Investigating the molecular mechanisms underlying skin fragility in tp63-linked ectodermal dysplasias / by Jessica A. Gugger.

Author/creator Gugger, Jessica A. author.
Other author Koster, Maranke I., degree supervisor.
Other author East Carolina University. Department of Biomedical Science.
Format Theses and dissertations
Publication[Greenville, N.C.] : [East Carolina University], 2022.
Description1 online resource (67 pages) : illustrations (chiefly color).
Supplemental ContentAccess via ScholarShip
Subjects

SeriesECU Brody School of Medicine thesis
ECU Brody School of Medicine thesis. ^A964744
Summary Ankyloblepharon-ectodermal defects-cleft lip/palate (AEC) syndrome and ectrodactyly-ectodermal dysplasia-cleft lip/palate (EEC) syndrome are two rare autosomal dominant disorders caused by heterozygous mutations occurring in the TP63 gene. Individuals with AEC and EEC experience abnormal development of ectodermally-derived tissues such as hair, nails, teeth and most notably skin. Further, AEC patients as well as a subgroup of EEC patients experience severe skin erosions, which puts them at high risk of developing life-threatening infections. Currently, symptomatic care is the only available therapy to individuals with AEC or EEC. To develop novel therapeutic strategies, the underlying molecular mechanisms responsible for AEC and EEC must be understood. We hypothesize that the skin fragility experienced by individuals with AEC and EEC is linked to abnormal expression of genes involved in hemidesmosomal and desmosomal cell adhesion as well as in keratinocyte differentiation. The rationale for this hypothesis is based on preliminary data generated by the Koch and Koster laboratories suggesting defects in these keratinocyte properties. Further, previous work from others demonstrates that defects in keratinocyte adhesion and proper keratinocyte differentiation can lead to skin blistering disorders with symptoms similar to those observed in AEC and EEC. To test this hypothesis, we analyzed gene and protein expression of hemidesmosomal, desmosomal, and differentiation-associated components in keratinocytes derived from AEC and EEC patient induced pluripotent stem cells (iPSCs). Using qRT-PCR and Western blot analyses, we found that gene and protein expression of hemidesmosomal, desmosomal, and differentiation markers were abnormally expressed in iPSC-derived keratinocytes of AEC and EEC patients. Based on our findings, we conclude that skin fragility in AEC patients is caused, at least in part, by reduced expression of hemidesmosomal components. In EEC, the skin fragility is likely caused by another mechanism. Our data suggest defects in keratinocyte terminal differentiation in EEC keratinocytes. These data provide novel insights into the cause of skin fragility in AEC and EEC and may lead to the identification of new therapeutic targets.
General notePresented to the Faculty of the Department of Anatomy and Cell Biology
General noteAdvisor: Maranke I. Koster
General noteTitle from PDF t.p. (viewed November 20, 2023).
Dissertation noteM.S. East Carolina University 2022
Bibliography noteIncludes bibliographical references.
Technical detailsSystem requirements: Adobe Reader.
Technical detailsMode of access: World Wide Web.
Genre/formAcademic theses.
Genre/formAcademic theses.

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