Identification of SLURP-1 as an epidermal neuromodulator explains the clinical phenotype of Mal de Meleda

Chimienti, Fabrice ; Hogg, Ronald C. ; Plantard, Laure ; Lehmann, Caroline ; Brakch, Noureddine ; Fischer, Judith ; Huber, Marcel ; Bertrand, Daniel ; Hohl, Daniel

In: Human Molecular Genetics, 2003, vol. 12, no. 22, p. 3017-3024

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    Summary
    Mal de Meleda is an autosomal recessive inflammatory and keratotic palmoplantar skin disorder due to mutations in the ARS B gene, encoding for SLURP-1 (secreted mammalian Ly-6/uPAR-related protein 1). SLURP-1 belongs to the Ly-6/uPAR superfamily of receptor and secreted proteins, which participate in signal transduction, immune cell activation or cellular adhesion. The high degree of structural similarity between SLURP-1 and the three fingers motif of snake neurotoxins and Lynx1 suggests that this protein interacts with the neuronal acetylcholine receptors. We found that SLURP-1 potentiates the human α7 nicotinic acetylcholine receptors that are present in keratinocytes. These results identify SLURP-1 as a secreted epidermal neuromodulator which is likely to be essential for both epidermal homeostasis and inhibition of TNF-alpha release by macrophages during wound healing. This explains both the hyperproliferative as well as the inflammatory clinical phenotype of Mal de Meleda