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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">779257</article-id>
<article-id pub-id-type="doi">10.3389/fcell.2021.779257</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Keratin 17 Is Required for Lipid Metabolism in Keratinocytes and Benefits Epidermal Permeability Barrier Homeostasis</article-title>
<alt-title alt-title-type="left-running-head">Pang et&#x20;al.</alt-title>
<alt-title alt-title-type="right-running-head">K17 Regulates Skin Barrier Homeostasis</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Pang</surname>
<given-names>Bingyu</given-names>
</name>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhu</surname>
<given-names>Zhenlai</given-names>
</name>
<xref ref-type="fn" rid="fn1">
<sup>&#x2020;</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/391922/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Xiao</surname>
<given-names>Chunying</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Luo</surname>
<given-names>Yixin</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Fang</surname>
<given-names>Hui</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Bai</surname>
<given-names>Yaxing</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sun</surname>
<given-names>Zhongbin</given-names>
</name>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ma</surname>
<given-names>Jingyi</given-names>
</name>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Dang</surname>
<given-names>Erle</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1055699/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Wang</surname>
<given-names>Gang</given-names>
</name>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/62231/overview"/>
</contrib>
</contrib-group>
<aff>
<institution>Department of Dermatology</institution>, <institution>Xijing Hospital</institution>, <institution>Fourth Military Medical University</institution>, <addr-line>Xi&#x2019;an</addr-line>, <country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/918437/overview">Ji Li</ext-link>, Xiangya Hospital, Central South University, China</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/685895/overview">Yuling Shi</ext-link>, Tongji University, China</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/885277/overview">Sung-Jan Lin</ext-link>, National Taiwan University, Taiwan</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Erle Dang, <email>del-5527@163.com</email>; Gang Wang, <email>wanggangxjyy@163.com</email>
</corresp>
<fn fn-type="equal" id="fn1">
<label>
<sup>&#x2020;</sup>
</label>
<p>These authors have contributed equally to this&#x20;work</p>
</fn>
<fn fn-type="other">
<p>This article was submitted to Stem Cell Research, a section of the journal Frontiers in Cell and Developmental Biology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>12</day>
<month>01</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>779257</elocation-id>
<history>
<date date-type="received">
<day>18</day>
<month>09</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>29</day>
<month>11</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Pang, Zhu, Xiao, Luo, Fang, Bai, Sun, Ma, Dang and Wang.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Pang, Zhu, Xiao, Luo, Fang, Bai, Sun, Ma, Dang and Wang</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these&#x20;terms.</p>
</license>
</permissions>
<abstract>
<p>The epidermal barrier refers to the stratum corneum, the uppermost layer of the skin, and constitutes the first line of defense against invasion by potentially harmful pathogens, diminishes <italic>trans</italic>-epidermal water loss, and plays a crucial role in the maintenance of skin homeostasis. Keratin 17 (K17) is a type I epithelial keratin with multiple functions, including in skin inflammation, epithelial cell growth, protein synthesis, and tumorigenesis. However, the relationship between K17 and the skin barrier has yet to be systematically investigated. In this study, we found that acute disruption of the epidermal permeability barrier led to a rapid increase in epidermal K17 expression <italic>in vivo</italic>. <italic>Krt17</italic> gene deficiency in mice resulted in decreased expression of lipid metabolism-related enzymes and antimicrobial peptides, while also delaying epidermal permeability barrier recovery after acute disruption. Adenovirus-mediated overexpression of K17 enhanced, whereas siRNA-mediated knockdown of <italic>Krt17</italic> inhibited, the expression of fatty acid synthase (FASN) and that of the transcription factors SREBP-1 and PPAR&#x3b3; <italic>in&#x20;vitro</italic>. We further confirmed that K17 can facilitate the nuclear transportation of SREBP-1 and PPAR&#x3b3; and promote lipid synthesis in keratinocytes. This study demonstrated that K17 contributes to the restoration of the epidermal permeability barrier <italic>via</italic> stabilizing lipid metabolism in keratinocytes.</p>
</abstract>
<kwd-group>
<kwd>epidermal barrier</kwd>
<kwd>Keratin 17</kwd>
<kwd>lipid metabolism</kwd>
<kwd>fatty acid synthase</kwd>
<kwd>sterol regulatory element-binding protein 1</kwd>
