Disease:Defects in DSP are the cause of dilated cardiomyopathy with woolly hair and keratoderma (DCWHK) [MIM:605676]; also known as Carvajal syndrome or palmoplantar keratoderma with left ventricular cardiomyopathy and woolly hair. DCWHK is an autosomal recessive cardiocutaneous syndrome characterized by a generalized striate keratoderma particularly affecting the palmoplantar epidermis , woolly hair , and dilated left ventricular cardiomyopathy. ,Disease:Defects in DSP are the cause of epidermolysis bullosa lethal acantholytic (EBLA) [MIM:609638]. EBLA is characterized by severe fragility of skin and mucous membranes. The phenotype is lethal in the neonatal period because of immense transcutaneous fluid loss. Typical features include universal alopecia , neonatal teeth , and nail loss. Histopathology of the skin shows suprabasal clefting and acantholysis throughout the spinous layer , mimicking pemphigus. ,Disease:Defects in DSP are the cause of familial arrhythmogenic right ventricular dysplasia 8 (ARVD8) [MIM:607450]; also known as arrhythmogenic right ventricular cardiomyopathy 8 (ARVC8) . ARVD is an autosomal dominant disease characterized by partial degeneration of the myocardium of the right ventricle , electrical instability , and sudden death. It is clinically defined by electrocardiographic and angiographic criteria; pathologic findings , replacement of ventricular myocardium with fatty and fibrous elements , preferentially involve the right ventricular free wall. ,Disease:Defects in DSP are the cause of palmoplantar keratoderma striate type 2 (SPPK2) [MIM:125647]; also known as keratosis palmoplantaris striata II. SPPK2 is characterized by skin thickening in the palms (linear pattern) and the soles (island-like pattern) and flexor aspect of the fingers. Abnormalities of the nails , the teeth and the hair are rarely present. ,Disease:Defects in DSP are the cause of skin fragility-woolly hair syndrome (SFWHS) [MIM:607655]. SFWHS is an autosomal recessive genodermatosis characterized by focal and diffuse palmoplantar keratoderma , hyperkeratotic plaques on the trunk and limbs , and woolly hair with varying degrees of alopecia. ,Domain:The N-terminal region is required for localization to the desmosomal plaque and interacts with the N-terminal region of plakophilin 1. The C-terminal region interacts with intermediate filaments. ,Function:Major high molecular weight protein of desmosomes. Involved in the organization of the desmosomal cadherin-plakoglobin complexes into discrete plasma membrane domains and in the anchoring of intermediate filaments to the desmosomes. ,online information:Desmoplakin entry ,PTM:Substrate of transglutaminase. Some glutamines and lysines are cross-linked to other desmoplakin molecules , to other proteins such as keratin , envoplakin , periplakin and involucrin , and to lipids like omega-hydroxyceramide. ,similarity:Belongs to the plakin or cytolinker family. ,similarity:Contains 17 plectin repeats. ,similarity:Contains 2 spectrin repeats. ,subcellular location:Innermost portion of the desmosomal plaque. ,subunit:Homodimer. ,tissue specificity:Isoform DPI is apparently an obligate constituent of all desmosomes; Isoform DPII resides predominantly in tissues and cells of stratified origin. ,
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