The essential function of the skin is that of a barriere against the o
utside. The epidermis is the tissue which assures the solidity and the
resistance of the skin against forces of traction. The desmosomes, al
lowing the adhesion of epidermal cells, the keratinocytes, between the
m, are the structures of resistance of the epidermis. This adhesion fu
nction is possible thanks to the interactions between the desmosomial
molecules and cytosqueletal filaments. Currently fifteen desmosomal pr
oteins implicated in this process have been characterized. The role of
desmosome in integrity of epidermis is demonstrated by the existence
of the auto immune dermatosis, the pemphigus, in which the inflammator
y reaction against desmosomal proteins results in the loss of the cohe
sion of keratinocytes.