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Cornification
cornification
118
Veterinary Medicine
Professional
07/08/2020

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Cards

Term
What keratin types do keratinocytes in the stratum basale express?
Definition

Keratin 5 (basic, type 2)

Keratin 14 (acidic, type 1)

Term
What keratin types do keratinocytes in the stratum spinosum express?
Definition

Keratin 1 (basic, type 2)

Keratin 10 (acidic, type 1)

Term
Keratin monomers
Definition

assemble into web like bundles to form intermediate filaments

Term
What structure to intermediate filaments terminate on/at?
Definition
Desmosomes
Term
Caspase 14
Definition

Functions in the degradation of filaggrin monomers to natural moisturizing factors (NMF)

A cysteine-dependent aspartate directed protease

Term
What type of bond forms the heterodimer between a type 1 and type 2 keratin?
Definition
Disulfide bond
Term
Which keratin is expressed in the stratum granulosum?
Definition

Keratin 2 (basic, type 2)

This keratin is considered a marker of keratinocyte differentiation

Term
What proteins make up the cornified cell envelope?
Definition

Periplakin

Envoplakin

Involucrin

Loricrin

Small proline-rich proteins

Term
What enzyme cross-links proteins in the cornified cell envelope?
Definition
Tranglutaminase-1
Term
Transglutaminase-1
Definition

Synthesized in the epidermis as an inactive precursor protein which is later processed by cathespin D for activation

Cross-links proteins in the cornified cell envelope

Term
Profilaggrin
Definition

The major constituent of keratohyalin granules in the stratum granulosum

A large insoluble highly phosphorylated histadine-rich protein

Contains tandemly arranged FLG repeats that are flanked on either side by two partial FLG repeats N- and C-terminal domains (these domains are important in processing)

Term
What causes keratohyaline granules to degranulate?
Definition
Increased calcium levels
Term
Filaggrin monomers
Definition
Aggregate the keratin intermediate filament cytoskeleton into tight bundles...thus collapsing and flattening the cell
Term
Natural moisturizing factors (NMF)
Definition

Break down products of filaggrin monomers

Pyrrolidone carboxylic acid and urocanic acid

Term
Where is the cornified cell envelope located?
Definition
On the inner surface of the keratinocyte plasma membrane
Term
What is the main adhesive structure in the stratum corneum?
Definition
Corneodesmosomes
Term
Corneodesmosome structure
Definition

Cytoplasmic - plaque proteins are incorporated into the cornified cell envelope and separated from tonofilaments attacted to the intermediate filament cytoskeleton

Extracellular - comprised of desmosomal cadherins (desmoglein-1, desmocollin-1 and corneodesmosin)

Term
What is Kallikrein?
Definition

A chymotrypsin-like serine protease that degrades the extracellular components of corneodesmosomes. Corneodesmosin is cleaned first followed by desmoglein1 and desmocollin 1.

Cathespin is also involved

KLK5 and KLK7 and KL14

Term
Lymphoepithelial Kazakhstan-type 6 serine protease inhibitor (LEKTI)
Definition

Inhibits the enzymatoc activities of KLK5 and KLK7

Synthesized in the SG and released by lamellar granules into the extracellular space

Encoded by SPINK5

Term
Where to the lamellar granules of the SS and SG originate?
Definition
Golgi apparatus
Term
What are the contents of the lamellar granules of the SS and SG?
Definition

Phospholipids

Glycosylceramides

Sphingomyelin

Cholesterol

Term
Name two epidermal lipooxygenases involved with lipid metabolism of lamaellar granule contents and/or extracellular lipid layers of the epidermis
Definition

Lipoooxygenase 3

12R-lipooxygenase

Term
What are the 3 major constituents in the SC?
Definition

Ceramides

Cholesterol

Long-chain FFAs

Term
Ceramides
Definition

A class of lipid molecules consisting of sphingoid bases that are amide linked to fatty acids

Converted to glycosylceramides and sphingomyelins for incorporation into lamellar granules and then converted back to ceramides by β-glucocerebrosidase and amid sphingomyelinase

