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Title:
SKIN TISSUE
Document Type and Number:
WIPO Patent Application WO/2018/138478
Kind Code:
A1
Abstract:
A method of creating skin tissue is described, particularly, an in vitro or ex vivo method for creating skin tissue. The invention extends to the use of agents that disrupt the LINC complex in a skin cell to create the skin tissue, and to using the created tissue in an assay to identify or screen anti-ageing compounds. The invention further extends to model skin tissues per se, uses thereof and to kits for creating such model skin tissues.

Inventors:
GOLDBERG MARTIN (GB)
KARAKESISOGLOU IAKOWOS (GB)
CARTHEW JAMES (AU)
Application Number:
PCT/GB2018/050120
Publication Date:
August 02, 2018
Filing Date:
January 17, 2018
Export Citation:
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Assignee:
THE UNIV OF DURHAM (GB)
International Classes:
A61K35/12; A61K31/00; C07K14/46; C12N5/071; G01N33/50
Domestic Patent References:
WO2000024371A12000-05-04
Foreign References:
US20140161917A12014-06-12
Other References:
XU YF ET AL: "[Percutaneous penetration of ketoprofen and ketoprofen isopropyl ester through a tissue engineering skin reconstructed with HaCaT cells]. - PubMed - NCBI", 1 September 2005 (2005-09-01), XP055456013, Retrieved from the Internet [retrieved on 20180302]
WENSHU LU ET AL: "Nesprin interchain associations control nuclear size", CMLS CELLULAR AND MOLECULAR LIFE SCIENCES, BIRKHÄUSER-VERLAG, BA, vol. 69, no. 20, 1 June 2012 (2012-06-01), pages 3493 - 3509, XP035114385, ISSN: 1420-9071, DOI: 10.1007/S00018-012-1034-1
MIKI HIEDA: "Implications for Diverse Functions of the LINC Complexes Based on the Structure", CELLS, vol. 6, no. 4, 26 January 2017 (2017-01-26), pages 3, XP055455928, DOI: 10.3390/cells6010003
Attorney, Agent or Firm:
HUTTER, Anton (GB)
Download PDF:
Claims:
CLAIMS

1. A method of preparing skin tissue, the method comprising:

(i) contacting a skin cell with an agent that disrupts the LINC complex of the cell; (ii) culturing the cell on a substrate comprising culture media to induce

proliferation of the cell into a plurality of cells; and

(iii) removing a portion of culture media from the substrate such that the plurality of cells are disposed in an interface between culture media remaining on the substrate and air, to thereby induce differentiation of the cells into skin tissue.

2. A method according to claim l, wherein the method is an in vitro and/ or ex vivo method. 3. The method according to either claim 1 or claim 2, wherein the LINC complex comprises a KASH domain.

4. The method according to claim 3, wherein the KASH domain is encoded by a nucleotide sequence substantially as set out in SEQ ID No. 1, 3, 5 and/or 7, or a variant or fragment thereof.

5. The method according to claim 3, wherein the KASH domain comprises an amino acid sequence substantially as set out in SEQ ID No. 2, 4, 6 and/or 8, or a variant or fragment thereof.

6. The method according to any one of claims 1 and 5, wherein the LINC complex comprises a SUN domain.

7. The method according to claim 6, wherein the SUN domain is encoded by a nucleotide sequence substantially as set out in SEQ ID No. 9, 11, 13, 15 and/or 17, or a variant or fragment thereof.

8. The method according to claim 6, wherein the SUN domain comprises an amino acid nucleotide sequence substantially as set out in SEQ ID No. 10, 12, 14, 16 and/or 18, or a variant or fragment thereof.

9. The method according to claim 1, wherein the LINC complex comprises a Nesprin and a SUN protein, preferably the Nesprin protein comprises a KASH domain and the SUN protein comprises a SUN domain.

10. The method according to claim 9, wherein the Nesprin and SUN proteins are bound to each other with a 3:3 stoichiometry to form a hexameric complex.

11. The method according to any one of the preceding claims, wherein step (ii) of the method comprises culturing the cell at 34 to 39°C or 35 to 38°C, preferably the culturing step (ii) comprises culturing the cell at about 37°C.

12. The method according to any one of the preceding claims, wherein step (ii) of the method comprises culturing the cell for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours, preferably the cell is cultured for at least 48 hours.

13. The method according to any one of the preceding claims, wherein step (ii) of the method comprises culturing the cell at 35 to 38°C for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours.

14. The method according to any one of the preceding claims, wherein step (ii) of the method comprises culturing the cell at 35 to 38°C for at least 48 hours.

15. The method according to any one of the preceding claims, wherein step (iii) of the method comprises culturing the cells at 34 to 39°C or 35 to 38°C, preferably the culturing step comprises culturing the cells at about 37°C.

16. The method according to any one of the preceding claims, wherein step (iii) of the method comprises culturing the cells for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours, preferably the cells are cultured for at least 48 hours.

17. The method according to any one of the preceding claims, wherein step (iii) of the method comprises culturing the cells at 35 to 38°C for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours.

18. The method according to any one of the preceding claims, wherein step (iii) of the method comprises culturing the cells at 35 to 38°C for at least 48 hours.

19. The method according to any one of the preceding claims, wherein the agent that disrupts the LINC complex is an agent that is (i) configured to reduce the concentration of a LINC complex protein compared to the concentration of the LINC complex protein in the absence of the agent, (ii) configured to inhibit the binding of one LINC complex protein to another LINC complex protein, and/ or (iii) configured to promote degradation of the LINC complex or one or more of the LINC complex proteins.

20. The method according to any one of the preceding claims, wherein the agent that disrupts the LINC complex is an agent that inhibits or is configured to inhibit binding of a Nesprin protein to a SUN protein, preferably by inhibiting binding of a KASH domain to a SUN domain.

21. The method according to any one of the preceding claims, wherein the agent is a modified Nesprin protein that does not comprise a KASH domain, or a variant or a fragment thereof.

22. The method according to any one of claims 1 to 20, wherein the agent is a modified Nesprin that consists of a KASH domain.

23. The method according to any one of claims 1 to 20, wherein the agent is a modified SUN protein that consists of a SUN domain.

24. The method according to any one of the preceding claims, wherein the agent comprises an amino acid sequence substantially as set out in SEQ ID No. 27, or a variant or fragment thereof.

25. The method according to any one of the preceding claims, wherein the skin cell of step (i) is a keratinocyte. 26. The method according to any one of the preceding claims, wherein the culture media and the cell are disposed on the surface of the substrate.

27. The method according to claim 26, wherein the substrate is an insert or a mesh that can be placed in a culture plate.

28. A skin tissue obtained or obtainable by the method according to any one of claims 1 to 27.

29. A kit for creating a skin tissue, the kit comprising a skin cell and an agent that disrupts the LINC complex.

30. Use of an agent that disrupts the LINC complex in a skin cell to create a skin tissue.

31. A method of testing the effects of a test compound on the properties of a skin tissue, the method comprising contacting a skin tissue according to claim 28 or a skin tissue created by the method according to any one of claims 1 to 27 with a test compound, and measuring the effects of the test compound on the properties of the skin tissue.

32. The method according to claim 31, wherein the properties of the skin tissue that are measured are selected from cell identity, cell proliferation, cell differentiation, cell longevity, cell stratification (layers formed), cell signalling, cell behaviour, cell architecture, barrier function, cell/tissue stiffness, skin corrosion, electrical resistance and cornified envelope formation. 33- A method of identifying a skin-softening compound, the method comprising :-

1. contacting, in the presence of a test compound, a SUN domain with a KASH domain; and

2. detecting binding between the SUN domain and the KASH domain, wherein an alteration in binding as compared to a control is an indicator that the test compound is a candidate skin-softening compound that disrupts a

LINC complex comprising SUN domain and a KASH domain.

34. The method according to claim 33, wherein the alteration is increased binding between the SUN domain and the KASH domain, or reduced binding between the SUN domain and the KASH domain.

35. A method of making cells softer, the method comprising contacting a skin cell with an agent that disrupts the LINC complex. 36. Use of an agent that disrupts the LINC complex in an anti-ageing skin composition.

Description:
SKIN TISSUE

The present invention relates to a method of creating skin tissue, and particularly, although not exclusively, to an in vitro or ex vivo method for creating skin tissue. The invention extends to the use of agents that disrupt the LINC complex in a skin cell to create the skin tissue, and to using the created tissue in an assay to identify or screen anti-ageing compounds. The invention further extends to model skin tissues per se, uses thereof and to kits for creating such model skin tissues.

The foundation of tissue engineering is the generation of biomechanically,

biochemically, structurally and topologically defined synthetic 3D biomaterials that mimic the native extracellular microenvironment of cells. Progress has been made in the development of organotypic equivalents. However, generating proper biomimetic scaffolds presents significant technical challenges. Tissue engineering is time consuming, involves high costs and there are major issues regarding biofunctionality, compatibility and variability, which severely impair their biomedical usage. A maj or limitation is that native microenvironments are highly variable and complex and their biochemical, biomechanical and structural compositions are difficult to replicate in the laboratory. Epidermal keratinocytes, for example, rest on a stiff (MPa) collagen rV/VII and laminin-rich 2D extracellular matrix (ECM) termed the basement membrane (BM), while dermal fibroblasts reside on considerably softer (0.1-iokPa) collagen III/I and fibrillin/elastin-based 3D matrixes. ECM properties, including composition, porosity, stiffness, structure and importantly the immediate cellular surrounding, control cell properties, e.g. identity, proliferation, longevity, signalling, behaviour and architecture. Therefore, designing universal scaffolds that determine the correct properties of different cell/tissue types is not feasible because, for instance, epidermal keratinocytes will naturally exist in a very different physical environment to a dermal fibroblast.

There is therefore a need for an improved means of inducing in vitro or ex vivo cells, such as keratinocytes, in such a way so as to accurately model the structural, biomechanical and biochemical properties of corresponding cells that are found in the in vivo skin tissue.

The inventors have found that although in vivo cellular microenvironments vary in different tissues, the mechanisms by which cells sense and react to their environment are the same. Extracellular cues from the ECM and other factors are sensed by plasma membrane receptors that translate these signals into intracellular biochemical messengers and biomechanical forces that modulate chromatin organization and gene expression. The LINC (Linker of the Nucleoskeleton and Cytoskeleton) complex is a central switch of this molecular and structural circuit. Instead of engineering an appropriate extracellular environment for keratinocytes in vitro, that will ignite proper LINC complex signalling, the inventors modulated directly the LINC complex in keratinocytes using a dominant negative protein-based approach. In other words, instead of using signals from outside the cell to determine cellular properties, the inventors operated the "LINC switch" directly. By doing so, they were surprisingly able to affect cellular signalling (e.g. TGF-beta, wnt etc.), cell-cell adhesion, cell-ECM interactions, cellular biomechanics, cell architecture and importantly cellular organization.

Thus, according to a first aspect of the invention, there is provided a method of preparing skin tissue, the method comprising:

(i) contacting a skin cell with an agent that disrupts the LINC complex of the cell;

(ii) culturing the cell on a substrate comprising culture media to induce

proliferation of the cell into a plurality of cells; and

(iii) removing a portion of culture media from the substrate such that the plurality of cells are disposed in an interface between culture media remaining on the substrate and air, to thereby induce differentiation of the cells into skin tissue.

Advantageously, the method according to the first aspect can be used to create skin in vitro or ex vivo without the use of a biomimetic scaffold, i.e. a scaffold that mimics the extracellular microenvironment of cells found in normal skin tissue. Thus, the above- mentioned problems associated with the use of such a scaffold are avoided.

Furthermore, the method of the invention can be used to create tissue comprising cells that exhibit biochemical, biomechanical and structural properties similar or even identical to that of corresponding cells in tissue, in vivo. Moreover, the inventors have found that disrupting the LINC complex in cells, such as keratinocytes, makes the cells significantly softer compared to their wild type counterparts. In addition, disrupting the LINC complex in cells causes the cells to organize themselves into compact colonies when grown in 2D. Importantly, when cells that have a disrupted LINC complex are grown in 3D, they form multi-layered and properly organized epidermal structures much faster than normal epithelial cells. As shown in the method of the first aspect above, culturing cells, in which the LINC complex has been disrupted, under suitable conditions causes them to proliferate and differentiate into skin cells without the use of a biomimetic scaffold. In one

embodiment, the method is an in vitro and/ or ex vivo method.

The LINC complex is an intracellular network of multiple proteins found in eukaryotic cells. It spans the nuclear membrane and connects genetic material (and other nuclear components) to plasma membrane receptors via cytoskeletal structures (see Figures ι and 2). Consequently, the LINC complex influences multiple cellular processes, including nuclear positioning, force transduction and cell signalling pathways. The core proteins of the LINC complex are Nesprins, SUN proteins and lamins (see Figures l and

2).

Nesprins (Nuclear envelope spectrin repeat proteins) are a family of spectrin proteins primarily situated in the outer nuclear membrane of cells. They function as adaptors that connect the nucleus of a cell to the cytoskeleton, microtubule associated motor proteins (e.g. dynein and kinesin-i) and the centrosome. The Nesprin family comprises four subtypes of nesprin (i.e. Nesprin-i, Nesprin-2, Nesprin-3 and Nesprin-4), each of which has multiple isoforms. The largest isoforms of Nesprin-i and Nesprin-2 are over 8ookDa in weight, and referred to as giant Nesprin proteins. Giant Nesprin-i and giant Nesprin-2 comprise an N-terminal F-actin binding domain (ABD), a long spectrin repeat containing region and a C-terminal transmembrane domain followed by a short region that projects into the nuclear envelope and connects to the SUN domain of SUN proteins (i.e. the KASH domain). All giant nesprins isoformscontain an ABD. Most, but not all isoforms of Nesprin contain a KASH domain.

Four genes, which are referred to as SYNEi, SYNE2, SYNE3 and SYNE4, encode Nesprin subtypes Nesprin-i, Nesprin-2, Nesprin-3 and Nesprin-4, respectively. Each subtype of Nesprin has multiple isoforms due to alternative transcriptional initiation, termination and splicing of the gene by which they are encoded.

The first gene, SYNEi, encodes the Nesprin-i subtype. The nucleotide sequence that encodes one embodiment of SYNEi can be found under genomic identifier

ENSG00000131018. The KASH domain of the Nesprin-i subtype is encoded by a single exon, which also encodes a stop codon at the 3' end of the SYNEi gene. In one embodiment, the nucleotide sequence of the exon that encodes the KASH domain of the Nesprin-i subtype is referred to herein as SEQ ID No. 1 (previously referred to as SEQ ID No. 2 patent application GB1701438.2), as follows:

GTCCACAAAAGGTGGCTCCGATTCCTCCCTTTCTGAGCCAGGGCCAGGTCGGTCCGG CCGCGGCTTCCTG TTCAGAGTCCTCCGAGCAGCTCTTCCCCTTCAGCTTCTCCTGCTCCTCCTCATCGGGCTT GCCTGCCTTG TACCAATGTCAGAGGAAGACTACAGCTGTGCCCTCTCCAACAACTTTGCCCGGTCATTCC ACCCCATGCT CAGATACACGAATGGCCCTCCTCCACTCTGA

[SEQ ID No. 1]

In one embodiment, the amino acid sequence that encodes the KASH domain of the Nesprin-i subtype is referred to herein as SEQ ID No. 2 (previously referred to as SEQ ID No. 3 in patent application GB1701438.2), as follows:

AALPLQLLLLLLIGLACLVPMSEEDYSCALSNNFARSFHPMLRYTNGPPPL

[SEQ ID No. 2]

The second gene, SYNE2, encodes the Nesprin-2 subtype. The nucleotide sequence that encodes one embodiment of SYNE2 can be found under genomic identifier

ENSG00000054654.

