ARTICLE
Auteur(s) : Renato MASTRANGELI1, Silvia
DONINI1, Christie A. KELTON2, Chaomei
HE2, Alessandro BRESSAN1, Ferdinando
MILAZZO1, Veniero CIOLLI1, Francesco
BORRELLI1, Fabrizio MARTELLI1, Mauro
BIFFONI1, Ottaviano SERLUPI-CRESCENZI1,
Serenella SERANI1, Emilia MICANGELI1, Nabil
EL TAYAR2, Rosa VACCARO3, Tindaro
RENDA3, Romeo LISCIANI4, Mara
ROSSI1, Ruben PAPOIAN1
1 Industria Farmaceutica Serono S.p.A Ardea
site, 00040, Rome, Italy
2 Serono Reproductive Biology Institute, Rockland,
MA 02370 USA
3 Dipartimento di Anatomia Umana, Università
« La Sapienza », 00161 Rome, Italy
4 Istituto di Farmacologia e Farmacognosia,
Università « La Sapienza », 00185 Rome, Italy
Article accepted on 23/09/2003
Abbreviations: Ag, antigen; AP, adapter primer; ARS,
Ares-Serono; ATRA, all trans retinoic acid; EGF, epidermal
growth factor; GPI, glycosyl-phosphatidylinositol moiety; PBMC,
peripheral blood mononuclear cells; PHA, phytohemagglutinin;
SLURP-1, secreted Ly-6/uPAR related protein; SCC, squamous cell
carcinoma; RACE, rapid amplification of cDNA ends; RIG-E, retinoic
acid-inducible gene-E; RT, reverse transcription; TG1,
transglutaminase 1; uPAR, urokinase-type plasminogen activator
receptor
The protective function of the skin is the result of a regulated
differentiation process that takes place in keratinocytes from the
basal layer to the spinous, granular, transitional, and cornified
layers, which together form a continuously renewing stratified
squamous epithelium [1, 2]. Additional squamous stratified
epithelia are present in tongue, esophagus, cervix, and cornea [3].
In the differentiation process specific keratinocyte markers are
either induced or repressed [1]; calcium [4] and retinoic acid [5,
6] play a critical regulatory role in differentiation.
Mal de Meleda (MDM, OMIM number MIM 248300) is a rare skin
disorder characterized by transgressive palmoplantar keratoderma,
keratotic skin lesions, perioral erythema, brachydactyly and nail
abnormalities. In this article we present the structural
characterization, tissue expression and regulation of the human
ARS Component B and murine ars component b genes. The
ARS Component B gene has been implicated as the causative
gene of Mal de Meleda [7-9]. Component B protein (now known as
SLURP-1) was isolated during the extraction and purification
process of human urinary proteins (Serono, unpublished data).
Translation of the human gene sequence was totally consistent with
the urinary protein sequence. The ARS Component B gene (EMBL
AC: X99977) encodes a soluble protein [10] belonging to the
Ly-6/CD59/uPAR/snake toxin superfamily (CD59: cell membrane
inhibitor of the complement attack complex; uPAR: urokinase-type
plasminogen activator receptor) [11-16]. Specifically, ARS
Component B belongs to the Ly-6 subfamily. Here we present
results on the characterization of the ARS Component B gene
and its encoded protein SLURP-1. Both ARS Component B and
its protein product SLURP-1 were found to be mainly localized
in keratinocytes of squamous stratified epithelia. The results
presented here and the association of Mal de Meleda with mutations
in the ARS Component B gene on chromosome 8q24.3 [7-9]
imply an important function of the ARS Component B gene and
its secreted protein SLURP-1 [10] in maintaining the
physiological and structural integrity of the keratinocyte layers
of the skin.
Materials and methods
Cloning of Human ARS Component B Gene and cDNA. A
90 bp human genomic DNA fragment was amplified using
guess-primers derived from the urinary protein N-terminal sequence:
5'-CTGAAGTGCTACACCTGTAAGGAGCCAATG; and 5'-
GTGGTCATGCAGGCGGTGTCCTC). A human placental genomic DNA library in
lambda phage vector EMBL-3 SP6/T7 (Clontech) was then screened
with two horseradish peroxidase-conjugated oligonucleotides
prepared following the Urdea procedure [17] and derived from the
internal sequence of the 90 bp genomic fragment, i.e. CB1
(5'-TGCAGGAAGCACTGGTCAT) and CB2 (5'-TCTGGCTTGCAGCGGGTAATGGT).
Hybridization was performed at 42°C for 45 min with
5 ng/ml of probe in 5 × SSC (0.15M sodium chloride,
0.015M sodium citrate), 0.02% SDS, 0.1% N-laurylsarcosine, and 0.5%
blocking reagent (Boehringer-Mannheim). Filters were washed twice
at 42°C for 15 min with 3 × SSC, 0.1% SDS, and 18%
or 27% urea for probes CB1 and CB2, respectively. Hybridizing
plaques were visualized by enhanced chemiluminescent reagents (ECL,
Amersham, UK).
To assess the expression pattern of the ARS Component B
gene, samples of total RNA from various tissues were subjected to
reverse transcription (RT)-PCR with exon 2-derived primers CKCB1
(5'-TCAAGTGCTACACCTGCAAGGAG) and CKCB2 (5'-ACCGTCACCAGCGTGGTC).
Uterus polyA+ RNA (Clontech) was used to obtain the 5'
and 3' ends of the ARS Component B cDNA using a rapid
amplification of cDNA ends (RACE) kit (Invitrogen), according to
the protocol supplied by the manufacturer. CKCB1 was used as the
gene specific primer for 3' RACE. The gene specific primers for 5'
RACE were CKCB2 and 5'-CGTCAGAGAGGAGGTG. PCR amplifications were
done using a Touchdown' PCR temperature cycling program [18]. The
450 and 230 bp fragments obtained by 3' and 5' RACE PCR,
respectively, were cloned into the EcoRV site of
pBluescriptSK + T-vector' (Stratagene). An expression
construct containing the complete protein coding region of
SLURP-1 was assembled from the 5' and 3' RACE clones using
routine cloning methods. Most of the 3' untranslated region,
including the poly(A) tail, was removed from the expression
construct by truncating at the BanI site downstream of the stop
codon. The cDNA encoding the full-length SLURP-1 protein was
then subcloned into the expression vector pDα and stably
transfected into Chinese hamster ovary cells using methods
previously described [19].
