Mechanism of CTIP2 action in mouse epidermal homeostasis and barrier formation,

描述（由申请人提供）：皮肤从宫内到宫外的发育是表皮增殖、终末分化和屏障形成的协调相互作用。未能构建表皮渗透屏障（EPB），这是大多数早产儿的一个危及生命的问题，导致经皮水分流失增加，伴随脱水和电解质失衡，以及皮肤脆弱。屏障缺陷也被认为有助于几种遗传性和获得性炎性皮肤病，如牛皮癣和特应性皮炎（AD）。因此，了解由不同调节蛋白（例如，在皮肤中，对转录因子（转录因子）的调节是开发用于上述各种皮肤病以及上皮细胞皮肤癌（包括头颈部鳞状细胞癌（HNSCC））的有效治疗的关键。鸡卵清蛋白上游启动子转录因子（COUP-TF）相互作用蛋白2（CTIP 2，也称为Bcl 11b）是一种转录调节蛋白，在小鼠发育期间的皮肤中以及成年小鼠的增殖细胞中高度表达。我们最近发现，小鼠中CTIP 2的种系缺失导致严重的皮肤表型，其特征在于受损的EPB形成和显著降低的表皮厚度。我们还观察到在几种人HNSCC活检中CTIP 2的显著上调，其中CTIP 2表达水平与肿瘤的分化程度负相关，即，发现低分化肿瘤表达非常高水平的CTIP 2，而高分化肿瘤表达非常少的CTIP 2。然而，在表皮稳态和屏障形成期间，CTIP 2在皮肤中的活性的细胞和分子机制尚不清楚。类似地，我们不了解CTIP 2在皮肤发育期间的增殖事件中或在成人增殖性疾病（如HNSCC）中的作用。缺乏这种知识是我们理解CTIP 2在人类健康和疾病中的生物学作用的关键问题。该实验室的长期目标是阐明CTIP 2在胎儿，新生儿和成人皮肤以及皮肤增殖性疾病中作用的分子和细胞机制，以外推到人类情况的目标。根据上述意见和初步数据，我们提出以下三个具体目标：（1）阐明CTIP 2在EPB形成中作用的细胞和分子机制，（2）阐明CTIP 2在表皮增殖/分化中作用的细胞和分子机制，（3）探讨CTIP 2在头颈部鳞癌发病中的作用。这项研究具有创新性，因为它将首次揭示CTIP 2调节皮肤器官发生、EPB形成和组织稳态的细胞和分子机制。我们相信，这项研究将对人类健康产生重大的积极影响，因为这些结果将提供对表皮角质形成细胞增殖，分化和EPB形成的调节影响的增强理解，这可能导致开发更有效的人类疾病治疗模式，如特应性皮炎，可能还有HNSCC。

DESCRIPTION (provided by applicant): The development of the skin from intrauterine to extrauterine life is an orchestrated interplay of epidermal proliferation, terminal differentiation, and barrier formation. Failure to construct an epidermal permeability barrier (EPB), which is a life-threatening problem in the majority of premature infants, results in increased transepidermal water loss with concomitant dehydration and electrolyte imbalance, as well as fragile skin. Barrier defects are also believed to contribute to several hereditary and acquired inflammatory skin disorders, such as psoriasis and atopic dermatitis (AD). Thus, understanding the pathways that are controlled by different regulatory proteins (e.g., transcription factors) in skin is the key for the development of effective treatments for the various skin diseases described above, as well as epithelial cell skin cancers, including head and neck squamous cell carcinoma (HNSCC). Chicken ovalbumin upstream promoter transcription factor (COUP-TF)-interacting protein 2 (CTIP2, also known as Bcl11b) is a transcriptional regulatory protein that is highly expressed in skin during mouse development, as well as in proliferating cells of the adult mouse. We have recently discovered that germline deletion of CTIP2 in mice results in a severe skin phenotype characterized by compromised EPB formation, and dramatically reduced epidermal thickness. We have also observed striking upregulation of CTIP2 in several human HNSCC biopsies, in which the level of CTIP2 expression was inversely correlated with the degree of differentiation of the tumor, i.e., poorly differentiated tumors were found to express very high levels of CTIP2 while highly differentiated tumors expressed very little CTIP2. However, the cellular and molecular mechanism underlying the activity of CTIP2 in skin during epidermal homeostasis and barrier formation is not known. Similarly, we do not understand the role of CTIP2 in proliferative events during skin development or in proliferative diseases of adults, such as HNSCC. Lack of this knowledge is a critical problem in our understanding of the biological roles of the CTIP2 in human health and disease. The long-term goal of this laboratory is to elucidate the molecular and cellular mechanisms that underlie the actions of CTIP2 in fetal, neonatal, and adult skin, and in proliferative diseases of the skin, towards the goal of extrapolating to the human situation. Based on the above observations and from the preliminary data, we propose the following three Specific Aims: (1) to elucidate the cellular and molecular mechanism(s) underlying the role of CTIP2 in EPB formation, (2) to elucidate the cellular and molecular mechanism(s) of CTIP2 action in epidermal proliferation/differentiation, and (3) to determine the role of CTIP2 in pathogenesis of head and neck squamous cell carcinoma. The proposed research is innovative because it will, for the first time, reveal the cellular and molecular mechanisms by which CTIP2 regulates skin organogenesis, EPB formation, and tissue homeostasis. We believe that this research will have significant, positive effects on human health because these outcomes will provide an enhanced understanding of regulatory influences on epidermal keratinocyte proliferation, differentiation and EPB formation, which may lead to development of more efficacious treatment paradigms for the human disorders, such as atopic dermatitis, and possibly HNSCC.