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What is laminin?
a major component of BMs that self assembles into a network to present binding sites for cells
What is the structure of laminin?
High MW glycoprotein (800kDa)
3 alpha helix chains (alpha, beta and gamma) assembled into a cruciform structure wrapped in coiled coil
3 shorts arms with globular domains at N termini
1 long coiled coil arm with globular domain C terminal - alpha chain
Spacers of EGF repeats
What brings about the laminin coiled coil?
The formation of the laminin coiled-coil trimer is brought about by a repeated sequence of 7 amino acids in the long arms of each chain which maximises non-covalent bonds between the chains
What is the triple helix of laminin stabilised by?
disulphide cross links at each end of the coiled coil domain
What does laminin 1 form in vitro?
Spontaneous forms a network
o N-terminal globular domains promote polymerisation into a network
o Nidogen also interacts with domains and stabilises network
What does the alpha chain globular domain consist of?
5 LG domains which interact with cell surface receptors
LG1,2,3 interact with intergrins
LG4,5 interacts with dystroglycan and heparin
What is the laminin network linked to?
Collagen IV by accessory molecules
o Collagen IV 2D network forms - structural backbone
o Laminin forms integrated network - Cell binding sites stick out
How many laminin genes are there and how many heterotrimeric combinations do they make?
There are 11 laminin genes, but these only associate to form 15 different heterotrimeric combinations - there are more laminin isoforms than there are collagen IV isoforms
There are more laminin isoforms than collagen IV isoforms, what is the result of this?
More variability - more tissue specific expression of laminin than collagen IV
Most BM will be the same type of collagen IV (a1a1a2)
Most BM will have different laminin in tissues
A lot more diseases through mutations in laminin
There are diseases associated with tissue restricted collagen isoforms
What does genetic deletion in mice show?
That some laminins are essential throughout the animal
Different laminin isoforms show tissue specific expression
Where is a1b1g1 found and what does its deficiency cause?
laminin found in the embryonic BM
a1 is found in the BM of epithelial tissues during embryogenesis and some epithelial BM in adults
Deficiency in a1 = embryonic lethality – only essential In extra embryonic tissue
Where is alpha 2 found and what does a deficiency cause?
A2 is in the BM of skeletal and cardiac muscle, peripheral nervous system and central nervous system
Deficiency in a2 = severe congenital muscular dystrophy, lethal 5 weeks after birth
Where is alpha 3 found and what does a deficiency cause?
A3 is primarily in BMs of stratified epithelia
Deficiency in a3 = lethal post natal skin blistering, dies 3 days after birth
Where is beta 2 found and what does a deficiency cause?
B2 has wide expression pattern
Deficiency in b2 = postnatally lethal because of defects in glomerular filtration and NMJ
What is pierson syndrome?
Rare and lethal congenital
Caused by a loss of laminin beta2 isoform
Similar condition to loss of GBM collagen IV
Frame shift mutations makes non-functional laminin
What are the symptoms of loss of laminin beta?
• Congenital nephrotic syndrome progressing to end stage renal disease
• Eye abnormalities
• Severe muscular hypotonia
What causes pierson disease phenotype?
Laminin 11 (a5b2g1) is expressed in the GBM, eye, and synaptic BM
What do mice phenocopying pierson syndrome show?
Deficient for laminin beta 2 gene
GBM shows beta 1 expression instead
This does not form an effective filtration barrier
Abnormal retinal and neuromuscular junctions
High levels of protein in urine
Collagen IV is not affected
What is the epidermis attached to?
The epidermis is attached to the underlying dermis via a basement membrane. This is mechanically strong
What is epidermolysis bullosa (EB)
• Related group of conditions where skin blisters following mechanical trauma
• Mutations affect the mechanical strength of the dermal/epidermal junction
• Position of the break depends upon the genetic defect
Where is laminin 5 found and what is its isoform?
a3b3g2
Found in skin BM
What does laminin 5 do?
Links integrin a6b4 on epidermal layer to collagen IV, which is connected to anchoring fibre collagen VII, which links to collagen I in the dermis
Integrins are in hemidesmosomes
Collagen VII is also specific to the BM
What does Mutations in laminin 5 (a3b3g2) cause?
Junctional EB
genes = LAMA3, LAMB3, LAMC2
Autosomal recessive
What is herlitz type JEB?
Complete loss of any Laminin 5 chain leads to Herlitz type JEB - lethal within the first few months after birth
No laminin in epidermis so no mechanical strength so will lift off dermis
What is non-herlitz JEB?
Other mutations with perturbed laminin 5 function lead to milder forms of condition (non-Herlitz JEB) - misssense, splice site mutations leading to reduced Lm5 expression or variant with partial function
What have genetic models of JEB in mice prove?
Prove JEB is caused by loss of laminin 5
Laminin 5 deletion in mice phenocopies Herlitz JEB
No difference at birth
Develop blisters post natal
Die by day 3
Skin detaches and loses water barrier so dehydrates
Difference between herlitz and non-herlitz
Herlitz = complete loss of one of the chains eg major gene deletion or rearrangement or chain terminating mutation
Non-Herlitz = reduced expression or partial loss of function – can survive a few years
What is the gene therapy for Laminin β3 chain mutations?
Seven-year-old with splice site mutation in exon 14 of LAMB3 (non-Herlitz JEB)
Suffered severe blisters since birth. Presented at hospital following S. aureas infection, leading to loss of ~60% of epidermis
Took some skin and grew as you would a skin graft – culture epidermal cells
Used a RETROVIRUS to deliver a functional LAMB3 gene to patients own keratinocytes
Holoclones are proliferative and contain stem cells. Paraclones, meroclones - more differentiated
After 8 months, the skin was almost entirely derived from holoclones
What are the problems with using retroviruses for gene therapy?
