Abstract
Mutations in keratin genes cause a diverse spectrum of skin, hair and mucosal disorders. Cutaneous disorders include epidermolysis bullosa simplex, palmoplantar keratoderma, epidermolytic ichthyosis and pachyonychia congenita. Both clinical and laboratory observations confirm a major role for keratins in maintaining epidermal cell–cell adhesion. When normal tissue homeostasis is disturbed, for example, during wound healing and cancer, keratins play an important non-mechanical role. Post-translational modifications including glycosylation and phosphorylation of keratins play an important role in protection of epithelial cells from injury. Keratins also play a role in modulation of the immune response. A current focus in the area of keratins and disease is the development of new treatments including small inhibitory RNA (siRNA) to mutant keratins and small molecules to modulate keratin expression.
Similar content being viewed by others
References
Alam H, Gangadaran P, Bhate AV et al (2011) Loss of keratin 8 phosphorylation leads to increased tumor progression and correlates with clinico-pathological parameters of OSCC patients. PLoS ONE 6:e27767. doi:10.1371/journal.pone.0027767
Arin MJ (2009) The molecular basis of human keratin disorders. Hum Genet 125:355–73. doi:10.1007/s00439-009-0646-5
Atkinson SD, McGilligan VE, Liao H et al (2011) Development of allele-specific therapeutic siRNA for keratin 5 mutations in epidermolysis bullosa simplex. J Invest Dermatol 131:2079–86. doi:10.1038/jid.2011.169
Bär J, Kumar V, Roth W et al (2014) Skin fragility and impaired desmosomal adhesion in mice lacking all keratins. J Invest Dermatol 134:1012–22. doi:10.1038/jid.2013.416
Bonifas JM, Rothman AL, Epstein EH (1991) Epidermolysis bullosa simplex: evidence in two families for keratin gene abnormalities. Science 254:1202–5
Busch T, Armacki M, Eiseler T et al (2012) Keratin 8 phosphorylation regulates keratin reorganization and migration of epithelial tumor cells. J Cell Sci 125:2148–59. doi:10.1242/jcs.080127
Chamcheu JC, Siddiqui IA, Syed DN et al (2011) Keratin gene mutations in disorders of human skin and its appendages. Arch Biochem Biophys 508:123–37. doi:10.1016/j.abb.2010.12.019
Chamcheu JC, Wood GS, Siddiqui IA et al (2012) Progress towards genetic and pharmacological therapies for keratin genodermatoses: current perspective and future promise. Exp Dermatol 21:481–9. doi:10.1111/j.1600-0625.2012.01534.x
Choate KA, Lu Y, Zhou J et al (2010) Mitotic recombination in patients with ichthyosis causes reversion of dominant mutations in KRT10. Science 330:94–7
Chou CF, Smith AJ, Omary MB (1992) Characterization and dynamics of O-linked glycosylation of human cytokeratin 8 and 18. J Biol Chem 267:3901–6
Chung B-M, Rotty JD, Coulombe PA (2013) Networking galore: intermediate filaments and cell migration. Curr Opin Cell Biol 25:600–12. doi:10.1016/j.ceb.2013.06.008
Coulombe PA, Hutton ME, Letai A et al (1991) Point mutations in human keratin 14 genes of epidermolysis bullosa simplex patients: genetic and functional analyses. Cell 66:1301–11
Covello SP, Smith FJ, Sillevis Smitt JH et al (1998) Keratin 17 mutations cause either steatocystoma multiplex or pachyonychia congenita type 2. Br J Dermatol 139:475–80
Depianto D, Kerns ML, Dlugosz AA, Coulombe PA (2010) Keratin 17 promotes epithelial proliferation and tumor growth by polarizing the immune response in skin. Nat Genet 42:910–4. doi:10.1038/ng.665