The KASH domain of the Nesprin-2 subtype is encoded by a single exon, which also encodes a stop codon at the 3' end of the SYNE2 gene. In one embodiment, the nucleotide sequence of the exon that encodes the KASH domain of the Nesprin-2 subtype is referred to herein as SEQ ID No. 3 (previously referred to as SEQ ID No. 5 patent application GB1701438.2), as follows:

GGTCCCCGGCAGCACACGGCCACAGCGCTCCTTCCTCTCAAGGGTGGTCCGGGCAGC CCTACCCCTGCAG CTGCTCCTCCTGCTGCTGCTGCTCCTGGCCTGCCTGCTGCCCTCCTCCGAAGAAGACTAC AGCTGCACTC AGGCCAACAACTTTGCCCGGTCCTTTTACCCCATGCTGAGGTACACCAATGGGCCACCCC CCACATAG

[SEQ ID No. 3] In one embodiment, the amino acid sequence that encodes the KASH domain of the Nesprin-2 subtype is referred to herein as SEQ ID No. 4 (previously referred to as SEQ ID No. 6 in patent application GB1701438.2), as follows:

AALPLQLLLLLLLLLACLLPSSEEDYSCTQANNFARSFYPMLRYTNGPPPT

[SEQ ID No. 4]

The third gene, SYNE3 encodes the Nesprin-3 subtype. The nucleotide sequence that encodes one embodiment of SYNE3 can be found under genomic identifier

ENSG00000176438.

ENSG00000176438 encodes five different mRNA transcripts (i.e. SYNE3-001, -002, - 003, -004 and -005). Only transcripts SYNE3-001, -003, -004, and -005 encode a Nesprin protein. Transcript SYNE3-005 encodes a Nesprin-3 protein, which is equivalent to the murine Nesprin-30 isoform. Nesprins encoded by SYNE3-ooi,-oo3, - 004 and -005 comprise a KASH domain.

The KASH domain of the Nesprin-3 subtype is encoded by a single exon, which also encodes a stop codon at the 3' end of the SYNE3 gene. In one embodiment, the nucleotide sequence of the exon that encodes the KASH domain of the Nesprin-3 subtype is referred to herein as SEQ ID No. 5 (previously referred to as SEQ ID No. 8 in patent application GB1701438.2), as follows: ACTCGGCGGTGGCGAGGACTGGGCTCCCTCTTCCGGAGGGCGTGCTGTGTGGCGCTCCCA CTGCAGCTGC TTCTGCTGCTGTTCCTCCTCCTGCTGTTCCTGCTCCCAATCAGGGAAGAGGACCGCAGCT GCACCCTGGC CAACAACTTCGCCCGCTCCTTCACGCTCATGCTGCGCTACAATGGCCCACCACCCACCTA A

[SEQ ID N0.5]

In one embodiment, the amino acid sequence that encodes the KASH domain of Nesprin-3 is referred to herein as SEQ ID No. 6 (previously referred to as SEQ ID No. 9 in patent application GB1701438.2), as follows:

VALPLQLLLLLFLLLLFLLPIREEDRSCTLANNFARSFTLMLRYNGPPPT [SEQ ID No. 6]

The fourth gene, SYNE 4 encodes Nesprin-4. The nucleotide sequence that encodes one embodiment of Nesprin-4 can be found under genomic identifier ENSG00000181392.

SYNE4 encodes seven different mRNA transcripts (i.e. SYNE4-001, -002, -003, -004, - 005, -006, and -007). Only transcripts SYNE4-001, -003, -004, -005 and -006 encode proteins. Transcript SYNE4-001 encodes Nesprin-4 protein. Transcripts SYNE4-001 and -004 encode isoforms comprising a KASH domain.

The KASH domain of the Nesprin-4 subtype is encoded by a single exon, which also encodes a stop codon at the 3' end of the SYNE4 gene. In one embodiment, the nucleotide sequence of the exon that encodes the KASH domain of the Nesprin-4 subtype is referred to herein as SEQ ID No. 7 (previously referred to as SEQ ID No. 11 in patent application GB1701438.2), as follows:

GGCCCCCGATCCTGCATCCAGGCAGCCTCTGACCTTCCTCCTTATCCTCTTCCTCCT CTTCCTCCTCCTG GTGGGTGCCATGTTTCTCCTGCCCGCGTCAGGAGGCCCCTGCTGCTCTCATGCCCGAATA CCCAGGACAC CCTACCTGGTGCTCAGCTATGTCAATGGTCTTCCCCCAGTCTGA

[SEQ ID No. 7]

In one embodiment, the amino acid sequence that encodes the KASH domain of Nesprin-4 is referred to herein as SEQ ID No. 8 (previously referred to as SEQ ID No. 12 in patent application GB1701438.2), as follows:

FLLILFLLFLLLVGAMFLLPASGGPCCSHARIPRTPYLVLSYVNGLPPV

[SEQ ID No. 8] Thus, in one embodiment of the invention, the LINC complex that is disrupted in step (i) of the method of the invention may comprise a Nesprin protein. The Nesprin protein maybe selected from Nesprin-i, Nesprin-2, Nesprin-3 and Nesprin-4. Preferably, the Nesprin protein is Nesprin-i, Nesprin-2 or Nesprin-4. Most preferably, the Nesprin protein comprises a KASH domain. The LINC complex that is disrupted in step (i) of the method may comprise a protein encoded by SYNEi, SYNE2, SYNE3 and/or SYNE4, or a variant or fragment thereof. Preferably, the Nesprin protein is encoded by SYNEi, SYNE2 and/ or SYNE4. The LINC complex that is disrupted in step (i) of the method may comprise a Nesprin protein encoded by a nucleotide sequence substantially as set out in any one or more of the nucleotide sequences found under genomic identifiers ENSG00000131018, ENSG00000054654, ENSG00000176438 and/or ENSG00000181392 , or a variant or fragment thereof. Preferably, the Nesprin protein is encoded by a nucleotide sequence substantially as the nucleotide sequences found under genomic identifiers

ENSG00000131018, ENSG00000054654, ENSG00000176438 and/or

ENSG00000181392, or a variant or fragment thereof.

The LINC complex that is disrupted in step (i) of the method may comprise a KASH domain. The KASH domain may be encoded by a nucleotide sequence substantially as set out in SEQ ID No. 1, 3, 5 and/or 7, or a variant or fragment thereof. Most preferably, the Nesprin protein comprises a KASH domain encoded by a nucleotide sequence substantially as set out in SEQ ID No. 1, 3, 5 and/or 7, or a variant or fragment thereof.

The KASH domain may comprise an amino acid sequence substantially as set out in SEQ ID No. 2, 4, 6 and/or 8, or a variant or fragment thereof. Most preferably, the

KASH domain comprises an amino acid sequence substantially as set out in SEQ ID No.

2, 4, 6 and/or 8, or a variant or fragment thereof.

SUN (Sadi and UNC-84 homology) proteins are a family of proteins primarily located in the perinuclear space (i.e. between the outer and inner nuclear membrane) and nucleoplasm of cells (see Figure 2). Consequently, the KASH domains and C-terminal domains of SUNs "bridge" the inner and outer nuclear membranes. However, SUN proteins also link the inner nuclear membranes (INM) to the underlying nuclear lamina and chromatin (see Figure 2).

SUN proteins comprise an N-terminal domain, a transmembrane domain, a coiled-coil domain, and a conserved C-terminal domain (the SUN domain), which binds to the KASH domain of Nesprins, see, for example, Figures 2 and 3. The C-terminal domain and the coiled-coil domain are located in the perinuclear space, whereas the N-terminal domain is located in the nucleoplasm. Five subtypes of SUN proteins are found in vertebrates, SUNi, SUN2, SUN3, SUN4 (sperm associated antigen 4, SPAG4) and SUN5 (SPAG4 like, SPAGL, Astrin).

In mice, there are at least seven different isoforms of the SUNi subtype, all of which contain identical C-terminal SUN domain sequences but vary in their nucleoplasmic N- terminal sequences. Like the full-length SUN2 protein, the majority of SUNi isoforms are widely expressed.

The nucleotide sequence of one embodiment of SUNi can be found under genomic identifier ENSG00000164828. There are 35 splice variants of SUNi, which are referred to herein as SUNi-001, SUN1-002 ...to SUN1-035, respectively.

The nucleotide sequence that encodes one embodiment of the SUNi SUN-domain is referred to herein as SEQ ID No. 9 (previously referred to as SEQ ID No. 14 in patent application GB1701438.2), as follows:

GTGGCAGCATCTTGAGTACTCGCTGTTCTGAAACTTACGAAACCAAAACGGCGCTGA TGAGTCTGTTTGG GATCCCGCTGTGGTACTTCTCGCAGTCCCCGCGCGTGGTCATCCAGCCTGACATTTACCC CGGTAACTGC TGGGCATTTAAAGGCTCCCAGGGGTACCTGGTGGTGAGGCTCTCCATGATGATCCACCCA GCCGCCTTCA CTCTGGAGCACATCCCTAAGACGCTGTCGCCAACAGGCAACATCAGCAGCGCCCCCAAGG ACTTCGCCGT CTATGGATTAGAAAATGAGTATCAGGAAGAAGGGCAGCTTCTGGGACAGTTCACGTATGA TCAGGATGGG GAGTCGCTCCAGATGTTCCAGGCCCTGAAAAGACCCGACGACACAGCTTTCCAAATAGTG GAACTTCGGA TTTTTTCTAACTGGGGCCATCCTGAGTATACCTGTCTGTATCGGTTCAGAGTTCATGGCG AACCTGTCAA GTGA

[SEQ ID No. 9]

The amino acid sequence that encodes one embodiment of the SUNi SUN-domain is referred to herein as SEQ ID No. 10, as follows:

GS ILSTRCSETYETKTALMSLFGIPLWYFSQSPRVVIQPDIYPGNCWAFKGSQGYLVVRLSM MIHPAAFT LEHIPKTLSPTGNI SSAPKDFAVYGLENEYQEEGQLLGQFTYDQDGESLQMFQALKRPDDTAFQIVELRI FSNWGHPEYTCLYRFRVHGEPVK

[SEQ ID No. 10]

The nucleotide sequence that encodes one embodiment of SUN2 can be found under genomic identifier ENSG00000100242. There are 18 splice variants of SUN2, which are referred to herein as SUN2-001, SUN2-002 ...to SUN2-018, respectively. The nucleotide sequence that encodes one embodiment of the SUN2 SUN-domain is referred to herein as SEQ ID No. 11 (previously referred to as SEQ ID No. 17 in patent application GB1701438.2), as follows:

GGGCCAGCGTCATCAGCACCCGATGTTCTGAGACCTACGAGACCAAGACGGCCCTCC TCAGCCTCTTCGG CATCCCCCTGTGGTACCACTCCCAGTCACCCCGAGTCATCCTCCAGCCAGATGTGCACCC AGGCAACTGC TGGGCCTTCCAGGGGCCACAAGGCTTCGCCGTGGTCCGCCTCTCTGCCCGCATCCGCCCC ACAGCCGTTA CCTTAGAGCATGTGCCCAAGGCCTTGTCACCCAACAGCACTATCTCCAGTGCCCCCAAGG ACTTCGCCAT CTTTGGGTTTGACGAAGACCTGCAGCAGGAGGGGACACTCCTTGGCAAGTTCACTTACGA TCAGGACGGC GAGCCTATTCAGACGTTTCACTTTCAGGCCCCTACGATGGCCACGTACCAGGTGGTGGAG CTGCGGATCC TGACTAACTGGGGCCACCCCGAGTACACCTGCATCTACCGCTTCAGAGTGCATGGGGAGC CCGCCCACTA

G

[SEQ ID No. 11] The amino acid sequence that encodes one embodiment of the SUN2 SUN-domain is referred to herein as SEQ ID No. 12 (previously referred to as SEQ ID No. 18 in patent application GB1701438.2), as follows:

ASVI STRCSETYETKTALLSLFGIPLWYHSQSPRVILQPDVHPGNCWAFQGPQGFAVVRLSARI RPTAVT LEHVPKALSPNSTI SSAPKDFAIFGFDEDLQQEGTLLGKFTYDQDGEPIQTFHFQAPTMATYQVVELRIL TNWGHPEYTCIYRFRVHGEPAH

[SEQ ID No. 12]

The nucleotide sequence that encodes one embodiment of SUN3 can be found under genomic identifier ENSG00000164744. There are 10 splice variants of SUN3, which are referred to herein as SUN3-001, SUN3-002 ...to SUNi-010, respectively.

The nucleotide sequence that encodes one embodiment of the SUN3 SUN-domain is referred to herein as SEQ ID No. 13 (previously referred to as SEQ ID No. 20 in patent application GB1701438.2), as follows:

GAGCCTCCATCATTGAAGCTGGGACCTCAGAAAGTTATAAAAATAATAAAGCAAAAT TGTACTGGCATGG GATAGGTTTCCTAAATCATGAAATGCCTCCAGATATTATTCTTCAGCCGGATGTCTACCC TGGAAAGTGC TGGGCTTTTCCAGGTTCCCAGGGTCATACCCTAATCAAGCTTGCTACAAAGATCATACCA ACTGCTGTTA CCATGGAGCACATCTCAGAGAAGGTGTCTCCGTCAGGAAACATCTCCAGTGCACCCAAGG AATTTTCTGT CTATGGCATCACAAAAAAATGTGAAGGAGAAGAAATTTTCCTAGGTCAGTTTATATATAA CAAAACAGGA ACCACCGTTCAAACATTTGAACTCCAGCATGCAGTTTCTGAATATTTATTATGTGTGAAA CTTAATATCT TTAGCAACTGGGGACACCCGAAGTATACTTGTTTATATCGATTCAGGGTCCATGGCACAC CAGGCAAGCA CATCTAG

[SEQ ID No. 13] The amino acid sequence that encodes one embodiment of the SUN3 SUN-domain is referred to herein as SEQ ID No. 14 (previously referred to as SEQ ID No. 21 in patent application GB1701438.2), as follows:

AS I IEAGTSESYKNNKAKLYWHGIGFLNHEMPPDI ILQPDVYPGKCWAFPGSQGHTLIKLATKI IPTAVT MEHI SEKVSPSGNI SSAPKEFSVYGITKKCEGEE IFLGQF IYNKTGTTVQTFELQHAVSEYLLCVKLNIF SNWGHPKYTCLYRFRVHGTPGKHI

[SEQ ID No. 14]

The nucleotide sequence of one embodiment of SUN4 (SPAG4) can be found under genomic identifier ENSG00000061656. There are 7 splice variants of SUNi, which are referred to herein as SUN4-001, SUN4-002 ...to SUN4-007, respectively.

The nucleotide sequence that encodes one embodiment of the SUN4 SUN-domain is referred to herein as SEQ ID No. 15 (previously referred to as SEQ ID No. 23 in patent application GB1701438.2), as follows:

GAGCCTCCATCGACCTGCAGAAGACATCCCACGATTACGCAGACAGGAACACTGCCT ACTTCTGGAATCG CTTCAGCTTCTGGAACTACGCACGGCCGCCCACGGTTATCCTGGAGCCCCACGTGTTCCC TGGGAATTGC TGGGCTTTTGAAGGCGACCAAGGCCAGGTGGTGATCCAACTGCCGGGCCGAGTGCAGCTG AGCGACATCA CTCTGCAGCATCCACCGCCCAGCGTGGAGCACACCGGAGGAGCCAACAGCGCCCCCCGCG ATTTCGCGGT CTTTGGCCTCCAGGTTTATGATGAAACTGAAGTTTCCTTGGGGAAATTCACCTTCGATGT TGAGAAATCG GAGATTCAGACTTTCCACCTGCAGAATGACCCCCCAGCTGCCTTTCCCAAGGTGAAGATC CAGATTCTAA GCAACTGGGGCCACCCCCGTTTCACGTGCTTGTATCGAGTCCGTGCCCACGGTGTGCGAA CCTCAGAGGG GGCAGAGGGCAGTGCACAGGGGCCCCATTAA

[SEQ ID No. 15]

The amino acid sequence that encodes one embodiment of the SUN4 SUN-domain is referred to herein as SEQ ID No. 16 (previously referred to as SEQ ID No. 24 in patent application GB1701438.2), as follows: ASIDLQKTSHDYADRNTAYFWNRFSFWNYARPPTVILEPHVFPGNCWAFEGDQGQVVIQL PGRVQLSDIT LQHPPPSVEHTGGANSAPRDFAVFGLQVYDETEVSLGKFTFDVEKSE IQTFHLQNDPPAAFPKVKIQILS NWGHPRFTCLYRVRAHGVRTSEGAEGSAQGPH

[SEQ ID No. 16]

The nucleotide sequence that encodes one embodiment of SUN5 can be found under genomic identifier ENSG00000167098. There are 4 splice variants of SUN5, which are referred to herein as SUN5-001, SUN5-002, SUN5-004 and SUN5-004, respectively.

