角蛋白与肿瘤

角蛋白属于I型和II型中间纤维,是上皮细胞中间纤维的主要组成蛋白。角蛋白对上皮细胞及组织的稳定性和完整性具有重要的功能,此外,许多角蛋白还参与细胞内的信号转导通路。角蛋白的基因突变会导致一系列的遗传性皮肤病,还能引起肝脏、口腔粘膜、食管、外阴、直肠粘膜的白海绵痣等疾病。最近大量研究发现,角蛋白在人类多种类型肿瘤中也存在特异性表达,角蛋白及其抗体在肿瘤的免疫化学诊断、核转移、精确的分型或分类等方面具有重要的作用,并且还有助于预测肿瘤治疗反应和预后情况。因此,研究角蛋白与肿瘤之间的相互联系,揭示它们的作用机制对肿瘤的诊断和治疗有着重要意义。该文回顾了近年来角蛋白的分子生物学研究概况及临床应用,对各种角蛋白与肿瘤发生、进展、诊断以及预后的关系进行综述,同时对存在的问题及困难作了探讨并对未来的研究进行了展望。     

角蛋白与肿瘤

角蛋白属于I型和II型中间纤维,是上皮细胞中间纤维的主要组成蛋白。角蛋白对上皮细胞及组织的稳定性和完整性具有重要的功能,此外,许多角蛋白还参与细胞内的信号转导通路。角蛋白的基因突变会导致一系列的遗传性皮肤病,还能引起肝脏、口腔粘膜、食管、外阴、直肠粘膜的白海绵痣等疾病。最近大量研究发现,角蛋白在人类多种类型肿瘤中也存在特异性表达,角蛋白及其抗体在肿瘤的免疫化学诊断、核转移、精确的分型或分类等方面具有重要的作用,并且还有助于预测肿瘤治疗反应和预后情况。因此,研究角蛋白与肿瘤之间的相互联系,揭示它们的作用机制对肿瘤的诊断和治疗有着重要意义。该文回顾了近年来角蛋白的分子生物学研究概况及临床应用,对各种角蛋白与肿瘤发生、进展、诊断以及预后的关系进行综述,同时对存在的问题及困难作了探讨并对未来的研究进行了展望。     

Keratins and epidermolysis bullosa simplex

Keratin intermediate filaments play an important role in maintaining the integrity of the skin structure. Understanding the importance of this subject is possible with the investigation of keratin defects in epidermolysis bullosa simplex (EBS). Nowadays, in addition to clinical criteria, new molecular diagnostic methods, such as next generation sequencing, can help to distinguish the subgroups of EBS more precisely. Because the most important and most commonly occurring molecular defects in these patients are the defects of keratins 5 and14 (KRT5 and KRT14), comprehending the nature structure of these proteins and their involved processes can be very effective in understanding the pathophysiology of this disease and providing new and effective therapeutic platforms to treat it. Here, we summarized the various aspects of the presence of KRT5 and KRT14 in the epidermis, their relation to the incidence and severity of EBS phenotypes, and the processes with which these proteins can affect them.     

