Basement Membrane Zone Flashcards

1
Q

What is the function of the BMZ?

A

Adhere the epidermis to the dermis

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2
Q

What stains can be used to highlight the BMZ?

A

PAS - purplish

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3
Q

What is the basement membrane?

A

The thin line seen with light electron microscopy between the epidermis and the dermis

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4
Q

What is the basal lamina?

A

Dense sheet-like structure seen with electron microscopy which is secreted by epidermal keratinocytes

Traditionally composed of lamina lucida and lamina densa

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5
Q

What is the basement membrane zone?

A

The complex structure which can be seen with electron microscopy and spans the space between the base of the basal keratinocytes to the underlying dermal matrix.

Consists of:
- Intermediate filaments
- Hemidesmosomes
- Anchoring filaments
- Lamina densa
- Anchoring fibrils

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6
Q

What are the four levels that the BMZ can be divided into when viewed via electron microscopy?

A

Basal keratinocytes
Lamina lucida (artifact of processing)
Lamina densa
Sublamina densa/superficial papillary dermis

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7
Q

What is the lamina lucida?

A

Traditionally one of the layers of the basal lamina but is really an artifact caused by dehydration fixation for electron microscopy - is not present when processed with chemical fixation

More historical than scientific significance

Contains extracellular domains of Col XVII, a6b4 integrin and CD151 as well as anchoring filaments (laminin-332)

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8
Q

What are the functions of the cytoskeleton within the basal keratinocytes?

A
  • Structural support
  • Cell movement
  • Intercellular transport
  • Anchor cells
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9
Q

What types of filaments compose the cytoskeleton within the basal keratinocytes?

A

1) Microfilaments (7nm diameter)
2) ** Intermediate filaments (10 nm diameter)
- most important for the BMZ
3) Microtubules (25 nm diameter)

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10
Q

What are the molecules that intermediate filaments bind to in the BMZ?

A
  • Plectin
  • BPAG1e

Both part of the plakin family

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11
Q

Describe the structure of a hemidesmosome.

A

Two plaque structure (inner and outer) within basal keratinocytes

Composed of at least 5 distinct molecules
- BPAG1e (inner)
- Plectin (inner)
- α6β4 integrin (outer, extends into lamina lucida - transmembrane)
- collagen XVII (outer, extends into lamina lucida -transmembrane)
- CD151

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12
Q

Describe BPAG1e aka BP230

A

230 kDa, found in the inner plaque of hemidesmosomes

Dumb-bell shaped with 3 domains:
1) plankin-like globular (amino-terminal)
- interacts with β4-subunit of α6β4 integrin and collagen XVII
2) coiled-coil rod
3) intermediate filament binding domain (carboxyl terminal

Functions:
- structural integrity
- signaling and regulation of cell polarity and migration
- not required for hemidesmosome/BMZ assembly
- no associated genetic disease?

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13
Q

Describe plectin

A

450-533 kDa, found in the inner plaque of hemidesmosomes

Interacts with all keratinocyte cytoskeletal proteins

4 domains:
1) amino-actin binding domain
- binds the β4-subunit of α6β4 integrin (primary)
2) plankin domain
- also binds the β4-subunit of α6β4 integrin
3) a-helical coiled-coil rod
4) plankin-repeat domain (carboxyl terminal)
- binds intermediate filaments
- also binds the β4-subunit of α6β4 integrin

Functions:
- Structural integrity
- Scaffold for signaling molecules

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14
Q

Describe α6β4 integrin

A

Transmembrane protein
260-360 kDa, found in the outer plaque of the hemidesmosome extending into lamina lucida
a3b1 also exists and is found elsewhere, not big in the BMZ

Alpha chain has 6 domains (shorter):
- one end (7-bladed b-propeller) has multiple calcium binding sites
- other end (intracellular/cytoplasmic), binds collagen XVII and CD151

Beta chain has 7 domains (longer):
- one end binds to laminin-332
- other end (intracellular/cytoplasmic) binds intermediate filaments, BPAG1e, collagen XVII, and plectin

Functions of integrins:
- Structural integrity
- Epidermal adhesion, proliferation, and differentiation
- B1 subunit is important for hair growth and wound healing

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15
Q

Describe collagen XVII aka BP180

A

Transmembrane protein
180 kDa, found in the outer plaque of the hemidesmosome extending into lamina lucida and lamina densa