The nucleotide sequence that encodes one embodiment of the SUN5 SUN-domain is referred to herein as SEQ ID No. 17 (previously referred to as SEQ ID No. 26 in patent application GB1701438.2), as follows: GGGCCAGCATTGACTTTGAGCACACGTCAGTCACCTATAACCATGAGAAGGCCCACTCCT ACTGGAACTG GATCCAGCTGTGGAACTACGCACAGCCCCCAGACGTGATCCTTGAGCCCAACGTGACACC TGGCAATTGC TGGGCCTTTGAGGGTGACCGCGGCCAGGTGACCATCCAATTGGCTCAGAAGGTTTACCTG TCCAACCTCA CGCTGCAGCACATCCCCAAGACCATCTCATTGTCAGGCAGCCTGGACACCGCCCCCAAGG ACTTCGTCAT CTATGGCATGGAGGGCTCCCCCAAGGAGGAGGTGTTCCTGGGGGCATTTCAGTTTCAGCC AGAAAACATC ATCCAGATGTTCCCACTCCAGAACCAGCCGGCCCGGGCTTTCAGTGCGGTCAAGGTGAAG ATCTCAAGCA ACTGGGGGAACCCAGGCTTCACTTGCCTGTACCGCGTGCGAGTGCATGGCTCTGTGGCCC CGCCCAGAGA GCAGCCTCACCAGAACCCCTACCCTAAGAGAGATTAA

[SEQ ID No. 17]

The amino acid sequence that encodes one embodiment of the SUN5 SUN-domain is referred to herein as SEQ ID No. 18 (previously referred to as SEQ ID No. 27 in patent application GB1701438.2) as follows: AS IDFEHTSVTYNHEKAHSYWNWIQLWNYAQPPDVILEPNVTPGNCWAFEGDRGQVTIQLAQ KVYLSNLT LQHIPKTI SLSGSLDTAPKDFVIYGMEGSPKEEVFLGAFQFQPENI IQMFPLQNQPARAFSAVKVKI SSN WGNPGFTCLYRVRVHGSVAPPREQPHQNPYPKRD

[SEQ ID No. 18]

Thus, in one embodiment of the invention, the LINC complex that is disrupted in step (i) of the method of the invention may comprise a SUN protein. The SUN protein may be selected from SUNi, SUN2, SUN3, SUN4 and SUN5. Preferably, the SUN protein is SUNi or SUN2. Most preferably, the SUN protein comprises a SUN domain. The SUN protein may be encoded by a nucleotide sequence substantially as set out in the nucleotide sequences found under genomic identifiers ENSG0OOOOI64828, ENSG00000100242, ENSG0OOOOI64744, ENSG0OOOOO61656 or ENSG00000167098, or a variant or fragment thereof. Preferably, the SUN protein is encoded by a nucleotide sequence substantially as set out in the nucleotide sequences found under genomic identifiers ENSG00000164828 or

ENSG00000100242 , or a variant or fragment thereof. The LINC complex which is disrupted in step (i) of the method of the invention may comprise a SUN domain. The SUN domain may be encoded by a nucleotide sequence substantially as set out in SEQ ID No. 9, 11, 13, 15 and/or 17, or a variant or fragment thereof. Most preferably, the SUN protein comprises a SUN domain encoded by a nucleotide sequence substantially as set out in SEQ ID No. 9 or SEQ ID No. 11, or a variant or fragment thereof. The SUN domain comprises an amino acid nucleotide sequence substantially as set out in SEQ ID No.10, 12, 14, 16 and/or 18, or a variant or fragment thereof. Most preferably, the SUN domain comprises an amino acid sequence substantially as set out in SEQ ID No. 10 or SEQ ID No. 12, or a variant or fragment thereof. Lamins are a family of proteins primarily located in the nuclear lamina (i.e. on the inner face of the inner nuclear membrane). They attach to SUN proteins and act as an anchor. It is believed that this attachment enables force exerted by the components of the cytoskeleton to be transmitted directly to the nucleus. Lamins comprise A-type Lamins and B-type Lamins.

A-type Lamins are encoded by a single gene, LMNA, which undergoes alternative splicing to generate Lamins A and C. The nucleotide sequence of LMNA can be found under genomic identifier ENSG00000160789 The nucleotide sequence that encodes of one embodiment of Lamin A

(ENST00000368300) is referred to herein as SEQ ID No. 19 (previously referred to as SEQ ID No. 29 in patent application GB1701438.2), as follows:

ATGGAGACCCCGTCCCAGCGGCGCGCCACCCGCAGCGGGGCGCAGGCCAGCTCCACT CCGCTGTCGCCCA CCCGCATCACCCGGCTGCAGGAGAAGGAGGACCTGCAGGAGCTCAATGATCGCTTGGCGG TCTACATCGA CCGTGTGCGCTCGCTGGAAACGGAGAACGCAGGGCTGCGCCTTCGCATCACCGAGTCTGA AGAGGTGGTC AGCCGCGAGGTGTCCGGCATCAAGGCCGCCTACGAGGCCGAGCTCGGGGATGCCCGCAAG ACCCTTGACT CAGTAGCCAAGGAGCGCGCCCGCCTGCAGCTGGAGCTGAGCAAAGTGCGTGAGGAGTTTA AGGAGCTGAA AGCGCGCAATACCAAGAAGGAGGGTGACCTGATAGCTGCTCAGGCTCGGCTGAAGGACCT GGAGGCTCTG CTGAACTCCAAGGAGGCCGCACTGAGCACTGCTCTCAGTGAGAAGCGCACGCTGGAGGGC GAGCTGCATG ATCTGCGGGGCCAGGTGGCCAAGCTTGAGGCAGCCCTAGGTGAGGCCAAGAAGCAACTTC AGGATGAGAT GCTGCGGCGGGTGGATGCTGAGAACAGGCTGCAGACCATGAAGGAGGAACTGGACTTCCA GAAGAACATC TACAGTGAGGAGCTGCGTGAGACCAAGCGCCGTCATGAGACCCGACTGGTGGAGATTGAC AATGGGAAGC AGCGTGAGTTTGAGAGCCGGCTGGCGGATGCGCTGCAGGAACTGCGGGCCCAGCATGAGG ACCAGGTGGA GCAGTATAAGAAGGAGCTGGAGAAGACTTATTCTGCCAAGCTGGACAATGCCAGGCAGTC TGCTGAGAGG AACAGCAACCTGGTGGGGGCTGCCCACGAGGAGCTGCAGCAGTCGCGCATCCGCATCGAC AGCCTCTCTG CCCAGCTCAGCCAGCTCCAGAAGCAGCTGGCAGCCAAGGAGGCGAAGCTTCGAGACCTGG AGGACTCACT GGCCCGTGAGCGGGACACCAGCCGGCGGCTGCTGGCGGAAAAGGAGCGGGAGATGGCCGA GATGCGGGCA AGGATGCAGCAGCAGCTGGACGAGTACCAGGAGCTTCTGGACATCAAGCTGGCCCTGGAC ATGGAGATCC ACGCCTACCGCAAGCTCTTGGAGGGCGAGGAGGAGAGGCTACGCCTGTCCCCCAGCCCTA CCTCGCAGCG CAGCCGTGGCCGTGCTTCCTCTCACTCATCCCAGACACAGGGTGGGGGCAGCGTCACCAA AAAGCGCAAA CTGGAGTCCACTGAGAGCCGCAGCAGCTTCTCACAGCACGCACGCACTAGCGGGCGCGTG GCCGTGGAGG AGGTGGATGAGGAGGGCAAGTTTGTCCGGCTGCGCAACAAGTCCAATGAGGACCAGTCCA TGGGCAATTG GCAGATCAAGCGCCAGAATGGAGATGATCCCTTGCTGACTTACCGGTTCCCACCAAAGTT CACCCTGAAG GCTGGGCAGGTGGTGACGATCTGGGCTGCAGGAGCTGGGGCCACCCACAGCCCCCCTACC GACCTGGTGT GGAAGGCACAGAACACCTGGGGCTGCGGGAACAGCCTGCGTACGGCTCTCATCAACTCCA CTGGGGAAGA AGTGGCCATGCGCAAGCTGGTGCGCTCAGTGACTGTGGTTGAGGACGACGAGGATGAGGA TGGAGATGAC CTGCTCCATCACCACCACGGCTCCCACTGCAGCAGCTCGGGGGACCCCGCTGAGTACAAC CTGCGCTCGC GCACCGTGCTGTGCGGGACCTGCGGGCAGCCTGCCGACAAGGCATCTGCCAGCGGCTCAG GAGCCCAGGT GGGCGGACCCATCTCCTCTGGCTCTTCTGCCTCCAGTGTCACGGTCACTCGCAGCTACCG CAGTGTGGGG GGCAGTGGGGGTGGCAGCTTCGGGGACAATCTGGTCACCCGCTCCTACCTCCTGGGCAAC TCCAGCCCCC GAACCCAGAGCCCCCAGAACTGCAGCATCATGTAA

[SEQ ID No. 19]

The amino acid sequence that encodes one embodiment of Lamin A

(ENSP00000357283) is referred to herein as SEQ ID No. 20 (previously referred to as SEQ ID No. 30 in patent application GB1701438.2), as follows:

METPSQRRATRSGAQASSTPLSPTRITRLQEKEDLQELNDRLAVYIDRVRSLETENA GLRLRITESEEVV SREVSGIKAAYEAELGDARKTLDSVAKERARLQLELSKVREEFKELKARNTKKEGDLIAA QARLKDLEAL LNSKEAALSTALSEKRTLEGELHDLRGQVAKLEAALGEAKKQLQDEMLRRVDAENRLQTM KEELDFQKNI YSEELRETKRRHETRLVE IDNGKQREFESRLADALQELRAQHEDQVEQYKKELEKTYSAKLDNARQSAER NSNLVGAAHEELQQSRIRIDSLSAQLSQLQKQLAAKEAKLRDLEDSLARERDTSRRLLAE KEREMAEMRA RMQQQLDEYQELLDIKLALDME IHAYRKLLEGEEERLRLSPSPTSQRSRGRASSHSSQTQGGGSVTKKRK LESTESRSSFSQHARTSGRVAVEEVDEEGKFVRLRNKSNEDQSMGNWQIKRQNGDDPLLT YRFPPKFTLK AGQVVTIWAAGAGATHSPPTDLVWKAQNTWGCGNSLRTALINSTGEEVAMRKLVRSVTVV EDDEDEDGDD LLHHHHGSHCSSSGDPAEYNLRSRTVLCGTCGQPADKASASGSGAQVGGPI SSGSSASSVTVTRSYRSVG GSGGGSFGDNLVTRSYLLGNSSPRTQSPQNCSIM

[SEQ ID No. 20] The nucleotide sequence that encodes one embodiment of Lamin C

(ENST00000368301) is referred to herein as SEQ ID No. 21 (previously referred to as SEQ ID No. 31 in patent application GB1701438.2), as follows:

ATGGAGACCCCGTCCCAGCGGCGCGCCACCCGCAGCGGGGCGCAGGCCAGCTCCACT CCGCTGTCGCCCA CCCGCATCACCCGGCTGCAGGAGAAGGAGGACCTGCAGGAGCTCAATGATCGCTTGGCGG TCTACATCGA CCGTGTGCGCTCGCTGGAAACGGAGAACGCAGGGCTGCGCCTTCGCATCACCGAGTCTGA AGAGGTGGTC AGCCGCGAGGTGTCCGGCATCAAGGCCGCCTACGAGGCCGAGCTCGGGGATGCCCGCAAG ACCCTTGACT CAGTAGCCAAGGAGCGCGCCCGCCTGCAGCTGGAGCTGAGCAAAGTGCGTGAGGAGTTTA AGGAGCTGAA AGCGCGCAATACCAAGAAGGAGGGTGACCTGATAGCTGCTCAGGCTCGGCTGAAGGACCT GGAGGCTCTG CTGAACTCCAAGGAGGCCGCACTGAGCACTGCTCTCAGTGAGAAGCGCACGCTGGAGGGC GAGCTGCATG ATCTGCGGGGCCAGGTGGCCAAGCTTGAGGCAGCCCTAGGTGAGGCCAAGAAGCAACTTC AGGATGAGAT GCTGCGGCGGGTGGATGCTGAGAACAGGCTGCAGACCATGAAGGAGGAACTGGACTTCCA GAAGAACATC TACAGTGAGGAGCTGCGTGAGACCAAGCGCCGTCATGAGACCCGACTGGTGGAGATTGAC AATGGGAAGC AGCGTGAGTTTGAGAGCCGGCTGGCGGATGCGCTGCAGGAACTGCGGGCCCAGCATGAGG ACCAGGTGGA GCAGTATAAGAAGGAGCTGGAGAAGACTTATTCTGCCAAGCTGGACAATGCCAGGCAGTC TGCTGAGAGG AACAGCAACCTGGTGGGGGCTGCCCACGAGGAGCTGCAGCAGTCGCGCATCCGCATCGAC AGCCTCTCTG CCCAGCTCAGCCAGCTCCAGAAGCAGCTGGCAGCCAAGGAGGCGAAGCTTCGAGACCTGG AGGACTCACT GGCCCGTGAGCGGGACACCAGCCGGCGGCTGCTGGCGGAAAAGGAGCGGGAGATGGCCGA GATGCGGGCA AGGATGCAGCAGCAGCTGGACGAGTACCAGGAGCTTCTGGACATCAAGCTGGCCCTGGAC ATGGAGATCC ACGCCTACCGCAAGCTCTTGGAGGGCGAGGAGGAGAGGCTACGCCTGTCCCCCAGCCCTA CCTCGCAGCG CAGCCGTGGCCGTGCTTCCTCTCACTCATCCCAGACACAGGGTGGGGGCAGCGTCACCAA AAAGCGCAAA CTGGAGTCCACTGAGAGCCGCAGCAGCTTCTCACAGCACGCACGCACTAGCGGGCGCGTG GCCGTGGAGG AGGTGGATGAGGAGGGCAAGTTTGTCCGGCTGCGCAACAAGTCCAATGAGGACCAGTCCA TGGGCAATTG GCAGATCAAGCGCCAGAATGGAGATGATCCCTTGCTGACTTACCGGTTCCCACCAAAGTT CACCCTGAAG GCTGGGCAGGTGGTGACGATCTGGGCTGCAGGAGCTGGGGCCACCCACAGCCCCCCTACC GACCTGGTGT GGAAGGCACAGAACACCTGGGGCTGCGGGAACAGCCTGCGTACGGCTCTCATCAACTCCA CTGGGGAAGA AGTGGCCATGCGCAAGCTGGTGCGCTCAGTGACTGTGGTTGAGGACGACGAGGATGAGGA TGGAGATGAC CTGCTCCATCACCACCACGTGAGTGGTAGCCGCCGCTGA

[SEQ ID No. 21]

The amino acid sequence that encodes one embodiment of Lamin C

(ENSP00000357284) is referred to herein as SEQ ID No. 22 (previously referred to as SEQ ID No. 32 in patent application GB1701438.2), as follows: METPSQRRATRSGAQASSTPLSPTRITRLQEKEDLQELNDRLAVYIDRVRSLETENAGLR LRITESEEVV SREVSGIKAAYEAELGDARKTLDSVAKERARLQLELSKVREEFKELKARNTKKEGDLIAA QARLKDLEAL LNSKEAALSTALSEKRTLEGELHDLRGQVAKLEAALGEAKKQLQDEMLRRVDAENRLQTM KEELDFQKNI YSEELRETKRRHETRLVE IDNGKQREFESRLADALQELRAQHEDQVEQYKKELEKTYSAKLDNARQSAER NSNLVGAAHEELQQSRIRIDSLSAQLSQLQKQLAAKEAKLRDLEDSLARERDTSRRLLAE KEREMAEMRA RMQQQLDEYQELLDIKLALDME IHAYRKLLEGEEERLRLSPSPTSQRSRGRASSHSSQTQGGGSVTKKRK LESTESRSSFSQHARTSGRVAVEEVDEEGKFVRLRNKSNEDQSMGNWQIKRQNGDDPLLT YRFPPKFTLK AGQVVTIWAAGAGATHSPPTDLVWKAQNTWGCGNSLRTALINSTGEEVAMRKLVRSVTVV EDDEDEDGDD LLHHHHVSGSRR

[SEQ ID No. 22]

B-type Lamins are categorised as Lamin Bi or Lamin B2. Lamin Bi is encoded by LMNBi and Lamin B2 is encoded by LMNB2.