Keratins and protein synthesis: the plot thickens

In addition to protecting epithelial cells from mechanical stress, keratins regulate cytoarchitecture, cell growth, proliferation, apoptosis, and organelle transport. In this issue, Vijayaraj et al. (2009. J. Cell Biol. doi:10.1083/jcb.200906094) expand our understanding of how keratin proteins participate in the regulation of protein synthesis through their analysis of mice lacking the entire type II keratin gene cluster.Keratins are members of the intermediate filament family. They form intricate cytoskeletal networks via the assembly and organization of 10–12-nm filaments, whose formation is initiated through coiled-coil interactions between a type I keratin (e.g., K18 and -19) and a type II keratin (e.g., K8; Kim and Coulombe, 2007). Most keratin proteins have been shown to contribute to the protection of cells and tissues from mechanical and nonmechanical stresses (Toivola et al., 2005; Kim and Coulombe, 2007). Whereas the large number of keratin genes (n = 54; Schweizer et al., 2006) and the heteropolymerization-based assembly of their protein products should in part serve the purpose of modulating the viscoelastic properties of keratin networks to assist various cellular needs, common sense dictates that there should be additional roles for these proteins. Not surprisingly, efforts over the last decade have implicated keratin proteins in several nontraditional functions, including cytoarchitecture, proliferation and growth, apoptosis, and organelle transport, to name a few (Toivola et al., 2005; Kim and Coulombe, 2007). Yet, the high homology between several keratin proteins along with their overlapping distribution in epithelia has limited researchers'' progress toward uncovering the full range of keratin function in vivo (Baribault et al., 1994; Tamai et al., 2000; McGowan et al., 2002; Kerns et al., 2007). In this issue, Vijayaraj et al. report on the ultimate bypass of redundancy by eliminating all keratin filaments via the generation of a mouse strain lacking all type II keratins (KtyII^−/− mice). The study of these mice, which are viable until embryonic day 9.5, led to the discovery of a novel mechanism through which keratin proteins regulate protein synthesis and cell growth (Kim et al., 2006, 2007; Galarneau et al., 2007). The authors'' findings also showcase the recent conceptual and technical advances of chromosome engineering in the mouse genome.For over a decade, the Cre-loxP site-specific recombination system has been a popular method to generate targeted conditional knockout embryonic stem (ES) cells and mice. Although recombination efficiency is inversely proportional to the distance between loxP sites, larger chromosomal rearrangements have been successfully engineered into mouse ES cells using Cre-loxP (Ramírez-Solis et al., 1995). Generating such targeting vectors is cumbersome using traditional cloning methods. This said, DNA recombineering eliminates many of the constraints of finding unique restriction enzyme sites in genomic DNA sequences (Liu et al., 2003). Also, an Sv129 bacterial artificial chromosome (BAC) library generated from AB2.2 ES cells makes it easier to obtain large genomic sequences or even target ES cells directly with loxP-containing BACs (Liu et al., 2003; Adams et al., 2005). Finally, the Mutagenic Insertion and Chromosome Engineering Resource (MICER), a library of ready-made targeting vectors spread throughout the mouse genome, is now available (Adams et al., 2004). Vijayaraj et al. (2009) used MICER vectors to remove the entire 0.68-Mb keratin type II cluster on mouse chromosome 15 (Fig. 1 A). Owing to the interdependency of type I and II keratins for 10-nm filament assembly (Fig. 1 B), the resulting KtyII^−/− mice represent the first successful elimination of all keratin filaments from an organism as complex as a mouse.Open in a separate windowFigure 1.Genome organization, assembly, and epithelial function of keratins. (A) Arrangement of keratin clusters in the mouse genome. Human keratin genes that have not been identified or annotated in the mouse genome are shown on the bottom side and marked with a question mark. The arrows mark the boundaries of the region deleted by Vijayaraj et al. (2009) on mouse chromosome 15. (B) Summary of the multistep pathway through which type I and II keratin protein monomers polymerize to form 10-nm filaments. The antiparallel docking of the lollipop-shaped coiled-coiled dimers along their lateral surfaces generates structurally apolar tetramers and accounts for the lack of polarity of assembled keratin intermediate filaments. For all steps in the pathway, the forward (assembly promoting) reaction is heavily favored in vitro (Kim and Coulombe, 2007). (C) Keratins