Cloning of murine ars component b. A mouse BALB/c genomic
DNA library in lambda phage vector EMBL-3 SP6/T7 (Clontech)
was screened with a single-stranded 32P-labeled human
ARS Component B exon 3 probe following standard
procedures. Positive plaques were revealed by filter exposure to
Hyperfilm- b max (Amersham).
Automated DNA synthesis and sequencing. Oligonucleotides
were synthesized with a 392 DNA synthesizer (Applied
Biosystem). Cycle-sequencing reactions were run on the automated
373A DNA sequencer (Applied Biosystem) following the manufacturer's
instructions.
Cells and culture conditions. PBMCs were obtained from
buffy coats of blood donation units and cultured as described [20].
Granulocytes were separated from red cells by centrifugation on 63%
Percoll. Buffy coats were kindly provided by the Blood Bank of the
Ospedale Civile di Marino (Italy). Human umbilical vein endothelial
cells were isolated as described [21] and cultured in Medium
199 supplemented with 0.9 g/l NaHCO3,
50 µg/ml endothelial cell growth factor (Collaborative
Biomedical Products), 100 µg/ml heparin, 20% FCS, 2 mM
L-glutamine, and antibiotics at 37°C and 5% CO2. Human
foreskin fibroblasts were kindly provided by Inter Pharm
Laboratories (Ness Ziona, Israel) and routinely cultured in DMEM
supplemented with 10% FCS, 2 mM L-glutamine, and antibiotics
at 37°C and 8% CO2. Human endometrial adenocarcinoma
HEC-1-A, endometrial metastatic adenocarcinoma AN-3-CA, uterine
leiomyosarcoma SK-UT-1 and SK-UT-1B, hepatocellular carcinoma
HepG2, lung carcinoma A549, epidermoid carcinoma A431, and squamous
cell carcinoma SCC4, SCC9, and SCC25 cells were purchased from
the American Type Culture Collection (Rockville, MD). SK-UT-1,
SK-UT-1B, AN-3-CA, and HepG2 cells were cultured in Eagle's MEM
(Gibco) supplemented with non-essential amino acids, 1 mM
sodium pyruvate, Earle's balanced salt solution, 10% FCS, 2 mM
L-glutamine, and antibiotics at 37°C and 5% CO2. HEC-1-A
cells were cultured in McCoy's 5a medium (Gibco), supplemented with
10% FCS, 2 mM L-glutamine, and antibiotics at 37°C and 5%
CO2 A431 cells were cultured in DMEM with
4.5 g/l glucose (Gibco), supplemented with 10% FCS, 2 mM
L-glutamine, and antibiotics at 37°C and 5% CO2.
A549 cells were cultured in nutrient mixture Ham's
F12 medium (Gibco), supplemented with 10% FCS, 2 mM
L-glutamine, and antibiotics at 37°C and 5% CO2.. SCC-4,
SCC-9, and SCC-25 cells were maintained in a 1:1 mixture
of Ham's F12 medium and DMEM supplemented with 10% FCS and
antibiotics. Human skin keratinocytes were kindly provided by M. De
Luca (IDI Research Institute, Pomezia, Italy) or purchased from
Clonetics. The keratinocytes were cultured in keratinocyte basal
medium (Clonetics) supplemented with 0.1 ng/ml human epidermal
growth factor (EGF), 5 µg/ml insulin, 0.5 µg/ml
hydrocortisone, 30 µg/ml bovine brain extract, and antibiotics
at 37°C and 5% CO2.
Cell treatments for ARS component B mRNA expression analysis.
ARS component B mRNA expression was investigated in human
foreskin fibroblasts after 24 h of incubation in culture
medium at 37°C and 8% CO2 Granulocytes were stored
overnight at 4°C in RPMI-1640 before analysis. PBMCs were
cultured for 72 h at 37°C with 1 µg/ml phytohemagglutinin
(PHA-HA16, Murex Diagnostics) and 100 ΙU/ml IL-2 (Eurocetus)
or RPMI + FCS as control. Subconfluent keratinocytes were
incubated for 96 h with basal medium containing 0.05 or
1 mM Ca2 + , 0.1 or 10 ng/ml EGF,
and with or without 1000 U/ml IFN-γ (Genzyme) or 10 µM
All-trans retinoic acid (Sigma Chemical Co.) at 37°C and 5%
CO2 SCC subconfluent monolayers were cultured for
20 h with serum-free culture medium at 37°C and 5%
CO2.
RT-PCR and Northern Blotting of ARS component B. Total RNA
was extracted from homogenized organs/tissues or cells by TRIzol
reagent (Invitrogen). Human samples included lung, uterus
(exocervix), skin, granulocytes, and PBMCs. Mouse samples included
liver, spleen, muscle, kidney, brain, uterus, intestine, heart,
lung, trachea, esophagus, ovary, testis, bone marrow, thymus,
bladder, aorta, eye, submaxillary gland, stomach, and skin. Human
RNA master blot (# 7770-1, Clontech), containing spots of poly
A+RNAs from different tissues and relevant controls, was
used to assess human tissue distribution by filter hybridization
with a 32P-labeled probe.
For RT-PCR experiments, 5 µg of total RNA were reverse
transcribed using SuperScript II reverse transcriptase (Invitrogen)
and random primers [22] in 50 µl total volume. DNA
contamination was assessed by treating RNA as above but without
adding reverse transcriptase. Alternatively, RNA was treated with
RNase-free DNase before cDNA synthesis. For PCR, 1/5 of the
resulting ± RT reaction was amplified with 50 pmoles
primer pair in 100 µl total volume.
Human ARS component B cDNA was amplified (27 cycles at
94°C × 30 s, 63°C × 20 s,
72°C × 90 s) using platinum Taq DNA polymerase
(Invitrogen) and primers CBF4 (5'-CGGAATTCTGGCCTCTCGCTGGGCTGTG) and
CBR3 (5'-CATCCATGGCGGCCCCGATGCTGTC), which give a 278 bp
fragment. Mouse ars component b was amplified (two cycles at
97°C × 30 s, 54°C × 30 s,
72°C × 3 min, and 25 cycles at
97°C × 30 s, 65°C × 30 s,
72°C × 3 min) using Pfu DNA polymerase (Stratagene)
and primers mCBF (5'-GGAATTCCTGACCCTTCGCTGGGCCATGT) and mCBR
(5'-GGAACGATCGGGCCCTGCCGGGAGAGT), which give a 402 bp
fragment. Human β -actin was amplified (27 cycles at
95°C × 30 s, 67°C × 30 s,
72°C × 3 min) using platinum Taq DNA polymerase and
primers BAL (5'-GGCCAGAGGCGTACAGGGATAGCAC) and BAU
(5'-GGCGACGAGGCCCAGAGCAAGAGAG), which give a 277 bp fragment.
