Transcriptome-Wide Expression Profiling in Skin Fibroblasts of Patients with Joint Hypermobility Syndrome/Ehlers-Danlos Syndrome Hypermobility Type
Open accessAbstract
Joint hypermobility syndrome/Ehlers-Danlos syndrome hypermobility type (JHS/EDS-HT), is likely the most common systemic heritable connective tissue disorder, and is mostly recognized by generalized joint hypermobility, joint instability complications, minor skin changes and a wide range of satellite features. JHS/EDS-HT is considered an autosomal dominant trait but is still without a defined molecular basis. The absence of (a) causative gene(s) for JHS/EDS-HT is likely attributable to marked genetic heterogeneity and/or interaction of multiple loci. In order to help in deciphering such a complex molecular background, we carried out a comprehensive immunofluorescence analysis and gene expression profiling in cultured skin fibroblasts from five women affected with JHS/EDS-HT. Protein study revealed disarray of several matrix structural components such as fibrillins, tenascins, elastin, collagens, fibronectin, and their integrin receptors. Transcriptome analysis indicated perturbation of different signaling cascades that are required for homeostatic regulation either during development or in adult tissues as well as altered expression of several genes involved in maintenance of extracellular matrix architecture and homeostasis (e.g., SPON2, TGM2, MMP16, GPC4, SULF1), cell-cell adhesion (e.g., CDH2, CHD10, PCDH9, CLDN11, FLG, DSP), immune/inflammatory/pain responses (e.g., CFD, AQP9, COLEC12, KCNQ5, PRLR), and essential for redox balance (e.g., ADH1C, AKR1C2, AKR1C3, MAOB, GSTM5). Our findings provide a picture of the gene expression profile and dysregulated pathways in JHS/EDS-HT skin fibroblasts that correlate well with the systemic phenotype of the patients.
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hEDS/HSD, cEDS, and vEDS fibroblasts exhibit marked disorganization of collagen and fibronectin ECM and their specific α2β1 and α5β1 integrin receptors and show preferential expression of the αvβ3 integrin.
“In particular, hEDS/HSD, cEDS, and vEDS fibroblasts exhibit a marked disorganization of collagen and fibronectin ECM and their specific α2β1 and α5β1 integrin receptors and showed the preferential expression of the αvβ3 integrin [44,49,50,123].”
From Cellular and Molecular Mechanisms in the Pathogenesis of Classical, Vascular, and Hypermobile Ehlers‒Danlos Syndromes (2019) · cites this paper as [123]
Our previous expression profiling of hEDS/HSD fibroblasts identified 19 dysregulated miRNAs.
“Our previous expression profiling of hEDS/HSD fibroblasts identified 19 dysregulated miRNAs [123].”
From Cellular and Molecular Mechanisms in the Pathogenesis of Classical, Vascular, and Hypermobile Ehlers‒Danlos Syndromes (2019) · cites this paper as [123]
Transcriptome analysis revealed several signaling pathways essential for cell growth and proliferation likely perturbed in hEDS/HSD fibroblasts: TGFβ, TNF, Jak-STAT, and PI3K-Akt.
“As revealed by transcriptome analysis, several signaling pathways essential for cell growth and proliferation were found to be likely perturbed in hEDS/HSD fibroblasts, i.e., TGFβ, TNF, Jak-STAT, and PI3K-Akt [123].”
From Cellular and Molecular Mechanisms in the Pathogenesis of Classical, Vascular, and Hypermobile Ehlers‒Danlos Syndromes (2019) · cites this paper as [123]
Two studies comparing patients with asymptomatic GJH with BJHS found patients with BJHS tended toward decreased joint momenta in the lower extremities, necessitating a greater force to maintain equilibrium.
“Two studies comparing patients with asymptomatic GJH with BJHS found patients with BJHS tended toward decreased joint momenta in the lower extremities, necessitating a greater force to maintain equilibrium.[30,31]”
From Hypermobility spectrum disorders: A review (2023) · cites this paper as [30]
hEDS and HSD fibroblasts express the αvβ3 integrin.
“but express the αvβ3 integrin that is a common trait of all types of EDS fibroblasts [8][9][10][11][12].”
Expression of αvβ3 integrin is a shared feature of all EDS fibroblast types.
“but express the αvβ3 integrin that is a common trait of all types of EDS fibroblasts [8][9][10][11][12].”
In skin fibroblasts from hEDS and HSD patients, there is extensive disorganization of extracellular matrix structural components and altered expression of genes involved in ECM organization, cell adhesion, and immune and inflammatory responses.
“In hEDS and HSD patients' skin fibroblasts, we previously reported a widespread disarray of several extracellular matrix (ECM) structural components, such as type I collagen, COLLIII, and COLLV, fibronectin (FN), fibrillins, tenascins, and elastin, together with a dysregulated expression of many genes related to ECM organization, cell adhesion, immune and inflammatory responses [8].”
hEDS and HSD fibroblasts fail to organize the collagen- and fibronectin-specific α2β1 and α5β1 integrin receptors.
“hEDS and HSD fibroblasts also do not organize the COLL-and FN-specific α2β1 and α5β1 integrin receptors [8]”
Previous microarray results indicated perturbation of PI3K/AKT/GSK and NF-kB signaling in hEDS and HSD cells.
“Although these signal transduction pathways downstream the αvβ3-ILK axis were not yet investigated at protein level, our previous microarray results indicated the perturbation of PI3K/AKT/GSK and NF-kB signaling in hEDS and HSD cells [8], suggesting a pivotal role of the αvβ3 integrin-ILK-mediated signal transduction in the fibroblast-tomyofibroblast transition.”
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- Authors
- Chiarelli, N., Carini, G., Zoppi, N., Dordoni, C., Ritelli, M., Venturini, M., Castori, M., & Colombi, M.
- Affiliations
- University of Brescia (IT)
- Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia (IT)
- Azienda Ospedaliera San Camillo-Forlanini (IT)
- Corresponding author
- Colombi, Marina
- ORCID
- Venue
- PLOS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2016-08-12
- Volume
- 11
- Issue
- 8
- Pages
- e0161347
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4982685
- OpenAlex
- W2509622343
- Cited by
- 78
- References
- 80
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 4 · 2023: 3 · 2022: 5 · 2021: 26 · 2020: 10 · 2019: 12 · 2018: 5 · 2017: 2
- FWCI
- 5.12
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Funders
- Fondazione Cariplo and Regione Lombardia supported the Open Access publication through the Grant New Opportunities and Ways towards ERC (NOW ERC, Project: 2014-2256)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Connective tissue disorders research
- Health Sciences › Health Professions › Pharmacy › Oral and gingival health research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Dermatological and Skeletal Disorders
- Keywords
- joint hypermobility syndrome, Ehlers-Danlos syndrome hypermobility type, dermal fibroblasts, connective tissue diseases, extracellular matrix, integrins, cell-cell adhesion, redox homeostasis, genetic heterogeneity, gene expression dysregulation
- MeSH terms
- Filaggrin Proteins, Adult, Cells, Cultured, Ehlers-Danlos Syndrome, Female, Fibroblasts, Humans, Joint Instability, Middle Aged, Phenotype, Skin Abnormalities, Syndrome, Biomarkers, Case-Control Studies, Gene Expression Profiling
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