Term
ABCA12 (ATP-binding cassette subfamily A member 12)
Definition
A lipid transporter that plays a role in the incorporation of glycosylceramides into lamellar granules
Term
Sphingosine
Definition
Ceramides are cleaved to generate sphingosine which is then phosphorylated to sphingosine-1-phosphate by sphinogosine kinase
Term
FATP4 (fatty acid transport protein 4)
Definition
A lipid transporter that plays a crucial role in the uptake of fatty acids into keratinocytes
Term
Cholesterol
Definition

A major lipid class in the SC

Synthesized in keratinocytes and metabolized into cholesterol sulfate with is degraded back to cholesterol in the intracellular space by steroid sulphatase

Term
PNPLA1 (phospholipase domain containing protein 1)
Definition

Expressed in the upper epidermis

Synthesizes or remodels glycerophospholipids that play an important role in epidermal lipid barrier function

required for acylceramide synthesis

Term
Within what complex and on what chromosome is the flg gene?
Definition

Epidermal differentiation complex (includes s100 fused-type proteins, filaggrin-2, hornerin and others)

Chromosome 17

Term
A mutation in which gene causes Golden Retriever ichthyosis?
Definition

PNPLA1

PNPLA1 acts as an ω-O-acyltransferase required for acylcetamide (EFA).

Term
A mutation in which gene causes American Bulldog ichthyosis?
Definition

NIPAL1 (ichthyin)

Hey magnesium transporter for fatty acid transport protein (FATP4)

Term
Hereditary nasal parakeratosis is found primarily in which breed?
Definition
Labradors, also some greyhounds
Term
Mutation in the SUV39H2 gene in hereditary nasal parakeratosis results in what, and looks like what on H&E?
Definition
Delayed differentiation of keratinocytes, biopsy shows parakeratosis and serum 'lakes'
Term
Lethal acrodermatitis in bull terriers is caused by an abnormality in what gene/biologic process?
Definition
MKLN1 gene, results in a defect of zinc metabolism that affects many cellular processes.
Term
What is the phenotype of bull terriers with lethal acrodermatitis?
Definition
Poor growth, hyperkeratotic skin lesions (consistent with zinc responsive dermatosis lesions), immune deficiency, infections and early death
Term
What a gradient of changes occurs in the epithelium from the basal level to the stratum corneum that facilitates cornification and eventually desquamation?
Definition

Cholesterol sulfate is processed to free cholesterol by steroid sulfatase.

phospholipids are broken down to three fatty acids by phospholipases.

Ceramides are broken down by Ceramidase, sphingosine kinase, S1P Lysase and other enzymes

Pro flag rim is processed to flag rim and then to free amino acids (NMF) by cascade-14, matripase, mesotrypsin, peptidylimidase, breonycin hydrolases and others.

End consequence = The pH, calcium ion concentration and moisture drop, free amino acids increase and conditions progressively favor activation of proteases well causing inactivation of their inhibitors.

Term
Naked foal syndrome in Akhal-Teke can horses presents with mild ichthyosis, marked alopecia and early death. A mutation in the ST14 gene affects what enzyme?
Definition
Matriptase Hey Siri in protease that is linked to flagger and processing, corneodesmosome break down and terminal differentiation.
Term
What are the three main proteins that comprise the cytoskeleton?
Definition
Intermediate filaments, microtubules, microfilaments
Term
How do the “hard keratins”, That form hair, claws and hooves different and composition from the “soft keratins”.
Definition
Hard keratins have a higher sulfur content in their terminal domains resulting from increased cysteine that allows for more disulfide bonds and covalent protein cross-linking.
Term
What keratin is associated with curly hair coats in dogs and some cats?
Definition

Keratin 71


Keratin 25 has been associated with curly hair coats in horses.

Keratin 27 has been associated w we with curly hair coats in cattle.