Murine β-actin was amplified (27 cycles at
95°C × 30 s, 60°C × 30 s,
72°C × 3 min) using Pfu DNA polymerase and BAU/BAL
primers, which give a 277 bp fragment. Human G3PDH was
amplified (27 cycles at 94°C × 2 min,
65°C × 45 s, 72°C × 4 min) using Pfu
DNA polymerase and primers G3PDHF (5'-TGCTGAT GCCCCCATGTTCGT) and
G3PDHR (5'-GGCAATGCCAGCCCCAGCGTCAA), which give a 532 bp
fragment. Human transglutaminase 1 (TG1) was amplified
(27 cycles at 94°C × 2 min,
63°C × 5 s, 72°C × 4 min) using Pfu
DNA polymerase and primers TG1U (5'-TATGGCCAGTGCTGGG TCTTTG) and
TG1L (5'-ATCCTGCCGCTGCCAGTACA), which give a 408 bp
fragment.
For northern blot analysis, 20 µg aliquots of total RNA were
fractionated by denaturing agarose gel electrophoresis and blotted
onto a nylon membrane (Hybond N+, Amersham). Human RNA
blots were hybridized with 2 × 106 cpm/ml of a
32P-labeled probe prepared by asymmetric PCR using
primer CBR3 and a pre-amplified 278 bp ARS component B
cDNA fragment as template. Murine RNA blots were hybridized with
32P-labelled probe similarly synthesized with a murine
402 bp Ars component b cDNA fragment. Hybridization and
detection were performed following standard procedures. Northern
blots were re-hybridized with 28S rRNA horseradish
peroxidase-conjugated oligonucleotide and detected by ECL reagent
in order to estimate RNA degradation.
ELISA for SLURP-1. Polyclonal Abs were prepared by
immunizing rabbits with purified urinary SLURP-1 protein. IgG
were affinity-purified on Protein G-Sepharose (Pharmacia Biotech).
For the “capture Ab” microtiter plates were coated with
anti-SLURP-1 polyclonal Abs. For the “detecting Ab”
biotinylated anti-SLURP-1 polyclonal were used. Purified
SLURP-1 was used to construct the standard curve for the
ELISA. Plates were developed with Extravidin-AP (Sigma Chemical
Co.) and enzyme substrate (Fast pNPP tablets, Sigma Chemical Co.).
Plates were read at 405 nm.
Western Blot analysis. Supernatants from human skin
keratinocytes and control cultures were concentrated and the total
protein content was determined using Coomassie Plus Protein assay
reagent (Pierce). The proteins (100 µg/lane) were
size-fractionated on a reducing, 15%, SDS-PAGE, and transferred to
nitrocellulose filters by electroelution. SLURP-1 protein was
detected with rabbit anti-SLURP-1 and goat anti-rabbit–horseradish
peroxidase Abs. The reaction was developed with ECL reagents
(Amersham).
Immunohistochemistry. Human uterus and vagina specimens
were obtained from women undergoing surgery. Epithelial cells from
exocervical mucosa were obtained from women undergoing PAP tests at
different phases of the menstrual cycle and in the post-menopausal
period. Breast, lung, skin (breast trunk, abdomen and limbs), and
gum specimens were obtained after partial surgical removal of
related organs. Esophageal epithelium was obtained from biopsy
specimens.
All tissue samples were fixed by immersion in cold buffered picric
acid-paraformaldehyde (PAF) fixative mixture for 24-48 h [23].
Tissue samples were divided into small specimens that were
processed in two different ways: (a) embedded in synthetic paraffin
wax and cut into serial 10-µm thick sections, which were collected
on albumin-coated slides; or (b) cryoprotected with 15% sucrose in
0.1 M phosphate buffer at pH 7.3, frozen and cut into serial
20-µm thick sections, which were either mounted on chrome
alum/gelatin-coated slides or treated as free-floating sections.
Uterine exocervical smears were treated as frozen sections. To
block endogenous peroxidase, dewaxed and frozen sections were
pretreated with 0.1 M phosphate buffered saline (PBS), pH 7.3,
containing 0.1% sodium azide and 0.3% H2O2
(24). Some sections were submitted to digestion with 1 U/ml
papain (Sigma Chemical Co.) for 10 min at 37°C. The digestion
was stopped by dipping the sections into 4% paraformaldehyde in PBS
for 30 min at room temperature. Sections were incubated
overnight at room temperature, or for 48 h at 4°C, using
polyclonal Abs to SLURP-1 diluted 1:25,000-1:100,000 in PBS
containing 0.1% BSA (type VI, Sigma Chemical Co.) (PBS/BSA). The
immune reaction was revealed by the ABC method (Vectastain Elite
kit, Vector Laboratories), incubating for 2 h at room
temperature with biotinylated goat anti-rabbit IgG diluted 1:1,000
with PBS/BSA, and for 1 h at room temperature with
streptavidin–biotin–peroxidase complex diluted 1:2,000. The
peroxidase activity was then visualized by using a 3-min reaction
with a mixture containing 0.04% 3-3' diaminobenzidine
tetrahydrochloride (Fluka), 0.4% nickel ammonium sulfate, and
0.003% H2O2 in 0.05 M Tris-HCl buffer, pH 7.6. The specificity
of immunohistochemical reactions was shown by the lack of staining
when the primary Ab was replaced with PBS or pre-immune rabbit IgG,
and when it was pre-incubated with an excess of
SLURP-1 protein (50 µg/ml).
Results
Cloning of human ARS component B cDNA.
To select an appropriate source of RNA for cDNA cloning, the
expression of human ARS component B was investigated by
RT-PCR in various human tissues including brain, liver, skeletal
muscle, spleen, thymus, kidney, heart, lung, pancreas, placenta,
uterus, testis, and salivary gland. Primers were derived from the
preliminary genomic DNA sequence of exon 2 (see below). Uterus mRNA
was found to be highly positive for ARS component B (data
not shown), and was therefore used for cDNA isolation by 5' and 3'
RACE. Four of five 5' RACE clones started at the same site
ATCACTTCTG, while one clone had an extra CTCTC. The longest 5' RACE
transcript was considered for the definition of the transcription
start site in the European Molecular Biology Laboratory submission
(Fig. 1A).