Dinkova-Kostova AT, Fahey JW, Wade KL et al (2007) Induction of the phase 2 response in mouse and human skin by sulforaphane-containing broccoli sprout extracts. Cancer Epidemiol Biomarkers Prev 16:847–51. doi:10.1158/1055-9965.EPI-06-0934
Fine JD, Bruckner-Tuderman L, Eady RA et al. (2014) Inherited epidermolysis bullosa: Updated recommendations on diagnosis and classification. J Am Acad Dermatol 1–24. doi: 10.1016/j.jaad.2014.01.903
Fois G, Weimer M, Busch T et al (2013) Effects of keratin phosphorylation on the mechanical properties of keratin filaments in living cells. FASEB J 27:1322–9. doi:10.1096/fj.12-215632
Fu T, Leachman SA, Wilson NJ et al (2011) Genotype-phenotype correlations among pachyonychia congenita patients with K16 mutations. J Invest Dermatol 131:1025–8. doi:10.1038/jid.2010.373
Fu DJ, Thomson C, Lunny DP et al (2014) Keratin 9 is required for the structural integrity and terminal differentiation of the palmoplantar epidermis. J Invest Dermatol 134:754–63. doi:10.1038/jid.2013.356
Gutierrez JA, Hannoush ZC, Vargas LG et al (2013) A novel non-sense mutation in keratin 10 causes a familial case of recessive epidermolytic ichthyosis. Mol Genet Genomic Med 1:108–112. doi:10.1002/mgg3.6
Irvine AD, McLean WH (1999) Human keratin diseases: the increasing spectrum of disease and subtlety of the phenotype-genotype correlation. Br J Dermatol 140:815–28
Karantza V (2011) Keratins in health and cancer: more than mere epithelial cell markers. Oncogene 30:127–38. doi:10.1038/onc.2010.456
Kerns M, DePianto D, Yamamoto M, Coulombe PA (2010) Differential modulation of keratin expression by sulforaphane occurs via Nrf2-dependent and -independent pathways in skin epithelia. Mol Biol Cell 21:4068–75. doi:10.1091/mbc.E10-02-0153
Ku N-O, Toivola DM, Strnad P, Omary MB (2010) Cytoskeletal keratin glycosylation protects epithelial tissue from injury. Nat Cell Biol 12:876–85. doi:10.1038/ncb2091
Lane EB, McLean WHI (2004) Keratins and skin disorders. J Pathol 204:355–66. doi:10.1002/path.1643
Lane EB, Rugg EL, Navsaria H et al (1992) A mutation in the conserved helix termination peptide of keratin 5 in hereditary skin blistering. Nature 356:244–6. doi:10.1038/356244a0
Leachman SA, Hickerson RP, Schwartz ME et al (2010) First-in-human mutation-targeted siRNA phase Ib trial of an inherited skin disorder. Mol Ther 18:442–6. doi:10.1038/mt.2009.273
Lessard JC, Coulombe PA (2012) Keratin 16-null mice develop palmoplantar keratoderma, a hallmark feature of pachyonychia congenita and related disorders. J Invest Dermatol 132:1384–91. doi:10.1038/jid.2012.6
Lessard JC, Piña-Paz S, Rotty JD et al (2013) Keratin 16 regulates innate immunity in response to epidermal barrier breach. Proc Natl Acad Sci U S A 110:19537–42. doi:10.1073/pnas.1309576110
Lettner T, Lang R, Klausegger A et al (2013) MMP-9 and CXCL8/IL-8 are potential therapeutic targets in epidermolysis bullosa simplex. PLoS ONE 8:e70123. doi:10.1371/journal.pone.0070123
McLean WHI, Moore CBT (2011) Keratin disorders: from gene to therapy. Hum Mol Genet 20:R189–97. doi:10.1093/hmg/ddr379
McLean WHI, Hansen CD, Eliason MJ, Smith FJD (2011) The phenotypic and molecular genetic features of pachyonychia congenita. J Invest Dermatol 131:1015–7. doi:10.1038/jid.2011.59