Is cleaved extracellularly into 120 kDa LAD-1 and 97 kDa LABD97 (functions unknown) which are associated with linear IgA bullous dermatosis

Has 4 domains which can be visualized as a globular head, rigid central rod region and flexible tail
- intracellular aspect (head) binds to plectin, BPAG1e, and a6b4 integrin (b4)
-extracellular NC16A domain binds to α6β4 integrin (α6) and laminin-332

Functions:
- structural integrity
- basal cell migration and adhesion
- enamel formation

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16
Q

Describe CD151

A

29-32 kDA, found in outer plaque of hemidesmosome

6 functional domains
- amino and carboxyl ends are both found within the basal keratinocyte membrane
- long extracellular loop which interacts with α6β4 integrin (a6)

Will cluster and interact with each other and integrins to form a tetraspanin web

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17
Q

Describe anchoring filaments

A

~800 nm wide structures seen within the lamina lucida on electron microscopy

-composition is controversial but may include Col XVII, a6b4 integrin, CD151, Laminin-332** (believed to be the main component), or laminin-311

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18
Q

Describe laminin-332

A

410 kDa

Large glycoproteins composed of 3 chains (a, b, y) connected with disulfide bonds

Laminins are secreted by keratinocytes as a precursor that then assembles

-One end (globular carboxyl domain) binds α6β4 integrin
-Other end binds Col VII and other laminins with one side and Col IV, VII, XVII, and perlecan

Other laminins (511 and 311) are also found in the BMZ but this is considered the prototype

Functions:
- structural integrity
- embryogenesis
- tissue morphogenesis
- regulation of proliferation and differentiation
- tumorigenesis

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19
Q

What is the lamina densa?

A

The electron dense zone seen on electron microscopy below the lamina lucida

Contains collagen IV, laminin-332, nidogen, and perlecan
Also contains portions of a6b4 integrin

Is made of lattices of collagen IV molecules (majority) and others of laminin-332 molecules

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20
Q

Describe collagen IV

A

Made in the rough ER and secreted into the basement membrane

Made of 3, 400 nm alpha chains that self assemble into a triple helical structure with 3 domains

Differs between embryonic and adults
There are a variety of formations due to the alpha chains which can be found in various places, one variant found just in the glomerulus

Resembles pro-collagen because has amino and carboxyl terminal

Complex binding with other BMZ components (laminin-332, perlecan, nidogen, fibronectin, collagen VII)

Self assembles into 3 dimensional hexagonal lattice structures

Functions:
- structural integrity
- tumorigenesis

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21
Q

Describe nidogen

A

1500-200 kDa, found in the lamina densa

Sulfated monomeric glycoprotein with 4 domains
- One end binds Col IV and perlecan
- Other end binds laminin 311

Why the lamina densa stains with PAS

Functions:
- structural integrity
- embryogenesis
- tumorigenesis

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22
Q

Describe perlecan

A

A heparan sulfate proteoglycan found in the lamina densa
680-770 kDa

Has covalently bonded glycosaminoglycan side chains
- chonrdroitin sulfate
- dermatan sulfate
- keratan sulfate
- heparin
- heparan sulfate

Central core has 5 domains
- bind to nidogen, collagen IV and other less common molecules

Functions:
- negative charge for the basement mebrane
- structural integrity
- permeability barrier
- regulation of angiogenesis, etc
- Cellular adhesion
- Epidermal morphogenesis
- Tumorigenesis

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23
Q

Describe the anchoring fibrils

A

Found in the sublamina densa/superficial papillary dermis

Semi-circular loops of collagen VII which resemble Velcro
The lattices of the lamina densa weave through them

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24
Q

Describe collagen VII

A

290 kDA triple helical molecules, found in the lamina densa and sublamina densa

Makes up anchoring fibrils

Has 3 main domains

Self-assembles into antiparallel dimers with carboxyl terminal ends touching (cystine residues creating disulfide bonds)
- this NC2 domain is cleaved by BP1 during creation of the anchoring fibrils

NC1 domains(amino terminal) interacts with Laminin-332 and Collagen IV

Function: loops around dermal collagen

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25
Q

What are the functions of intermediate filaments?

A
  • Structural and mechanical cellular integrity
  • Organization of cytoplasmic architecture
  • Intracellular signaling
  • Regulation of transcription
26
Q

What are the diseases associated with intermediate keratin filaments?