Analysis of the precursor SLURP-1 amino acid sequence for the
eukaryotic signal peptide cleavage site by the SignalP method [25]
predicted a primary cleavage site between Ala 22 and Leu 23. This
is consistent with the N-terminus determined by amino acid
sequencing of the urinary protein. Two additional putative signal
peptide cleavage sites could be predicted. However, upon expression
in transfected Chinese hamster ovary cells mature
SLURP-1 protein displayed the same N-terminus as the urinary
protein (data not shown). This confirmed that mature human SLURP-1
is a protein 81 amino acids in length and that the precursor
protein has an additional 22 amino acid secretory signal
peptide at the N-terminus.
Isolation and characterization of a human ARS component B
genomic clone.
A 90 bp genomic fragment was amplified with primers derived
from the N-terminal sequence of the human SLURP-1 protein
(data not shown). The internal sequence of this fragment was used
to design hybridization probes for isolating the full-length ARS
component B gene.
The ARS component B gene contained three exons flanked by
appropriate consensus acceptor and donor splice sites (Fig. 1A). Sequence
analysis of the 551 bp promoter region upstream of the
transcription start site revealed a TATA box and binding sites for
several transcription factors, including AP1, AP2, and Sp1. Binding
sites identical to those present within promoters of involucrin
(AP1 and AP2) and TG1 (AP2-like) are indicated in Fig. 1A [26]. The
sequence GGCTGCAGGCCAGGCTGCAGGG close to a Sp1 site contains a
central AP2 sequence (AGGCCAG) overlapping a tandem repeat of the
known KER-1 binding site [2], GGCTGCAGGC and GGCTGCAGGG,
spaced by two nucleotides (Fig. 1A). These
KER-1 sites are 90% and 80% conserved, respectively, compared
with the consensus palindromic KER-1 binding site. They showed
100% and 90% identity, respectively, with the sequence present in
the cytokeratin K1 promoter [3]. An additional region of 11 bp
in the ARS component B promoter (the 353-364 site
AGGTGATGCAAGC in Fig. 1A) showed high
homology with a keratinocyte-specific cis element found in
the gene for human desmoglein 3 [27].
Cloning of the murine ars component b gene.
The murine ars component b gene was cloned from a mouse
genomic DNA library by conventional screening with a DNA probe
derived from human ARS component B exon 3. The murine ars
component b cDNA was then cloned by RT-PCR from whole lung. The
cDNA sequence was found to be identical to that obtained from
genomic exons. Murine ars component b had the same gene
structure as the human counterpart (Fig. 1B). The overall
homology of the human and murine coding regions was 78%. The
predicted murine ars component b encoded protein is preceded
by a putative 22 amino acid signal peptide (SignalP prediction
method). The mature murine protein is 88 amino acids in length
(Fig. 2).
Analysis of the promoter region (nucleotides 1-633) showed the
presence of TATA boxes and putative binding sites for several
transcription factors. The eukaryotic promoter prediction by neural
network [28] predicted additional promoter elements for RNA
polymerase II (Fig. 1B).
SLURP-1 protein sequence analysis.
Human and murine SLURP-1 share 68% amino acid identity (Fig. 2). All the
structurally important cysteine residues and most prolines and
hydrophobic residues are well conserved, predicting a similar
folding pattern. Blast search of SLURP-1 against the
Swissprot/Trembl databases showed similarity with the
Ly-6/CD59/uPAR/snake toxin family members [11, 29]. Although the
overall sequence homology is relatively low (24-32%),
SLURP-1 shares some features with the Ly-6/CD59 family
members, including 10 similarly spaced cysteines, an
N-terminal LXCYXC motif, and the conserved C-terminal consensus
sequence CCXXDLCN [11]. Ly-6 is an emerging protein family
comprising a domain with a common three-dimensional structure and a
similar structural gene organization [12, 14]. The human members of
this family include retinoic acid-inducible gene-E [30, 31],
E48 [32, 33] and prostate stem cell [34] Ags. This family is
also structurally related to CD59 [35], snake venom neurotoxin
[11], multiple domains of uPAR [14], and rodent bone gene RoBo-1
[36] (Fig. 2).
Based on the amino acid sequence of human and murine SLURP-1 and
the known three-dimensional structure of the homologous soluble
CD59, the C α atoms of the residues from the SLURP-1 sequence
in the regions of high homology were superimposed on the template
structure of CD59. The atomic coordinates for soluble
CD59 were obtained from Brookhaven Protein Database. Molecular
modeling, based on the three-dimensional structure by nuclear
magnetic resonance imaging of CD59 and cobra neurotoxin [37],
suggested that SLURP-1 may be a dipolar molecule with a
three-finger structure and five disulfide bridges at positions
C3-C28, C6-C15, C21-C51, C55-C71, and C72-C77, respectively (Fig. 3).
Human ARS component B/ SLURP-1 tissue
distribution, RNA expression, and regulation.
Immunohistochemistry with rabbit polyclonal antibodies (Abs)
detected positive cells within the intermediate (spinous and
granular) layers of squamous stratified epithelium of human skin,
mucosa of exocervix, vagina and gingiva (Fig. 4) as well as in
the esophageal epithelium (data not shown). The
SLURP-1 positive cells displayed a flattened shape and the
immunopositive material filled their cytoplasm. In human skin, the
granular cell layer keratinocytes were found to be the most
positive cells among all the tested human tissue specimens (Fig. 4a). All
analyzed skin samples showed a similar staining pattern.
Pre-incubation of the antiserum with SLURP-1 resulted in no
staining (Fig. 4b),
demonstrating the specificity of the antiserum and
immunohistochemical labelling. SLURP-1 immunoreactivity was not
found in breast, lung, skeletal muscle, and non-squamous epithelia.
Circulating SLURP-1 was detected by ELISA in human plasma. The mean
value (± SD) of SLURP-1 plasma concentration (as
determined in 56 healthy individuals) was 12.68 ng/ml
(± 5.49), ranging from 6.26 to 34.49 ng/ml.
SLURP-1 was also found in human urine (data not shown).
RT-PCR and northern blotting analysis showed ARS component
B RNA expression in human tissues such as skin, trachea, whole
uterus, and uterine exocervix, and in cultured keratinocytes, but
not in lung or any other cultured primary cell type analyzed, such
as human umbilical vein endothelial cells, foreskin fibroblasts,
PBMCs, and granulocytes (Fig. 5A, Fig. 6, and data not
shown). These results confirm overall previously reported data [7].
