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Periderm prevents pathological epithelial adhesions during embryogenesis
Rebecca J. Richardson, Nigel L. Hammond, Pierre A. Coulombe, Carola Saloranta, Heidi O. Nousiainen, Riitta Salonen, Andrew Berry, Neil Hanley, Denis Headon, Riitta Karikoski, Michael J. Dixon
Rebecca J. Richardson, Nigel L. Hammond, Pierre A. Coulombe, Carola Saloranta, Heidi O. Nousiainen, Riitta Salonen, Andrew Berry, Neil Hanley, Denis Headon, Riitta Karikoski, Michael J. Dixon
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Periderm prevents pathological epithelial adhesions during embryogenesis

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Abstract

Appropriate development of stratified, squamous, keratinizing epithelia, such as the epidermis and oral epithelia, generates an outer protective permeability barrier that prevents water loss, entry of toxins, and microbial invasion. During embryogenesis, the immature ectoderm initially consists of a single layer of undifferentiated, cuboidal epithelial cells that stratifies to produce an outer layer of flattened periderm cells of unknown function. Here, we determined that periderm cells form in a distinct pattern early in embryogenesis, exhibit highly polarized expression of adhesion complexes, and are shed from the outer surface of the embryo late in development. Mice carrying loss-of-function mutations in the genes encoding IFN regulatory factor 6 (IRF6), IκB kinase-α (IKKα), and stratifin (SFN) exhibit abnormal epidermal development, and we determined that mutant animals exhibit dysfunctional periderm formation, resulting in abnormal intracellular adhesions. Furthermore, tissue from a fetus with cocoon syndrome, a lethal disorder that results from a nonsense mutation in IKKA, revealed an absence of periderm. Together, these data indicate that periderm plays a transient but fundamental role during embryogenesis by acting as a protective barrier that prevents pathological adhesion between immature, adhesion-competent epithelia. Furthermore, this study suggests that failure of periderm formation underlies a series of devastating birth defects, including popliteal pterygium syndrome, cocoon syndrome, and Bartsocas-Papas syndrome.

Authors

Rebecca J. Richardson, Nigel L. Hammond, Pierre A. Coulombe, Carola Saloranta, Heidi O. Nousiainen, Riitta Salonen, Andrew Berry, Neil Hanley, Denis Headon, Riitta Karikoski, Michael J. Dixon

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Figure 2

Irf6R84C/R84C, Ikka–/–, and SfnEr/Er mice exhibit epithelial adhesions resulting from failure of periderm formation.

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Irf6R84C/R84C, Ikka–/–, and SfnEr/Er mice exhibit epithelial adhesions r...
(A–D) Gross morphological analysis of E16 mice reveals a highly similar phenotype in all 3 mutant strains. (E) Histological analysis of the facial complex of E12 wild-type mice reveals clearly separated maxillary and mandibular processes, whereas all mutant embryos (F–H) display abnormal maxillary-mandibular adhesions (arrows). (I–L) Immunofluorescence analysis of the regions of the facial complex boxed in E–H reveals keratin 17–positive periderm cells (green) overlying p63-positive basal cells (red) (I). (J–L) However, in all 3 mutant strains, absence of keratin 17–positive periderm cells allows abnormal fusion between apposed p63-positive basal cells. (M–P) Transverse histological sections through hind limbs of E12 embryos reveals shortened curved limbs in all 3 mutant strains compared with wild-type littermates. (Q–T) Immunofluorescence analysis of keratin 17 (green) and p63 (red) reveals a continuous layer of keratin 17–positive periderm cells (arrowheads) overlying a layer of P63-positive basal cells in the epidermis of E12 wild-type mice (Q). (R–T) Similar analyses of mutant embryos reveal a thickened, disorganized basal layer with all cells expressing p63. Limited, weak expression of keratin 17 is observed in the epidermis of Irf6R84C/R84C and Ikka–/– embryos compared with wild-type littermates (R and S). Patchy expression of keratin 17 is occasionally observed on the outermost surface of the epidermis of SfnEr/Er embryos (T). max, maxilla; mand, mandible. Scale bars: 100 μm (E–H; M–P); 50 μm (I–L; Q–T).

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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