The nucleotide sequence that encodes one embodiment of LMNBi can be found under genomic identifier ENSG00000113368.

The nucleotide sequence that encodes another embodiment of LMNBi can be found under genomic identifier ENST00000261366, and is referred to herein as SEQ ID No. 23 (previously referred to as SEQ ID No. 34 in patent application GB1701438.2), as follows:

ATGGCGACTGCGACCCCCGTGCCGCCGCGGATGGGCAGCCGCGCTGGCGGCCCCACC ACGCCGCTGAGCC CCACGCGCCTGTCGCGGCTCCAGGAGAAGGAGGAGCTGCGCGAGCTCAATGACCGGCTGG CGGTGTACAT CGACAAGGTGCGCAGCCTGGAGACGGAGAACAGCGCGCTGCAGCTGCAGGTGACGGAGCG CGAGGAGGTG CGCGGCCGTGAGCTCACCGGCCTCAAGGCGCTCTACGAGACCGAGCTGGCCGACGCGCGA CGCGCGCTCG ACGACACGGCCCGCGAGCGCGCCAAGCTGCAGATCGAGCTGGGCAAGTGCAAGGCGGAAC ACGACCAGCT GCTCCTCAACTATGCTAAGAAGGAATCTGATCTTAATGGCGCCCAGATCAAGCTTCGAGA ATATGAAGCA GCACTGAATTCGAAAGATGCAGCTCTTGCTACTGCACTTGGTGACAAAAAAAGTTTAGAG GGAGATTTGG AGGATCTGAAGGATCAGATTGCCCAGTTGGAAGCCTCCTTAGCTGCAGCCAAAAAACAGT TAGCAGATGA AACTTTACTTAAAGTAGATTTGGAGAATCGTTGTCAGAGCCTTACTGAGGACTTGGAGTT TCGCAAAAGC ATGTATGAAGAGGAGATTAACGAGACCAGAAGGAAGCATGAAACGCGCTTGGTAGAGGTG GATTCTGGGC GTCAAATTGAGTATGAGTACAAGCTGGCGCAAGCCCTTCATGAGATGAGAGAGCAACATG ATGCCCAAGT GAGGCTGTATAAGGAGGAGCTGGAGCAGACTTACCATGCCAAACTTGAGAATGCCAGACT GTCATCAGAG ATGAATACTTCTACTGTCAACAGTGCCAGGGAAGAACTGATGGAAAGCCGCATGAGAATT GAGAGCCTTT CATCCCAGCTTTCTAATCTACAGAAAGAGTCTAGAGCATGTTTGGAAAGGATTCAAGAAT TAGAGGACTT GCTTGCTAAAGAAAAAGACAACTCTCGTCGCATGCTGACAGACAAAGAGAGAGAGATGGC GGAAATAAGG GATCAAATGCAGCAACAGCTGAATGACTATGAACAGCTTCTTGATGTAAAGTTAGCCCTG GACATGGAAA TCAGTGCTTACAGGAAACTCTTAGAAGGCGAAGAAGAGAGGTTGAAGCTGTCTCCAAGCC CTTCTTCCCG TGTGACAGTATCCCGAGCATCCTCAAGTCGTAGTGTACGTACAACTAGAGGAAAGCGGAA GAGGGTTGAT GTGGAAGAATCAGAGGCGAGTAGTAGTGTTAGCATCTCTCATTCCGCCTCAGCCACTGGA AATGTTTGCA TCGAAGAAATTGATGTTGATGGGAAATTTATCCGCTTGAAGAACACTTCTGAACAGGATC AACCAATGGG AGGCTGGGAGATGATCAGAAAAATTGGAGACACATCAGTCAGTTATAAATATACCTCAAG ATATGTGCTG AAGGCAGGCCAGACTGTTACAATTTGGGCTGCAAACGCTGGTGTCACAGCCAGCCCCCCA ACTGACCTCA TCTGGAAGAACCAGAACTCGTGGGGCACTGGCGAAGATGTGAAGGTTATATTGAAAAATT CTCAGGGAGA GGAGGTTGCTCAAAGAAGTACAGTCTTTAAAACAACCATACCTGAAGAAGAGGAGGAGGA GGAAGAAGCA GCTGGAGTGGTTGTTGAGGAAGAACTTTTCCACCAGCAGGGAACCCCAAGAGCATCCAAT AGAAGCTGTG CAATTATGTAA

[SEQ ID No. 23]

The amino acid sequence that encodes one embodiment of Lamin Bi

(ENSP00000261366) is referred to herein as SEQ ID No. 24 (previously referred to as SEQ ID No. 35 in patent application GB1701438.2), as follows:

MATATPVPPRMGSRAGGPTTPLSPTRLSRLQEKEELRELNDRLAVYIDKVRSLETEN SALQLQVTEREEV RGRELTGLKALYETELADARRALDDTARERAKLQIELGKCKAEHDQLLLNYAKKESDLNG AQIKLREYEA ALNSKDAALATALGDKKSLEGDLEDLKDQIAQLEASLAAAKKQLADETLLKVDLENRCQS LTEDLEFRKS MYEEE INETRRKHETRLVEVDSGRQIEYEYKLAQALHEMREQHDAQVRLYKEELEQTYHAKLENA RLSSE MNTSTVNSAREELMESRMRIESLSSQLSNLQKESRACLERIQELEDLLAKEKDNSRRMLT DKEREMAEIR DQMQQQLNDYEQLLDVKLALDME I SAYRKLLEGEEERLKLSPSPSSRVTVSRASSSRSVRTTRGKRKRVD VEESEASSSVSISHSASATGNVCIEEIDVDGKFIRLKNTSEQDQPMGGWEMIRKIGDTSV SYKYTSRYVL KAGQTVTIWAANAGVTASPPTDLIWKNQNSWGTGEDVKVILKNSQGEEVAQRSTVFKTTI PEEEEEEEEA AGVVVEEELFHQQGTPRASNRSCAIM

[SEQ ID No. 24]

The nucleotide sequence that encodes one embodiment of LMNB2 can be found under genomic identifier ENSG00000176619.

The nucleotide sequence that encodes another embodiment of LMNB2

(ENST00000325327) is referred to herein as SEQ ID No. 25 (previously referred to as SEQ ID No. 37 in patent application GB1701438.2), as follows:

ATGAGCCCGCCGAGCCCGGGCCGCCGTCGGGAGCAGCGCAGGCCGCGAGCCGCCGCC ACCATGGCCACGC CGCTGCCCGGCCGCGCGGGCGGGCCCGCCACGCCGCTGTCGCCCACGCGCCTGTCGCGGC TGCAGGAGAA GGAGGAGCTGCGCGAGCTCAACGACCGCCTGGCGCACTACATCGACCGCGTCCGCGCGCT GGAGCTGGAG AACGACCGGCTCCTGCTCAAGATCTCAGAGAAGGAGGAGGTGACCACGCGCGAGGTGAGT GGCATCAAGG CGCTGTACGAGTCGGAGCTGGCCGATGCCCGGAGAGTCCTGGATGAGACGGCTCGAGAGC GTGCCCGGCT GCAGATAGAGATTGGGAAGCTGAGGGCAGAGTTGGACGAGGTCAACAAGAGCGCCAAGAA GAGGGAGGGC GAGCTTACGGTGGCCCAGGGCCGTGTGAAGGACCTGGAGTCCCTGTTCCACCGGAGCGAG GTGGAGCTGG CAGCTGCCCTCAGCGACAAGCGCGGCCTGGAGAGTGACGTGGCTGAGCTGCGGGCCCAGC TGGCCAAGGC CGAGGACGGTCATGCAGTGGCCAAAAAGCAGCTGGAGAAGGAGACGCTGATGCGTGTGGA CCTGGAGAAC CGCTGCCAGAGCCTGCAGGAGGAGCTGGACTTCCGGAAGAGTGTGTTCGAGGAGGAGGTG CGGGAGACGC GGCGGCGGCACGAGCGGCGCCTGGTGGAGGTGGACAGCAGCCGGCAGCAGGAGTACGACT TCAAGATGGC ACAGGCGCTGGAGGAGCTGCGGAGCCAGCACGACGAGCAAGTGCGGCTCTACAAGCTGGA GCTGGAGCAG ACCTACCAGGCCAAGCTGGACAGCGCCAAGCTGAGCTCTGACCAGAACGACAAGGCGGCC AGTGCGGCTC GCGAGGAGCTGAAGGAGGCCCGCATGCGCCTGGAGTCCCTCAGCTACCAGCTCTCCGGCC TCCAGAAGCA GGCCAGTGCCGCTGAAGATCGCATTCGGGAGCTGGAGGAGGCCATGGCCGGGGAGCGGGA CAAGTTCCGG AAGATGCTGGACGCCAAGGAGCAGGAGATGACGGAGATGCGGGACGTGATGCAGCAGCAG CTGGCCGAGT ACCAGGAGCTGCTGGACGTGAAGCTGGCCCTGGACATGGAGATCAACGCCTACCGGAAGC TCCTGGAGGG CGAGGAGGAGAGGCTGAAGCTGTCCCCCAGCCCATCCTCGCGCGTCACCGTCTCACGAGC CACCTCGAGC AGCAGCGGCAGCTTGTCCGCCACCGGGCGCCTGGGCCGCAGTAAGCGGAAGCGGCTGGAG GTGGAGGAGC CCTTGGGCAGCGGCCCAAGCGTCCTGGGCACGGGCACGGGTGGCAGCGGTGGCTTCCACC TGGCCCAGCA GGCCTCGGCCTCGGGTAGCGTCAGCATCGAGGAGATCGACCTGGAGGGCAAGTTTGTGCA GCTCAAGAAC AACTCGGACAAGGATCAGTCTCTGGGGAACTGGAGAATCAAGAGGCAGGTCTTGGAGGGG GAGGAGATCG CCTACAAGTTCACGCCCAAGTACATCCTGCGCGCCGGCCAGATGGTCACGGTGTGGGCAG CTGGTGCGGG GGTGGCCCACAGCCCCCCCTCGACGCTGGTGTGGAAGGGCCAGAGCAGCTGGGGCACGGG CGAGAGCTTC CGCACCGTCCTGGTTAACGCGGATGGCGAGGAAGTGGCCATGAGGACTGTGAAGAAGTCC TCGGTGATGC GTGAGAATGAGAATGGGGAGGAAGAGGAGGAGGAAGCCGAGTTTGGCGAGGAGGATCTTT TCCACCAACA GGGGGACCCGAGGACCACCTCAAGAGGCTGCTACGTGATGTGA

[SEQ ID No. 25]

The amino acid sequence that encodes one embodiment of Lamin B2

(ENSP00000327054) is referred to herein as SEQ ID No. 26 (previously referred to as SEQ ID No. 38 in patent application GB1701438.2), as follows:

MSPPSPGRRREQRRPRAAATMATPLPGRAGGPATPLSPTRLSRLQEKEELRELNDRL AHYIDRVRALELE NDRLLLKI SEKEEVTTREVSGIKALYESELADARRVLDETARERARLQIE I GKLRAELDEVNKSAKKREG ELTVAQGRVKDLESLFHRSEVELAAALSDKRGLESDVAELRAQLAKAEDGHAVAKKQLEK ETLMRVDLEN RCQSLQEELDFRKSVFEEEVRETRRRHERRLVEVDSSRQQEYDFKMAQALEELRSQHDEQ VRLYKLELEQ TYQAKLDSAKLSSDQNDKAASAAREELKEARMRLESLSYQLSGLQKQASAAEDRIRELEE AMAGERDKFR KMLDAKEQEMTEMRDVMQQQLAEYQELLDVKLALDME INAYRKLLEGEEERLKLSPSPSSRVTVSRATSS SSGSLSATGRLGRSKRKRLEVEEPLGSGPSVLGTGTGGSGGFHLAQQASASGSVS IEE IDLEGKFVQLKN NSDKDQSLGNWRIKRQVLEGEE IAYKFTPKYILRAGQMVTVWAAGAGVAHSPPSTLVWKGQSSWGTGESF RTVLVNADGEEVAMRTVKKSSVMRENENGEEEEEEAEFGEEDLFHQQGDPRTTSRGCYVM

[SEQ ID No. 26] Thus, in one embodiment of the invention, the LINC complex that is disrupted in step (i) of the method of the invention may comprise a Lamin protein. The Lamin protein may be an A-type Lamin and/or a B-type Lamin. The B-type Lamin may be Lamin Bi or Lamin B2. Preferably, the Lamin protein is a Lamin A, Lamin C and/ or Lamin Bi. The Lamin protein may be encoded by a nucleotide sequence substantially as set out under genomic identifiers ENSG00000160789,

ENSG00000113368, ENSG00000176619 and/or in SEQ ID Nos. 19, 21, 23 and/or 25, or a variant or fragment thereof. Preferably, the Lamin protein is encoded by a nucleotide sequence substantially as set out under genomic identifiers

ENSG00000160789, ENSG00000113368, ENSG00000176619 and/or in SEQ ID No.19, 21, 23 and/or 25 or a variant or fragment thereof. The Lamin protein comprises an amino acid sequence substantially as set out in SEQ ID Nos. 20, 22, 24 and/or 26, or a variant or fragment thereof. Preferably, the Lamin protein comprises an amino acid sequence substantially as set out in SEQ ID No. 20, 22, 24 and/or 26, or a variant or fragment thereof. The Lamin protein may be encoded by LMNA, LMNBi and/or LMNB2, or a variant or fragment thereof. Preferably, the Lamin protein is encoded by LMNA and/or LMNBi, or a variant or fragment thereof.

Thus, step (i) of the method may comprise disrupting the translation or function of one or more of the above LINC proteins, or the transcription or function of one or more of the above nucleotides that encode a LINC complex protein, such as a SUN protein, a Nesprin protein or a Lamin protein.