Oji V, Tadini G, Akiyama M et al (2010) Revised nomenclature and classification of inherited ichthyoses: results of the first ichthyosis consensus conference in Sorèze 2009. J Am Acad Dermatol 63:607–41. doi:10.1016/j.jaad.2009.11.020, Review
O'Toole EA, Kaspar RL, Sprecher E et al (2014) Pachyonychia congenita cornered: report on the 11th annual international pachyonychia congenita consortium meeting. Br J Dermatol. doi:10.1111/bjd.13341
Pan X, Hobbs RP, Coulombe PA (2013) The expanding significance of keratin intermediate filaments in normal and diseased epithelia. Curr Opin Cell Biol 25:47–56. doi:10.1016/j.ceb.2012.10.018
Pedrioli LMD, Fu DJ et al (2012) Generic and personalized RNAi-based therapeutics for a dominant-negative epidermal fragility disorder. J Invest Dermatol 132:1627–35. doi:10.1038/jid.2012.28
Ramot Y, Sugawara K, Zákány N et al (2013) A novel control of human keratin expression: cannabinoid receptor 1-mediated signaling down-regulates the expression of keratins K6 and K16 in human keratinocytes in vitro and in situ. Peer J 1:e40. doi:10.7717/peerj.40
Roth W, Reuter U, Wohlenberg C et al (2009) Cytokines as genetic modifiers in K5−/− mice and in human epidermolysis bullosa simplex. Hum Mutat 30:832–41. doi:10.1002/humu.20981
Schweizer J, Bowden PE, Coulombe PA et al (2006) New consensus nomenclature for mammalian keratins. J Cell Biol 174:169–74. doi:10.1083/jcb.200603161
Shimomura Y (2012) Congenital hair loss disorders: rare, but not too rare. J Dermatol 39:3–10. doi:10.1111/j.1346-8138.2011.01395.x
Smith F (2003) The molecular genetics of keratin disorders. Am J Clin Dermatol 4:347–64
Snider NT, Omary MB (2014) Post-translational modifications of intermediate filament proteins: mechanisms and functions. Nat Rev Mol Cell Biol 15:163–77. doi:10.1038/nrm3753
Stacey SN, Sulem P, Masson G et al (2009) New common variants affecting susceptibility to basal cell carcinoma. Nat Genet 41:909–14. doi:10.1038/ng.412
Steinert PM (1990) The two-chain coiled-coil molecule of native epidermal keratin intermediate filaments is a type I-type II heterodimer. J Biol Chem 265:8766–74
Szeverenyi I, Cassidy AJ, Chung CW et al (2008) The human intermediate filament database: comprehensive information on a gene family involved in many human diseases. Hum Mutat 29:351–60. doi:10.1002/humu.20652
Wally V, Kitzmueller S, Lagler F et al (2013) Topical diacerein for epidermolysis bullosa: a randomized controlled pilot study. Orphanet J Rare Dis 8:69. doi:10.1186/1750-1172-8-69
Weber K, Geisler N (1985) Intermediate filaments: structural conservation and divergence. Ann N Y Acad Sci 455:126–43
Wilson NJ, O'Toole EA, Milstone LM et al (2014) The molecular genetic analysis of the expanding pachyonychia congenita case collection. Br J Dermatol 171:343–55. doi:10.1111/bjd.12958
Zhao Y, Gartner U, Smith FJD, McLean WHI (2011) Statins downregulate K6a promoter activity: a possible therapeutic avenue for pachyonychia congenita. J Invest Dermatol 131:1045–52. doi:10.1038/jid.2011.41
Acknowledgment
We would like to acknowledge the support of the Pachyonychia Project.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Knöbel, M., O’Toole, E.A. & Smith, F.J.D. Keratins and skin disease. Cell Tissue Res 360, 583–589 (2015). https://doi.org/10.1007/s00441-014-2105-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00441-014-2105-4