A

Congenital:
- Epidermolysis bullosa simplex (EBS) (KRT5 in cattle, KRT14 in cats)

Autoimmune:
- Not confirmed in veterinary medicine

27
Q

Which keratin intermediate filaments are associated with the BMZ?

A

K5, K15

Coded by genes KRT5 and KRT14

28
Q

What diseases are associated with plectin?

A

Congenital:
- Epidermolysis bullosa simplex (Eurasier dog and one horse)

Autoimmune:
- Not confirmed in veterinary medicine

29
Q

What diseases are associated with BPAG1e?

A

Congenital:
- None confirmed in veterinary medicine

Autoimmune:
- Bullous pemphigoid, rare, dogs
- Mucous membrane pemphigoid, rare, dogs

30
Q

What diseases are associated with a6b4 integrin?

A

Congenital:
- Junctional epidermolysis bullosa (JEB), (ITB4 in cattle and sheep)

Autoimmune:
- Not confirmed in veterinary medicine

31
Q

What diseases are associated with collagen XVII?

A

Congenital:
- not confirmed in veterinary medicine

Autoimmune:
- Bullous pemphigoid with major target being NC16A domain (dog, horse, cat, pig)
- Mucous membrane pemphigoid (dogs, cat)
- Linear IgA bullous diseases (dog)

32
Q

What diseases are associated with laminin 332?

A

Congenital:
- Junctional epidermolysis bullosa (JEB) (LAMA3 in dog, horse, and cow; LAMB 3 in a dog; LAMC2 in a cow and a sheep)

Autoimmune:
- Mucous membrane pemphigoid (dog, cat)
- Aquired JEB (dogs)
- Mixed subepidermal blistering skin disease (dogs)

33
Q

What diseases are associated with collagen IV?

A

Congenital:
- COL4A5 in a Samoyed (Alport syndrome, early onset renal failure)
- COL4A4 in an English Cocker (autosomal recessive neuropathy)

Autoimmune:
- not recognized in veterinary medicine

34
Q

What diseases are associated with nidogens?

A

Congenital:
- not recognized in veterinary medicine

Autoimmune:
- not recognized in veterinary medicine

35
Q

What diseases are associated with perlecan?

A

Congenital:
- not recognized in veterinary medicine

Autoimmune:
- not recognized in veterinary medicine

36
Q

What diseases are associated with collagen VII?

A

Congenital:
- Dystrophic epidermolysis bullosa (cattle and dogs)

Autoimmune:
- Epidermolysis bullosa acquistita (dog)
- Type I bullous systemic lupus erythematosus (one dog)

37
Q

What genes are associated with the intermediate filaments in the BMZ?

A

KRT5, KRT14

38
Q

What gene is associated with plectin?

A

PLEC1

39
Q

What gene is associated with BPAG1e

A

BPAG1 (DST)

40
Q

What genes are associated a6b4 integrin?

A

ITGA6, IGB4

41
Q

What gene is associated with collagen XVII?

A

COL17A1

42
Q

What genes are associated with laminin-332?

A

LAMA3, LAMB3, LAMC2

43
Q

What genes are associated with collagen IV?

A

COL4A1 to COL4A6 (6 different alpha chains)

44
Q

What genes are associated with nidogens?

A

NID1, NID2

45
Q

What gene is associated with perlecan?

A

HSPG2

46
Q

What gene is associated with Collagen VII?

A

COL7A1

47
Q

Describe mucous membrane pemphigoid.

A

Dog breed disposition: GSD
Other species: human, cat

Age predisposition: middle-aged

Skin lesions: tense vesicles (rare), deep erosions/ulcers, scarring

Distribution: mucocutaneous junctions, mucosa

Major antigen: Collagen XVII

Mino antigens: laminin-332, BPAG1e/BP230

Level of split: lamina lucida

Histopathology: subepidermal vesiculation +/- minimal inflammation

48
Q

Describe epidermolysis bullosa acquisitia (EBA).

A

Dog breed disposition: Great dane
Other species: human

Age predisposition: young

Skin lesions: erythematous macules and papules; tense vesicles; deep erosions/ulcers

Distribution: haired skin (friction areas ex. footpads) and mucosae/mucocutaneous junctions

Major antigen: Collagen VII

Minor antigens: nd

Level of split: sublamina densa

Histopathology: microscopic subepidermal vesiculation with variable neutrophilic inflammation

49
Q

Describe bullous pemphigoid

A

Dog breed disposition: nd
Other species: human, cat, horse, pig, macaque?

