The cytoplasmic surface of intercellular junctions is a complex network of molecular interactions that link the extracellular region of the desmosomal cadherins with the cytoskeletal intermediate filaments. Although 3D structures of the major plaque components are known, the overall architecture remains unknown. We used cryoelectron tomography of vitreous sections from human epidermis to record 3D images of desmosomes in vivo and in situ at molecular resolution. Our results show that the architecture of the cytoplasmic surface of the desmosome is a 2D interconnected quasiperiodic lattice, with a similar spatial organization to the extracellular side. Subtomogram averaging of the plaque region reveals two distinct layers of the desmosomal plaque: a lowdensity layer closer to the membrane and a high-density layer further away from the membrane. When combined with a heuristic, allowing simultaneous constrained fitting of the high-resolution structures of the major plaque proteins (desmoplakin, plakophilin, and plakoglobin), it reveals their mutual molecular interactions and explains their stoichiometry. The arrangement suggests that alternate plakoglobin-desmoplakin complexes create a template on which desmosomal cadherins cluster before they stabilize extracellularly by binding at their N-terminal tips. Plakophilins are added as a molecular reinforcement to fill the gap between the formed plaque complexes and the plasma membrane.vitreous sectioning | image processing | genetic algorithms | multi-protein fitting C ell junctions are widely distributed in animal tissues and are most abundant in tissues that are subjected to considerable mechanical stress, such as heart, epidermis, and muscle. These junctions are composed of two main classes of proteins: transmembrane adhesion proteins with an extracellular domain that interacts with either the ECM (e.g., focal adhesion and hemidesmosome) or the extracellular domains of specific transmembrane adhesion proteins from the juxtaposed cell (e.g., adherens junctions and desmosomes); and a cytoplasmic tail that binds to one or more intracellular anchor proteins. These form a distinct plaque on the cytoplasmic face of the plasma membrane and connect the junctional complexes to actin filaments or intermediate filaments (IFs). When they have been assembled, these junctions play essential roles in tissue morphogenesis and maintenance; plaque disruption is a hallmark of many blistering and cancer diseases (1, 2). Biochemical and mutagenesis studies have revealed many interactions between the plaque components and their connections to the extracellular space (3-8). However, the organization and interactions of the constituent proteins in the context of the assembled junctions remain poorly understood. For example, whether or how actin filaments bind in situ to the adherens junctions and how the anchoring proteins in hemidesmosome plaque connect integrin to the IFs is still unclear.In the current study, we present the 3D cytoplasmic surface of the desmosome-the desmosomal plaque-fr...