<kwd>peroxisome proliferator-activated receptor gamma</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The epidermal barrier is primarily constituted by the stratum corneum (SC), which is the outer layer of the skin, and represents a robust barrier against external environmental stressors as well as a water-tight barrier that prevents <italic>trans</italic>-epidermal water loss (TEWL). The loss of structural and biophysical homeostasis can provoke or aggravate chronic skin disorders (<xref ref-type="bibr" rid="B9">Egawa and Kabashima, 2016</xref>; <xref ref-type="bibr" rid="B47">Yosipovitch et&#x20;al., 2019</xref>). The epidermal barrier is comprised of protein-enriched corneocytes embedded in an intercellular lipid matrix, called the &#x201c;brick and mortar&#x201d; model. The cellular complement is immersed in an intercellular lipid &#x201c;mortar&#x201d; composed of ceramides, cholesterol, and free fatty acids (FFAs) (<xref ref-type="bibr" rid="B29">Nemes and Steinert, 1999</xref>; <xref ref-type="bibr" rid="B13">Jia et&#x20;al., 2018</xref>). Aberrant key steps in lipid metabolism in keratinocytes can result in alterations to barrier lipid components and thereby weaken epidermal barrier functionality (<xref ref-type="bibr" rid="B1">Akiyama, 2017</xref>). However, the precise mechanisms underlying the regulation of lipid metabolism in keratinocytes and the maintenance of skin homeostasis remain poorly understood.</p>
<p>Keratin 17 (K17), a type I epithelial keratin intermediate filament protein, is widely distributed in basal cells of complex epithelia, including hair follicles, sebaceous glands, fingernails, and eccrine sweat glands (<xref ref-type="bibr" rid="B20">Kurokawa et&#x20;al., 2011</xref>). Physiologically, K17 plays a key role in maintaining normal hair follicle functions; accordingly, mice deficient for <italic>Krt17</italic> exhibit severe alopecia after birth resulting from TNF receptor-mediated apoptosis (<xref ref-type="bibr" rid="B24">McGowan et&#x20;al., 2002</xref>). Although K17 is undetectable in normal <italic>epidermis</italic>, it is highly expressed in some skin disorders, in which it accelerates keratinocyte proliferation and promotes inflammation (<xref ref-type="bibr" rid="B14">Jiang et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B44">Yang et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B45">Yang et&#x20;al., 2018</xref>). Moreover, <italic>Krt17</italic>-null mouse embryos show delayed wound closure due to decreased AKT/mTOR signaling activity, thereby revealing a critical role for K17 in skin repair (<xref ref-type="bibr" rid="B19">Kim et&#x20;al., 2006</xref>). Nevertheless, whether and how K17 contributes to epidermal barrier function remains unknown.</p>
<p>Recently, our group noticed that K17 expression was upregulated in the <italic>epidermis</italic> after barrier perturbation, and altered lipid metabolism in keratinocytes K17. This suggested that K17 plays a critical role in epidermal barrier repair. In this study, we assessed the role of K17 in epidermal barrier function using <italic>Krt17</italic> knockout mice and then validated the findings in HaCaT&#x20;cells. The results showed that K17 expression was upregulated following acute disruption of the epidermal barrier, an effect that promoted the recovery of the skin barrier <italic>via</italic> the modulation of lipid metabolism. These findings offer a novel viewpoint on the biological role of K17 and suggest a new therapeutic strategy for regulating epidermal barrier function.</p>
</sec>
<sec sec-type="materials|methods" id="s2">
<title>Materials and Methods</title>
<sec id="s2-1">
<title>Mice and Treatment</title>
<p>
<italic>Krt17</italic> knockout mice in a C57BL/6J background were kindly provided by Prof. Pierre A. Coulombe (Johns Hopkins University, Baltimore, MD, United&#x20;States). Female mice, 6&#x2013;8&#xa0;weeks old, were used in the experiments. All experimental procedures were performed in compliance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and approved by the Review Committee for the Use of Animals of the Fourth Military Medical University. In the acute barrier abrogation model, barrier permeability was disrupted in mice by repeated applications of cellophane tape on the shaved back until a 10-fold increase in TEWL levels was achieved (<xref ref-type="bibr" rid="B38">Tsai et&#x20;al., 1994</xref>). SC hydration and TEWL were measured immediately (0&#xa0;h) and at 3 and 6&#xa0;h after barrier disruption using a multifunctional skin physiology monitor (MPA10, Courage-Khazaka Electronic GmbH). The skin was collected 6&#xa0;h after acute disruption, and the <italic>epidermis</italic> was either separated from the dermis by heat separation (<xref ref-type="bibr" rid="B21">Man et&#x20;al., 2015</xref>) or fixed in formalin for histopathological analysis. The recovery rate was calculated as follows:<disp-formula id="equ1">
<mml:math id="m1">
<mml:mrow>
<mml:mi mathvariant="italic">Re</mml:mi>
<mml:mi mathvariant="italic">cov</mml:mi>
<mml:mi>e</mml:mi>
<mml:mi>r</mml:mi>
<mml:mi>y</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>r</mml:mi>
<mml:mi>a</mml:mi>
<mml:mi>t</mml:mi>
<mml:mi>e</mml:mi>
<mml:mo>&#x3d;</mml:mo>
<mml:mfrac>
<mml:mrow>
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<mml:mi>E</mml:mi>
<mml:mi>W</mml:mi>
<mml:mi>L</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mn>0</mml:mn>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>h</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
<mml:mo>&#x2212;</mml:mo>
<mml:mi>T</mml:mi>
<mml:mi>E</mml:mi>
<mml:mi>W</mml:mi>
<mml:mi>L</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mn>3</mml:mn>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>h</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>o</mml:mi>
<mml:mi>r</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mn>6</mml:mn>
