The skin is often considered the largest organ of the human body. Given that the skin is the first line of defense against the hostile external environment, the integrity of TJ in the epidermis is critical due to its fencing and barrier functions and its role in homeostasis and immune response. The human epidermis expresses a variety of TJ molecules.
Of these, claudin-1, claudin-7, JAM-A and MUPP1 are found in all layers of the epidermis, whereas occludin and cingulin are restricted to the stratum granulosum. JAM-A is expressed in all layers of the human epidermis except the stratum corneum. Some TJ proteins, such as ZO-1, claudin-1 and claudin-4, are also localized in the hair follicles (Morita K et al.1998; Brandner JM et al. 2003).
Tight junctions are crucial for the function of the skin barrier. Changes in their expression have been found in various skin diseases such as atopic dermatitis. They also play a role in normal wound healing.
Claudin 1 knockout mice die shortly after birth due to skin barrier defects that lead to severe water loss. Knockout of claudin 1 and 4, occludin and ZO-1 in skin keratinocytes increases paracellular permeability to ions and larger molecules. In addition, the elimination of claudin-1 also reduces the water barrier function in the stratum corneum.
In atopic dermatitis (AD), ZO-1 and cla udin-1 are significantly reduced in lesional skin, suggesting that TJ barrier function is impaired in this skin disease (Yuki T. et al. 2016; Batista DI et al. 2015). In the non-lesional skin of AD, ZO-1 and claudin-4 are reduced. In a mouse model of atopic dermatitis, it was shown that the changes in the epithelial barrier function of the skin correlated with a reduced expression of claudin-1. Changes in paracellular flux and morphology of the stratum corneum indicated this (Tokumasu R et al. 2016).
In the early phase of psoriasis, occludin, ZO-1 and claudin-4 are expressed at higher levels than in normal skin. The expression of claudins 1 and 7 was reduced in the basal and uppermost layers (Kirschner N et al. 2009). Claudin expression was reduced in plaque-type psoriasis, which could explain the impaired barrier function of psoriatic skin.
In addition to their barrier function for water, ions and large and small molecules, TJs are also involved in cell proliferation and differentiation. In human skin keratinocytes, knockdown of claudin-1 by siRNA leads to disruption of TJ function, increased permeability to sodium fluorescein and increased proliferation.
In an AD mouse model, the absence of claudin-1 in the lower epidermal layers correlates with significantly increased proliferation of epithelial cells and changes in the expression of the differentiation markers keratin-10 and keratin-14 (Gruber R et al. 2015). Furthermore, knockdown of occludin in human skin keratinocytes leads to reduced adhesion between epithelial cells and cells, reduced susceptibility to apoptosis and altered expression of differentiation markers.