Disruption of TUFT1, a Desmosome-Associated Protein, Causes Skin Fragility, Woolly Hair, and Palmoplantar Keratoderma

Annemieke J M H Verkerk*, Daniela Andrei, Mathilde C S C Vermeer, Duco Kramer, Marloes Schouten, Pascal Arp, Joost A M Verlouw, Hendri H Pas, Hillegonda J Meijer, Marije van der Molen, Silke Oberdorf-Maass, Miranda Nijenhuis, Pedro H Romero-Herrera, Martijn F Hoes, Jeroen Bremer, Johan A Slotman, Peter C van den Akker, Gilles F H Diercks, Ben N G Giepmans, Hans StoopJasper Saris, Ans M W van den Ouweland, Rob Willemsen, Jean-Jacques Hublin, M Christopher Dean, A Jeannette M Hoogeboom, Herman H W Silljé, André G Uitterlinden, Peter van der Meer, Maria C Bolling

*Corresponding author for this work

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Abstract

Desmosomes are dynamic complex protein structures involved in cellular adhesion. Disruption of these structures by loss-of-function variants in desmosomal genes leads to a variety of skin- and heart-related phenotypes. In this study, we report TUFT1 as a desmosome-associated protein, implicated in epidermal integrity. In two siblings with mild skin fragility, woolly hair, and mild palmoplantar keratoderma but without a cardiac phenotype, we identified a homozygous splice-site variant in the TUFT1 gene, leading to aberrant mRNA splicing and loss of TUFT1 protein. Patients’ skin and keratinocytes showed acantholysis, perinuclear retraction of intermediate filaments, and reduced mechanical stress resistance. Immunolabeling and transfection studies showed that TUFT1 is positioned within the desmosome and that its location is dependent on the presence of the desmoplakin carboxy-terminal tail. A Tuft1-knockout mouse model mimicked the patients’ phenotypes. Altogether, this study reveals TUFT1 as a desmosome-associated protein, whose absence causes skin fragility, woolly hair, and palmoplantar keratoderma.

Original languageEnglish
Pages (from-to)284-295.e16
Number of pages33
JournalJournal of Investigative Dermatology
Volume144
Issue number2
Early online date14 Sept 2023
DOIs
Publication statusPublished - Feb 2024

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