The claudin superfamily consists of at least 18 homologous proteins in huma
ns. These proteins are important structural and functional components of ti
ght junctions in paracellular transport. Complexed with two other integral
transmembrane proteins, occludin and junctional adhesion molecule, claudins
are located in both epithelial and endothelial cells in all tight junction
-bearing tissues. Claudins interact directly with tight junction-specific,
membrane-associated guanylate kinase homologues, ZO-1, ZO-2, and ZO-3, and
indirectly with AF-6 and the myosin-binding molecule cingulin. These protei
n-protein interactions promote scaffolding of the tight junction transmembr
ane proteins and provide a link to the actin cytoskeleton for transducing r
egulatory signals to and from tight junctions. The distinct permeability pr
operties observed in different epithelia and endothelia seemingly result fr
om the restricted tissue expression, variability of the homopolymer and het
eropolymer assembly, regulated transcription and translation, and the subce
llular localization of claudin family proteins. Defects in claudins are cau
satively associated with a variety of human diseases, demonstrating that cl
audins play important roles in human physiology. In conditions where the ce
ll adhesion function contributed by tight junctions is essential, such as i
n altered paracellular transport, in proliferative diseases, and during mor
phogenesis, the claudin superfamily of homologous proteins provides the mol
ecular basis for the uniqueness of tight junctions and emerges as a new tar
get for intervention.