Tumor Protein P63 Is a Key Regulator of Skin Functions in Ectodermal Dysplasia
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Central Journal of Dermatology and Clinical Research Review Article *Corresponding author Edward A Ratovitski, Head and Neck Cancer Research Division, Johns Hopkins University School of Medicine, Tumor Protein P63 is a Key Cancer Research Building-II, Room 5M05, 1550 Orleans Street, Baltimore, MD 21231, USA. Tel: 410-491-9802; Fax: 410-614-1411; E-mail: [email protected] Regulator of Skin Functions in Submitted: 29 October 2013 Accepted: 31 October 2013 Ectodermal Dysplasia Published: 04 November 2013 Copyright Edward A Ratovitski* © 2013 Ratovitski Head and Neck Cancer Research Division, Johns Hopkins University School of Medicine, USA OPEN ACCESS Abstract Keywords Tumor protein (TP)-p63 has been discovered as TP53 homolog more than fifteen • p63 years ago and has become a master regulator of skin development, proliferation and stem • MicroRNA cell maintenance. While TP53 is known to be the most mutated gene in human cancer, TP63 • Apoptosis mutations are mostly associated with the various types of ectodermal dysplasia. All TP53 • Cell cycle arrest family members, TP53, TP63 and TP73, function as transcription factors that regulate the cell • Autophagy cycle arrest, apoptosis, autophagy or metabolism through activation/repression of downstream • Epigenetics target genes or protein-protein interactions with other protein regulators of transcription and • Keratinocytes splicing. Several downstream target genes or protein interactors of TP63 are involved in the • Ectodermal dysplasia molecular mechanisms underlying the ectodermal dysplasia phenotypes. This mini-review underlines a few venues of investigations about the key role for TP63 in skin biology and pathology. INTRODUCTION TP63 proteins exert their functions through the transcriptional regulation (activation of repression) by binding Multiple molecular mechanisms are underlying the skin cell proliferation and differentiation, while the master gene in the direct control of the skin epithelial sheet architecture, stem cellto the renewal, specific cell downstream cycle arrest, gene apoptosis, targets, senescence,many of them autophagy, involved genes, tumor protein (TP)-p63 is being investigated for the last skin aging, cellular response to ultraviolet (UV)- irradiation, decadeinvolved [1-4]. in genetic TP63 andgene epigeneticencoding regulationtranscription of factorsskin-specific with thereby contributing to the molecular pathogenesis of several mutated in cancer, however is often mutated in heritable skin geneticand epigenetic diseases controls of skin of and thereof epithelial via enzymes tissues and[15-26]. microRNAs, Among disorders,the transactivation such as ectodermaldomain (TA-) dysplasia and without [3,4]. it TP63 (ΔN-), mutations is rarely TP63 responsive gene targets are the following genes implicated can cause several different disorders: ectrodactyly, ectodermal in skin development and functions: ALOX12B, AQP3, BPAG1, dysplasia and cleft lip/palate syndrome (EEC), ankyloblepharon- CASP14, CDH1, CLDN1, DLX3, 5 and 6, DSG, DSP, EVL, HBP1, IKK, ectodermal defects-cleft lip/palate syndrome (AEC), limb IVL, IRF6, KRT5, and 14, LSH, PPL, PERP, SATB1, TPRG1, and mammary syndrome (LMS), Acro-Dermato-Ungual-Lacrimal- ZNF750 [17,20,21,27-37]. Tooth syndrome (ADULT), Rapp- Hodgkin syndrome (RHS), and split hand/foot malformation (SHFM4) [1,3,4]. Each group TP63 also engages in numerous protein-protein interactions ability to bind TP63 responsive elements in gene promoters splicing, protein degradation, and signaling [6-8,10,38-40]. TP63 of mutations affects specific functions of TP63 protein, such its that contribute to chromatin remodeling, RNA transcription, RNA and to form protein/protein complexes with other regulatory of gene expression. For example, the AEC-derived TP63 components(DNA-binding (SAM domain), domain), to be as properly reviewed ubiquitinated in [5-10]. (TI-domain), mutationsassociates withaltered many the proteins ability involvedfor TP63 in to a fine-tunedphysically regulation associate The key studies show that tp63 null mice display single- leading to a deregulated splicing of FGFR2 receptor responsible forwith epithelial/mesenchymal mRNA processing/splicing transition proteins (EMT) (e.g. [6,8]. ABBP1, AEC-derived SRA4) leading to a breakage of the epidermal barrier formation that layered and translucent skin, with an altered stratified epithelia mutations in TP63 were also found to alter the TP63 binding to protects against dehydration [11,12]. Homozygous ΔNp63 null palate, and down regulation of PERP [38,39]. disorganized epithelial cells exhibiting a premature expression SATB2, which has been implicated in the development of cleft mice show under-developed stratified