Although a single protein complex (i.e. the LINC complex) acts as an intracellular cellular "switch" that physically links cellular nuclei to their extracellular environment, the constituents of the LINC complex may vary in different tissue or cell types. For example, in keratinocytes, giant Nesprin-2 is the dominant isoform of nesprin. Giant Nesprin-2 commonly binds to SUNi and SUN2. Preferably, therefore, the LINC complex that is disrupted in step (i) comprises giant Nesprin-2 and SUNi and/or SUN2. The complexity of the LINC complex may also be increased by virtue of the fact that LINC complex proteins may bind to each other with a 3:3 stoichiometry. Preferably, the LINC complex that is disrupted in step (i) comprises a Nesprin and a SUN protein. Preferably the Nesprin protein comprises a KASH domain and the SUN protein comprises a SUN domain. Even more preferably, the Nesprins and SUN proteins are bound to each other with a 3:3 stoichiometry to form a hexameric complex. Most preferably, the Nesprins comprise a KASH domain and the SUN proteins comprise a SUN domain. Therefore, the LINC complex that is disrupted in step (i) maybe a hexameric complex of three SUN proteins and three Nesprin proteins. Nesprin paralogues bind promiscuously to SUN-domains, which are essential for Nesprin recruitment to the outer nuclear membrane. SUNi and SUN2 proteins play partially redundant roles and interact with each other via their luminal coiled-coil segments, forming heteromeric stable complexes. Therefore, it is believed that LINC hexamers may comprise mixed Nesprin and SUN-domain paralogue combinations. Thus, in one embodiment, the hexameric complex that is disrupted in step (i) of the method may be heteromeric (i.e. comprise two or three different subtypes of a SUN protein and/or two or three different subtypes of Nesprin protein).

In another embodiment, the hexameric LINC complex that is disrupted in step (i) of the method may be a homomeric complex of SUN proteins (i.e. comprise three identical subtypes of SUN) or a homomeric complex of Nesprin proteins (i.e. comprise three identical subtypes of Nesprin). Preferably, the LINC complex is a heteromeric or homomeric complex of Nesprins that each comprise a Nesprin with a KASH domain, and/or SUN proteins that each comprise a SUN domain.

The presence of multiple subtypes and isoforms of proteins that comprise a SUN- domain or a KASH-domain suggests that the LINC complex may be a diverse and multi-functional complex. Given that several core constituents of the LINC complex exhibit cell-type and tissue specificity, distinct LINC complexes can be assumed to form that may perform specific tasks to accommodate the physiology requirements of the respective cell and tissue.

Preferably, however, the LINC complex that is disrupted in step (i) of the method comprises (1) a Nesprin protein, which, via its KASH domain, is bound to the SUN domain of a SUN protein; and/or (2) a SUN protein, which is bound to a lamin protein. Most preferably, the LINC complex comprises a Nesprin protein, which, via its KASH domain, is bound to the SUN domain of a SUN protein.

Accordingly, therefore, the agent that disrupts the LINC complex may be an agent that:

(i) reduces or is configured to reduce the concentration of a LINC complex protein compared to the concentration of the LINC complex protein in the absence of the agent (for example, by inhibiting the transcription of a nucleotide encoding a LINC complex protein and/or inhibiting translation of an RNA molecule encoding a LINC complex protein);

(ii) inhibits or is configured to inhibit the binding of one LINC complex protein to another LINC complex protein; or

(iii) promotes or is configured to promote degradation of the LINC complex or one or more of the LINC complex proteins.

In one embodiment, an agent that inhibits the concentration of a LINC complex protein is a Non-steroidal anti-inflammatory drug (NSAID). The NSAID may inhibit the concentration of Nesprin proteins. Preferably, the NSAID inhibits the concentration of Nesprin-2. The NSAID maybe an agent that inhibits the enzyme activity of

cyclooxygenase 1 or 2 (COXi or COX2), such as ibuprofen, naproxen, indomethacin and aspirin. Preferably, the NSAID is an agent that inhibits the enzyme activity of COXi, such as sullindac sulphide.

In one embodiment, an agent that inhibits binding of one LINC complex protein to another LINC complex protein maybe a pharmacological agent, such as a small molecule, a peptide, an antibody or an intrabody. An agent that disrupts the LINC complex may be an agent that inhibits or is configured to inhibit binding of a Nesprin protein to a SUN protein, preferably by inhibiting binding of a KASH domain to a SUN domain. Preferably the agent disrupts binding of KASH domain to a SUN domain. The agent may therefore be a modified Nesprin protein that does not comprise a KASH domain, or a variant or a fragment thereof. The modified Nesprin may comprise an N- terminal F-actin binding domain (ABD), a long spectrin repeat containing region and a C-terminal transmembrane domain, or a variant or a fragment thereof. The agent may be an antibody or an intrabody that binds to the KASH domain of a Nesprin. Preferably, the modified Nesprin protein is expressed in the cytoplasm. In one embodiment, the agent may be a modified Nesprin that consists of a KASH domain. Therefore, the modified Nesprin may not comprise an N-terminal F-actin binding domain (ABD), a long spectrin repeat containing region and/or a C-terminal transmembrane domain. Preferably, the modified Nesprin is expressed or present in the nuclear envelope.

In one embodiment, the agent may be a modified SUN protein that comprises a SUN domain or the SUN domain together with other regions located in the perinuclear space, such as the coiled-coil domain. Therefore, the modified SUN protein does not comprise any domains located in the nucleoplasm, such as the N-terminal domain. Thus, the modified SUN protein may comprise a SUN domain, or a SUN domain and coiled-coil domain, or a variant or a fragment thereof. Preferably, the modified SUN protein is expressed or present in the perinuclear envelope/space. Preferably, the agent or modified SUN protein disrupts binding of SUN proteins, which comprise a SUN domain, to the KASH domain of Nesprins. In a preferred embodiment, the modified SUN protein is referred to herein as SEQ ID No. 27 (previously referred to as SEQ ID No. 39 in patent application GB1701438.2), as follows:

VSLWGQGNFFSLLPVLNWTAMQPTQRVDDSKGMHRPGPLPPSPPPKVDHKASQWPQE SDMGQKVASLSAQ CHNHDERLAELTVLLQKLQIRVDQVDDGREGLSLWVKNVVGQHLQEMGTIEPPDAKTDFM TFHHDHEVRL SNLEDVLRKLTEKSEAIQKELEETKLKAGSRDEEQPLLDRVQHLELELNLLKSQLSDWQH LKTSCEQAGA RIQETVQLMFSEDQQGGSLEWLLEKLSSRFVSKDELQVLLHDLELKLLQNI THHITVTGQAPTSEAIVSA VNQAGI SGITEAQAHI IVNNALKLYSQDKTGMVDFALESGGGS ILSTRCSETYETKTALLSLFGVPLWYF SQSPRVVIQPDIYPGNCWAFKGSQGYLVVRLSMKIYPTTFTMEHIPKTLSPTGNI SSAPKDFAVYGLETE YQEEGQPLGRFTYDQEGDSLQMFHTLERPDQAFQIVELRVLSNWGHPEYTCLYRFRVHGE PIQ

[SEQ ID No. 27]

Thus, the agent may comprise an amino acid sequence substantially as set out in SEQ ID No. 26, or a variant or fragment thereof.

In one embodiment, the agent may be a modified SUN protein that consists of a SUN domain. Thus, the modified SUN protein may comprise a coiled-coil domain, a transmembrane domain and/or an N-terminal domain, or a variant or a fragment thereof. Preferably, the modified SUN protein is expressed or present in the perinuclear envelope and the nucleoplasm. Preferably, the agent or modified SUN protein disrupts binding of SUN proteins, which comprise a SUN domain, to the KASH domain of Nesprins.

In another embodiment, the agent that disrupts the LINC complex may be a gene- silencing molecule. A gene-silencing molecule is any molecule that interferes with the transcription a nucleotide (gene) encoding a protein of the LINC complex. Such molecules include, but are not limited to, RNAi molecules, including siNA, siRNA, miRNA, ribozymes and antisense molecules. Alternatively, the agent maybe any molecule that interferes with the translation of an RNA encoding a protein of a LINC complex.

The skin cell used of step (i) of the method according to the invention maybe a primary cell derived from skin tissue or a cell from ex vivo tissue. The skin cell of step (i) of the method according to the invention maybe a mammalian cell or a human cell. The skin cell of step (i) of the method according to the invention may be an immortalised cell that has been derived from skin tissue. The skin cell of step (i) of the method according to the invention may be derived from a layer of skin. The layer of skin may be the epidermis, the dermis or the hypodermis. Preferably, the skin cell of step (i) of the method according to the invention is derived from the epidermis. The skin cell of step (i) of the method according to the invention may be a fibroblast, a keratinocyte, a melanocyte, a Merkel cell or a Langerhans cell. Most preferably, the cell is a keratinocyte.

The agent may be introduced into the cell by contacting the cell with the agent, intracellular injection, electroporation, transgenic expression or any other known suitable technique.

It will be appreciated that conditions for culturing cells in vitro or ex vivo so that they develop into a tissue will vary depending on the type of cell being cultured. The skilled person therefore would appreciate that if, for example, culturing a keratinocyte such that it develops into epidermal tissue, the keratinocytes may need to be cultured under conditions that promote proliferation and differentiation. In vitro or ex vitro culture conditions that promote proliferation of keratinocytes include 37°C, 5% C0 2 and culture media. In vitro or ex vitro culture conditions that promote differentiation of keratinocytes into skin tissue include culturing the keratinocytes on the surface of culture media at 37°C and 5% C0 2 . Step (ii) of the method (i.e. culturing step (ii)), which is used to induce proliferation of the cell, may comprise culturing the cell at 34 to 39°C or 35 to 38°C. Preferably, the culturing step comprises culturing the cell at about 37°C. The cell may be cultured for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours. Preferably, the cell is cultured for at least 48 hours. The cell may be cultured at 35 to 38°C for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours. Most preferably, the cell is cultured at 35 to 38°C for at least 48 hours.

Step (iii) of the method (i.e. culturing step (iii)), which is used to induce differentiation of the cells, may comprise culturing the cells at 34 to 39°C or 35 to 38°C. Preferably, the culturing step comprises culturing the cells at about 37°C. The cells may be cultured for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours. Preferably, the cells are cultured for at least 48 hours. The cells may be cultured at 35 to 38°C for at least 6, 12, 18, 24, 36, 48, 96 or 168 hours. Most preferably, the cells are cultured at 35 to 38°C for at least 48 hours.

Preferably, the culture media and the cell are disposed on the surface of the substrate. The substrate may be an insert or mesh that can be placed in a culture plate. The insert or mesh may be made of plastic. Preferably, the insert is a porous two-dimensional insert or a three-dimensional mesh. The advantage of using a porous insert or a three- dimensional mesh is that it enables the cell/cells to be fed with culture media disposed in the holes of the insert or mesh. Another advantage of the porous substrate or 3D mesh is that it enables the proliferating cells to form layers of cells. Removing culture media from the cells such that they are disposed in the air-media interface, arrests proliferation and induces expression of proteins found in terminally differentiated cells. For example, keratinocytes stop expressing proteins that are responsible for attachment to the basement membrane (hemidesmosomes), they remodel their cell-to-cell junctions (desmosomes), they remodel their cytoskeleton (in particular, they stop expression keratin-5/-i4 and start expressing keratin-i/-io) and they express proteins that will form a highly crosslinked protein-lipid structure (the cornified envelope). This whole process leads to the loss of cell nuclei and the formation of the stratum corneum, which is the uppermost layer of the skin. This layer of skin comprises dead cells that seal off the epidermis from the outside. The inventors have used keratin-10 as a biomarker of differentiated cells. As shown in Figure 9, keratin-10 staining is more pronounced in the cells comprising a LINC mutant than wild type cells. Hence, ex vivo or in vitro disruption of the LINC complex encourages cellular differentiation.

According to a second aspect, there is provided a skin tissue obtained or obtainable by the method according to the first aspect.

According to a third aspect, there is provided a kit for creating a skin tissue, the kit comprising a skin cell and an agent that disrupts the LINC complex. In a fourth aspect, there is provided use of an agent that disrupts the LINC complex in a skin cell to create a skin tissue.

In a fifth aspect, there is provided a method of testing the effects of a test compound on the properties of a skin tissue, the method comprising contacting a skin tissue according to the second aspect or a skin tissue created by the method according to the first aspect with a test compound and measuring the effects of the test compound on the properties of the skin tissue.

The properties of the skin tissue that are measured in the method according to the fifth aspect maybe cell identity, cell proliferation, cell differentiation, cell longevity, cell stratification (layers formed), cell signalling, cell behaviour, cell architecture, barrier function, cell/tissue stiffness, skin corrosion, electrical resistance and/or cornified envelope formation. The way in which the properties of the skin tissue are measured, will be determined by the properties being measured. The skilled person would appreciate that cell identity, cell proliferation, cell differentiation, cell longevity, cell stratification (layers formed), cell signalling, cell behaviour, cell architecture, barrier function, cell/tissue stiffness, skin corrosion, electrical resistance and/or cornified envelope formation will be measured using techniques known in the art.

The LINC complex plays a key role in premature ageing because (i) mutations in Lamin A are known to cause premature ageing diseases, such as Hutchison-Gilford Progeria Syndrome (HGPS), and (ii) modulating levels of SUNi and Nesprin ameliorates progeria phenotypes both in vitro and in vivo. Thus, LINC complex biology can be harnessed to develop potent anti-ageing and regenerative medicine technologies. Hence, in a sixth aspect, there is provided a method of identifying a skin-softening compound, the method comprising: -

1. contacting, in the presence of a test compound, a SUN domain with a KASH domain; and

2. detecting binding between the SUN domain and the KASH domain, wherein an alteration in binding as compared to a control is an indicator that the test compound is a candidate skin-softening compound that disrupts a

LINC complex comprising SUN domain and a KASH domain.

The alteration may be increased binding or reduced binding. Preferably, the

alteration is increased binding between the SUN domain and the KASH domain, or reduced binding between the SUN domain and the KASH domain. The increased binding may be at least a io%, 15%, 25%, 35%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, or 100% increase. The reduced binding may be at least a 10%, 15%, 25%, 35%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95% or 100% reduction.

The skilled person would appreciate that the binding of a SUN domain to a KASH domain may be detected using a variety of techniques known in the art, which include, but are not limited to, protein complex immunoprecipitation, Bimolecular Fluorescence complementation, Affinity electrophoresis, Immunoelectrophoresis, chemical cross linking, Proximity ligation assay and FRET. In a seventh aspect, there is provided a method of making cells softer, the method comprising contacting a skin cell with an agent that disrupts the LINC complex.

The cells are made softer by at least 10%, 15%, 25%, 35%, 45%, 50%, 55%, 60%, 65%, 70%, 75%, 80%, 85%, 90%, 95%, 100%, 150%, 200% or 300% compared to the softness of the wild-type cells.

Advantageously, softening cells improves their ability to form cellular layers.

In an eighth aspect, there is provided use of an agent that disrupts the LINC complex in an anti-ageing skin composition. Preferably, the agent does not disrupt a LINC complex comprising Nesprin-2. Most preferably, the agent disrupts a LINC complex comprising SUNi.

The use may comprise contacting the agent with a pharmaceutical acceptable vehicle.

A "pharmaceutically acceptable vehicle" as referred to herein, is any known compound or combination of known compounds that are known to those skilled in the art to be useful in formulating pharmaceutical compositions. In one embodiment, the pharmaceutically acceptable vehicle may be a solid, and the composition may be in the form of a powder or tablet. A solid pharmaceutically acceptable vehicle may include one or more substances which may also act as flavouring agents, lubricants, solubilisers, suspending agents, dyes, fillers, glidants, compression aids, inert binders, sweeteners, preservatives, dyes, coatings, or tablet-disintegrating agents. The vehicle may also be an encapsulating material. In powders, the vehicle is a finely divided solid that is in admixture with the finely divided active agents (i.e. the agent referred to in the first, third and fifth to seventh and eighth aspects) according to the invention. In tablets, the active compound maybe mixed with a vehicle having the necessary compression properties in suitable proportions and compacted in the shape and size desired. The powders and tablets preferably contain up to 99% of the active compound. Suitable solid vehicles include, for example calcium phosphate, magnesium stearate, talc, sugars, lactose, dextrin, starch, gelatin, cellulose, polyvinylpyrrolidine, low melting waxes and ion exchange resins. In another embodiment, the pharmaceutical vehicle may be a gel and the composition may be in the form of a cream or the like.

