The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris

The importance of acetylcholine (ACh) in keratinocyte adhesion and acantholysis has been investigated over the last three decades, particularly in the pathophysiology of autoimmune blistering dermatoses. Pemphigus vulgaris (PV) is an autoimmune blistering skin disease where autoantibody-mediated sup...

Full description

Bibliographic Details
Main Authors: Delila Pouldar Foulad, Nicola Cirillo, Sergei A. Grando
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Biology
Subjects:
Online Access:https://www.mdpi.com/2079-7737/12/3/354
_version_ 1827751259940061184
author Delila Pouldar Foulad
Nicola Cirillo
Sergei A. Grando
author_facet Delila Pouldar Foulad
Nicola Cirillo
Sergei A. Grando
author_sort Delila Pouldar Foulad
collection DOAJ
description The importance of acetylcholine (ACh) in keratinocyte adhesion and acantholysis has been investigated over the last three decades, particularly in the pathophysiology of autoimmune blistering dermatoses. Pemphigus vulgaris (PV) is an autoimmune blistering skin disease where autoantibody-mediated suprabasilar intraepidermal splitting causes flaccid blisters and non-healing erosions of the oral mucosa and sometimes also of the skin. Historically, acantholysis in PV was thought to be driven by anti-desmoglein (Dsg) antibodies. Herein, we describe the role of autoantibodies against keratinocyte muscarinic and nicotinic acetylcholine receptors, as well as the annexin-like molecule pemphaxin that also binds ACh, in the immunopathogenesis of PV. The identification of targets in this disease is important, as they may lead to novel diagnostic and therapeutic options in the future for this potentially deadly disease.
first_indexed 2024-03-11T06:54:47Z
format Article
id doaj.art-ae51eb35ed864b60a92cf389c762a772
institution Directory Open Access Journal
issn 2079-7737
language English
last_indexed 2024-03-11T06:54:47Z
publishDate 2023-02-01
publisher MDPI AG
record_format Article
series Biology
spelling doaj.art-ae51eb35ed864b60a92cf389c762a7722023-11-17T09:40:58ZengMDPI AGBiology2079-77372023-02-0112335410.3390/biology12030354The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus VulgarisDelila Pouldar Foulad0Nicola Cirillo1Sergei A. Grando2Division of Dermatology, University of California, Los Angeles, CA 90095, USAMelbourne Dental School, University of Melbourne, Carlton, VI 3053, AustraliaDepartment of Dermatology, University of California, Irvine, CA 92697, USAThe importance of acetylcholine (ACh) in keratinocyte adhesion and acantholysis has been investigated over the last three decades, particularly in the pathophysiology of autoimmune blistering dermatoses. Pemphigus vulgaris (PV) is an autoimmune blistering skin disease where autoantibody-mediated suprabasilar intraepidermal splitting causes flaccid blisters and non-healing erosions of the oral mucosa and sometimes also of the skin. Historically, acantholysis in PV was thought to be driven by anti-desmoglein (Dsg) antibodies. Herein, we describe the role of autoantibodies against keratinocyte muscarinic and nicotinic acetylcholine receptors, as well as the annexin-like molecule pemphaxin that also binds ACh, in the immunopathogenesis of PV. The identification of targets in this disease is important, as they may lead to novel diagnostic and therapeutic options in the future for this potentially deadly disease.https://www.mdpi.com/2079-7737/12/3/354pemphigusacetylcholinekeratinocyte adhesionacantholysisnicotinic receptormuscarinic receptor
spellingShingle Delila Pouldar Foulad
Nicola Cirillo
Sergei A. Grando
The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris
Biology
pemphigus
acetylcholine
keratinocyte adhesion
acantholysis
nicotinic receptor
muscarinic receptor
title The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris
title_full The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris
title_fullStr The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris
title_full_unstemmed The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris
title_short The Role of Non-Neuronal Acetylcholine in the Autoimmune Blistering Disease Pemphigus Vulgaris
title_sort role of non neuronal acetylcholine in the autoimmune blistering disease pemphigus vulgaris
topic pemphigus
acetylcholine
keratinocyte adhesion
acantholysis
nicotinic receptor
muscarinic receptor
url https://www.mdpi.com/2079-7737/12/3/354
work_keys_str_mv AT delilapouldarfoulad theroleofnonneuronalacetylcholineintheautoimmuneblisteringdiseasepemphigusvulgaris
AT nicolacirillo theroleofnonneuronalacetylcholineintheautoimmuneblisteringdiseasepemphigusvulgaris
AT sergeiagrando theroleofnonneuronalacetylcholineintheautoimmuneblisteringdiseasepemphigusvulgaris
AT delilapouldarfoulad roleofnonneuronalacetylcholineintheautoimmuneblisteringdiseasepemphigusvulgaris
AT nicolacirillo roleofnonneuronalacetylcholineintheautoimmuneblisteringdiseasepemphigusvulgaris
AT sergeiagrando roleofnonneuronalacetylcholineintheautoimmuneblisteringdiseasepemphigusvulgaris