The
extracellular matrix protein collagen VII is part of the microenvironment of stratified epithelia and critical in organismal homeostasis. Mutations in the encoding gene COL7A1 lead to the skin disorder
dystrophic epidermolysis bullosa (DEB), are linked to skin fragility and progressive
inflammation-driven
fibrosis that facilitates aggressive
skin cancer. So far, these changes have been linked to mesenchymal alterations, the epithelial consequences of
collagen VII loss remaining under-addressed. As epithelial dysfunction is a principal initiator of
fibrosis, we performed a comprehensive transcriptome and
proteome profiling of primary human keratinocytes from DEB and control subjects to generate global and detailed images of dysregulated epidermal molecular pathways linked to loss of
collagen VII. These revealed downregulation of interaction partners of
collagen VII on
mRNA and
protein level, but also increased abundance of S100 pro-inflammatory
proteins in primary DEB keratinocytes. Increased TGF-β signaling because of loss of
collagen VII was associated with enhanced activity of lysosomal
proteases in both keratinocytes and skin of
collagen VII-deficient individuals. Thus, loss of a single structural
protein,
collagen VII, has extra- and intracellular consequences, resulting in inflammatory processes that enable tissue destabilization and promote keratinocyte-driven, progressive
fibrosis.