<mml:mo>&#xa0;</mml:mo>
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</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
<mml:mrow>
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<mml:mi>W</mml:mi>
<mml:mi>L</mml:mi>
<mml:mo>&#xa0;</mml:mo>
<mml:mrow>
<mml:mo>(</mml:mo>
<mml:mrow>
<mml:mn>0</mml:mn>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>h</mml:mi>
</mml:mrow>
<mml:mo>)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:mfrac>
<mml:mo>&#xd7;</mml:mo>
<mml:mn>100</mml:mn>
<mml:mtext>%</mml:mtext>
</mml:mrow>
</mml:math>
</disp-formula>
</p>
</sec>
<sec id="s2-2">
<title>Cell Culture and Transfection</title>
<p>Human HaCaT keratinocytes (American Type Culture Collection, Manassas, VA, United&#x20;States) were cultured in Dulbecco&#x2019;s modified Eagle&#x2019;s medium (Gibco, Grand Island, NY, United&#x20;States) supplemented with 10% fetal bovine serum (Gibco) and maintained at 37&#xb0;C in a humidified atmosphere containing 5% CO<sub>2</sub>. HaCaT&#x20;cells were transfected either with pEGFP-N1-K17 or short interfering RNA (siRNA) targeting K17 using Lipofectamine 3,000 (Invitrogen; California; United&#x20;States). The siRNA sequences for K17 are listed in <xref ref-type="sec" rid="s11">Supplementary Table&#x20;S1</xref>.</p>
</sec>
<sec id="s2-3">
<title>RNA extraction and Real-Time Quantitative PCR Analysis</title>
<p>Total RNA was extracted using Trizol reagent (Takara, Tokyo, Japan) and purified using chloroform/isopropanol/ethanol. The extracted RNA (1&#xa0;&#xb5;g/10&#xa0;&#xb5;l reaction) was converted to cDNA using the Prime Script RT Master Mix Kit (Takara). Quantitative real-time PCR (qPCR) was performed using SYBR Premix Ex Taq II (Takara) on a Chromo4 Continuous Fluorescence Detector with a PTC-200 DNA Engine cycler (Bio-Rad, CA; United&#x20;States). The cycling conditions were as follows: 95&#xb0;C for 2&#xa0;min, followed by 45 cycles of denaturation at 95&#xb0;C for 5&#xa0;s, annealing at 60&#xb0;C for 10&#xa0;s, and extension at 72&#xb0;C for 15&#xa0;s. Relative quantification was performed using the &#x394;&#x394;CT method. All reactions were run in triplicate for at least three independent experiments. Data are expressed as a percentage of control (setting controls as 100%). The sequences of the primers used are listed in <xref ref-type="sec" rid="s11">Supplementary Table&#x20;S2</xref>.</p>
</sec>
<sec id="s2-4">
<title>Immunofluorescence and Confocal Microscopy</title>
<p>Biopsies obtained from the skin of the back of the mice were fixed in 12% formaldehyde solution and embedded in paraffin. For immunofluorescence (IF) staining, cells or skin biopsy specimens were permeabilized with 0.5% Triton X-100 for 10&#x2013;15&#xa0;min at room temperature. After washing three times with PBS, the cells or skin biopsy specimens were incubated with primary antibodies targeting K17 (sc-393002; Santa Cruz Biotechnology), SREBP-1 (IgG-2A4; BD Biosciences), or PPAR&#x3b3; (81B8; Cell Signaling Technology) at 4&#xb0;C overnight, washed three times with PBS, and then incubated with Cy3-, fluorescein isothiocyanate (FITC)- (for cells transfected with siRNA and tissue slices), or Alexa Fluor 647-conjugated (for cells transfected with pEGFP-N1-K17) secondary antibodies (ab6939, ab6785, and ab150075, respectively; Abcam); nuclei were counterstained with Hoechst 33,258 (Solarbio Technology; Beijing; China). The samples were observed and imaged using a confocal microscope (LSM880; Carl Zeiss; Germany).</p>
</sec>
<sec id="s2-5">
<title>Western Blot Analysis</title>
<p>Western blot was performed as previously described (Jian et&#x20;al., 2011) using the following antibodies: anti-K17 (ab53707; Abcam), anti-FASN (ab128856; Abcam), anti-SREBP-1 (PA1-337; Invitrogen), anti-PPAR&#x3b3; (81B8; Cell Signaling Technology), anti-&#x3b2;-tubulin (10068-1-AP; Proteintech), anti-&#x3b2;-actin (66009-1-Ig, Proteintech), anti-GAPDH (60004--1-Ig; Proteintech), and anti-lamin-A/C (sc-7292; Santa Cruz Biotechnology). Band intensities were quantified using Image Lab version 5.2.1 (Bio-Rad). Relative band intensities were normalized to that of the loading control.</p>
</sec>
<sec id="s2-6">
<title>Co-Immunoprecipitation</title>
<p>After the respective experiments, treated cells were subjected to co-IP assays [anti-K17 (sc-393002; Santa Cruz Biotechnology) or anti-IgG (TA-02; Origene, MD, United&#x20;States) antibodies] using Protein A/G PLUS-Agarose (sc-2003C; Santa Cruz Biotechnology) according to the instructions of the manufacturer. Whole-cell lysates were purified in lysis buffer and incubated with anti-K17 or anti-IgG antibody on a rocker platform for 3&#xa0;h followed by incubation with Protein A/G PLUS-Agarose at 4&#xb0;C overnight. After four PBS washes, the supernatant was discarded and the pellets were resuspended in 1&#xd7; electrophoresis sample buffer for immunoblot analysis.</p>
</sec>
<sec id="s2-7">
<title>Oil Red O Staining</title>
<p>Transfected HaCaT&#x20;cells or frozen sections were fixed in 4% paraformaldehyde (PFA) for 10&#xa0;min at room temperature and incubated in 0.5% Oil Red O (O8010-5; Solarbio) solution for 30&#xa0;min. Tissue sections were then experienced a counter staining for nuclei with hematoxylin for 2&#xa0;min. Images of cells were recorded using a FV-1000S confocal microscope (Olympus). The stained areas were detected and quantified (adjusted to cell quantity) using the ImageJ v1.8.0_172 (NIH, United&#x20;States). Biopsies were scanned by NDP view system (Hamamatsu, Japan).</p>
</sec>
