iRHOM2-dependent regulation of ADAM17 in cutaneous disease and epidermal barrier function

Matthew A Brooke1, Sarah L Etheridge1, Nihal Kaplan2

  • 1Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, UK.

Insights

Mutations in iRHOM2 protein increase ADAM17 activity in skin cells, leading to elevated growth factor shedding and a wound-healing-like phenotype. This discovery offers new insights into skin repair and inflammation pathways.

Area of Science:

  • Cell Biology
  • Dermatology
  • Genetics

Background:

  • iRHOM2, a catalytically inactive Rhomboid family member, regulates ADAM17 (TACE) maturation in macrophages.
  • Dominant iRHOM2 mutations cause tylosis with oesophageal cancer (TOC), a cancer-susceptibility syndrome, indicating a role in epithelial cells.

Purpose of the Study:

  • To investigate the function of iRHOM2 mutations in epithelial cells, specifically in the context of TOC.
  • To elucidate the molecular mechanisms linking iRHOM2 mutations to cancer susceptibility and skin phenotypes.

Main Methods:

  • Analysis of tissues from TOC patients.
  • Assessment of ADAM17 maturation and activity in epidermal keratinocytes.
  • Evaluation of ADAM17 substrate shedding, EGFR activity, desmosome processing, and transglutaminase activity.

Main Results:

  • TOC-associated iRHOM2 mutations increase ADAM17 maturation and activity in epidermal keratinocytes.
  • Upregulated shedding of ADAM17 substrates, including EGF-family growth factors and pro-inflammatory cytokines, was observed.
  • Increased EGFR activity, altered desmosome processing, heightened transglutaminase activity, and enhanced resistance to Staphylococcal infection were noted in TOC keratinocytes.

Conclusions:

  • iRHOM2 mutations promote a constitutive wound-healing-like phenotype in the epidermis.
  • This study reveals a novel pathway involving iRHOM2, ADAM17, and epidermal homeostasis, with implications for skin repair, regeneration, and inflammation.

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