Type I keratins K18 and K19 undergo caspase-mediated degradation during apoptosis. Two known K18 caspase cleavage sites are aspartates in the consensus sequences VEVDA and DALDS, located within the rod domain and tail domain, respectively. Several K14 (another type I keratin) mutations within the caspase cleavage motif have been described in patients with epidermolysis bullosa simplex. Here we use extensive mutational analysis to show that K19 and K14 are caspase substrates and that the ability to undergo caspase-mediated digestion of K18, K19, or K14 is highly dependent on the location and nature of the mutation within the caspase cleavage motif. proteins of epithelial cells and consist of Ͼ20 separate gene products (1). The keratin subfamily of IF proteins is classified into two major groups, type I keratins (K9 -20) and type II keratins (K1-8), which associate as noncovalent type I-II heteropolymers in an epithelial cell type-specific manner (1-4). Among cytoplasmic IF proteins, keratins and vimentin undergo caspase-mediated degradation as part of the cytoskeletal remodeling that takes place during apoptosis (5-8). The nuclear lamin IF proteins also undergo degradation during apoptosis and were the first IF proteins demonstrated to undergo apoptosis-associated digestion (9 -11). The only keratins shown to undergo proteolysis during apoptosis are K18 and K19, whereas their type II partner (i.e. K8) manifests remarkable resistance to apoptotic degradation. Two known K18 caspase sites, VEVD and DALD, are located in the rod domain and tail domain, respectively (5-7). VEVD or similar consensus sequences are found in other IF proteins within the so-called linker 1-2 (L1-2) region of the rod domain (Fig. 1), whereas DALD is a unique caspase site that is found only in the K18 tail domain. The signals, if any, that target keratin degradation and the significance of this proteolysis are unknown. To that end, the only keratin-related apoptosis-associated change after an apoptotic signal is marked early keratin hyperphosphorylation. The significance of this early keratin hyperphosphorylation in association with apoptosis is not known, but amino acid substitution of the major K18 phosphorylation sites does not alter susceptibility to caspase digestion (6).Understanding the significance and regulation of keratin (and other IF protein) degradation during apoptosis is important from a cell biological perspective and may also have pathophysiological relevance to human disease. For example, although most keratin mutations that have been identified in patients with epidermal blistering keratin diseases are located at the N-terminal region of the rod IA subdomain (12, 13), at least four K14 mutations have been described within the L1-2 region (14 -17) in close proximity to the caspase recognition motif (VEMDA, also referred to herein as the caspase box). The cause of blister formation in these patients may be attributed to keratin filament assembly defects with resultant cell fragility. However, the proximity of these mutations ...