In cultured keratinocytes, the signal detected by RT-PCR almost
disappeared when the cells were treated with IFN-γ, EGF or ATRA
(Fig. 6A,
lanes 2, 3, 5, 6; and Fig. 6B, lane 1).
Treatment of these cells with 1 mM calcium (known to induce
keratinocyte differentiation) [2, 4] resulted in the partial
reversal of the downregulating effects of EGF (Fig. 6B, lane
1 vs lane 2). In the conditions used, we failed to detect
superinduction of the basal level of keratinocyte ARS component
B RNA expression by high calcium concentration (Fig. 6A, lanes
1 vs lane 4). Cultured keratinocytes were also shown to
express the TG1 differentiation marker in all conditions tested
(low/high calcium, ± IFN-γ and ± ATRA) (Fig. 6A).
SLURP-1 protein was shown by Western blotting to be secreted
in vitro by human keratinocytes with an apparent molecular
weight of 9 kD (Fig. 7), similar to
the urinary and recombinant proteins, and consistent with the
molecular weight predicted from the unglycosylated amino acid
sequence.
Various human cell lines derived from tumor of the uterus
(HEC-1-A, SK-UT-1, SK-UT-1B, and AN-3-CA), liver (HepG2), lung
(A549), and epidermis (A431) were analyzed for ARS component
B expression by RT-PCR. None of these cells expressed ARS
component B RNA except for the differentiated keratinocyte-like
A431 epidermoid carcinoma cell line (data not shown).
The observed expression pattern led us to a further analysis of
ARS component B RNA expression in additional human tumor
keratinocyte cell lines SCC-4, SCC-9, and SCC-25. The
SCC-4 cell line represents an early keratinocyte
differentiation stage [38], while SCC-9 and SCC-25 represent
intermediate-to-late stages of differentiation [39]. Expression of
ARS component B RNA by RT-PCR was found in SCC-9 and in
SCC-25 cells, but not in the early-stage SCC-4 cells
(Fig. 8).
The late keratinocyte differentiation marker TG1 was expressed only
in SCC-25 cells and not in SCC-4 and SCC-9 cells.
Overall, these results and the immunohistochemistry data suggested
that ARS component B gene and SLURP-1 expression might
be associated with the mid-to-late differentiation stages of human
keratinocytes.
Expression of murine ars component b was also investigated
by RT-PCR in several murine organs. The highest expression was
found in the eye. The lung, stomach, trachea, and esophagus were
also positive. A low ars component b expression was observed
in the heart and thymus, while lower or undetectable levels were
observed in the brain, intestine, liver, spleen, bone marrow,
kidney, uterus, aorta, skeletal muscle, ovary, testis, bladder, and
submaxillary glands (data not shown). Northern blot analysis
confirmed high ars component b expression in mouse eye and
skin, while positive signals were observed in lung and stomach
(Fig. 5B).
Discussion
This paper describes the cloning, gene structure, tissue
distribution, regulation, and the plasma levels of SLURP-1, a novel
member of the Ly-6/uPAR superfamily [12-14]. This emerging protein
family includes the Ly-6 T-cell Ags located on chromosome 15
in the mouse [12], while in humans most of the genes in the family
are located on the syntenic region of chromosome 8 [30]. Human
ARS component B has been mapped to the distal portion of the
long arm of chromosome 8 (Hs. 103505, NCBI UniGene, ref. 8). The
human family includes the prostate stem cell Ag that is
overexpressed in prostate carcinoma [34], the E48 Ag [32], the
RIG-E Ag [31], the CD59 Ag [40], and GML, a gene induced by
p53 [41]. The Ly-6 family is characterized by the
presence of 10 cysteines forming five disulfide bridges, a
similar genomic structure [14, 42], and a similar modeled
three-dimensional protein structure [43]. Interestingly, most genes
of the Ly-6 Ag family consist of four exons, the first one
being untranslated, and are expressed on lymphocytes and other cell
types. An exception is the human E48 Ag gene which consists of
three exons and is expressed only in keratinocytes of stratified
squamous epithelia and in squamous cell carcinoma [33]. It has been
suggested that the functional elimination of an ancestral
Ly-6 untranslated exon 1 switched the expression from
lymphocytes towards keratinocytes [33]. The human ARS component
B gene displays an exon/intron organization similar to that of
the E48 gene. Like E48, ARS component B mRNA is
expressed in keratinocytes. This evidence supports the hypothesis
of an evolutionary divergence of tissue specific regulation of gene
expression, co-evolving from local chromosomal duplication events
[10].
The uPAR [42], snake venom neurotoxin [11], and RoBo-1 [36]
molecules are also structurally related to the Ly-6 family. It
has been suggested that the Ly-6/CD59/uPAR/snake venom toxin
proteins were derived from a common ancestral gene, thus forming a
gene superfamily [10, 11]. Although the members of this family have
different biological activities, most of them are anchored to the
cell membrane by a glycosyl-phosphatidylinositol moiety (GPI) [12,
13]. All known GPI-anchored proteins are synthesized with a
10-20 residue hydrophobic domain at the C-terminus that is
cleaved before GPI addition [44]. Just upstream to the proposed GPI
anchor site, the CCXXDLCN octapeptide is conserved in most
Ly-6 family members [11]. This motif is also present in human
and murine ARS Component B genes. However, the C-terminal
hydrophobic stretch is not present in the human
SLURP-1 protein, which is therefore secreted into the culture
medium of keratinocytes, as shown by Western blot analysis, and is
also detectable as a soluble protein in human urine and plasma (see
Results and ref. 10).
In both human and murine ARS component B gene promoters we
have observed the presence of several putative transcription factor
binding sites, including AP1, AP2, and Sp1. These transcription
factors are known to be involved in the differentiation of human
epidermis [2, 26]. Human ARS component B showed putative
AP1, AP2, and AP2-like binding sites identical to those found in
the involucrin and TG1 promoters [26]. Interestingly, the
involucrin AP2 site as with ARS component B AP2 site, is
overlapped with two putative KER-1 binding sequences. In the
keratin-14 promoter, this sequence interacts with the
KER-1 nuclear factor to contribute to an optimal
tissue-specific promoter activity [2, 3]. Also, the human
cytokeratin K1 promoter showed a KER-1 binding site that
competed for KER-1 binding [3]. Cytokeratin K1, involucrin,
and TG1 are differentiation markers expressed in the suprabasal
layers of the epidermis. An additional sequence in the human ARS
component B promoter shares high homology with the internal
region of the keratinocyte-specific cis element that
contributes to epidermal–specific expression of the gene encoding
human desmoglein 3 [27]. The presence of several putative
regulatory sequences, known to be active in specific and localized
epidermal tissue, suggests a highly regulated expression of ARS
component B. This is restricted to suprabasal layers of
epidermis and other squamous stratified epithelia of various
organs, as confirmed by immunohistochemistry, RT-PCR, and northern
blotting analyses. The apparent differences in the tissue/organ
distribution of SLURP-1 between mouse and man could be due to
differences in the cell compositions of the tested tissue samples.
