Proteomics Reveals Altered Lipid Biosynthesis and Keratin Hyperphosphorylation in Pachyonychia Congenita
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ABSTRACT: Pachyonychia congenita (PC) is a rare and painful skin disorder caused by dominant mutations in keratin genes (KRT6A/KRT6B/KRT6C/KRT16/KRT17), with no effective treatment. We developed a scalable, in-depth and miniaturized MS-based proteomics and phospho-proteomics analysis of full-thickness skin biopsies applied to 10 PC patients to elucidate pathogenic mechanisms and pinpoint new therapeutic targets. We could quantify 7200 Protein Groups (PGs), on average from 2mm snap-frozen skin samples, the most in-depth proteome coverage reported to date in a single-shot MS analysis. Among the identified PGs, ~1400 proteins were significantly deregulated in lesional vs. non-lesional samples. Enrichment analysis points to impaired mitochondrial function, hyper-keratinization, enhanced immune response and a significant increase in cholesterol biosynthesis pathway. Phosphoproteomics study revealed hyper-phosphorylation of specific sites in PC-related keratins. It confirmed the activation of EGFR downstream kinases, including PKC and Src, and disclosed p38 MAPK activation, which have been reported to phosphorylate keratins. Our work expands the understanding of the consequences of EGFR pathway activation, including mTOR-dependent increase in cholesterol biosynthesis, thereby renewing interest in the use of statins for PC. Above all, it provides a solid foundation for the continued exploration of EGFR inhibitors and offers new therapeutic avenues, particularly those using multikinase inhibitors.
INSTRUMENT(S):
ORGANISM(S): Homo Sapiens (human)
TISSUE(S): Skin
SUBMITTER:
Chiara guerrera
LAB HEAD: Ida Chiara Guerrera
PROVIDER: PXD067480 | Pride | 2026-01-14
REPOSITORIES: Pride
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