Long‐term restoration of COLVII expression, generation of epidermis and anchoring fibrils by the progeny of a corrected recessive dystrophic epidermolysis.

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Long‐term restoration of COLVII expression, generation of epidermis and anchoring fibrils by the progeny of a corrected recessive dystrophic epidermolysis bullosa (RDEB) epidermal stem cell Serial cultivation of transduced and untransduced holoclones demonstrated that the growth potential of the stem cells was not affected by the production of COLVII. Non‐COLVII‐producing holoclone 54 (black lines) and COLVII‐producing holoclone 6 (red lines) were serially transferred once a week until exhaustion (Rochat et al, 1994). Long‐term restoration of COLVII expression, generation of epidermis and anchoring fibrils by the progeny of a corrected recessive dystrophic epidermolysis bullosa (RDEB) epidermal stem cell Serial cultivation of transduced and untransduced holoclones demonstrated that the growth potential of the stem cells was not affected by the production of COLVII. Non‐COLVII‐producing holoclone 54 (black lines) and COLVII‐producing holoclone 6 (red lines) were serially transferred once a week until exhaustion (Rochat et al, 1994). Theoretical number of epidermal cells available for characterisation and CEA production from corrected (clone 6) and uncorrected stem cells (clone 54) calculated from the day of cloning. The colony‐forming efficiency and the percentage of growing colonies for each passage were used to calculate the population doubling, the generation number and the total progeny of isolated stem cells. Both corrected and uncorrected epidermal stem cells show high growth potential in vitro. Immunodeficient SCID mice were transplanted with untransduced cultured RDEB keratinocytes (left) or the COLVII‐secreting holoclone (clone 6) (right). Punch biopsies were obtained at various times post‐transplantation (PT), stained with haematoxylin/eosine (H/E), for human leucocyte antigen‐1 (HLA‐1) (green) and human COLVII (red). RDEB keratinocytes generated a HLA‐1‐positive epidermis that adhered poorly to the dermo‐epidermal junction (DEJ) (arrow indicates a blister) and absence of COLVII (dotted line delimits the dermis), whereas the corrected keratinocytes produced an epidermis that adhered to the dermis and deposited COLVII (red) at the DEJ. Note the presence of KI67‐positive keratinocytes (red) in the basal and suprabasal layers in the corrected epidermis at 385 days post‐transplantation, indicating that transplanted cells had self‐renewed for more than a year. Scale bar: 50 μm. Transmission electron microscopy (TEM) demonstrated the presence of anchoring fibrils (arrows) at the DEJ of the corrected epidermis (middle right panel) and in a normal human skin biopsy (left panel). Note the absence of anchoring fibrils in the RDEB epidermis (middle left panel). Detection of human COLVII by immunogold staining in the DEJ of corrected epidermis (right panel). Scale bar: 250 nm. Stéphanie Droz‐Georget Lathion et al. EMBO Mol Med. 2015;7:380-393 © as stated in the article, figure or figure legend