Dystrophic epidermolysis bullosa (DEB) is a rare genodermatosis characterized by fragility,
blistering and abnormal scarring of the skin and mucous membranes, showing different
degree of cutaneous and extracutaneous involvement. Several variants have been described
[
1
,
2
], due to dominant (DDEB) or recessive (RDEB) mutations in COL7A1 gene encoding for pro-α1 (VII) collagen chain [
1
,
2
]. Three identical pro-α1 (VII) chains, consisting of a central collagenous domain,
and two flanking amino- and carboxy-terminal noncollagenous domains (NC1 and NC2,
respectively), assemble into type VII collagen homotrimers (COLLVII), which aggregate
to form anchoring fibrils (AF). These structures ensure the dermal–epidermal adhesion
[
[1]
]. The NC1 globular domain, pointing outwards the AF, is composed by several subdomains
with homology to adhesive proteins: a segment with a 40% homology to cartilage matrix
protein (CMP), nine consecutive fibronectin type III-like repeats, and a von Willebrand
factor motif [
[3]
]. All these modules may exert an important role in the attachment of COLLVII to other
proteins of the dermal–epidermal junction (DEJ).Keywords
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Article info
Publication history
Published online: July 12, 2010
Received:
June 20,
2008
Identification
Copyright
Published by Elsevier Inc.