However, the pharmaceutical vehicle may be a liquid, and the pharmaceutical composition is in the form of a solution. Liquid vehicles are used in preparing solutions, suspensions, emulsions, syrups, elixirs and pressurized compositions. The compound according to the invention may be dissolved or suspended in a pharmaceutically acceptable liquid vehicle such as water, an organic solvent, a mixture of both or pharmaceutically acceptable oils or fats. The liquid vehicle can contain other suitable pharmaceutical additives such as solubilisers, emulsifiers, buffers, preservatives, sweeteners, flavouring agents, suspending agents,

thickening agents, colours, viscosity regulators, stabilizers or osmo-regulators.

Suitable examples of liquid vehicles for oral and parenteral administration include water (partially containing additives as above, e.g. cellulose derivatives, preferably sodium carboxymethyl cellulose solution), alcohols (including monohydric alcohols and polyhydric alcohols, e.g. glycols) and their derivatives, and oils (e.g.

fractionated coconut oil and arachis oil). For parenteral administration, the vehicle can also be an oily ester such as ethyl oleate and isopropyl myristate. Sterile liquid vehicles are useful in sterile liquid form compositions for parenteral

administration. The liquid vehicle for pressurized compositions can be a

halogenated hydrocarbon or other pharmaceutically acceptable propellant. Liquid pharmaceutical compositions, which are sterile solutions or suspensions, can be utilized by, for example, intramuscular, intrathecal, epidural,

intraperitoneal, intravenous and particularly subcutaneous injection. The

compound maybe prepared as a sterile solid composition that maybe dissolved or suspended at the time of administration using sterile water, saline, or other appropriate sterile injectable medium.

The compound and compositions of the invention may be administered in the form of a sterile solution or suspension containing other solutes or suspending agents (for example, enough saline or glucose to make the solution isotonic), bile salts, acacia, gelatin, sorbitan monoleate, polysorbate 8o (oleate esters of sorbitol and its anhydrides copolymerized with ethylene oxide) and the like. The compounds used according to the invention can also be administered orally either in liquid or solid composition form. Compositions suitable for oral administration include solid forms, such as pills, capsules, granules, tablets, and powders, and liquid forms, such as solutions, syrups, elixirs, and suspensions. Forms useful for parenteral administration include sterile solutions, emulsions, and suspensions.

The cell in the kit of the third aspect or the method of the seventh aspect may be a cell as defined in the method according to the first aspect. The agent in the kit of the third aspect or the method according to the seventh aspect may be an agent as defined according to the method of the first aspect.

It will be appreciated that the invention extends to any nucleic acid or peptide or variant, derivative or analogue thereof, which comprises substantially the amino acid or nucleic acid sequences of any of the sequences referred to herein, including variants or fragments thereof. The terms "substantially the amino acid/nucleotide/peptide sequence", " variant" and "fragment", can be a sequence that has at least 40% sequence identity with the amino acid/nucleotide/peptide sequences of any one of the sequences referred to herein, for example 40% identity with the nucleic acids or polypeptides described herein.

Amino acid/polynucleotide/polypeptide sequences with a sequence identity which is greater than 50%, more preferably greater than 65%, 70%, 75%, and still more preferably greater than 80% sequence identity to any of the sequences referred to are also envisaged. Preferably, the amino acid/polynucleotide/polypeptide sequence has at least 85% identity with any of the sequences referred to, more preferably at least 90%, 92%, 95%, 97%, 98%, and most preferably at least 99% identity with any of the sequences referred to herein.

The skilled technician will appreciate how to calculate the percentage identity between two amino acid/polynucleotide/polypeptide sequences. In order to calculate the percentage identity between two amino

acid/polynucleotide/polypeptide sequences, an alignment of the two sequences must first be prepared, followed by calculation of the sequence identity value. The percentage identity for two sequences may take different values depending on:- (i) the method used to align the sequences, for example, ClustalW, BLAST, FASTA, Smith-Waterman (implemented in different programs), or structural alignment from 3D comparison; and (ii) the parameters used by the alignment method, for example, local vs global alignment, the pair-score matrix used (e.g. BLOSUM62, PAM250, Gonnet etc.), and gap-penalty, e.g. functional form and constants. Having made the alignment, there are many different ways of calculating percentage identity between the two sequences. For example, one may divide the number of identities by: (i) the length of shortest sequence; (ii) the length of alignment; (iii) the mean length of sequence; (iv) the number of non-gap positions; or (iv) the number of equivalenced positions excluding overhangs. Furthermore, it will be appreciated that percentage identity is also strongly length dependent. Therefore, the shorter a pair of sequences is, the higher the sequence identity one may expect to occur by chance.

Hence, it will be appreciated that the accurate alignment of protein or DNA sequences is a complex process. The popular multiple alignment program ClustalW (Thompson et al, 1994, Nucleic Acids Research, 22, 4673-4680; Thompson et al, 1997, Nucleic Acids Research, 24, 4876-4882) is a preferred way for generating multiple alignments of proteins or DNA in accordance with the invention. Suitable parameters for ClustalW may be as follows: For DNA alignments: Gap Open Penalty = 15.0, Gap Extension Penalty = 6.66, and Matrix = Identity. For protein alignments: Gap Open Penalty = 10.0, Gap Extension Penalty = 0.2, and Matrix = Gonnet. For DNA and Protein alignments: ENDGAP = -1, and GAPDIST = 4. Those skilled in the art will be aware that it may be necessary to vary these and other parameters for optimal sequence alignment. Preferably, calculation of percentage identities between two amino

acid/polynucleotide/polypeptide sequences may then be calculated from such an alignment as (N/T)*ioo, where N is the number of positions at which the sequences share an identical residue, and T is the total number of positions compared including gaps but excluding overhangs. Hence, a most preferred method for calculating percentage identity between two sequences comprises (i) preparing a sequence alignment using the ClustalW program using a suitable set of parameters, for example, as set out above; and (ii) inserting the values of N and T into the following formula:- Sequence Identity = (N/T)*ioo. Alternative methods for identifying similar sequences will be known to those skilled in the art. For example, a substantially similar nucleotide sequence will be encoded by a sequence which hybridizes to any sequences referred to herein or their complements under stringent conditions. By stringent conditions, we mean the nucleotide hybridises to filter-bound DNA or RNA in 3x sodium

chloride/ sodium citrate (SSC) at approximately 45°C followed by at least one wash in o.2x SSC/0.1% SDS at approximately 20-65°C. Alternatively, a substantially similar polypeptide may differ by at least 1, but less than 5, 10, 20, 50 or 100 amino acids from the polypeptide sequences described herein. Due to the degeneracy of the genetic code, it is clear that any nucleic acid sequence described herein could be varied or changed without substantially affecting the sequence of the protein encoded thereby, to provide a variant thereof. Suitable nucleotide variants are those having a sequence altered by the substitution of different codons that encode the same amino acid within the sequence, thus producing a silent change. Other suitable variants are those having homologous nucleotide sequences but comprising all, or portions of, sequence, which are altered by the substitution of different codons that encode an amino acid with a side chain of similar biophysical properties to the amino acid it substitutes, to produce a conservative change. For example small non-polar, hydrophobic amino acids include glycine, alanine, leucine, isoleucine, valine, proline, and methionine. Large non-polar, hydrophobic amino acids include phenylalanine, tryptophan and tyrosine. The polar neutral amino acids include serine, threonine, cysteine,

asparagine and glutamine. The positively charged (basic) amino acids include lysine, arginine and histidine. The negatively charged (acidic) amino acids include aspartic acid and glutamic acid. It will therefore be appreciated which amino acids maybe replaced with an amino acid having similar biophysical properties, and the skilled technician will know the nucleotide sequences encoding these amino acids.

All of the features described herein (including any accompanying claims, abstract and drawings), and/ or all of the steps of any method or process so disclosed, may be combined with any of the above aspects in any combination, except combinations where at least some of such features and/ or steps are mutually exclusive.

For a better understanding of the invention, and to show how embodiments of the same may be carried into effect, reference will now be made, by way of example, to the accompanying Figures, in which: -

Figure l is a schematic diagram, which shows that LINC complex is a conserved structure formed by Nesprin (i.e. nesprin-i, nesprin-2, nesprin-3 and nesprin-4) and SUN-domain proteins, which span the entire nuclear envelope and functionally link the nuclear interior (e.g. lamina, chromatin, telomeres, transcription factors) to the extracellular matrix (ECM) via associations to multiple cytoskeletal structures (e.g. microtubules [MTs], intermediate filaments [IFs], actin, dyneins, kinesins, Microtubule organising centre [MTOC]), cytolinker proteins (e.g. plectin) and plasma membrane [PM] receptors. High (termed giant) and low molecular weight Nesprin-i and -2 isoforms are indicated. SUN-domain proteins are depicted as trimers;

Figure 2 is a schematic diagram of the LINC complex bridge across the nuclear envelope. The LINC complex bridge comprises SUN and KASH interactions within the perinuclear space alongside associated cytoskeletal and nucleoskeletal networks. ONM: outer nuclear membrane, INM: inner nuclear membrane, PNS: perinuclear space; Figure 3 is a schematic diagram of the DN-SUNL construct, which encodes a dominant negative SUNi luminal domain in relation to the full-length Sum protein. Major Sum protein domains and topologies within the nuclear envelope are indicated. The truncated SUNi protein (lacks the N-terminus, which is found in the nucleoplasm, and the three hydrophobic domains) is fused to the Torsin A signal peptide (SP; the amino acid sequence is given), GFP (green fluorescent protein) and expressed in the endoplasmic reticulum (ER) and nuclear envelope lumen (Schneider et ah, 2011, Cell. Mol. Life Sci. 68:1593-1610) where it binds and saturates all KASH-protein binding sites (see Figure 10 for more details). Due to these associations all endogenous full- length KASH-proteins are dislodged from the nuclear envelope (hence dominant negative). SP-GFP is the relevant control (Schneider et al., 2011, Cell. Mol. Life Sci. 68:1593-1610) that lacks the SUNi N-terminal nucleoplasmic and C-terminal luminal sequences but harbours the signal peptide sequences;

Figure 4 is an indirect immunofluorescence analysis of wild type (WT) and DN-DUNL transiently transfected HaCaT cells that were counterstained with DAPI (blue) to stain nuclei. In panel (A) the DN-SUNL subcellular distribution (GFP channel) is highlighted. Note the distinct nuclear rim (red arrowheads) and reticular pattern of DN-SUNl in the cytosol (blue arrows), which corresponds to the endoplasmic reticulum (ER) membranes. DN-SUNL expression affects nuclear shape (white arrows) and yields blebs at the nuclear surface (white arrowheads). Scale bar = 10 μπι. (B) Statistical analysis (Student's t- test; P value < 0.05 is indicated by *) demonstrates significant changes in nuclear morphology in DN-SUNL cells. Results are mean ± standard deviation;

Figure 5 is an indirect immunofluorescence analysis of DN-DUNL (transient transfection) expressing HaCaT (A, C) and human dermal fibroblast cells (B). (A) Schematic representing the basic nesprin-2 giant domain architecture and the epitopes of three specific nesprin-2 antibodies (i.e. Nes2NT, Nes2K49 and Nes2CT). Lower panels depict an immunofluorescence analysis using nesprin-2 antibodies, which shows that DN-SUNL expression displaces all nesprin-2 isoforms from the nuclear envelope (arrows). These results highlight the dominant negative effects of the DN-SUNL construct on Nesprin-2. In contrast, control cells (asterisks) exhibit strong nesprin-2 nuclear staining. (B) DN-SUNL expression in fibroblasts shows that also endogenous nesprin-i is efficiently displaced from the nucleus, while untransfected cells (asterisks) display pronounced nesprin-i nuclear rim staining. (C) The expression of DN-SUNL affects specifically proteins of the KASH-domain family (i.e. nesprins) considering that the subcellular localisation of other key components of the nuclear envelope such as SUNi, emerin, ΙΑΡ2β, and lamin A/ C are largely unaffected. All scale bars = 10 μπι. Nuclei are visualised by DAPI staining (blue);

Figure 6 is a microscopic image analysis of WT (control) and stably transfected DN- SUNL HaCaT cells, which shows that LINC complex disruption affects drastically cell morphology, cell crowding and cell-cell contact protein expression on 2D surfaces. (A) Phase contrast and fluorescent staining's of nuclei (DAPI, blue) and the F-actin cytoskeleton (Phalloidin, red) of 70% confluent WT and DN HaCaT. Phalloidin denotes the cortical actin cytoskeleton in keratinocytes and therefore visualizes the cell boundaries. Scale bar = 200 μιη (phase contrast), and 20 μιη (fluorescent panels). In contrast to DN cells, WT cells are flatter and less dense within the colonies; (B) DN HaCaT colonies contain twice as much cells compared to WT counterparts. Statistical analysis (Student's t- test; P value < 0.05 is indicated by *) demonstrates a significant changes in the cell density of WT and DN-SUNL mutant colonies. Results are mean ± standard deviation. (C) DN cells express higher E- cadherin levels compared to WT cells grown on 2D surfaces;

Figure 7 is an analysis, which shows LINC complex disruption affects cell-to-substrate adhesion on 2D substrates. A) WT and DN HaCaT cells 24 h post trypsinisation were examined using immunofluorescence. Cells are stained for DAPI (blue), phalloidin (cyan) and vinculin (red). Vinculin is a mechano-sensing protein that is enriched at peripheral cell-substratum contacts (termed focal contacts). Arrows display sites of focal adhesion formation across the cell periphery. Note that in contrast to DN cells, WT cells exhibit prominent enrichment of focal contacts at the cell periphery. Vinculin is diffusely distributed in DN cells. Scale bar = 10 μπι. (B) Western blotting indicating that vinculin levels are not perturbed in DN cells. The localization of vinculin changes upon LINC complex disruption but not the levels of the protein. B-actin and tubulin indicates equal protein loading. Anti-GFP immunoblotting demonstrates expression of dominant negative LINC complex interfering proteins in DN cells;

Figure 8 is an analysis, which shows that DN-SUNL HaCaT cells (DN) display enhanced stratification properties when grown in 3D scaffolds for 8 days at the air-to- liquid interface. (A) Single and co-cultured (with dermal fibroblasts) DN HaCaT cells grown in 3D form prominent multi-layered structures when grown at the air-liquid interface that favours differentiation of keratinocytes. The black lines indicate the scaffold surface. H&E stained sections are shown. (B) Fluorescence examination of single-cultured DN cells verifies that cell stacking (arrows) is indeed occurring above rather than within the scaffold. The scaffold boundaries are visualized using Nile Red, while the existence of DN cells is denoted using GFP. Scale bars = 25 μπι. (C)

Highlights that LINC disruption substantially favours the formation of epidermal-like (multi-layered cell assembly) tissue structures in vitro. Asterisks denote statistical significance (P value < 0.05) using a Student's t- test;

Figure 9 is an analysis, which shows that DN HaCaT cells display proper epidermal tissue architecture in vitro. (A) Fluorescence microscopic examination of single cultured WT and DN cells in 3D highlighting that DN HaCaT cells (GFP expressing) display shape changes similar to that found in skin. Note that WT cells grown on the surface of the scaffold (visualized with Nile Red) exhibit flattened nuclei (yellow arrows) whereas DN cells proximal to the scaffold surface (denoted by the white dotted line) display columnar shapes (asterisks). In skin, epithelial cell/nuclear flattening occurs only in differentiated cells. Therefore, DN cells at the scaffold/air interface mimic basal keratinocyte morphologies. In contrast, DN cells away from the scaffold surface exhibit pronounced cell flattening (white arrows) a feature common to terminally differentiated skin keratinocytes belonging to the spinous and granular layers of skin. (B) Immunofluorescence analysis of WT and DN cells co-cultured with human dermal fibroblast cells in 3D scaffolds for 8 days at the air-to-liquid interface. Two markers were examined; K14 (Keratin 14) is a marker for basal dividing keratinocytes, while K10 (Keratin 10) is a terminal differentiation marker, which is expressed by suprabasal keratinocytes in skin. Note that DN HaCaT's exhibit increased K10 expression, proper spatial arrangements and morphologies (namely flattening) at areas that are distal to the scaffold surface, which mimics the in vivo situation. Cells in proximity to the scaffold (dotted line) lack K10 staining. In contrast, WT cells exhibit sporadic K10 staining within the scaffold. Scale bars = 25 μπι;

