paralleled by the disappearance of desmosomes [15]. During
the process of acantholysis, whether autoimmune, e.g., Pv, or
related to hereditary problems of calcium redistribution, e.g.,
Hailey-Hailey disease, the KM48 antigen remains at the surface of
freshly dissociated keratinocytes and disappears only with the
complete dissipation of desmosomes [16]. These observations suggest
that functional studies of the new intercellular component of
desmosomes will be important for a better understanding of normal
and pathological keratinocyte differentiation. Further biochemical
characterisation of the protein recognised by KM48 MAb is under
way.
Acknowledgements
The authors are indebted to Dr Masayuki Amagai from the Department
of Dermatology, Keio University School of Medicine, Tokyo, Japan,
for performing the ELISA tests.
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