DOI: 10.1093/bjd/ljag151.050 ISSN: 0007-0963

P09 Characterizing defective Hippo/Yes-associated protein/TAZ signalling in junctional epidermolysis bullosa

Ilaria Di Girolamo, Viktorija Lapinska, Leonor Ferreira Lopes, Elodie Sins, Matthew Caley, Emanuel Rognoni, Gernot Walko

Abstract

Introduction and aims

Junctional epidermolysis bullosa (JEB) is a severe skin blistering disease with impaired wound healing and high infection risk, caused by defects in laminin-332. The transcriptional coregulators Yes-associated protein (YAP)/TAZ are important for long-term self-renewal of epidermal stem cells. They are negatively regulated by the Hippo signalling pathway. Dysregulated YAP/TAZ activity in JEB skin was previously shown to decrease epidermal keratinocyte proliferation and tissue repair. This project aims to characterize the defective signalling mechanism that cause dysfunction of YAP/TAZ in JEB epidermis.

Methods

Immortalized N/TERT-1 keratinocytes with short hairpin RNA-mediated laminin-332 knockdown were evaluated as alternative in vitro models to replace primary JEB keratinocytes, using clonal growth assays, Western blot analysis, and reverse transcriptase quantitative polymerase chain reaction.

Results

LAMA3-depleted N/TERT-1 cells displayed reduced clonal growth, thus recapitulating a key phenotype of primary JEB keratinocytes. Cell density-dependent activation of the Hippo pathway was confirmed in parental N/TERT-1 keratinocytes. High cell density caused activation of the core Hippo kinase cascade, leading to inactivating phosphorylation of YAP, and decreased mRNA expression of YAP/TAZ target genes. LAMA3 knockdown in N/TERT-1 cells caused reduced expression of YAP at mRNA and protein level, along with reduced levels of YAP/TAZ target genes CCN1 and ANKRD1.

Conclusions

Our findings suggest that LAMA3-depleted N/TERT-1 keratinocytes recapitulate key features of primary JEB keratinocytes, supporting their use as an in vitro model for studying YAP/TAZ dysregulation in JEB. The observed decrease in YAP expression at both mRNA and protein levels indicates laminin-332-dependent regulation of YAP. Although preliminary, these results highlight a promising path for uncovering mechanisms underlying impaired Hippo/YAP/TAZ signalling in laminin-332-deficient keratinocytes and for guiding future therapeutic strategies. Next, we will test small-molecule YAP/TAZ activators in two-dimensional and three-dimensional organotypic cultures and in a JEB mouse model to evaluate whether they can restore normal YAP/TAZ activity in JEB skin.

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