title: Thyroid hormones and gamma interferon specifically increase K15 keratin gene transcription.
abstract: Basal layers of stratified epithelia express keratins K5, K14, and K15, which assemble into intermediate filament networks. Mutations in K5 or K14 genes cause epidermolysis bullosa simplex (EBS), a disorder with blistering in the basal layer due to cell fragility. Nonkeratinizing stratified epithelia, e.g., in the esophagus, produce more keratin K15 than epidermis, which alleviates the esophageal symptoms in patients with K14 mutations. Hypothesizing that increasing the cellular content of K15 could compensate for the mutant K14 and thus ease skin blistering in K14 EBS patients, we cloned the promoter of the K15 gene and examined its transcriptional regulation. Using cotransfection, gel mobility shifts, and DNase I footprinting, we have identified the regulators of K15 promoter activity and their binding sites. We focused on those that can be manipulated with extracellular agents, transcription factors C/EBP, AP-1, and NF-kappaB, nuclear receptors for thyroid hormone, retinoic acid, and glucocorticoids, and the cytokine gamma interferon (IFN-gamma). We found that C/EBP-beta and AP-1 induced, while retinoic acid, glucocorticoid receptors, and NF-kappaB suppressed, the K15 promoter, along with other keratin gene promoters. However, the thyroid hormone and IFN-gamma uniquely and potently activated the K15 promoter. Using these agents, we could boost the amounts of K15 in human epidermis. Our findings suggest that treatments based on thyroid hormone and IFN-gamma could become effective agents in therapy for patients with EBS.
authors.affiliation: Department of Dermatology, New York University School of Medicine, New York, New York 10016, USA.
authors.forename: Nada
authors.initials: N
authors.lastname: Radoja
authors.forename: Olivera
authors.initials: O
authors.lastname: Stojadinovic
authors.forename: Ahmad
authors.initials: A
authors.lastname: Waseem
authors.forename: Marjana
authors.initials: M
authors.lastname: Tomic-Canic
authors.forename: Vladana
authors.initials: V
authors.lastname: Milisavljevic
authors.forename: Susan
authors.initials: S
authors.lastname: Teebor
authors.forename: Miroslav
authors.initials: M
authors.lastname: Blumenberg
mesh_terms: D000818:Animals; D001483:Base Sequence; D002478:Cells, Cultured; D000078404:Epidermal Cells; D004817:Epidermis / Q000378:metabolism / Q000473:pathology; D004820:Epidermolysis Bullosa / Q000235:genetics / Q000473:pathology; D005786:Gene Expression Regulation; D005938:Glucocorticoids / Q000378:metabolism; D006801:Humans; D007371:Interferon-gamma / Q000378:metabolism*; D053547:Keratin-14; D053569:Keratin-15; D007633:Keratins / Q000235:genetics* / Q000378:metabolism*; D008969:Molecular Sequence Data; D011401:Promoter Regions, Genetic; D011965:Receptors, Glucocorticoid / Q000378:metabolism; D018168:Receptors, Retinoic Acid / Q000378:metabolism; D011988:Receptors, Thyroid Hormone / Q000378:metabolism; D013963:Thyroid Hormones / Q000378:metabolism*; D014157:Transcription Factors / Q000378:metabolism; D014158:Transcription, Genetic; D014212:Tretinoin / Q000378:metabolism
chemical_list: D005938:Glucocorticoids; C507540:KRT14 protein, human; C116015:KRT15 protein, human; D053547:Keratin-14; D053569:Keratin-15; D011965:Receptors, Glucocorticoid; D018168:Receptors, Retinoic Acid; D011988:Receptors, Thyroid Hormone; D013963:Thyroid Hormones; D014157:Transcription Factors; D014212:Tretinoin; D007633:Keratins; D007371:Interferon-gamma