1987
DOI: 10.1172/jci113024
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Specific affinity between fibronectin and the epidermolysis bullosa acquisita antigen.

Abstract: Autoantibodies in the skin and sera of patients with epidermolysis bullosa acquisita bind to a large matrix molecule within the lamina densa region of skin basement membrane. At the site of these immune complexes, the epidermis separates from the dermis, which creates a subepidermal blister just below the lamina densa. The target molecule for the autoantibodies is in close apposition to fibronectin, a major extracellular matrix molecule that is abundant in the upper dermis of skin. In this report, we show spec… Show more

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Cited by 26 publications
(18 citation statements)
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“…One possibility is that these interactions are important for the adherence of the cutaneous basement membrane to the papillary dermis. Fibronectin is known to selfaggregate, and this property, along with its affinity for type VII collagen (47), may play a role in the assembly of type VII collagen molecules into antiparallel dimers and/or cross-aggregation of these dimers into anchoring fibrils. In the context of collagen type I binding, anchoring fibrils have been proposed to be capable of entrapping other components of the dermal connective tissue, such as the broad, banded collagen fibrils consisting primarily of types I and III collagens (44,48).…”
Section: Discussionmentioning
confidence: 99%
“…One possibility is that these interactions are important for the adherence of the cutaneous basement membrane to the papillary dermis. Fibronectin is known to selfaggregate, and this property, along with its affinity for type VII collagen (47), may play a role in the assembly of type VII collagen molecules into antiparallel dimers and/or cross-aggregation of these dimers into anchoring fibrils. In the context of collagen type I binding, anchoring fibrils have been proposed to be capable of entrapping other components of the dermal connective tissue, such as the broad, banded collagen fibrils consisting primarily of types I and III collagens (44,48).…”
Section: Discussionmentioning
confidence: 99%
“…It is thought that these interactions may be important for the integrity of basement membranes and in maintaining epidermaldermal adherence. Recently, we have shown that the EBA antigen, like most collagens, has marked affinity for fibronectin, another major matrix component of skin that is concentrated near the BMZ (31). The skin blisters in EBA often occur in the absence of clinical or histological inflammation (1).…”
Section: Discussionmentioning
confidence: 99%
“…The 612-codon COL7A1 open reading frame in this patient encodes the most immunogenic part of the type VII collagen NC1 domain, namely the cartilage matrix protein subdomain. [36][37][38][39] Expression of this protein region in patient 10, and the development of immune tolerance to the major epitopes therein, may thus explain this moderate naive response to full-length type VII collagen.…”
mentioning
confidence: 99%