epidermis with clusters of TP63 is over expressed in multiple human epithelial cancers, expressing transgenic mice show an abnormal hair follicle including head and neck, esophagus and lung cancers, cervix and developmentof terminal differentiationand altered cell markersfate of follicular [13]. However,keratinocytes ΔNp63α [14]. breast tumors [40]. Accumulating evidence shows that TP63 Cite this article: Ratovitski EA (2013) Tumor Protein P63 is a Key Regulator of Skin Functions in Ectodermal Dysplasia. J Dermatolog Clin Res 1(1): 1006. Ratovitski (2013) Email: [email protected] Central and especially its ∆ ∆ N isoforms play a critical role in head and remodeling complexes, noncoding microRNAs implicated in neck squamous cell carcinomas (HNSCC). Np63a, the most regulationAccumulating of RNA transcriptionevidence shows and that RNA epigenetic processing mechanisms [50]. predominantly expressed isoform in HNSCC, is over expressed are involved in the control of epidermal development and andRole sometimes of autophagy amplified in cutaneousin HNSCC tumors functions [41]. and TP63 terminal keratinocyte differentiation [51]. Multiple elements of First indication of autophagy in skin cells was produced almost thirty years ago showing the melanin macro globule (MMG), epigenetic machinery (e.g. DNMT1, JMJD3, SETD8, HDAC1 and 2, formerly called “macromelanosome,” a cytoplasmic spherical underlyingEHMT1 and epidermal 2, BRG1, CHD1, differentiation 3, and 4, BMI1, programs, CBX2, as4, andreviewed 6, EZH2, in granule formed in the melanocyte [42]. MMG are retained within JARID2, and SATB1) were implicated in molecular mechanisms melanocytes or transferred to keratinocytes and Langerhans cells number of genes involved in the control of nuclear/chromatin in the epidermis, and macrophages in the dermis, where they [51]. In the epidermis of p63-null mice the expression of a large can fuse with other heterolysosomes [41]. Cutaneous malignant wild-type controls [39]. On one hand, TP63 directly controls the melanomas often exhibit pigmented regions that are darker assembly and remodeling is significantly changed compared to than the surrounding skin [43]. While melanoma cells are the order chromatin structure in central domain of the epidermal original source of the melanin, keratinocytes and melanophages SATB1 transcription and promotes establishing of specific higher- also contribute to the tumor color because they contain melanin balance of gene expression during terminal keratinocyte obtained from melanoma cells [42]. Moreover, autophagy differentiation complex[39]. On required the other for hand,maintenance TP63 expressionof the proper in appears to be a common trait of invasive melanoma cells in the keratinocytes is regulated by histone methyltransferase SETD8, dermis [42]. Strikingly, the Caucasian skin keratinocytes exhibit which, in turn, is a target of c-Myc transcription factor and higher autophagic activity than those from African American skin mediates its effects on epidermal differentiation [52]. Another [42]. Melanosome accumulation in keratinocytes was accelerated by treatment with lysosomal inhibitors or with small interfering remodeling ATPase encoded by the HELLS gene, is essential for TP63 transcriptional target LSH, an SNF2-like chromatin essential for autophagy supporting its pivotal role in skin color determination,RNAs specific asfor well autophagy-related as in chemo- or proteins,immuno- therapeuticwhich are normal levels of DNA methylation and to drive skin stem cell treatment of melanoma patients [43-45]. proliferation and tumorigenesis [40]. LSH acts as an efficient TP63transcriptional was shown repressor to play a bycritical cooperating role in regulation with the of DNMT1,various epigeneticDNMT3B, HDAC1 enzymes and and HDAC2 accessory to silence proteins gene transcription by activating [40]. or UVB, a major cause of skin damage, which accompanies repressing their transcription, as well as modulating their levels showncomplex to alterationsinduce macroautophagy in irradiated andskin mitochondrial cells (e.g. DNA autophagy lesions, [46,47].oxidative Furthermore, stress, inflammation the epidermal and caspase expression activation), of SQSTM1, was also the TP63by TP63-dependent and microRNAs microRNAs in [53], skin Ratovitski, proliferation in preparation]. and differentiation psoriatic skin than in skin affected by atopic dermatitis or from healthykey regulator controls, of autophagy, suggesting isthe found role tofor be autophagy significantly in cutaneous higher in and migration of skin stem cells supported by the function induced autophagy in epidermal keratinocytes leading to of ArgonauteEssential role(AGO) of proteinsmicroRNAs as essentialin governing components a self-renewal of the ainflammation massive accumulation [48]. Both UVA- of andhigh-molecular-weight