Type VII collagen (C7) is a major component of anchoring fibrils, structures that mediate epidermal-dermal adherence. Mutations in gene COL7A1 encoding for C7 cause dystrophic epidermolysis bullosa (DEB), a genetic mechano-bullous disease. The biological consequences of specific COL7A1 mutations and the molecular mechanisms leading to DEB clinical phenotypes are unknown. In an attempt to establish genotype-phenotype relationships, we generated four individual substitution mutations that have been associated with recessive DEB, G2049E, R2063W, G2569R, and G2575R, and purified the recombinant mutant proteins. All mutant proteins were synthesized and secreted as a 290-kDa mutant C7 ␣ chain at levels similar to wild type C7. The G2569R and G2575R glycine substitution mutations resulted in mutant C7 with increased sensitivity to protease degradation and decreased ability to form trimers. Limited proteolytic digestion of mutant G2049E and R2063W proteins yielded aberrant fragments and a triple helix with reduced stability. These two mutations next to the 39-amino acid helical interruption hinge region caused local destabilization of the triple-helix that exposed an additional highly sensitive proteolytic site within the region of the mutation. Our functional studies demonstrated that C7 is a potent pro-motility matrix for skin human keratinocyte migration and that this activity resides within the triple helical domain. Furthermore, G2049E and R2063W mutations reduced the ability of C7 to support fibroblast adhesion and keratinocyte migration. We conclude that known recessive DEB C7 mutations perturb critical functions of the C7 molecule and likely contribute to the clinical phenotypes of DEB patients.Type VII collagen (C7) 3 resides within the basement membrane zone beneath stratified squamous epithelium (1, 2). C7 is a major component of anchoring fibrils, structures that attach the epidermal basement membrane of the skin to the underlying papillary dermis (3, 4). In hereditary dystrophic epidermolysis bullosa (DEB), anchoring fibrils are diminutive and/or reduced in number (5-7). DEB is caused by mutations in the COL7A1 gene encoding C7 (8 -11).C7 is a homotrimer composed of three identical ␣ chains. Each ␣ chain has a 145-kDa central collagenous triple-helical segment characterized by repeating Gly-X-Y amino acid sequences. The helical central domain is flanked by a large 145-kDa amino-terminal, noncollagenous domain (NC1) and a small 34-kDa carboxyl-terminal non-collagenous domain (NC2) (4, 12). Within the papillary dermis, C7 molecules form antiparallel, tail-to-tail dimers stabilized by disulfide bonding through a small carboxyl-terminal NC2 overlap between two C7 molecules. A portion of the NC2 domain is then proteolytically removed (13,14). The antiparallel dimers then aggregate laterally to form anchoring fibrils which interact with microfibrils, collagen fibrils, and micro-thread-like fibers within the papillary dermis. These interactions are thought to secure the epidermis and its underlying basement membra...