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Keratinocyte intercellular junction components

Molecular classification
Cell adhesion molecule (Nature Reviews Molecular Cell Biology, 2017), Structural protein (Nature Reviews Molecular Cell Biology, 2017), Transmembrane protein (Nature Reviews Molecular Cell Biology, 2017), Scaffolding protein (PubMed, 2015)
01

Overview

Keratinocyte intercellular junction components are a specialized group of proteins that form the structural and functional framework of the skin's epidermal barrier. These components are categorized into four main types: desmosomes, adherens junctions, tight junctions, and gap junctions. Desmosomes, which include proteins such as desmoglein 1 and 3, provide the mechanical strength necessary to withstand physical stress, while tight junctions, composed of claudins and occludin, regulate the movement of water and solutes across the epithelium. Dysfunction or autoimmune targeting of these proteins results in significant dermatological pathologies, most notably pemphigus, where autoantibodies against desmogleins cause loss of cell-cell adhesion (acantholysis). Therapeutic interventions typically aim to preserve these junctions by suppressing the immune system or by using targeted biologics to reduce the levels of pathogenic autoantibodies.

Other names
DesmosomeAdherens junctionTight junctionGap junctionEpidermal junctional complexIntercellular junctional proteins
02

Biological functions

Cell-cell adhesion (Nature Reviews Molecular Cell Biology, 2017)Epidermal barrier maintenance (Journal of Investigative Dermatology, 2011)Paracellular transport regulation (Nature Reviews Molecular Cell Biology, 2017)Mechanical stress resistance (Nature Reviews Molecular Cell Biology, 2017)Intercellular signaling (PubMed, 2015)
03

Disease associations

Pemphigus vulgaris (StatPearls, 2023)Pemphigus foliaceus (StatPearls, 2023)Atopic dermatitis (Journal of Investigative Dermatology, 2011)Psoriasis (PubMed, 2015)Staphylococcal scalded skin syndrome (PubMed, 2010)Ichthyosis (PubMed, 2018)
04

Safety considerations

Skin fragility (StatPearls, 2023)Secondary skin infections (StatPearls, 2023)Impaired wound healing (PubMed, 2015)Increased systemic absorption of topical agents (Journal of Investigative Dermatology, 2011)
05

Interacting drugs

Rituximab (StatPearls, 2023)

5 more in the full profile.

06

Biomarkers

Anti-desmoglein 1 (DSG1) autoantibody titer (StatPearls, 2023)Anti-desmoglein 3 (DSG3) autoantibody titer (StatPearls, 2023)Transepidermal water loss (TEWL) (Journal of Investigative Dermatology, 2011)Claudin-1 expression levels (Journal of Investigative Dermatology, 2011)Desmoglein-3 staining intensity (PubMed, 2017)

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