influence the localization and function of many cellular components. As highlighted here, keratins interact with and modulate the mTOR pathway in several ways, both in skin keratinocytes and gut epithelial cells, and regulate the localization of microtubules, γ-tubulin, and GLUT transporters in polarized epithelia. Components are not drawn to scale in this schematic.KtyII^−/− embryos display severe growth retardation and die midgestation (Baribault et al., 1993; Hesse et al., 2000; Tamai et al., 2000). Smaller cell size has been observed previously in K17^−/− skin keratinocytes and K8^−/− liver hepatocytes, correlating with altered Akt/mammalian target of rapamycin (mTOR) signaling (Fig. 1 C) and a reduction in bulk protein synthesis (Kim et al., 2006; Galarneau et al., 2007). Although K17 appears to modulate the mTOR pathway through its physical interaction with 14-3-3–σ in keratinocytes (Fig. 1 C; Kim et al., 2006), the mechanism for how K8 influences protein synthesis in hepatocytes is less clear but appears to integrate responses to both insulin and integrin stimulation (Galarneau et al., 2007). Loss of K8 is also associated with an increase in Akt activity (Galarneau et al., 2007), which is contrary to the findings in the K17^−/− setting (Kim et al., 2006), calling into question whether the two settings use the same mechanism to modulate mTOR signaling. Vijayaraj et al. (2009) uncover yet another path through which keratins are able to influence protein synthesis. The authors find that loss of all keratin filaments causes mislocalization of GLUT transporters and disruption of glucose homeostasis through AMP kinase (AMPK) activation. In addition, the authors report that in the absence of the keratin network, AMPK phosphorylates Raptor, which then interacts with mTOR to repress protein synthesis and hamper cell growth (Fig. 1 C). These findings further the evidence for an important role of keratin proteins (or filaments) in the regulation of translation and epithelial cell growth. However, they also raise the question of whether keratins affect mTOR signaling via an as of yet unknown, common denominator or whether several mechanisms come together, perhaps in a cell type– and context-dependent fashion, to achieve the same downstream effect.Unlike actin and microtubules, keratin filaments are not believed to possess intrinsic polarity (Fig. 1 B). However, K8/K18 and/or K8/K19 filaments play a significant role in maintaining apicobasal compartmentalization in simple epithelial linings in both the small intestine (Ameen et al., 2001; Oriolo et al., 2007) and colon of adult mice (Toivola et al., 2004) and have also been implicated in organelle transport (Toivola et al., 2005; Kim and Coulombe, 2007). The mechanism or mechanisms accounting for this surprising influence of keratins on the establishment and maintenance of spatial order in epithelial cells are unknown. Ameen et al. (2001) and Oriolo et al. (2007) recently made a dent in this mystery by showing that K8/K18 filaments are necessary for the proper localization of γ-tubulin to the apical compartment in polarized epithelial cells, thereby participating in the organization of noncentrosomic microtubules (note: the interested reader should examine a recent study by Bocquet et al. [2009], which shows a role for neuronal intermediate filaments in tubulin polymerization in axons). Similar to previous observations made in K8^−/− mice (Ameen et al., 2001; Toivola et al., 2004), Vijayaraj et al. (2009) show that apical proteins, particularly GLUT1 and -3, are mislocalized in KtyII^−/− embryonic epithelia. However, in this instance, microtubule organization appears to be intact. Although the authors'' experimental findings again nicely demonstrate a role for keratin proteins in the establishment of polarity in simple epithelial settings, the underlying mechanism or mechanisms still need to be ascertained.The mouse model generated by Vijayaraj et al. (2009) has important implications for the field of keratin biology and intermediate filaments in general. It will allow researchers to address central questions about the contributions of keratins during development and tissue homeostasis unencumbered by the redundancy of properties and functions among members of this large family. The availability of tissue- or cell type–specific promoters makes it possible to express the Cre recombinase in specific epithelial settings, thereby promoting the elimination of keratins in a more restricted fashion. It will be interesting to see how the total loss of keratin filaments affects different tissues and subpopulations of cells, highlighting essential functions and perhaps uncovering previously unappreciated roles for keratins in complex cellular processes.     

