In human patients, a wide range of mutations in keratin (K) 5 or K14 lead to the blistering skin disorder epidermolysis bullosa simplex. Given that K14 deficiency does not lead to the ablation of a basal cell cytoskeleton because of a compensatory role of K15, we have investigated the requirement for the keratin cytoskeleton in basal cells by inactivating the K5 gene in mice. We report that the K5 Ϫ/Ϫ mice die shortly after birth, lack keratin filaments in the basal epidermis, and are more severely affected than K14 Ϫ/Ϫ mice. In contrast to the K14 Ϫ/Ϫ mice, we detected a strong induction of the wound-healing keratin K6 in the suprabasal epidermis of cytolyzed areas of postnatal K5 Ϫ/Ϫ mice. In addition, K5 and K14 mice differed with respect to tongue lesions. Moreover, we show that in the absence of K5 and other type II keratins, residual K14 and K15 aggregated along hemidesmosomes, demonstrating that individual keratins without a partner are stable in vivo. Our data indicate that K5 may be the natural partner of K15 and K17. We suggest that K5 null mutations may be lethal in human epidermolysis bullosa simplex patients.
INTRODUCTIONKeratin (K) intermediate filaments (IFs) belong to a gene family that is organized into two subfamilies, coding for type I (K9 -20) and type II keratins (K1-8). At least one member of each family is necessary to form heterodimeric IFs. In epidermis, keratins display a complex expression pattern that is widely assumed to reflect the structural requirements of distinct epidermal compartments (Fuchs and Cleveland, 1998).The major keratins in the basal layer of stratified epithelia are K5, K14, and K15 (Fuchs and Green, 1978, 1980;Moll et al., 1982;Leube et al., 1988;Lloyd et al., 1995). In wound healing or in hyperproliferative disorders, the keratin pair K6 and K16 is transiently expressed in the suprabasal layers instead of K1, K2e, and K10 (for review, see McGowan and Coulombe, 1998). The functional significance of the highly patterned expression profile of keratins is still poorly understood, but evidence is accumulating that they have distinct functions in epidermis (Paladini and Coulombe, 1999).The structural function of keratins was elucidated by the discovery of point mutations in human epidermal keratin genes (Corden and McLean, 1996), preceded by studies on transgenic mice expressing mutant keratin subunits . These mutations cause a number of inherited human skin disorders such as epidermolysis bullosa simplex (EBS) (Bonifas et al., 1991;Coulombe et al., 1991;Lane et al., 1992;Rothnagel et al., 1995;Corden and McLean, 1996). The characteristic feature of EBS is epidermal blistering resulting from cytolysis of basal keratinocytes. On the basis of these observations, it was suggested that the overall function of epidermal keratins was to provide the reinforcement of the epidermis and the maintenance of cellular integrity under mechanical and thermal stress. Several mice carrying null or dominant keratin mutations that affect epidermal integrity have added further support to t...