As ARS component B expression appears to be higher in cells
of squamous stratified epithelia, it is possible that the mouse
uterine tissue contained too little exocervix to give a detectable
signal. In regards to the lung, neither human nor mouse samples
contained squamous epithelial tissue. However, mouse samples
included large bronchi that were histologically similar to trachea,
whereas the human sample was restricted to the pulmonary surface. A
truly different tissue distribution of ARS component B and
SLURP-1 between human and mouse cannot, however, be ruled out.
As discussed above, this latter conclusion is supported by the
observation that human E48 showed a different tissue
expression with respect to its murine counterparts (THB) [33].
Indeed, human E48 is expressed in keratinocytes (as is human ARS
component B) and murine THB is expressed additionally in
lymphoid cells [33].
After screening various normal and tumoral human cells cultured
in vitro, expression of ARS component B mRNA was
found in keratinocytes, in the two squamous cell carcinoma cell
lines, representing later stages of differentiation [39] and in the
differentiated keratinocyte-like epidermoid cell line
A431 [45], while it was not expressed in a non-differentiated
keratinocyte cell line [38]. In these cells, ARS component B
RNA had an expression pattern similar to that of the TG1 gene [2,
38].
A high concentration of extracellular calcium is known to induce
keratinocyte differentiation [1, 4, 46]. In addition, in the
complex environment of differentiating keratinocytes, a gradient of
increasing calcium concentration is associated with cell
differentiation towards the external layers of the epidermis [2,
4], while EGF is known to play an active role in basal cell
proliferation [2, 39, 47, 48]. Our results in cultured
keratinocytes appear to be well framed in this context,
consistently showing an upregulation of ARS component B RNA
expression by high extracellular calcium, but only in the presence
of EGF. In cultured keratinocytes, we also observed a clear
downregulation of ARS component B mRNA expression by
retinoic acid. This pattern would support the hypothesis that
ARS component B is expressed from cells undergoing squamous
differentiation, as retinoic acid was shown to suppress the
expression of squamous-specific genes in cultured keratinocytes
[49]. However, IFN-γ, which is an inducer of keratinocyte
differentiation [49], also downmodulated ARS component B
expression. This suggests that not all the pathways inducing
squamous cell differentiation trigger ARS component B
expression.
It is worth noting that the ARS component B gene has been
mapped to the distal portion of the long arm of chromosome 8 (Hs.
103505, NCBI UniGene), in the same region as the genes for the
E48 [32], RIG-E [31], PSCA [34] and GML [41]. Recently, a new
human Ly-6 gene family member has been isolated (LY6H:
accession number NP—002338) and is localized on chromosome
8q24.3 [50] in the same region of ARS component B. It
may play a role in both the central nervous system and the immune
system. Chromosome 15 in mouse, which is syntenic to human
chromosome 8 where ARS component B has been mapped, is
strongly associated with the wound-healing process [51].
Preliminary studies to elucidate SLURP-1 cell target(s) and
its mechanism of action did not support SLURP-1 as a growth
factor for human foreskin fibroblasts, endothelial cells,
keratinocytes, and tumor cells of various origins (data not shown).
However, it has been observed that, in addition to its barrier
function between organism and environment, the epidermis may be
considered a secretory tissue whose expressed proteins might have
local growth, metabolic, and immunologic functions as well as
systemic effects [52]. SLURP-1 is readily detectable in human serum and urine [here and 10], and may
be considered one more example of an epidermal secreted molecule
whose biological function certainly needs further
investigation.
There have been a number of recent reports attributing the
recessive skin disorder Mal de Meleda to mutations in the ARS
component B gene [7-9]. However, there is one report that
describes a patient with Mal de Meleda that does not show such a
mutation [53]. This may indicate that other genes in the
8q24.3 cluster might also lead to skin disorders involving
hyperproliferation of keratinocytes. A recent report [54]
identified another new member of the Ly-6 family, SLURP-2,
which is upregulated in psoriasis vulgaris. This new member of the
Ly-6 family is flanked by ARS component B and
E48 [53]. This cluster of ARS component B, SLURP-2 and
E48 may play an essential role in regulation of keratinocyte
physiology. Dysfunction of these genes either alone or in concert
might lead to different skin disorders characterized by
keratinocyte hyperproliferation, such as Mal de Meleda and other
palmoplantar keratodermas. Overall, the results presented here and
the association of Mal de Meleda with the ARS component B
gene imply an important function of the secreted protein product
SLURP-1 in maintaining the physiological and structural integrity
of the keratinocyte layers of the skin. n
Acknowledgements. The authors are grateful to Carlo
Cafiero for his efficient statistical assistance, Michele De Luca
for providing human keratinocytes, Eva De Luca for providing the
SLURP-1 amino acid sequence data used for the isolation of the
human gene, Roberta Bucci for the excellent ELISA work and
Christopher Hebert with generous help in the preparation of the
figures.
References
1. Dlugosz AA, Yuspa SH. Coordinate changes in gene
expression which mark the spinous to granular cell transition in
epidermis are regulated by protein kinase C. J Cell Biol
1993; 120: 217-25.
2. Eckert RL, Welter JF. Epidermal keratinocytes -
genes and their regulation. Cell Death Differ 1996; 3:
373-83.
3. Leask A, Rosenberg M, Vassar R, Fuchs E.
Regulation of a human epidermal keratin gene: sequences and nuclear
factors involved in keratinocyte-specific transcription. Genes
Develop 1990; 4: 1985-98.
4. Filvaroff E, Calautti E, Reiss M, Dotto GP.
Functional evidence for an extracellular calcium receptor mechanism
triggering tyrosine kinase activation associated with mouse
keratinocyte differentiation. J Biol Chem 1994; 269:
21735-40.
5. Fuchs E, Green H. Regulation of terminal
differentiation of cultured human keratinocytes by vitamin A.
Cell 1981; 25: 617-25.
6. Darmon M, and M. Blumenberg M. Retinoic acid in
epithelial and epidermal differentiation. In: Darmon M, Blumenberg
M, eds. Molecular Biology of the Skin. New York: Academic
Press, 1993: 181-206.