Figure 10 (A) is a schematic diagram showing that DN-SUNL expression saturates KASH-domain binding sites at the outer nuclear membrane (ONM) and prevents binding to full-length SUN-domain proteins. DN-SUNL expression consequently disrupts the linkage of the ONM to the inner nuclear membrane (INM) and dilates the perinuclear lumen (discontinuous double arrowed lines). (B) shows TEM micrographs of the nuclear membrane in WT (control) and DN-SUNL HaCaT cells. Arrowheads denote dilation of the nuclear envelope in DN-SUNL cells. C=cytoplasm, N=nucleus. Scale bar 500 nm. C) Histogram shows the width of the perinuclear lumen in WT and DN-SUNL expressing cells. Statistical analysis (Student's i test; P value < 0.005 is indicated by **) demonstrates a significant dilation of the nuclear envelope in DN- SUNL mutants. Results are mean ± standard deviation;

Figure 11 is an analysis of the cytoplasmic and nuclear organelle biomechanical properties of interphase WT and DN-SUNL HaCaT cells examined under biological conditions, showing that LINC complex disruption (DN-SUNL cells) yields significantly softer cells. (A) Phase contrast images of WT and DN-SUNL cells (top row). The position of the nuclei (white dotted lines) and nucleoli (purple dotted circles) is indicated. The corresponding atomic force microscopy (AFM) Young's modulus (kPa) analysis of the WT and DN-SUNL mutant colonies (middle row) and AFM height scans (μιτι; lower row) is shown. (B) Schematic diagram indicating three distinct cellular areas where AFM Young's modulus measurements were taken. (C) Histogram showing that across the three selected cellular areas that DN-SUNL are significantly softer compared to their WT counterparts (n=i5 for each cell type). (D) Histogram depicting the highest cantilever surface indentation (μιτι) measured on WT and DN-SUNL cells using a cantilever force of 150 pN, indicates that DN cells are significantly more pliable compared to WT (n=35 for each cell type). Statistical analysis (Student's itest; P value < 0.005 is indicated by **);

Figure 12 is a Western blot analysis of HaCaT cells that have been transiently transfected with either SP GFP or DN-SUNL encoding plasmids. Three different experimental conditions were examined. Prior to Western blotting the cell

homogenates were either left untreated (positive control) or treated with two different detergents: digitonin or Triton X-100 in the presence of the proteinase K enzyme. Digitonin permeabilises selectively the plasma membrane but leaves the ER and NE membranes intact. In contrast, Triton X-100 permeabilises all cellular membranes including the ER and the NE. Note that the GFP fusions and ER-lumen resident PDI (protein disulphate isomerase; control) proteins are detectable in the digitonin-treated samples but are completely absent in the Triton X-100-treated samples. Tubulin acts as a control for the cytoplasmic compartment, which is digested irrespectively of the detergents used; and Figure 13 is an indirect immunofluorescence analysis of SP-GFP (A) or DN-DUNL (B) transiently transfected NIH-3T3 fibroblasts using anti-Nesprin-2 giant (Nes2NT) antibodies, which shows the dominant negative effects of the DN-SUNL construct on the KASH-domain containing Nesprin-2 giant isoform. Note that the DN-SUNL expressing cell (asterisk) displays a GFP signal at the ER (red arrows) and the NE (blue arrows), but lacks nuclear nesprin-2 staining (white arrows). In contrast SP-GFP expressing control cells or DN-SUNL untransfected cells exhibit strong nesprin-2 staining at the nucleus (yellow arrows). Nuclei are visualised by DAPI staining (blue). Scale bars = 10 μπι.

Examples

Cells of specific tissues have correspondingly specific properties, including

biomechanical, biochemical and structural properties. Such specific properties are determined by signals received from the physical and biochemical environment surrounding the cell. The inventors have found that crucial intracellular signalling events occurs via a central "switch" (the LINC complex) that physically links, via the cytoskeleton, genetic material of a cell to the extracellular environment. As shown in the following examples, the inventors have interrupted the formation of the LINC complex using a construct that overexpresses a dominant negative SUNi fusion protein (DN-SUNL). In doing so, the inventors have induced specific cellular properties without having to create a complex and highly specific external environment.

Materials and Methods

Plasmid construction

All cloned fragments were sequenced in their entirety. PCDNA3.1 (-) (Invitrogen) was used to engineer the DN-SUNL and the specific control (SPGFP) constructs (see Schneider et al, 2011, Cell. Mol. Life Sci. 68:1593-1610). The DN-SUNL comprises torsin-A signal peptide (SP) sequence, sequences encoding GFP (Green Fluorescent Protein), the coiled-coil domain and the SUN-domain of a murine SUNi protein (the SUNi transgene protein lacks the N-terminal domain and the transmembrane domain). The full polypeptide sequence (819 amino acids) of one embodiment of the DN-SUNL is provided herein as SEQ ID No. 28 (previously referred to as SEQ ID No. 40 in patent application GB1701438.2), as follows: MKLGRAVLGLLLLAPSVVQAVASVSKGEELFTGVVPILVELDGDVNGHKFSVSGEGEGDA TYGKLTLKFI CTTGKLPVPWPTLVTTLTYGVQCFSRYPDHMKQHDFFKSAMPEGYVQERTIFFKDDGNYK TRAEVKFEGD TLVNRIELKGIDFKEDGNILGHKLEYNYNSHNVYIMADKQKNGIKVNFKIRHNIEDGSVQ LADHYQQNTP IGDGPVLLPDNHYLSTQSALSKDPNEKRDHMVLLEFVTAAGITLGMDELYKEFVSLWGQG NFFSLLPVLN WTAMQPTQRVDDSKGMHRPGPLPPSPPPKVDHKASQWPQESDMGQKVASLSAQCHNHDER LAELTVLLQK LQIRVDQVDDGREGLSLWVKNVVGQHLQEMGTIEPPDAKTDFMTFHHDHEVRLSNLEDVL RKLTEKSEAI QKELEETKLKAGSRDEEQPLLDRVQHLELELNLLKSQLSDWQHLKTSCEQAGARIQETVQ LMFSEDQQGG SLEWLLEKLSSRFVSKDELQVLLHDLELKLLQNITHHITVTGQAPTSEAIVSAVNQAGI SGITEAQAHI I VNNALKLYSQDKTGMVDFALESGGGS ILSTRCSETYETKTALLSLFGVPLWYFSQSPRVVIQPDIYPGNC WAFKGSQGYLVVRLSMKIYPTTFTMEHIPKTLSPTGNI SSAPKDFAVYGLETEYQEEGQPLGRFTYDQEG DSLQMFHTLERPDQAFQIVELRVLSNWGHPEYTCLYRFRVHGEPIQ

[SEQ ID No. 28]

Thus, in one embodiment, the agent according to any aspect of the invention may comprise an amino acid sequence substantially as set out in SEQ ID No. 28, or a variant or fragment thereof. The signal peptide has been included to ensure that the DN-SUNL peptide is transported to the endoplasmic reticulum and/or the nuclear envelope. The

polypeptide sequence of the torsin-A signal peptide (SP) sequence used in the DN- SUNL is provided herein as SEQ ID No. 29 (previously referred to as SEQ ID No. 41 in patent application GB1701438.2), as follows:

MKLGRAVLGLLLLAPSVVQAV

[SEQ ID No. 29]

The GFP protein has been included to ensure that the DN-SUNL peptide can be visualised under UV light. The polypeptide sequence of the GFP protein used in the DN-SUNL is provided herein as SEQ ID No. 30 (previously referred to as SEQ ID No. 42 in patent application GB1701438.2), as follows:

SKGEELFTGVVPILVELDGDVNGHKFSVSGEGEGDATYGKLTLKF ICTTGKLPVPWPTLVTTLTYGVQCF SRYPDHMKQHDFFKSAMPEGYVQERTIFFKDDGNYKTRAEVKFEGDTLVNRIELKGIDFK EDGNILGHKL EYNYNSHNVYIMADKQKNGIKVNFKIRHNIEDGSVQLADHYQQNTPIGDGPVLLPDNHYL STQSALSKDP NEKRDHMVLLEFVTAAGITLGMDELYK

[SEQ ID No. 30] The polypeptide sequence of the murine C-terminal SUNi luminal protein used in the DN-SUNL is provided herein as SEQ ID No. 31 (previously referred to as SEQ ID No. 43 in patent application GB1701438.2), as follows:

VSLWGQGNFFSLLPVLNWTAMQPTQRVDDSKGMHRPGPLPPSPPPKVDHKASQWPQE SDMGQKVASLSAQ CHNHDERLAELTVLLQKLQIRVDQVDDGREGLSLWVKNVVGQHLQEMGTIEPPDAKTDFM TFHHDHEVRL SNLEDVLRKLTEKSEAIQKELEETKLKAGSRDEEQPLLDRVQHLELELNLLKSQLSDWQH LKTSCEQAGA RIQETVQLMFSEDQQGGSLEWLLEKLSSRFVSKDELQVLLHDLELKLLQNI THHITVTGQAPTSEAIVSA VNQAGI SGITEAQAHI IVNNALKLYSQDKTGMVDFALESGGGS ILSTRCSETYETKTALLSLFGVPLWYF SQSPRVVIQPDIYPGNCWAFKGSQGYLVVRLSMKIYPTTFTMEHIPKTLSPTGNI SSAPKDFAVYGLETE YQEEGQPLGRFTYDQEGDSLQMFHTLERPDQAFQIVELRVLSNWGHPEYTCLYRFRVHGE PIQ [SEQ ID No. 31]

2D and D Cell culture

WT and DN-SUNL HaCaT, NIH-3T3 and primary human dermal fibroblast (HDF; LifeTechnologies) cells were cultured at 37°C, 5% CO2 in Dulbecco's Modified Eagles Medium, high glucose supplemented with 10% fetal calf serum, 2 mM penicillin, and 2 mM streptomycin (Sigma). For the cultivation of stable transfected DN-SUNL HaCaT cells, 0.5 mg/ml G418 disulphate (Sigma) was added to the media solution. 2D cell culture was performed on conventional poly-styrene flasks, 10cm petri-dishes and 12/24 well dishes. For 3D culture, 12-well Alvetex® Strata inserts (Reinnervate) were employed. Materials were pre-treated with oxygen plasma for 5 min at 40 W using an Emitech K1050X Plasma Asher. To seed the cells to Alvetex® Strata, 100 μΐ of WT or DN-SUNL HaCaT cell suspension containing 250,000 cells each was applied directly to the centre of each pre-treated scaffold. The scaffolds were then placed in their respective culture dishes and moved into a cell culture incubator for 20 min to allow cell attachment to the scaffold surface. Complete culture media was added. For the co-culture observations, 500,000 HDF cells at a T-75 confluence of 60% were placed onto plasma-treated scaffolds alongside complete culture medium and cultured in 12 well plates for 7 days. The scaffolds were transferred into 6 well plates containing 4 mL complete culture media and were cultured for a further 7 days. Either WT or DN HaCaT cells were then seeded. After the seeding of 250,000 keratinocytes (applies for both single or co-culture experiments) the cells were grown submerged in media for 4 days, before the cells were grown at the air-liquid interface for another 8 days.

Paraffin embedding and immunofluorescence microscopy

3D cell cultures were rinsed once with cell culture grade phosphate-buffered saline (PBS) and carefully undipped from the insert holder. Upon removal, scaffolds were washed a further two times in PBS for 5 min, submerged within 4% paraformaldehyde (PFA) in PBS, pH 7.4 and left at 4 °C overnight. After fixation, scaffolds were washed another two times in PBS for 5 minutes each. Washing was then followed by 15 min incubations in varying ethanol concentrations of 30%, 50%, 70%, 80%, 90%, 95% and 100% v/v at room temperature. Scaffolds were subsequently removed from their housing inserts, cut in half across their diameter using sterilised surgical scissors and incubated for 15 min in Histoclear (Fisher, 12358637) at 60 °C. An equal volume of liquid paraffin wax (Fisher, 12624077) was added, and the scaffolds were incubated for 15 min at 60 °C. The Histoclear/liquid paraffin solution was then replaced with fresh paraffin wax, and the scaffolds were incubated for 1 h at 60 °C. Vertical embedding was then performed in which the scaffold sections were placed into embedding moulds (Cellpath Ltd, GAD-5302-02A) with the cut side facing down. These were then topped with a labelled embedding cassette (SLS, HIS0029), and filled with fresh paraffin wax. The resulting wax blocks were sectioned using a Leica RM2125RT microtome with MB Dynasharp microtome blades (Fisher, 12056679). For all cell lines, sections were cut to a thickness of 10 μπι for conventional haematoxylin and eosin (H&E) staining, with subsequent 7 μπι sections for antibody staining. Sections were then floated on a 42 °C water bath, mounted onto Superfrost+ microscope slides (Fisher, 10149870) and left to dry overnight on a 32 °C heated slide dryer. Sections were subsequently deparaffinised in Histoclear and hydrated through a series of 5 min incubations in 100%, 70% ethanol and PBS. Antigen retrieval was performed using microwave heating; samples were heated three times 5 min in citrate buffer, with cooling at RT for 30 sec between each heat treatment. Sections were cooled, treated with permeabilisation/blocking solution (20% normal goat serum [Sigma] in 0.4% Triton X-100 PBS) for 45 min before processing for indirect immunostaining. 2D cell cultures were fixed in 4% paraformaldehyde/PBS for 15 min and permeabilized in 0.5% Triton X-100/PBS for 10 min before the samples were processed for indirect immunostaining. Focal adhesion sites were identified through vinculin staining, scaffolds were counterstained with NILE red (Sigma, nuclei were stained with 4,6- diamino-2-phenylindone (DAPI; Sigma) and F-actin with TRITC-Phalloidin (Sigma). All indirect immunofluorescence samples were analysed by confocal laser-scanning microscopy using a TCS-SP5 (Leica).

Antibodies

Primary antibodies used were directed against the C-terminus of nesprin-i (specll), the N-terminus of Nesprin-2 (Nes2NT) mAb K56-386 [Luke et al, 2008, J. Cell Sci. 121, 1887-1898 ] and mAb K20-478 [Zhen etal, 2001, J. Cell Sci. 115, 3207-3222], the C- terminus of Nesprin-2 (Nes2CT) pAb Ki [Libotte et al., 2005, Mol. Biol. Cell 16, 3411- 3424], β-actin mAb AC-74 (Sigma), GFP mAb K3-184-2 [Schneider et al, 2011, Cell. Mol. Life Sci. 68:1593-1610], Sum (Padmakumar etal, 2005, J. Cell Sci. 118, 3419- 3430), lamin A/ C (J0I2), tubulin mAb WA3 (kind gift from Dr. U. Euteneuer), vinculin mAb V9131 (Sigma), E-Cadherin rtAb U3254(Sigma), keratinio rbAb 76318 (Abeam) and keratini4 mAb 7800 (Abeam). For indirect immunofluorescence studies, Alexa 488, Alexa 568, and Alexa 647 fluorescently conjugated secondary antibodies

(Invitrogen) were utilized. Peroxidase-coupled secondary antibodies (Sigma) were adopted in Western blot analysis.