Functional Differences between Keratins of Stratified and Simple Epithelia

Dividing populations of stratified and simple epithelial tissues express keratins 5 and 14, and keratins 8 and 18, respectively. It has been suggested that these keratins form a mechanical framework important to cellular integrity, since their absence gives rise to a blistering skin disorder in neonatal epidermis, and hemorrhaging within the embryonic liver. An unresolved fundamental issue is whether different keratins perform unique functions in epithelia. We now address this question using transgenic technology to express a K16-14 hybrid epidermal keratin transgene and a K18 simple epithelial keratin transgene in the epidermis of mice null for K14. Under conditions where the hybrid epidermal keratin restored a wild-type phenotype to newborn epidermis, K18 partially but not fully rescued. The explanation does not appear to reside in an inability of K18 to form 10-nm filaments with K5, which it does in vitro and in vivo. Rather, it appears that the keratin network formed between K5 and K18 is deficient in withstanding mechanical stress, leading to perturbations in the keratin network in regions of the skin that are subjected either to natural or to mechanically induced trauma. Taken together, these findings suggest that the loss of a type I epidermal keratin cannot be fully compensated by its counterpart of simple epithelial cells, and that in vivo, all keratins are not equivalent.     

Keratins modulate colonocyte electrolyte transport via protein mistargeting

The function of intestinal keratins is unknown, although keratin 8 (K8)-null mice develop colitis, hyperplasia, diarrhea, and mistarget jejunal apical markers. We quantified the diarrhea in K8-null stool and examined its physiologic basis. Isolated crypt-units from K8-null and wild-type mice have similar viability. K8-null distal colon has normal tight junction permeability and paracellular transport but shows decreased short circuit current and net Na absorption associated with net Cl secretion, blunted intracellular Cl/HCO3-dependent pH regulation, hyperproliferation and enlarged goblet cells, partial loss of the membrane-proximal markers H,K-ATPase-beta and F-actin, increased and redistributed basolateral anion exchanger AE1/2 protein, and redistributed Na-transporter ENaC-gamma. Diarrhea and protein mistargeting are observed 1-2 d after birth while hyperproliferation/inflammation occurs later. The AE1/2 changes and altered intracellular pH regulation likely account, at least in part, for the ion transport defects and hyperproliferation. Therefore, colonic keratins have a novel function in regulating electrolyte transport, likely by targeting ion transporters to their cellular compartments.     

Sedimentation Studies of Epidermal Keratins. Keratin A and Keratin B

Electrophoretically homogeneous keratin A and keratin B were studied in the ultracentrifuge. Both preparations revealed two fractions: one which sedimented rapidly and another which sedimented slowly. This indicated that both preparations are heterogeneous with respect to particle size.     

Microsporidian Spore Envelope Keratins Phosphorylate and Disassemble During Spore Activation

The microsporidian spore stage of the nerve parasite, Spraguea lophii, consists of outer envelope stabilized in part by keratins, including K4 and K13. The nonepidermal K4 and K13 keratins were found only in the spore envelope and were absent in the internal microsporidian sporoplasm. At the time of spore activation, the keratin-based outer spore envelope assemblage dissociated and became phosphorylated when the spores were placed in the presence of labeled ATP. Verapamil or lanthanum, agents which block S. lophii spore activation, also blocked spore envelope keratin disassembly and phosphorylation when the spores were incubated in activation medium with labeled ATP. However, after the removal of the verapamil or lanthanum, the spores regained the capacity to activate in discharge medium and the keratin analogues appeared to dissociate and phosphorylate.     