Term
What protein family do filaggrin, filaggrin-2 and trichohyalin belong to?
Definition
S-100 fused type protein family
Term
Explain the epidermal calcium gradient
Definition

-Basal- relatively low

-Spinous- very low

-Granular- highest

-Cornified- very low

Term
Interference with desmosomal adhesion creates acantholysis
Definition

-Autoantibodies in humans:

-Desmoglein-3: PV

-Desmoglein-1: PF

 

-Major autoantigens in dogs:

-Desmoglein-3: PV

-Desmocollin-1: PF

Term
Adherens Junctions
Definition

-Areas of intercellular contact

-Closely connected to actin microfilament cytoskeleton

-Cadherin-catenin complex binds actin:

-E-cadherin- transmembrane molecule

-Cytoplasmic catenins (B-catenin, p120 catenin, a-catenin)

Term
What are gap junctions?
Definition

-Channels in the plasma membrane

-Link cytoplasm of neighboring cells

-Allow selective exchange of ions, second messengers, and small metabolites

-Connexins are basic components

-6 connexins---> connexon

-Connexons in plasma membranes of adjoining cells associate to form gap junctions

Term
Desquamation: Shedding of Corneocytes
Definition

-Enzymatic cleavage of corneodesmosomes

-Serine proteases

-SCCE (stratum corneum chymotryptic enzyme)...aka kallikrein 7 (KLK7)---> degrades corneodesmosin, desmocollin-1

-SCTE (stratum corneum tryptic enzyme)... aka kallikrein 5 (KLK5)--->degrades corneodesmosin, desmocollin-1 and desmoglein-1

Term
Desquamation: Shedding of Corneocytes. Explain how there is inhibition vs promotion of Desquamation
Definition

-LEKTI (lympho-epithelial Kazal type inhibitor)---> composed of serine protease inhibitor, secreted from lamellar bodies, effective inhibition at neutral pH

-Balance between KLKs and LEKTI regulates normal desquamation

Term
Corneodesmosin- explain the purpose
Definition

-Serine and glycine rich protein---> forms "glycine loops" that act like velcro and mediate reversible intermolecular adhesion and glycine loops also in keratins and loricrin

-Secreted from lamellar bodies

-Incorporated into desmoglea

-Plays a key role in stratum corneum cohesion

Term
keratinocyte connections- name the 4 types
Definition

1) Desmosomes and Corneodesmosomes

2) Tight Junctions

3) Adherens junctions

4) Gap junctions

Term
Tight Junctions in Epithelia
Definition

-Very close intercellular contacts (seal intercellular space)

 

-Control paracellular movement of molecules (semipermeable size and ion-specific barrier)

 

-Perform "fence function"

-restrict molecule diffusion within cell membrane

-demarcate apical and basolateral regions

Term
Tight junctions: components
Definition

-Transmembrane molecules include the following:

-Claudins-critical component

-Occludin

-Junctional adhesion molecules (JAMs)-IgG-like

 

-Intracellular proteins

-Zonula occludens (ZO) proteins

-interact with claudins, occludin and actin

Term
Desmosomes- describe the purpose
Definition

-Sites of intercellular adhesion

-Link neighboring keratinocytes and their KIFs

-Provide structural strength for epidermis

-Constantly rearranging as keratinocytes migrate suprabasally

Term
Desmosome Structure- describe it
Definition

-Desmoglea- extracellular portion between adhered keratinocytes

 

-Within keratinocyte cell membrane

(Outer dense plaque and Inner dense plaque-connects to keratin intermediate filaments)

Term

Name each of the proteins and their purpose involved in the following:

Desmosomal cadherins, Armadillo proteins, and Plakin gene family proteins

Definition

-Desmosomal cadherins (Transmembrane calcium-dependent)---> desmogleins, desmocollins

 

-Armadillo proteins (bind to cadherins)--->Plakoglobin, Plakophilins

 

-Plakin gene family proteins---> Desmoplakin, Envoplakin, periplakin

Term
Contents of Lamellar bodies
Definition

-Lipid precursors (Glucosylceramides, Sphingomyelin, Phospholipids)

-Desquamation proteases (SCCE/KLK7 and SCTE/KLK5)

-Lipid hydrolases (B-glucocerebrosidase, Acid sphingomyelinase, Phospholipase A2)

-Cholesterol

-Corneodesmosin

-Steroid sulfatase

-Antimicrobial peptides

 

 

Term
Ceramides in cornified layer are composed of the following:
Definition

-From precursors: Glucosylceramides, Sphingomyelin

-Major Lipid component of stratum corneum: minor in other tissues

-Ceramide are lipids (fats) that are found naturally in high concentrations in the uppermost layers of the skin

-They make up over 50% of skin's composition and play a vital role in skin appearance