<sec id="s2-8">
<title>Statistical Analysis</title>
<p>The data were analyzed using the unpaired, two-tailed Student&#x2019;s <italic>t</italic>-test or one-way analysis of variance in GraphPad Prism v.8.0 (GraphPad Software, La Jolla, CA, United&#x20;States). Each experiment was performed at least three times. Values of <italic>p</italic>&#x20;&#x3c; 0.05 were considered statistically significant.</p>
</sec>
</sec>
<sec sec-type="results" id="s3">
<title>Results</title>
<sec id="s3-1">
<title>The Expression of Keratin 17 was Upregulated Following the Disruption of the Epidermal Permeability Barrier in Wild-Type Mice</title>
<p>To explore the changes in K17 expression after skin barrier disruption, acute disruption of the epidermal permeability barrier was instigated by repeated tape stripping on the backs of wild-type (WT) mice. Compared with control, undisrupted <italic>epidermis</italic>, <italic>Krt17</italic> mRNA levels were significantly upregulated 6&#xa0;h after tape stripping as revealed by RT-qPCR (<xref ref-type="fig" rid="F1">Figure&#x20;1A</xref>) and further confirmed by Western blotting (<xref ref-type="fig" rid="F1">Figure&#x20;1B</xref>). Consistent with this, IF staining showed a marked accumulation of K17 in the <italic>epidermis</italic> of the test group; in contrast, K17 expression was barely detectable in normal interfollicular <italic>epidermis</italic> (<xref ref-type="fig" rid="F1">Figure&#x20;1C</xref>). These results indicated that K17 could be induced following acute insult to the epidermal permeability barrier.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The expression of keratin 17 was upregulated after acute epidermal disruption in wild-type mice. <bold>(A)</bold> The mRNA levels of keratin 17 (<italic>Krt17</italic>) in the <italic>epidermis</italic> 6&#xa0;h after tape stripping as detected by real-time quantitative PCR (RT-qPCR). <bold>(B)</bold> The protein levels of K17 as determined by Western blot; quantification was based on three independent experiments. <bold>(C)</bold> Immunofluorescence staining for K17 (green). &#x2a;<italic>p</italic>&#x3c;0.05.</p>
</caption>
<graphic xlink:href="fcell-09-779257-g001.tif"/>
</fig>
</sec>
<sec id="s3-2">
<title>The Lack of <italic>Krt17</italic> Delayed Epidermal Permeability Barrier Recovery</title>
<p>To clarify the effect of K17 on the epidermal permeability barrier, skin barrier function and recovery after injury were investigated in <italic>Krt17</italic> knockout mice. TEWL serves as a reliable readout of permeability barrier status <italic>in vivo</italic> (<xref ref-type="bibr" rid="B12">Hu et&#x20;al., 2017</xref>). No differences in basal TEWL levels (<xref ref-type="fig" rid="F2">Figure&#x20;2A</xref>) or SC hydration status (<xref ref-type="fig" rid="F2">Figure&#x20;2B</xref>) were detected between WT and <italic>Krt17</italic> knockout mice. Subsequently, we compared the TEWL levels between the two groups of mice immediately (0&#xa0;h after tape stripping) and 3 and 6&#xa0;h after tape stripping-induced epidermal barrier disturbance. We found that the TEWL levels of WT mice showed a marked decline, whereas those of <italic>Krt17</italic>-null mice exhibited little change (<xref ref-type="fig" rid="F2">Figure&#x20;2C</xref>). Additionally, compared with WT mice, the recovery rate of <italic>Krt17</italic> knockout mice was significantly delayed at 6&#xa0;h after skin disruption (<xref ref-type="fig" rid="F2">Figure&#x20;2D</xref>). Oil Red O staining was also performed to illustrate the lipid matrix. It was clearly demonstrated that lipid staining of <italic>Krt17</italic> knockout mice dorsal skin at steady state exhibited a moderate reduction compared with WT mice. Moreover, epidermal lipids were slightly increased 6&#xa0;h after tape stripping in WT mice, whereas those of <italic>K17</italic> null mice had a declined intensity compared with that of untreated skin samples, which is probably due to the delayed lipid generation. The staining results illustrated an insufficient lipid production in <italic>Krt17</italic> knockout mice <italic>epidermis</italic> after barrier disruption (<xref ref-type="fig" rid="F2">Figure&#x20;2E</xref>). Taken together, these results suggested that K17 is essential for skin barrier recovery rather than its maintenance at steady&#x20;state.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>The ability of the epidermis to repair itself was impaired in keratin 17-null mice. <bold>(A)</bold> <italic>Trans</italic>-epidermal water loss (TEWL) in keratin 17 (<italic>Krt17</italic>) knockout and wild-type (control) mice before tape stripping. <bold>(B)</bold> The basal levels of epidermal hydration in <italic>Krt17</italic> knockout and wild-type (control) mice. <bold>(C)</bold> TEWL monitoring at 0, 3, and 6&#xa0;h after permeability barrier disruption. <bold>(D)</bold> Recovery rate at 3 and 6&#xa0;h. <bold>(E)</bold> Oil Red O staining of biopsies at steady state and 6&#xa0;h after disruption. Scale bars &#x3d; 20&#xa0;&#x3bc;m&#x2a;<italic>p</italic>&#x20;&#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fcell-09-779257-g002.tif"/>
</fig>
</sec>
<sec id="s3-3">
<title>The Relative Expression Levels of Genes Encoding Lipid Synthesis-Related Enzymes Were Downregulated in the Epidermis of <italic>Krt17</italic> Knockout Mice</title>
