Collagen XVII directly binds to collagen IV at the basement membrane zone in both skin and oral mucosa. Mucous membrane pemphigoid autoantibodies targeting the C-terminus of collagen XVII hinder this binding and induce the detachment of basal cells in the oral mucosa. This mechanism leads to oral lesions that show less inflammation than the skin lesions show.
- Mayumi Kamaguchi
- Hiroaki Iwata
- Hiroshi Shimizu