Safety
Retroviruses can cause replication-competent retroviruses (RCR) and oncogenesis
Immune response
The body's immune system can fight off viruses, and an unwelcome response could cause serious illness
Cell division
Retroviruses can only infect actively dividing cells
Low transduction efficiency
Inactivation by complement cascade
What are retroviruses?
RNA viruses so very small
Use reverse transcriptase to copy RNA into DNA which integrates into host cell genome permanently
How are retroviruses used in gene therapy?
• Take wild type retrovirus and modify it so it is unable to make more viruses
• Only able to infect a host cell
• Then hijack it so instead of having core viral gene, has a copy of gene of interest
• Integrates a copy into host cell DNA
SUMMARY
What are cell-ECM junctions in the skin?
• Structural links between cytoskeleton and the matrix
• Provides physical strength to tissues
• Continuous linkage between cytoskeleton and ECM fibres
o Whole cell is a mechanical system interacting with ECM
What are cell-cell junctions
Anchor cells strongly to each other to help the tissue withstand mechanical stress
What are tight junctions?
Seal gaps between epithelial cells
What are adherens junctions?
Connects actin filament bundle in one cell with that in the next cell
What are desmosomes?
Connect intermediate filaments in one cell to those in the next
What are gap junctions?
Allows passage of small water-soluble molecules from cell to cell
What are hemidesmosomes?
Anchors immediate filaments in cell to ECM
What are actin-linked cell-matrix junction?
Anchors actin filaments in cell to ECM
What are integrins?
Cell/ECM adhesion receptors on most cells
What is the structure of integrins?
Heterodimers of alpha and beta subunits
Lots of heterodimers with different specifities for different ECM proteins
Large extracellular domain
Single transmembrane spanning domain
Each chain goes through the plasma membrane with a single alpha helix
Short cytoplasmic domain that will connect to cytoskeleton (with one exception in b4)
B4 has a long cytoplasmic domain
There are many different α and β subunits, with numerous known αβ heterodimers, what are there different specificities?
They have distinct but overlapping specificties for different ECM
eg a6 can be connected with b1 or b4
Wh
What heterodimer is important in EB?
a6b4
What does integrin do?
Connects ECM with cytoskeleton
Most integrins associate with actin myosin cytoskeleton
What does the integrin cytosplasmic domain do?
Interacts with the cytsoskeleton
What are focal adhesions?
Integrins linking to actiin
What are hemidesmosomes?
o B4 in hemidesmosomes they link to intermediate filaments made up of keratin (important for EB)
o Keratin is used to resist mechanical forces
What is the tissue specific distribution of beta1 integrin isoform?
o When deleted, peri-implantation lethality, ICM deteriorates, embryos fail to gastrulate
o Expressed in early embryos
What is the tissue specific distribution of beta2 integrin isoform?
Leukocytosis, impaired inflammatory responses, skin infections, cell proliferation defects
What is the tissue specific distribution of beta3 integrin isoform?
Hemorrhage, no platelet aggregation, osteosclerosis, hypervascularisation of tumours
What is the tissue specific distribution of beta4 integrin isoform?
Severe skin blistering, other epithelial tissue defective
Hemidesmosome specific b4 integrins are required for the integrity of the skin
What does deletion of b4 integrins lead to?
integrins leads to same phenotype as with laminin 5 deletions
Loss of b4 integrin in mice results in the loss of hemidesomosmes, but not the cell/cell adhesions that link to IF’s
Cells attach to each other but not basement membrane
Similar to the col IV and laminin deletions, loss of b4 also results in the absence of the a6 integrin subunit
What is Junctional epidermolysis bullosa with pyloric atresia (PA-JEB)?
Rare autosomal recessive condition associated with loss of a6b4 integrin
Neonatal mucocutaneous blistering and gastric outlet obstruction through loss of function in gastrointesinal, genitourinary and respiratory epithelium
Problem in digestive tract
Fatal
Seeing effects in other tissues which is not seen with laminin mutations
What is the tissue specific distribution of alpha 5 integrin isoform?
If deleted, defects in mesoderm and vascular development, neural crest apoptosis and muscular dystrophy
What is the tissue specific distribution of alpha 6 integrin isoform?
o Severe skin blistering, other epithelial tissues defective, lamination defects in cortex and retina
o Deletion of α6 integrin has the same effect as loss of β4 - in mice and humans
What is EB simplex?
Milder phenotype than other forms of EB
Usually restricted to blisters on regions subject to mechanical stress
More localised blisters
Skin is weaker but has some mechanical stability
Can heal without significant scaring
Compare with JEB which has 40% mortality in first year
What is EB simplex associated with?
mutations in keratins 5 and 14
o Affects cytoskeleton connecting to integrin
o Mechanical integrity inside the cell is weakened
What else can cause EB simplex?
deletion of b4 cytoplasmic tail in mice results in EB simplex
Cells are weakened internally, but the BM is intact
Weak intercellular linkage
Cells rip apart leaving part still attached to BM via the integrin
What shows similar phenotypes as b4 integrin cytoplasmic domain deletions?
Patients can also have mutations in any of the cytoplasmic proteins that link the b4 integrin cytoplasmic domain with intermediate filaments. These show similar phenotype as b4 integrin cytoplasmic domain deletions
EB summary