The JUP gene provides instructions for making a protein called plakoglobin. This protein is found primarily in cells of the heart and skin, where it is part of two specialized structures called adherens junctions and desmosomes. Both of these structures help hold neighboring cells together, which provides strength and stability to tissues. Desmosomes may also be involved in other critical cell functions, including chemical signaling pathways, the process by which cells mature to perform specific functions (differentiation), and the self-destruction of cells (apoptosis).
Studies suggest that plakoglobin also plays a role in signaling within cells as part of the Wnt pathway. Wnt signaling controls the activity of certain genes and regulates the interactions between cells. This signaling pathway is involved in many aspects of development, including the normal development of the heart, skin, and hair.
Health Conditions Related to Genetic Changes
Arrhythmogenic right ventricular cardiomyopathy
MedlinePlus Genetics provides information about Arrhythmogenic right ventricular cardiomyopathyMore About This Health Condition
Keratoderma with woolly hair
Several mutations in the JUP gene have been found to cause a form of keratoderma with woolly hair classified as type I. This form of the condition is also known as Naxos disease. It is characterized by thick, calloused skin on the palms of the hands and soles of the feet (palmoplantar keratoderma); coarse, dry, fine, tightly curled, and sometimes sparse hair; and a potentially life-threatening form of heart disease called arrhythmogenic right ventricular cardiomyopathy (ARVC).
The JUP gene mutations that cause keratoderma with woolly hair type I lead to the production of an abnormally short version of the plakoglobin protein. The abnormal plakoglobin does not interact appropriately with other desmosomal proteins, which alters the structure of desmosomes and prevents cells from attaching to one another effectively. Researchers suspect that the impaired connections between cells make the skin, hair, and heart muscle more fragile. Over time, as these tissues are exposed to mechanical stress (for example, friction on the surface of the skin or the constant contraction and relaxation of the heart muscle), they become damaged and can no longer function normally. This mechanism probably underlies the skin, hair, and heart problems that occur in keratoderma with woolly hair type I.
Studies suggest that the abnormally short plakoglobin also impairs Wnt signaling, which appears to cause heart muscle cells to be replaced with fat cells over time. This abnormal signaling may influence the development of ARVC in affected individuals.More About This Health Condition
JUP gene mutations have also been found to cause a spectrum of signs and symptoms that overlap with those of keratoderma with woolly hair type I (described above). Some affected families have had similar skin and hair abnormalities but no apparent heart problems, while others have had ARVC only, with normal skin and hair. Although these conditions are related to impaired function of plakoglobin and abnormal desmosomes, it is unclear how mutations in this gene lead to these different patterns of features.
At least one mutation in the JUP gene can cause a disorder known as lethal congenital epidermolysis bullosa (LCEB). Features of this condition include very fragile skin that blisters and detaches easily, a complete absence of hair (alopecia), and abnormal fingernails. The skin abnormalities lead to a severe loss of fluids and death in early infancy. The mutation found to cause LCEB, written as Gln539Ter or Q539X, prevents the production of any functional plakoglobin. As a result, the skin has no stable desmosomes, so skin cells are unable to attach to one another effectively. Because affected individuals die before heart disease may become apparent, it is unknown whether a complete loss of plakoglobin also impairs desmosomes in the heart.
Other Names for This Gene
- catenin (cadherin-associated protein), gamma 80kDa
- desmoplakin III
Additional Information & Resources
Tests Listed in the Genetic Testing Registry
Scientific Articles on PubMed
Catalog of Genes and Diseases from OMIM
- Asimaki A, Syrris P, Wichter T, Matthias P, Saffitz JE, McKenna WJ. A novel dominant mutation in plakoglobin causes arrhythmogenic right ventricular cardiomyopathy. Am J Hum Genet. 2007 Nov;81(5):964-73. Epub 2007 Sep 28. Citation on PubMed or Free article on PubMed Central
- Cabral RM, Liu L, Hogan C, Dopping-Hepenstal PJ, Winik BC, Asial RA, Dobson R, Mein CA, Baselaga PA, Mellerio JE, Nanda A, Boente Mdel C, Kelsell DP, McGrath JA, South AP. Homozygous mutations in the 5' region of the JUP gene result in cutaneous disease but normal heart development in children. J Invest Dermatol. 2010 Jun;130(6):1543-50. doi: 10.1038/jid.2010.7. Epub 2010 Feb 4. Citation on PubMed
- Erken H, Yariz KO, Duman D, Kaya CT, Sayin T, Heper AO, Tekin M. Cardiomyopathy with alopecia and palmoplantar keratoderma (CAPK) is caused by a JUP mutation. Br J Dermatol. 2011 Oct;165(4):917-21. doi: 10.1111/j.1365-2133.2011.10455.x. Epub 2011 Aug 9. Citation on PubMed
- McKoy G, Protonotarios N, Crosby A, Tsatsopoulou A, Anastasakis A, Coonar A, Norman M, Baboonian C, Jeffery S, McKenna WJ. Identification of a deletion in plakoglobin in arrhythmogenic right ventricular cardiomyopathy with palmoplantar keratoderma and woolly hair (Naxos disease). Lancet. 2000 Jun 17;355(9221):2119-24. Citation on PubMed
- Pigors M, Kiritsi D, Krümpelmann S, Wagner N, He Y, Podda M, Kohlhase J, Hausser I, Bruckner-Tuderman L, Has C. Lack of plakoglobin leads to lethal congenital epidermolysis bullosa: a novel clinico-genetic entity. Hum Mol Genet. 2011 May 1;20(9):1811-9. doi: 10.1093/hmg/ddr064. Epub 2011 Feb 14. Citation on PubMed
- Protonotarios N, Tsatsopoulou A, Anastasakis A, Sevdalis E, McKoy G, Stratos K, Gatzoulis K, Tentolouris K, Spiliopoulou C, Panagiotakos D, McKenna W, Toutouzas P. Genotype-phenotype assessment in autosomal recessive arrhythmogenic right ventricular cardiomyopathy (Naxos disease) caused by a deletion in plakoglobin. J Am Coll Cardiol. 2001 Nov 1;38(5):1477-84. Citation on PubMed