7. Fischer J, Bouadjar B, Heilig R, Huber M, Lefevre
C, Jobard F, Macari F, Bakija-Konsuo A, Alt-Belkacem F, Weissenbach
J, Lathrop M, Hohl D, Prud'homme JF. Mutations in the gene encoding
SLUPR-1 in Mal de Meleda. Hum Mol Genet 2001; 10:
875-80.
8. Ward KM, Yerebakan O, Yilmaz E, Celebi JT.
Identification of recurrent mutations in the ARS (Component B) gene
encoding SLURP-1 in two families with Mal de Meleda. J Invest
Dermatol 2003; 120: 96-8.
9. Eckl KM, Stevens HP, Lestrignant GG,
Westenberger-Treuman M, Traupe H, Hinz B, Frossard P.M, Stadler R,
Leigh IM, Nurnberg P, Reis A, Hennies HC. Mal de Meleda (MDM)
caused by mutations in the gene for SLURP-1 in patients from
Germany, Turkey, Palestine, and the United Arab Emirates. Hum
Genet 2003; 112: 50-6.
10. Adermann K, Wattler F, Wattler S, Heine G, Meyer
M, Forssmann W, Nehls, M. Structural and phylogenetic
characterization of SLURP-1, the first secreted mammalian member of
the Ly6/uPAR protein family. Protein Sci 1999; 8: 810-9.
11. Fleming TJ, O'hUigin C, Malek TR.
Characterization of two novel Ly-6 genes. Protein sequence and
potential structural similarity to alpha-bungarotoxin and other
neurotoxins. J Immunol 1993; 150: 5379-90.
12. Gumley TP, McKenzie IF, Sandrin MS. Tissue
expression, structure and function of the murine Ly-6 family
of molecules. Immunol Cell Biol 1995; 73: 277-96.
13. Palfree RG. Ly-6-domain proteins — new insights
and new members: a C-terminal Ly-6 domain in sperm acrosomal
protein SP-10. Tissue Antigens 1996; 48: 71-9.
14. Ploug,M, Ellis V. Structure–function
relationships in the receptor for urokinase-type plasminogen
activator. Comparison to other members of the Ly-6 family and
snake venom alpha-neurotoxins. FEBS Lett 1994; 349:
163-8.
15. Rees B, Bilwes A. Three-dimensional structures
of neurotoxins and cardiotoxins Chem Res Toxicol 1993; 6:
385-406 [published erratum appears in Chem Res Toxicol
1993; 6: 912.
16. Shan XC, Bourdeau A, Rhoton A, Wells DE, Cohen
EH, Landgraf BE, Palfree RGE. Characterization and mapping to human
chromosome 8Q24.3 of LY-6-related gene 9804 encoding an
apparent homologue of mouse TSA-1. J Immunol 1998; 160:
197-208.
17. Urdea MS, Warner BD, Running JA, Stempien M,
Clyne J, Horn T. A comparison of non-radioisotopic hybridization
assay methods using fluorescent, chemiluminescent and enzyme
labeled synthetic oligodeoxyribonucleotide probes. Nucl Acids
Res 1988; 16: 4937-56.
18. Don RH, Cox PT, Wainwright BJ, Baker K, Mattick
JS. Touchdown' PCR to circumvent spurious priming during gene
amplification. Nucl Acids Res 1991; 19: 4008.
19. Kelton, CA, Cheng SVY, Nugent NP, Schweickhardt
RL, Rosenthal JL, Overton SA, Wands GD, Kuzeja JB, Luchette CA,
Chappel SC. The cloning of the human follicle stimulating hormone
receptor and its expression in COS-7, CHO, and Y-1 cells.
Mol Cell Endocrinol 1992; 89: 141-51.
20. Biffoni M, Marcucci I, Ythier A, Eshkol A.
Effects of urinary gonadotrophin preparations on human in-vitro
immune function. Hum Reprod 1998; 13: 2430-4.
21. Jaffe EA, Mosher DF. Synthesis of fibronectin by
cultured human endothelial cells. J Exp Med 1978; 147:
1779-91.
22. Gram H, Marconi LA, Barbas CF, Collet TA, Lerner
RA, Kang AS. In vitro selection and affinity maturation of
antibodies from a naive combinatorial immunoglobulin library.
Proc Natl Acad Sci USA. 1992; 89: 3576-80.
23. Stefanini M, Demartino C, Zamboni L. Fixation of
ejaculated spermatozoa for electron microscopy. Nature 1967;
216: 173-4.
24. Li CY, Ziesmer SC, Lazcano-Villareal O. Use of
azide and hydrogen peroxide as an inhibitor for endogenous
peroxidase in the immunoperoxidase method. J Histochem
Cytochem 1987; 35: 1457-60.
25. Nielsen H, Engelbrecht J, Brunak S, Vonheijne G.
Identification of prokaryotic and eukaryotic signal peptides and
prediction of their cleavage sites. Protein Eng 1997; 10:
1-6.
26. Eckert RL, Crish JF, Banks EB, Welter JF. The
epidermis — genes on — genes off. J Invest Dermatol 1997;
109: 501-9.
27. Silos SA, Tamai K, Li K, Kivirikko S, Kouba D,
Christiano AM, Uitto J. Cloning of the gene for human pemphigus
vulgaris antigen (desmoglein 3), a desmosomal cadherin.
Characterization of the promoter region and identification of a
keratinocyte-specific cis-element. J Biol Chem 1996; 271:
17504-11.
28. Reese MG, Harris NL. Eeckman FH. Large scale
sequencing specific neural networks for promoter and splice site
recognition. In: Hunter L, Klein TE, eds. Biocomputing:
Proceedings of the 1996 Pacific Symposium. Singapore: World
Scientific Publishing Co. Singapore 1996: (Abstr).
29. MacNeil I, Kennedy J, Godfrey DI, Jenkins NA,
Masciantonio M, Mineo C, Gilbert DJ, Copeland NG, Boyd RL, Zlotnik
A. Isolation of a cDNA encoding thymic shared antigen-1. A new
member of the Ly6 family with a possible role in T cell
development. J Immunol 1993; 151: 6913-23.
30. Capone MC, Gorman DM, Ching EP, Zlotnik A.
Identification through bioinformatics of cDNAs encoding human
thymic shared Ag-1/stem cell Ag-2. A new member of the human
Ly-6 family. J Immunol 1996; 157: 969-73.