<p>To determine the effect of K17 on key genes associated with epidermal function, the relative expression levels of a plethora of genes related to epidermal barrier function, including proliferation, differentiation, lipid metabolism, and antimicrobial activities, among others (<xref ref-type="bibr" rid="B27">Mizutani et&#x20;al., 2009</xref>; <xref ref-type="bibr" rid="B37">Svoboda et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B48">Zhong et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B5">Danso et&#x20;al., 2017</xref>), were assessed by RT-qPCR. The results showed that the mRNA expression levels of genes associated with keratinocyte proliferation, differentiation, SC hydration, and tight junctions were comparable between <italic>Krt17</italic> knockout and WT mice (<xref ref-type="sec" rid="s11">Supplementary Figures S1A&#x2013;E</xref>). However, the expression levels of genes encoding the antimicrobial peptides S100A8, S100A9, and LL-37 were markedly reduced in <italic>Krt17</italic>-null mice compared with those in WT mice (<xref ref-type="sec" rid="s11">Supplementary Figure S1F</xref>). Importantly, relative to the WT controls, <italic>Krt17</italic> knockout mice exhibited a significant reduction in fatty acid synthase (<italic>Fasn</italic>) and peroxisome proliferator-activated receptor gamma (<italic>Pparg</italic>) levels after tape stripping (<xref ref-type="fig" rid="F3">Figure&#x20;3A</xref>). Western blot and immunofluorescent staining results were consistent with those obtained by qPCR analysis (<xref ref-type="fig" rid="F3">Figures 3B&#x2013;D</xref>). Combined, these findings demonstrated that <italic>Krt17</italic>-null mice display lower mRNA expression levels of genes encoding lipid metabolism meditators and antimicrobial peptides.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>Keratin 17 knockout abolishes the upregulation of fatty acid synthase (FASN) (epidermal lipid synthesis enzyme) and peroxisome proliferator-activated receptor gamma (PPAR&#x3b3;) (transcription factor) expression after epidermal barrier disruption <italic>in vivo</italic>. The shaved skin in the backs of keratin 17 (<italic>Krt17</italic>) knockout and wild-type (control) mice was disrupted using tape stripping. The skin was collected for analysis 6&#xa0;h after tape stripping. <bold>(A)</bold> Quantitative real-time PCR results of the relative mRNA expression levels of the epidermal lipid synthesis enzyme, FASN and the transcription factor, PPAR&#x3b3;. Data were normalized to non-tape-stripped wild-type controls (controls were set as 100%). Data are representative of at least three independent experiments and each group consisted of three mice. <bold>(B)</bold> The protein levels of FASN, PPAR&#x3b3;, and K17 were measured in each group of mice. Tubulin served as the loading control. <bold>(C,D)</bold> Immunofluorescence staining of FASN and PPAR&#x3b3;. Scale bars &#x3d; 50&#xa0;&#x3bc;m. Results are shown as means&#x20;&#xb1; SEM. &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fcell-09-779257-g003.tif"/>
</fig>
</sec>
<sec id="s3-4">
<title>Keratin 17 Regulates Fatty Acid Synthase and Peroxisome Proliferator-Activated Receptor Gamma Expression in Keratinocytes</title>
<p>To confirm the results obtained <italic>in vivo</italic>, HaCaT&#x20;cells were transfected with siRNA targeting KRT17 (si-K17) following which the mRNA and protein expression of FASN and PPAR&#x3b3; was analyzed by RT-qPCR and Western blot, respectively. We found that the expression of both FASN and PPAR&#x3b3; was downregulated in K17-depleted cells at both the mRNA (<xref ref-type="fig" rid="F4">Figure&#x20;4A</xref>) and protein (<xref ref-type="fig" rid="F4">Figure&#x20;4B</xref>) levels. HaCaT&#x20;cells were also transfected with a K17 overexpression plasmid (pEGFP-N1-K17). As shown in <xref ref-type="fig" rid="F4">Figures 4C, D</xref>, the overexpression of K17 led to the induction of both the mRNA and protein expression of FASN and PPAR&#x3b3;. These findings indicated that K17 positively regulates FASN and PPAR&#x3b3; expression in keratinocytes. Subsequently, we sought to determine the overall influence of K17 on lipid metabolism using Oil Red O staining. The results clearly demonstrated that, compared with the controls, lipid staining area was greater in HaCaT&#x20;cells transfected with pEGFP-N1-K17 (<xref ref-type="fig" rid="F4">Figure&#x20;4E</xref>) and smaller in si-K17-transfected cells (<xref ref-type="fig" rid="F4">Figure&#x20;4F</xref>). Taken together, these results suggest that K17 exerts positive effects on lipid metabolism <italic>via</italic> the modulation of FASN and PPAR&#x3b3; expression.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption>
<p>K17 in keratinocytes maintains and regulates FASN and PPAR&#x3b3; expression. <bold>(A,B)</bold> The mRNA and protein levels of K17, FASN, and PPAR&#x3b3; in the keratinocyte cell line HaCaT were measured after transfection with K17 siRNA. <bold>(C,D)</bold> The mRNA and protein levels of K17, FASN, and PPAR&#x3b3; in HaCaT&#x20;cells were measured after transfection with pEGFP-N1-K17. Data are expressed as means&#x20;&#xb1; standard error of the mean of three independent experiments. <bold>(E,F)</bold> Lipid droplets in HaCaT&#x20;cells transfected with pEGFP-N1-K17 or K17 siRNA were stained with Oil Red O and visualized by light microscopy at &#xd7;400 magnification. Scale bars &#x3d; 50&#xa0;&#xb5;m &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fcell-09-779257-g004.tif"/>
</fig>
</sec>
<sec id="s3-5">
<title>Keratin 17 Promotes the Nuclear Localization of Sterol Regulatory Element-Binding Protein 1 and Peroxisome Proliferator-Activated Receptor Gamma, Thereby Inducing the Expression of Lipid Synthesis-Related Enzymes</title>
