Department of Dermatology, University of Rome Tor Vergata, Rome, Italy.
J Clin Invest. 2010 May;120(5):1570-7. doi: 10.1172/JCI40267. Epub 2010 Apr 26.
The human congenital syndromes ectrodactyly ectodermal dysplasia-cleft lip/palate syndrome, ankyloblepharon ectodermal dysplasia clefting, and split-hand/foot malformation are all characterized by ectodermal dysplasia, limb malformations, and cleft lip/palate. These phenotypic features are a result of an imbalance between the proliferation and differentiation of precursor cells during development of ectoderm-derived structures. Mutations in the p63 and interferon regulatory factor 6 (IRF6) genes have been found in human patients with these syndromes, consistent with phenotypes. Here, we used human and mouse primary keratinocytes and mouse models to investigate the role of p63 and IRF6 in proliferation and differentiation. We report that the DeltaNp63 isoform of p63 activated transcription of IRF6, and this, in turn, induced proteasome-mediated DeltaNp63 degradation. This feedback regulatory loop allowed keratinocytes to exit the cell cycle, thereby limiting their ability to proliferate. Importantly, mutations in either p63 or IRF6 resulted in disruption of this regulatory loop: p63 mutations causing ectodermal dysplasias were unable to activate IRF6 transcription, and mice with mutated or null p63 showed reduced Irf6 expression in their palate and ectoderm. These results identify what we believe to be a novel mechanism that regulates the proliferation-differentiation balance of keratinocytes essential for palate fusion and skin differentiation and links the pathogenesis of 2 genetically different groups of ectodermal dysplasia syndromes into a common molecular pathway.
人类先天性综合征并指(趾)畸形-外胚层发育不良-唇腭裂综合征、无睫毛-外胚层发育不良-裂腭和分裂手/足畸形,均以外胚层发育不良、肢体畸形和唇腭裂为特征。这些表型特征是外胚层衍生结构发育过程中前体细胞增殖和分化失衡的结果。在这些综合征的人类患者中发现了 p63 和干扰素调节因子 6(IRF6)基因突变,与表型一致。在这里,我们使用人类和小鼠原代角质形成细胞和小鼠模型来研究 p63 和 IRF6 在增殖和分化中的作用。我们报告 p63 的ΔNp63 同工型激活了 IRF6 的转录,而这反过来又诱导了蛋白酶体介导的ΔNp63 降解。这种反馈调节环使角质形成细胞退出细胞周期,从而限制了它们的增殖能力。重要的是,p63 或 IRF6 的突变导致这种调节环中断:导致外胚层发育不良的 p63 突变无法激活 IRF6 转录,并且具有突变或缺失 p63 的小鼠在其腭和外胚层中显示出 Irf6 表达减少。这些结果确定了我们认为是一种新的机制,该机制调节了腭融合和皮肤分化所必需的角质形成细胞的增殖-分化平衡,并将两种遗传上不同的外胚层发育不良综合征的发病机制联系到一个共同的分子途径中。
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