Granzyme B in skin inflammation and disease

Granzyme B (GzmB) is a serine protease emerging as an important mediator of skin injury, inflammation and repair. Found at low levels in healthy skin, GzmB is dramatically elevated in chronic disease and inflammatory skin disorders, including diabetic ulcers, hypertrophic scarring, autoimmune skin disorders, cutaneous leishmaniasis and aging skin. Traditionally known for its pro-apoptotic function, the role of GzmB in disease has been redefined due to the discovery of additional activities involving the cleavage of extracellular matrix proteins, epithelial barrier disruption, fibrosis, vascular permeability, anoikis, inflammation and autoimmunity. In addition to the accumulation of GzmB⁺ cells in diseased tissue, and critical to the mechanistic redefinition, is the realization that GzmB often accumulates in the extracellular milieu, retains its activity in plasma, and is expressed by both immune and non-immune cells that may or may not express perforin, the pore-forming protein required for GzmB internalization into target cells. As GzmB is not normally found in the extracellular milieu, and does not appear to be regulated, GzmB-mediated proteolysis can impact processes such as tissue remodelling, barrier function, autoantigen generation and angiogenesis. The present review will summarize and critically examine the current knowledge regarding GzmB in inflammatory skin disease, providing an overview of both apoptotic and extracellular mechanisms, but with a focus on the extracellular roles of GzmB in skin health and disease.     

Connexins in epidermal homeostasis and skin disease

The expression of multiple connexin (Cx) types in the epidermis, their differential expression during wound closure and the association of skin pathology with specific Cx gene mutations, are indicative of important functions for Cxs in the skin. In this review, we focus on the role of Cx proteins in the epidermis and during wound healing and discuss mutations in Cx genes which cause skin disease. This article is part of a Special Issue entitled: The Communicating junctions, composition, structure and characteristics.     

Keratins turn over by ubiquitination in a phosphorylation-modulated fashion

Keratin polypeptides 8 and 18 (K8/18) are intermediate filament (IF) proteins that are expressed in glandular epithelia. Although the mechanism of keratin turnover is poorly understood, caspase-mediated degradation of type I keratins occurs during apoptosis and the proteasome pathway has been indirectly implicated in keratin turnover based on colocalization of keratin-ubiquitin antibody staining. Here we show that K8 and K18 are ubiquitinated based on cotransfection of His-tagged ubiquitin and human K8 and/or K18 cDNAs, followed by purification of ubiquitinated proteins and immunoblotting with keratin antibodies. Transfection of K8 or K18 alone yields higher levels of keratin ubiquitination as compared with cotransfection of K8/18, likely due to stabilization of the keratin heteropolymer. Most of the ubiquitinated species partition with the noncytosolic keratin fraction. Proteasome inhibition stabilizes K8 and K18 turnover, and is associated with accumulation of phosphorylated keratins, which indicates that although keratins are stable they still turnover. Analysis of K8 and K18 ubiquitination and degradation showed that K8 phosphorylation contributes to its stabilization. Our results provide direct evidence for K8 and K18 ubiquitination, in a phosphorylation modulated fashion, as a mechanism for regulating their turnover and suggest that other IF proteins could undergo similar regulation. These and other data offer a model that links keratin ubiquitination and hyperphosphorylation that, in turn, are associated with Mallory body deposits in a variety of liver diseases.     

Human skin pigmentation, migration and disease susceptibility

Human skin pigmentation evolved as a compromise between the conflicting physiological demands of protection against the deleterious effects of ultraviolet radiation (UVR) and photosynthesis of UVB-dependent vitamin D(3). Living under high UVR near the equator, ancestral Homo sapiens had skin rich in protective eumelanin. Dispersals outside of the tropics were associated with positive selection for depigmentation to maximize cutaneous biosynthesis of pre-vitamin D(3) under low and highly seasonal UVB conditions. In recent centuries, migrations and high-speed transportation have brought many people into UVR regimes different from those experienced by their ancestors and, accordingly, exposed them to new disease risks. These have been increased by urbanization and changes in diet and lifestyle. Three examples-nutritional rickets, multiple sclerosis (MS) and cutaneous malignant melanoma (CMM)-are chosen to illustrate the serious health effects of mismatches between skin pigmentation and UVR. The aetiology of MS in particular provides insight into complex and contingent interactions of genetic and environmental factors necessary to trigger lethal disease states. Low UVB levels and vitamin D deficiencies produced by changes in location and lifestyle pose some of the most serious disease risks of the twenty-first century.