<p>Several studies have demonstrated that sterol regulatory element-binding protein 1 (SREBP-1) is a transcription factor for a series of lipid metabolism-related enzymes such as acetyl-CoA carboxylase (ACC), stearoyl-CoA desaturase-1 (SCD-1), and, notably, FASN (<xref ref-type="bibr" rid="B36">Shimano and Sato, 2017</xref>). Accordingly, we sought to determine whether a correlation exists between K17 expression and SREBP-1 and PPAR&#x3b3; protein levels. The Western blotting results showed that inhibiting K17 using siRNA resulted in the downregulation of full-length SREBP-1 (flSREBP-1) and nuclear SREBP-1 (nSREBP-1), whereas the overexpression of K17 led to a reduction in flSREBP-1 levels but an increase in the levels of cleaved SREBP-1 (<xref ref-type="fig" rid="F5">Figures 5A, B</xref>). As shown in <xref ref-type="fig" rid="F5">Figure&#x20;5C</xref>, nuclear staining for SREBP-1 and PPAR&#x3b3; was barely discernable following K17 knockdown, whereas the opposite was observed when K17 was overexpressed (<xref ref-type="fig" rid="F5">Figure&#x20;5D</xref>), as determined by IF. These results were further confirmed by Western blot analysis of separated cytoplasmic and nuclear fractions obtained from treated cells (<xref ref-type="fig" rid="F5">Figure&#x20;5E</xref>).</p>
<fig id="F5" position="float">
<label>FIGURE 5</label>
<caption>
<p>K17 alters the subcellular localization of SREBP-1 and PPAR&#x3b3;. <bold>(A,B)</bold> The protein levels of full-length SPEBP-1 (flSREBP-1) and nuclear SPEBP-1 (nSREBP-1) in HaCaT&#x20;cells were measured after transfection with K17 siRNA or pEGFP-N1-K17. <bold>(C,D)</bold> Immunofluorescence analysis of FASN and PPAR&#x3b3; subcellular localization in HaCaT&#x20;cells after transfection with K17 siRNA or pEGFP-N1-K17. Scale bars &#x3d; 10&#xa0;&#x3bc;m. <bold>(E)</bold> HaCaT&#x20;cells were treated with pCMV6-XL5-K17 (K17 LV) and a nuclear fraction was prepared. SREBP-1 and PPAR&#x3b3; protein was quantitated by Western blot. Lamin A/C and &#x3b2;-actin were used as loading controls for nuclear and cytosol fractions, respectively. <bold>(F)</bold> Cells were co-immunoprecipitated with anti-K17 antibody and SREBP-1 and PPAR&#x3b3; proteins were detected by Western blot. Data are expressed as means&#x20;&#xb1; standard error of the mean from three independent experiments. &#x2a;<italic>p</italic>&#x20;&#x3c; 0.05.</p>
</caption>
<graphic xlink:href="fcell-09-779257-g005.tif"/>
</fig>
<p>Co-immunoprecipitation using anti-K17 antibody was then performed to determine whether K17 can potentially bind to SREBP-1 and PPAR&#x3b3; (<xref ref-type="fig" rid="F5">Figure&#x20;5F</xref>). The results suggested that K17 expression was positively correlated with nuclear-localized SREBP-1 and PPAR&#x3b3; and that K17 directly interacted with SREBP-1 and PPAR&#x3b3; and directed their nuclear translocation.</p>
</sec>
</sec>
<sec sec-type="discussion" id="s4">
<title>Discussion</title>
<p>In the present study, we found that K17 expression was upregulated following tape stripping-induced skin barrier disruption. We further found that, in comparison with WT mice, <italic>Krt17</italic> knockout mice exhibited delayed barrier recovery and reduced FASN and PPAR&#x3b3; expression levels during barrier reconstruction. Additionally, our data showed that K17 influenced the subcellular localization of SREBP-1, a key transcription factor for FASN and PPAR&#x3b3;, leading to changes in lipid metabolism in keratinocytes.</p>
<p>K17 is only weakly expressed in normal human <italic>epidermis</italic>, but is inducible under conditions of stress, such as after wounding, viral infection, tumor growth, and skin diseases (<xref ref-type="bibr" rid="B19">Kim et&#x20;al., 2006</xref>; <xref ref-type="bibr" rid="B16">Jin and Wang, 2014</xref>; <xref ref-type="bibr" rid="B26">Mikami et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B44">Yang et&#x20;al., 2017</xref>). Our data further confirmed this, in that we found that epidermal barrier disruption, a less severe insult, is sufficient to induce the expression of K17. Multiple roles have been ascribed to K17 to date. The loss of K17 protein leads to a dose-dependent delay in the closure of embryonic skin wounds, highlighting the critical role of K17 in re-epithelialization during skin repair (<xref ref-type="bibr" rid="B23">Mazzalupo et&#x20;al., 2003</xref>). Studies have shown that K17 can bind to adaptor protein 14-3-3&#x3b4; and thereby facilitate keratinocyte proliferation and protein synthesis through phosphoinositide 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) signaling (<xref ref-type="bibr" rid="B19">Kim et&#x20;al., 2006</xref>). In addition to cell proliferation, high K17 expression levels have also been linked with inflammatory skin diseases, such as psoriasis and atopic dermatitis. We have previously documented the roles of K17 in attracting inflammatory cytokines, promoting T-cell infiltration, and the thickening of the <italic>epidermis</italic> in psoriasis, as well as the associated molecular mechanisms (<xref ref-type="bibr" rid="B35">Shi et&#x20;al., 2011</xref>; <xref ref-type="bibr" rid="B16">Jin and Wang, 2014</xref>; <xref ref-type="bibr" rid="B44">Yang et&#x20;al., 2017</xref>; <xref ref-type="bibr" rid="B45">Yang et&#x20;al., 2018</xref>). In the present study, we found that acute barrier disruption resulted in increased expression of K17 at both the mRNA and protein levels and that K17 deficiency compromised barrier repair. Our data further revealed a novel function for K17 in modulating lipid metabolism in keratinocytes. The delayed wound healing observed in <italic>Krt17</italic>-null mice from an early stage suggests that the protective role of K17 in the maintenance of barrier homeostasis may involve at least two distinct mechanisms, namely, cell proliferation and lipid synthesis. These results establish K17 as an essential regulatory factor in restructuring irritated <italic>epidermis</italic>.</p>