H&E histochemistry

Paraffin wax was cleared from the superfrost microscopy 3D scaffold-containing slides by washing with Histoclear for 5 min at room temperature. Gradual sample rehydration was conducted through washes in 100% ethanol for 2 min, 95% and 70% ethanol for 1 min, and distilled water for a further 1 min. Nuclei were then stained via a 5 minute incubation in Mayer's haematoxylin (Sigma, H1532) (0.1% v/v haematoxylin, 0.02% v/v sodium iodate, 5% v/v aluminium potassium sulphate, 5% v/v chloral hydrate and 0.1% v/v citric acid in dH 2 0), followed by a 1 min wash in distilled water and incubation in alkaline alcohol (3% ammonia in 70% ethanol) for 30 sec to stain nuclei. Samples were subsequently dehydrated by 30 sec incubations in 70% and 95% ethanol. Once dehydrated, cytoplasmic staining in 0.5% eosin (Sigma, E4009) in 95% ethanol for 1 min was carried out. The samples then underwent two 10 sec washes in 95% ethanol, followed by two washes in 100% ethanol, the first for 15 sec and second for 30 sec. Slides were then cleared via 2x 3 min washes in Histoclear, prior to mounting with DPX mounting media (Fisher, 10050080) and covering with a 50 x 22 mm coverslip (Fisher, 12383138). Slides were left to dry at 4°C overnight and then imaged using a Leica DM500 light microscope with attached ICC50 HD camera at ιοχ and 20x

magnifications utilising the LAS EZ software (Leica). Western blotting

Protein lysate preparation from 2D cultured dishes is covered in detail in Carthew and Karakesisoglou (2016; Methods Mol Biol. 2016; 1411: 221-32). To extract protein lysates from 3D cultured cells, scaffolds were washed three times in PBS, removed from their housing inserts and cut into small (~i mm), square pieces with sterilised scissors.

Scaffold sections were then incubated in 500 μΐ RIPA [50 mM Tris/HCl (pH 7.5), 150 mM NaCl, 1% Nonidet-P40, 0.5% sodium desoxycholate] buffer supplemented with 1% protease inhibitor cocktail (Sigma) for 15 min at 4 °C, during which sonication every 3 min for 30 sec was performed using an MSE soniprep 150 sonicator. The scaffold/cell suspension was centrifuged at 4 °C for 15 min at 12 000 x g to pellet the remaining cell/scaffold debris, with resulting supernatant extracted, combined with 120 μΐ of 5x concentrated Laemmli sample buffer and boiled at 99 °C for 4 min. Samples were then stored at -20 °C until use.

Selective permeabilisation and proteinase digestions to elucidate the SP-GFP and DN- SUNL subcellular distribution

Transiently transfected HaCaT cells that were transiently transfected with the SP-GFP and DN-SUNL transgenes were washed twice with ice-cold PBS buffer once the cell culture plates reached 60-70% confluency. Cells were collected from the plates using a cell scraper, transferred to a centrifuge tube and subjected to a 5 min centrifugation at i,ooog. The supernatants were carefully removed and the cell pellets were re- suspended in either ice-cold hypotonic buffer [10 mM HEPES (pH 7.5), 1.5 mM KCl, 1.5 mM MgCl2, and 0.5 mM dithiothreitol] or protease inhibitor-containing (Roche) RIPA lysis buffer [50 mM Tris/HCl (pH 7.5), 150 mM NaCl, 1% Nonidet-P40, 0.5% sodium desoxycholate]. The former cell homogenate's were supplemented with either 5 μg/ml digitonin or 1% Triton X-100, incubated on ice for 4 min before the addition of proteinase K (5 μg/ml). After a 30 min incubation on ice the proteinase K-mediated digestion was terminated using 10 μg/ml phenylsulfonyl fluoride (PMSF). The digested samples were subjected to a 20 min centrifugation at i2,ooog and the supernatants were supplemented with Laemmli sample buffer. The RIPA-containing cell

homogenates were incubated on ice for 15 min, centrifuged at i2,ooog, and the supernatants were mixed with sample buffer. All cell extracts were passed at least 20 times through a 27-gauge needle, before the lysates were analysed by SDS-PAGE, and Western blotting. Transmission electron microscopy

2D cultured cells were fixed though 30 min incubations in 2% glutaraldehyde diluted in NaHCa buffer, washed two times in NaHCa buffer and incubated for 15 min in a solution of 1% tannic acid and 0.075% saponin at RT. Cells were then rinsed two times in NaHCa buffer, followed by two further washes in 0.1 M cacodylate buffer and transferred to a 1.5 ml centrifuge tube. Cell suspensions were centrifuged at 1000 g for 4 min, with resulting pellet incubated for 1 h in a solution of 0.5% osmium tetroxide in 0.1 M cacodylate buffer. Pellets were further washed twice in 0.1 M cacodylate buffer, dehydrated through three 5 min washes in 50%, 70%, 95% and 100% ethanol solutions, and infiltrated two times with a 1:1 mixture of 100% alcohol and propylene oxide for 10 min. Cells were then incubated in a 1:1 mixture of propylene oxide and epoxy resin (EPON™ 828) at 60 °C, twice in 100% epoxy resin at 60 °C for 30 min, and finally in fresh epoxy resin at 60 °C for 24-48 h to allow polymerisation. Ultra-thin sections were cut to 70 nm using a Leica EM UC6, and mounted onto Formvar coated copper grids. Grids were incubated in uranyl acetate for 10 min, rinsed twice in distilled water, and further incubated in lead citrate (0.4% lead citrate w/v, 0.5% sodium citrate in 0.1 N NaOH) for 10 mins. Subsequent image acquisition was performed using a Hitachi TEM-H7600 transmission electron microscope.

Atomic Force Microscopy

Cells were cultured to a confluence of 60% on 35 mm plastic petri dishes (TPP). 30 min before analysis, extensively PBS-washed cultures were placed into sterile filtered, CO2 independent culture media (Fisher). Subsequent examination was conducted using a Nanowizard® 3 Bioscience atomic force microscope (JPK) using a (D)NP silicon nitride probe cantilever, expressing a spring constant of 0.06 - 0.7 N/m (Bruker, DNP-10) over a 15 x 15 μπι grid. Cells were maintained at a constant temperature of 37 °C throughout image collection. Young's modulus values were generated using the Gwyddion image analysis software. Statistical analysis

Statistical analysis was performed using Student's t test; 300 cells were used for every data set unless otherwise stated. Results were shown as mean ± SD. P values of <o.05 were considered significant. The mean ± SEM cell stacking from the 3D cell culture experiments and all the 2D morphometries data sets were measured using the processing software ImageJ (vi.49).

Example 1 - Components of the LINC complex

The LINC complex is widely recognised as the major nuclear envelope (NE) component able to provide the mechanical links between the nucleus and cytoskeletal network, comprising an outer nuclear membrane (ONM) KASH domain proteins and inner nuclear membrane (INM) SUN proteins (see Figures 1 and 2). The KASH domain projects into the NE lumen, where it interacts with SUN domains. This SUN-KASH interaction helps to anchor KASH proteins to the NE, preventing them from diffusing into the adjoining endoplasmic reticulum (ER). The ONM KASH proteins interact with a range of cytoskeletal components, and thus, physically tether the nucleus to the cytoplasmic compartment, whereas the SUN proteins physically interact with INM proteins networks, such as the nuclear lamina and chromatin components. This complex of proteins therefore establishes a physical bridge between the cytoskeletal and nucleoskeletal networks. The formation of this two-membrane adhesive assembly of proteins is capable of transmitting force across the NE, providing function in maintaining centrosome-nuclear interactions, nuclear architecture, signal transduction, DNA repair and chromosome migration. This therefore suggests that the LINC complex must be a dynamic protein network of highly ordered protein interactions, allowing the transmission of multiple signal transductions from a variety of cytoskeletal components to the nuclear interior.

Example 2 - SUNi luminal domain dominant negative construct (DN-SUNL)

In order to study the role that the LINC complex protein, SUNi, plays in cellular structure and function, the inventors developed a construct (see Figure 3) that encodes and overexpresses a fusion protein comprising a GFP-tagged luminal domain of SUNi attached to an ER signal peptide (SP). The signal peptide was incorporated to ensure the fusion protein is overexpressed in the endoplasmic reticulum (ER) and the perinuclear space. To confirm that the fusion protein had translocated into the ER lumen and the perinuclear space, cell homogenates of HaCaT keratinocytes were subjected to proteinase K degradation in the presence of Triton X-100 or digitonin (see Figure 12). In contrast to Triton X-100, which permeabilizes all biological membranes, low concentrations of digitonin leave the internal ER (endoplasmic reticulum) and NE (nuclear envelope) membranes unperturbed. Digitonin permeabilizes only cholesterol- rich membranes (i.e. plasma membrane). Similar to the ER and perinuclear space resident disulphide isomerase (PDI) protein, the SP GFP and DN-SUNL molecules were susceptible to proteinase K degradation only when cell homogenates were

permeabilized with Triton X-100 (see Figure 12). Figures 4 and 5 show that the GFP- fusion DN-SUNL protein is expressed in the ER and the nuclear envelope.

Example 3 - SUNi interacts with Nesprin-i and Nesprin-2

The inventors elucidated the involvement of luminal KASH/SUN protein interactions with Nesprin-i and Nesprin-2, the cytoplasmic binding partners of SUNi. Transiently transfected control DN-SUNL HaCaT and fibroblasts were immunostained for

Nesprins-i and Nesprin-2, respectively. Their decision to use these particular cellular models was based on the prevalence of Nesprin-i and Nesprin-2 C-terminal KASH- domain isoforms (i.e. nuclear envelope associated isoforms) in fibroblasts and keratinocytes. In sharp contrast to untransfected cells (see Figures 5A and 5B asterisks), the DN-SUNL expression (see green panels in Figures 5A and 5B, arrows) dislodged Nesprin-i and Nesprin-2 from the NE (see red panels in Figures 5a and 5b, arrows). Importantly, the localisation of other key nuclear proteins including SUNi (Figure 5C) and the Nesprin-2, vinculin, tubulin, and actin expression levels remained unaffected by DN-SUNL expression (Figure 7B). Furthermore, in contrast to DN- SUNL, SP-GFP (control) does not affect the localisation of endogenous Nesprin-2. This highlights, that the SUNi C-terminal sequences exert the dominant negative effects on KASH-domain proteins and not the SP and GFP segments of DN-SUNL (Figure 13), considering that both (SP-GFP and DN-SUNL) are expressed in the same membrane- bound compartments (i.e. ER and NE; Figure 12).

Example 4 - LINC disruption affects cell shape, cell-cell junction protein expression and cellular density

A microscopic comparison (i.e. phase contrast images and fluorescence examination of TRITC-coupled phalloidin [phalloidin binds filamentous actin]) of WT and stable DN- SUN HaCaT clones (Figure 6A) grown at 60% confluency under standard 2D conditions indicates drastic changes in the overall appearance of the mutants. While both WT and DN-SUNL form colonies the latter appear to contain more cells, which exhibit strong cortical F-actin staining and a smaller circumference. Statistical analysis indicates that DN-SUNL HaCaT cells display a significantly smaller cellular area of 262 μπι 2 compared to a calculated cell area of 473 μπι 2 for WT cells. This drastic difference in the DN-SUNL cell area is reflected also in the number of cells that occupy a 100 x 100 μπι area. On average 7.4 WT cells are found within a 10000 μπι 2 colony area, while for DN- SUNL 15.8 cells were observed (Figure 6B). The pronounced cellular crowding effect of DN-SUNL may be the outcome of higher E-cadherin expression, which hinds the presence of enhanced cell-cell contacts when the cells are grown on 2D surfaces (Figure 6C). Interestingly, the DN-SUNL effects on the expression of E-cadherin appear to be attenuated upon 3D cell culture (Figure 6C).

Example 5 - LINC complex disruption alters cell-substratum adhesion

Considering that DN-SUNL expressing cells display a drastically smaller cellular area, the inventors elucidated whether the adhesion of the cells to the surface has been altered. Examination of vinculin indeed indicates alterations in the localisation of the protein within the cytoplasm in DN-SUNL mutant cells. In WT cells the majority of vinculin is localised at focal contacts, which can be seen as distinct large clusters at the periphery of the cells (denoted by arrows, Figure 7A). Moreover, WT cells appear very flat, which is evident not only by the presence of focal contacts but also from the large area that is occupied by the cytoplasm. In sharp contrast, DN-SUNL cells exhibit vinculin staining, which is confined in the cytoplasm and lack distinct focal contacts at the periphery (Figure 7B). Western blot analysis of equal amounts of WT, and DN- SUNL cell lysates (two clones were examined) indicates that the levels of vinculin are not affected in the mutants. In summary, the data show that the subcellular distribution of vinculin is affected but not its expression levels upon LINC complex disruption in HaCaT keratinocytes. Moreover, the data suggest that a reduced cell- substratum attachment and an enhanced cell-cell adhesion may account for the cell density and morphological phenotype of the mutants.

Example 6 -LINC complex disruption enhances the stratification properties of HaCaT keratinocytes in D cell culture conditions

Upon exposure to the air-liquid interphase keratinocytes start to differentiate and form a multi-layered structure. Cellular division is restricted to the cells that are in immediate contact with the cell culture media, while differentiated cells significantly flatten and occupy the areas that are further away from the media surface.

Irrespectively, of whether DN-SUN HaCaT cells are grown alone (single culture) or in the presence of fibroblasts (co-culture) in 3D their ability of forming multi-layered cell assemblies is profoundly enhanced when compared to WT cells. Figure 8A indicates that DN-SUNL cells form more layers when compared to WT. In addition, Figure 8A shows that the DN cell layers occupy the area above the scaffold and that the differentiation programme is executed properly considering the drastic cell shape changes that occur in the upper layers (note the significant cell flattening that occurs in the co-culture permutation). The ability of the DN cells to form pronounced structures above the scaffold is shown in Figure 8B. As can be seen DN-cells (GFP-positive due to DN-SUNL expression) grow both into (GFP-panel) and above the scaffold (Nile red co- stained sample). Note the presence of GFP-positive structures above the Nile red stained 3D scaffold, which shows that cell stacking occurs above the scaffold (Figure 8B) and is enhanced upon LINC disruption (Figure 8C).

Example 7 - LINC complex disruption enhances cell stratification and differentiation. To elucidate whether the morphological alterations (pronounced cell/nuclear flattening) exhibited by DN-SUNL cells (Figure 9A, small arrows) correspond to differentiated cells the epidermal models were counterstained with Keratin 10. As can be seen in Figure 9B, the anti-Keratin 10 immunofluorescence indicates that keratin 10 is present in the outermost cell layers of the DN-SUNL epidermal equivalent. In summary, Figure 9 shows that DN-SUNL cells (relative to WT cells) have enhanced stratification properties, a proper spatial expression of the K10 differentiation marker when grown at the air-liquid interface in 3D and a cell morphology that mimics the shapes of keratinocytes of skin (e.g. columnar shape for cells in the direct vicinity of the scaffold [Figure 9A, asterisks], and a squamous appearance for differentiated cells [Figure 9A, small arrows]).

Example 8- DN-SUNL expression disrupts the linkage of the INM to the ONM

To demonstrate that DN-SUNL disrupts the physical linkage of the inner nuclear membrane to the outer nuclear membrane (Figure 10A) we performed an EM analysis of the DN-SUNL cells relative to WT. EM images indicate that the lumen of the nuclear envelope (NE) is even and narrow in WT, while DN-SUNL cells exhibit dilations

(Figure 10B). Measurements of the NE lumen indicate a significant dilation in DN-SUN expressing cells (Figure 10C).

Example 9 - LINC disruption yields compact, taller and softer cell colonies

To examine the physical properties of WT and DN-SUNL cells the inventors performed an AFM analysis on living cells. The data in Figure 11A verify that DN-SUNL colonies compared to WT are more compact and contain more cells (phase contrast). Moreover, Young's modulus measurements (Figure 11A, middle panel) indicate that mutants are significantly softer irrespectively of the cellular regions that were assessed (Nuclear centre, nuclear rim and cytoplasm Figure 11B and 11C). Collectively, these data suggest that DN-SUNL cells exhibit softer nuclei and softer cytoplasms, suggesting that DN- SUNL expression yields softer cells, which is further substantiated by the pronounced cantilever indentation in the mutants (Figure 11D). Finally, the height map in Figure 11A (lower panel) shows that DN-SUNL cells are taller when compared to WT, which again underlines that LINC complex manipulation controls cell/colony architecture.




 
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