Age predisposition: middle-age

Skin lesions: erythematous macules and papules; tense vesicles; deep erosions/ulcers

Distribution: haired skin (concave pinnae, trunk; footpad sloughing is rare) and mucosae/mucocutaneous junctions

Major antigen: Collagen XVII

Minor antigens: BPAG1e/BP230

Level of split: lamina lucida

Histopathology: microscopic subepidermal vesiculation with neutrophilic inflammation+/- eos

50
Q

Describe Junctional EBA

A

Dog breed disposition: nd
Other species: human (different nomenclature)

Age predisposition: nd

Skin lesions: erythema, vesicles, deep erosions/ulcers

Distribution: haired skin (friction areas ex. footpads) and mucosae/mucocutaneous junctions

Major antigen: Laminin-332

Minor antigens: nd

Level of split: lamina lucida

Histopathology: microscopic subepidermal vesiculation +/-neutrophilic inflammation +/- eos

51
Q

Describe mixed AISBD

A

Dog breed disposition: nd
Other species: humans (different nomenclature)

Age predisposition: young

Skin lesions: erythema, vesicles, deep erosions/ulcers

Distribution: haired skin (concave pinnae, trunk; footpad sloughing is rare) and mucosae/mucocutaneous junctions

Major antigen: Collagen VII, laminin-332

Minor antigens: nd

Level of split: lamina lucida

Histopathology: microscopic subepidermal vesiculation with mixed neutrophilic eosinophilic inflammation

52
Q

Describe Linear IgA Disease (LAD)

A

Dog breed disposition: nd
Other species: human

Age predisposition: young

Skin lesions: erythema, vesicles, deep erosions/ulcers

Distribution: mucosae and haired skin (ears, nasal planum, footpad)

Major antigen: Collagen XVII (secreted)

Minor antigens: nd

Level of split: lamina lucida

Histopathology: microscopic subepidermal vesiculation +/- minimal neutrophilic inflammation

53
Q

Describe pemphgoid gestastionis

A

Dog breed disposition: nd
Other species: human

Age predisposition: pregnancy

Skin lesions: vesicles, erosions/ulcers

Distribution: mucosae and haired skin (ears, nasal planum, periareolar, footpad)

Major antigen: nd

Minor antigens: nd (Collagen XVII/BP180 suspected)

Level of split: lamina lucida

Histopathology: microscopic subepidermal vesiculation

54
Q

Describe bullous systemic lupus erythematosus

A

Dog breed disposition: nd
Other species: human

Age predisposition: pregnancy

Skin lesions: erythema, vesicles, deep erosions/ulcers, SLE signs

Distribution: haired skin (friction areas ex. footpads) and mucosae/mucocutaneous junctions

Major antigen: Collagen VII

Minor antigens: nd

Level of split: sublamina densa

Histopathology: microscopic subepidermal vesiculation +/- neutrophilic inflammation

55
Q

Which autoimmune subepidermal blistering disease is most likely when only haired skin is involved?

A

Bullous pemphigoid

56
Q

Which autoimmune subepidermal blistering disease is most likely when there is minimal to no haired skin is involved?

A

Mucous membrane pemphigoid

57
Q

Which autoimmune subepidermal blistering diseases show positive IF on the dermal side of the salt-split buccal mucosa (patient’s serum)?

A

EBA, JEBA, mixed, bullous SLE

58
Q

Which autoimmune subepidermal blistering diseases show positive IF on both sides (mixed) of the salt-split buccal mucosa (patient’s serum)?

A

JEBA

59
Q

Which autoimmune subepidermal blistering diseases show positive IF on the epidermal side of the salt-split buccal mucosa (patient’s serum)?

A

BP, PG

60
Q

Which autoimmune subepidermal blistering diseases show dermal positioning of collagen IV/PAS staining of the blister using anti-collagen IV IHC or IF or PAS staining (patient’s biopsy sections)?

A

BP, PG, JEBA

61
Q

Which autoimmune subepidermal blistering diseases show mixed positioning of collagen IV/PAS staining of the blister using anti-collagen IV IHC or IF or PAS staining (patient’s biopsy sections)?

A

JEBA

62
Q

Which autoimmune subepidermal blistering diseases show epidermal positioning of collagen IV/PAS staining of the blister using anti-collagen IV IHC or IF or PAS staining (patient’s biopsy sections)?

A

EBA, bullous SLE