<p>Extracellular lipids in the <italic>epidermis</italic> mainly refer to lipids of the SC, primarily including ceramides, FFAs, and cholesterol. Variations in the fatty acid profile have been found to correlate with skin disorders (<xref ref-type="bibr" rid="B39">van Smeden et&#x20;al., 2014</xref>; <xref ref-type="bibr" rid="B18">Kiezel-Tsugunova et&#x20;al., 2018</xref>; <xref ref-type="bibr" rid="B3">Bhattacharya et&#x20;al., 2019</xref>). The level of FASN, a key enzyme required for <italic>de novo</italic> fatty acid biosynthesis, increases rapidly following permeability barrier disruption and promotes epidermal homeostasis through several mechanisms (<xref ref-type="bibr" rid="B30">Ottey et&#x20;al., 1995</xref>). FASN can enhance cell proliferative ability and maintain membrane synthesis (<xref ref-type="bibr" rid="B40">Vazquez-Martin et&#x20;al., 2008</xref>). Furthermore, blocking the enzymatic activity of FASN can decrease phospholipid production, inhibit cell proliferation, and alter the metabolite profile in cancer cell lines (<xref ref-type="bibr" rid="B17">Jones and Infante, 2015</xref>). In addition, FASN is known to regulate and integrate with several signaling pathways, including the protein kinase C (PKC) and the PI3K/AKT/mTOR pathways, both of which are involved in cell growth and protein synthesis (<xref ref-type="bibr" rid="B25">Menendez, 2010</xref>; <xref ref-type="bibr" rid="B2">Benjamin et&#x20;al., 2015</xref>). FASN inhibition can also hinder protein modifications by hampering palmitoylation, which is essential for skin barrier integrity (<xref ref-type="bibr" rid="B41">Ventura et&#x20;al., 2015</xref>; <xref ref-type="bibr" rid="B4">Chen et&#x20;al., 2020</xref>). Apart from the increased level of FASN, FASN expression was downregulated in <italic>Krt17</italic>-null mice following permeability barrier disruption. Our data indicated that K17 is a contributor to the epidermal barrier by regulating the expression of FASN, a key lipid synthesis enzyme, thereby affecting multiple processes related to FASN activity.</p>
<p>SREBP-1 is a key and well-characterized transcription factor for FASN. SREBP-1 is expressed as two isoforms, SREBP-1a and SREBP-1c. The SREBP-1a isoform was reported to be the main isoform expressed in human keratinocytes, where it plays a role in epidermal barrier function (<xref ref-type="bibr" rid="B36">Shimano and Sato, 2017</xref>). SREBP-1 has been demonstrated to function as an important node in the promotion of cell proliferation mediated by AMPK-dependent p70 ribosomal S6&#x20;kinase-1 (S6K1) (<xref ref-type="bibr" rid="B7">D&#xfc;vel et&#x20;al., 2010</xref>). Another study also highlighted the importance of SREBP activation in lipogenesis and cell development (<xref ref-type="bibr" rid="B43">Xu et&#x20;al., 2020</xref>). More directly, liver X receptor (LXR), a SREBP-1 agonist, can stimulate lipid synthesis, lamellar body secretion, and post-secretory lipid processing, mechanisms that account for its ability to improve epidermal permeability barrier homeostasis (<xref ref-type="bibr" rid="B22">Man et&#x20;al., 2006</xref>). It has also been shown that SREBP-1 upregulation results in increased expression of genes associated with lipid compounds and lamellar body formation in keratinocytes (<xref ref-type="bibr" rid="B46">Yokoyama et&#x20;al., 2009</xref>). Independently of its transcriptional level, SREBP-1 proteolytic cleavage and subsequent translocation into the nucleus are required for its proper functioning (<xref ref-type="bibr" rid="B8">Eberl&#xe9; et&#x20;al., 2004</xref>). Mutants of sterol regulatory element-binding factor (<italic>SREBF-1</italic>), which encodes SREBP-1, display impaired cleavage and the absence of nuclear translocation. Genetic alterations in SREBP-1 also lead to the development of ichthyosis follicularis alopecia and photophobia (IFAP) syndrome, which is partially characterized by ichthyosis follicularis (<xref ref-type="bibr" rid="B42">Wang et&#x20;al., 2020</xref>). These observations highlight the underlying influence of SREBP-1 in the lipid matrix of the permeability barrier and skin barrier functioning. As mentioned above, K17 has been reported to facilitate keratinocyte proliferation and protein synthesis through AKT/mTOR signaling (<xref ref-type="bibr" rid="B19">Kim et&#x20;al., 2006</xref>). This pathway is a well-characterized modulator of SREBP-1 signaling through controlling the nuclear entry of lipin 1 (<xref ref-type="bibr" rid="B31">Peterson et&#x20;al., 2011</xref>). Our data also verified the positive relationship between K17 expression and AKT/mTOR signaling activity (<xref ref-type="sec" rid="s11">Supplementary Figure S2</xref>). Thus, it is likely that K17 triggers AKT/mTOR signaling and mediates SREBP promoter activity and its nuclear protein abundance. Here, we found that SREBP-1 cleavage and nuclear translocation were inhibited under K17 deficiency, which led to a delay in barrier