31. Mao M, Yu M, Tong JH, Ye J, Zhu J, Huang QH, Fu
G, Yu L, Zhao SY, Waxman S, Lanotte M, Wang ZY, Tan JZ, Chan SJ,
Chen Z. RIG-E, a human homolog of the murine Ly-6 family, is
induced by retinoic acid during the differentiation of acute
promyelocytic leukemia cell. Proc Natl Acad Sci USA 1996;
93: 5910-4.
32. Brakenhoff R H, Gerretsen M, Knippels EM, van
Dijk M, van Essen H, Weghuis DO, Sinke RJ, Snow GB, and van Dongen
GA. The human E48 antigen, highly homologous to the murine
Ly-6 antigen ThB, is a GPI-anchored molecule apparently
involved in keratinocyte cell–cell adhesion. J Cell Biol
1995; 129: 1677-89.
33. Brakenhoff RH, van Dijk M, Rood-Knippels EMC,
Snow GB. Gain of novel tissue specificity in the human
LY-6 gene E48. J Immunol 1997; 159: 4879-86.
34. Reiter RE, Gu ZN, Watabe T, Thomas G, Szigeti K,
Davis E, Wahl M, Nisitani S, Yamashiro J, Lebeau MM, Loda M, Witte
ON. Prostate stem cell antigen — a cell surface marker
overexpressed in prostate cancer. Proc Natl Acad Sci USA
1998; 95: 1735-40.
35. Petranka JG, Fleenor DE, Sykes K, Kaufman RE,
Rosse WF. Structure of the CD59-encoding gene: further evidence of
a relationship to murine lymphocyte antigen Ly-6 protein.
Proc Natl Acad Sci USA 1992; 89: 7876-9 [published
erratum appears in Proc Natl Acad Sci USA 1993; 90:
5878].
36. Noel LS, Champion BR, Holley CL, Simmons CJ,
Morris DC, Payne JA, Lean JM, Chambers TJ, Zaman G, Lanyon LE, Suva
LJ, Miller LR. ROBO-1, a novel member of the urokinase plasminogen
activator receptor/CD59/LY-6/snake toxin family selectively
expressed in rat bone and growth plate cartilage. J Biol
Chem 1998; 273: 3878-83.
37. Fletcher CM, Harrison RA, Lachmann PJ, Neuhaus
D. Sequence-specific 1H-NMR assignments and folding topology of
human CD59. Protein Sci 1993; 2: 2015-27.
38. Duvic M, Nelson DC, Annarella M, Cho M,
Esgleyes-Ribot T, Remenyik E, Ulmer R, Rapini RP, Sacks PG, Clayman
GL, Davies PJL Thacher S. Keratinocyte transglutaminase expression
varies in squamous cell carcinomas. J Invest Dermatol 1994;
102: 462-9.
39. Monzon RI, McWilliams N, Hudson LG. Suppression
of cornified envelope formation and type 1 transglutaminase by
epidermal growth factor in neoplastic keratinocytes.
Endocrinology 1996; 137: 1727-34.
40. Forsberg UH, Bazil V, Stefanova I, Schroder J.
Gene for human CD59 (likely Ly-6 homologue) is located on the
short arm of chromosome 11. Immunogenetics 1989; 30:
188-93.
41. Furuhata T, Tokino T, Urano T, Nakamura Y.
Isolation of a novel GPI-anchored gene specifically regulated by
p53; correlation between its expression and anti-cancer drug
sensitivity. Oncogene 1996; 13: 1965-70.
42. Casey JR, Petranka JG, Kottra J, Fleenor DE,
Rosse WF. The structure of the urokinase-type plasminogen activator
receptor gene. Blood 1994; 84: 1151-6.
43. Fletcher CM, Harrison RA, Lachmann PJ, Neuhaus
D. Structure of a soluble, glycosylated form of the human
complement regulatory protein CD59. Structure 1994; 2:
185-99.
44. Thomas JR, Dwek RA, Rademacher TW. Structure,
biosynthesis, and function of glycosylphosphatidylinositols.
Biochemistry 1990; 29: 5413-22.
45. Mils V, Piette J, Barette C, Veyrune JL,
Tesniere A, Escot C, Guilhou JJ, Basset-Seguin N. The
proto-oncogene c-fos increases the sensitivity of keratinocytes to
apoptosis. Oncogene 1997; 14: 1555-61.
46. Maruoka Y, Harada H, Mitsuyasu T, Seta Y,
Kurokawa H, Kajiyama M, Toyoshima K. Keratinocytes become
terminally differentiated in a process involving programmed cell
death. Biochem Biophys Res Commun 1997; 238: 886-90.
47. Hatta N, Takata M, Kawara S, Hirone T, Takehara
K. Tape stripping induces marked epidermal proliferation and
altered TGF-alpha expression in non-lesional psoriatic skin. J
Dermatol Sci 1997; 14: 154-61.
48. Jiang CK, Magnaldo T, Ohtsuki M, Freedberg IM,
Bernerd F, Blumenberg M. Epidermal growth factor and transforming
growth factor alpha specifically induce the activation — and
hyperproliferation — associated keratins 6 and 16. Proc Natl
Acad Sci USA 1993; 90: 6786-90.
49. Saunders NA, Jetten AM. Control of growth
regulatory and differentiation-specific genes in human epidermal
keratinocytes by interferon gamma. Antagonism by retinoic acid and
transforming growth factor beta 1. J Biol Chem 1994; 269:
2016-22.
50. Horie M, Okutomi K, Taniguchi Y, Ohbuchi Y,
Suzuki M, Takahashi E. Isolation and characterization of a new
member of the human Ly6 family (LY6H). Genomics 1998; 53:
365-8.
51. McBrearty BA, Clark LD, Zhang XM, Blankenhorn
EP, Heber-Katze E. Genetic analysis of a mammalian wound-healing
trait. Proc Natl Acad Sci USA 1998; 95: 11792-7.
52. Katz AB, Taichman LB. Epidermis as a secretory
tissue: an in vitro tissue model to study keratinocyte secretion.
J Invest Dermatol 1994; 102: 55-60.
53. van Steensel MAM, van Geel M, Steijlen PM. Mal
de Meleda without mutations in the ARS coding sequence. Eur J
Dermatol 2003; 12: 129-32.
54. Tsuji H, Okamota K, Matsuzaka Y, Iizuka H,
Tamiya G, Inoko H. SLURP-2, a novel member of the human
Ly-6 superfamily that is up-regulated in psoriasis vulgaris.
Genomics 2003; 81: 26-33.
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