A desmosome, also known as a macula adherens, is a cell structure specialized for cell-to-cell adhesion. A type of cell junction, they are localized spot-like adhesions randomly arranged on the lateral sides of plasma membranes. Desmosomes are one of the stronger cell-to-cell adhesion types.

A desmosome involves a complex of proteins. Some of these proteins extend across the membrane, while others anchor the junction within the cell.

Cadherins, specialized adhesion proteins, are found on the membranes of both cells and interact in the space between them, holding the membranes together. Inside the cell, the cadherins attach o a structure called the cytoplasmic plaque (red in the image at right), which connects to the intermediate filaments and helps anchor the junction.

Desmosomes pin adjacent cells together, ensuring that cells in organs and tissues that stretch, such as skin and cardiac muscle, remain connected in an unbroken sheet.