repair. Parallel to the indirect modulation of SREBP-1 by AKT/mTOR signaling, we found that K17 interacts directly with flSREBP-1 <italic>in&#x20;vitro</italic>. That K17 has been recently identified inside the nucleus of epithelial cells and was reported to exert direct effects on cell proliferation and gene expression suggests that K17 may be directly involved in SREBP-1 nuclear translocation (<xref ref-type="bibr" rid="B6">Depianto et&#x20;al., 2010</xref>; <xref ref-type="bibr" rid="B11">Hobbs et&#x20;al., 2016</xref>; <xref ref-type="bibr" rid="B28">Nair et&#x20;al., 2021</xref>). The results of the present study provide further evidence that SREBP-1 signaling plays a crucial role in epidermal differentiation and skin barrier reordering and highlight the regulatory effect of K17 in this process. However, the precise molecular mechanisms underlining the direct interaction and signaling pathways between K17 and SREBP-1 require further exploration.</p>
<p>PPARs comprise a crucial set of transcription factors that control lipid metabolism, skin barrier permeability, inflammation, and cell proliferation and differentiation (<xref ref-type="bibr" rid="B34">Sertznig and Reichrath, 2011</xref>). Among the three PPAR isoforms, PPAR&#x3b3; is the main functional isoform in mammalian skin, especially during keratinocyte differentiation (<xref ref-type="bibr" rid="B32">Ramot et&#x20;al., 2015</xref>). After acute disruption of the permeability barrier by either tape stripping or extraction of barrier lipids with repeated acetone treatment, recovery of permeability barrier function was shown to be accelerated in animals treated topically with PPAR&#x3b3; agonists (<xref ref-type="bibr" rid="B22">Man et&#x20;al., 2006</xref>). One mechanism underlying this effect was reported to be that topical treatment with PPAR&#x3b3; activators increased cholesterol, fatty acid, and sphingolipid synthesis in the <italic>epidermis</italic> by inducing the mRNA expression of the corresponding enzymes (<xref ref-type="bibr" rid="B33">Schmuth et&#x20;al., 2008</xref>). PPAR&#x3b3; activation also markedly stimulates the mRNA expression of ABCA12 in human keratinocytes in a dose- and time-dependent manner (<xref ref-type="bibr" rid="B15">Jiang et&#x20;al., 2008</xref>). ABCA12, a member of the ABC superfamily of proteins, facilitates the delivery of sphingolipids to lamellar bodies in keratinocytes. Here, evidence obtained both <italic>in&#x20;vitro</italic> and <italic>in vivo</italic> suggested that increased K17 expression resulted in a corresponding induction of PPAR&#x3b3; expression. Thus, we uncovered a significant role for K17 in promoting lipid metabolism through regulating the PPAR&#x3b3; signal and, perhaps, also maintaining the regular formation of a protective lipid matrix in the&#x20;skin.</p>
<p>In conclusion, our data indicated that altered K17 levels may serve as an indicator of <italic>epidermis</italic> impairment. Our results further underlined that K17 plays an indispensable role in lipid metabolism in keratinocytes, as well as in the reconstruction of the skin barrier, <italic>via</italic> the modulation of SREBP-1 and PPAR&#x3b3;. Our findings suggest that the role of keratins may not be limited to structural support, but may also include the modulation of cellular metabolism. In addition, we propose that the upregulation of K17 serves primarily as a compensatory, protective response to barrier defects, thereby ensuring survival. However, the prominent proinflammatory effect resulting from an increase in K17 levels may also promote the deterioration of the epidermal defect, and in turn, lead to a further increase in K17 expression. Overall, our study provides a novel perspective regarding the role played by K17 in the pathology of skin diseases characterized by epidermal disruption.</p>
</sec>
</body>
<back>
<sec id="s5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="sec" rid="s11">Supplementary Material</xref>, further inquiries can be directed to the corresponding authors.</p>
</sec>
<sec id="s6">
<title>Ethics Statement</title>
<p>The animal study was reviewed and approved by the Review Committee for the Use of Animals of Fourth Military Medical University.</p>
</sec>
<sec id="s7">
<title>Author Contributions</title>
<p>BP, ZZ, ED, and GW conceptualized the study. BP wrote the manuscript. BP, ZZ, CX, YL, HF, YB, ZS, JM, ED, and GW contributed to the generation and/or analyses of the data. All authors read the manuscript and contributed to the discussions and revision.</p>
</sec>
<sec id="s8">
<title>Funding</title>
<p>This work was supported by grants from the National Natural Science Foundation of China (Nos. 82030096, 81972929, 81972958).</p>
</sec>
<sec sec-type="COI-statement" id="s9">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s10">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>We would like to thank Prof. Pierre A. Coulombe (Johns Hopkins University, Baltimore, MD 21205, United&#x20;States) for kindly providing the <italic>K17</italic> knockout mice. We also thank our colleagues and collaborator for their support.</p>
</ack>
<sec id="s11">
<title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2021.779257/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2021.779257/full&#x23;supplementary-material</ext-link>
</p>
<supplementary-material xlink:href="DataSheet1.docx" id="SM1" mimetype="application/docx" xmlns:xlink="http://www.w3.org/1999/xlink"/>
</sec>
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