TY - CHAP M1 - Book, Section TI - Chapter 53. Epidermal and Epidermal–Dermal Adhesion A1 - Bruckner-Tuderman, Leena A1 - Payne, Aimee S. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus PY - 2012 T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintEpidermal and Epidermal–Dermal Adhesion at a GlanceThe adhesive structures in the skin include desmosomes, focal adhesions, hemidesmosomes, and basement membranes.Desmosomes are primarily responsible for epidermal adhesion.The major components of desmosomes are the desmosomal cadherins (desmogleins and desmocollins), plakins (desmoplakin, envoplakin, and periplakin), and armadillo family proteins (plakoglobin and plakophilins).The hemidesmosomal components comprise plakin homologs, integrins, and collagenous transmembrane proteins.All basement membranes contain collagen IV, laminins, nidogens, and perlecan.Functional specificity of basement membranes is provided by additional tissue-specific glycoproteins.In addition to their structural roles, desmosomes, hemidesmosomes, and the epidermal basement membrane are biologically active in cellular signaling.Mutations in the genes encoding the above proteins cause hereditary skin diseases, ranging from hypotrichosis and keratoderma to epidermolysis bullosa and Kindler syndrome.Protein components of desmosomes, hemidesmosomes, and epidermal basement membrane are targeted in autoimmune blistering diseases of the pemphigus or pemphigoid group and in epidermolysis bullosa acquisita. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/16 UR - accessmedicine.mhmedical.com/content.aspx?aid=56036955 ER -