-Fatty acids and sphingosine base come together to form ceramides

Term
What is a ceramide?
Definition

-Amide- linked fatty acid attached to sphingoid base

-Type of sphingolipid

(sphingolipids ubiquitous in mammalian tissues with tissue-specific distribution)

Term
omega-hydroxyceramides are present in what layer of the skin?
Definition

-Unique to stratum corneum (149)

-very long chain fatty acids

-EOS/Cer 1, EOH/Cer 4, EOP/Cer 9

-Linoleic acid (omega-6 EFA) is component

-Bonded to involucrin in CE and interdigitate with other lipids

-Key to stratum corneum barrier function

Term
Where is cholesterol synthesized in the skin?
Definition

-synthesized in the lower epidermis

-Some incorporated into lamellar bodies and secreted unchanged

-Some converted to cholesterol sulfate and metabolized to cholesterol by steroid sulfatase

-Cholesterol sulfate impairs desquamation

Term
What are the components that promote corneocyte intercellular adhesion?
Definition
-Desmoglein 1, Desmocollin 1, and corneodesmosin
Term
Lamellar bodies at the interface of stratum granulosum and corneum contain what?
Definition
-Lamellar bodies contain hydrolytic enzymes and phospholipids, ceramides, glycosyl ceramides and sterols
Term
Cytoskeleton of Epithelial cells components
Definition

-Intracellular transport

-Microfilaments- actin (7nm diameter)

-Microtubules- alpha and beta-tubulin (20nm diameter)

-Scaffold composed of intermediate filaments (7-12 nm diameter and made of keratin)

Term
Corneocyte components
Definition

-nucleus and organelles are degraded

-KIF and filaggrin tightly bundled

-CE replaced plasma membrane

-Desmosomes modified into corneodesmosomes

Term
Cornified cell envelope components
Definition

-Involucrin

-Loricrin

-Envoplakin, periplakin

-Small proline-rich peptides (SPRs)

-Multiple other proteins

Term
Filaggrin
Definition

-Bundles KIFs into a tight arrangement

 

-Degraded in stratum corneum and release:

-Pyrrolidone carboxylic acid and amino acids maintain epidermal hydration and pH

-Urocanic acid--->photoprotection

 

-Caspase-14 involved in the degradation

-Key to epidermal barrier funciton

Term
Filaggrin is made from and the components include the following
Definition

-Histadine-rich, cationic protein

-Precursor: profilaggrin

-Synthesis starts after K1 and K10

-Consists of multiple filaggrin units between N- and C- terminal domains

-Calcium may be involved in profilaggrin processing

-May have a role in calcium-dependent events of cornification

-component of keratohyalin granules

Term
Keratin Proteins: describe the 2 types
Definition

-Type 1: Acidic, smaller than type 2, K9-19 in the epidermis

 

-Type 2: Basic to neutral, larger than type 1, K1-8 in the epidermis

 

***Acidic and basic proteins form pairs

Term
Structure of the keratin proteins
Definition

-Central alpha-helical rod domain

-Amino (N)-terminal head and carboxy (C)-terminal tail that exhibit "glycine loops"

Term
Process of Cornification (name the 5 steps)
Definition

1) Specialized control of apoptosis

2) Bundling of keratin filaments to contract and flatten cells (filaggrin)

3) Replacement of cells membrane with cornified envelope (TG1)

4) Formation of lipid bilayers and CLE

5) Desquamation (pH dependent)

Term
What is the lipid matrix composed of?
Definition
Ceramides, free fatty acids, cholesterol (mostly ceramides)
Term
What intracellular components are used for intracellular transport inside keratinocytes?
Definition
Microfilaments and microtubules
Term
What intracellular element is used by keratinocytes as scaffolding?
Definition
Keratin intermediate filaments (about 10nm in diameter)
Term
What adhesion molecule holds the keratin filaments to plakoglobin in the desmosome?
Definition
Desmoplakin
Term
What type of bonds are keratin filaments cross-linked by?
Definition
Disulfide bonds
Term
What enzyme is important in degrading filaggrin?
Definition
Capsase-14
Term
What are the degradation products of filaggrin?
Definition
Urocanic acid (photoprotection), pyrrolidone carboxylic acid and amino acids (maintain hydration and pH)
Term
What ion is transglutaminase action dependent on?
Definition
Calcium
Term
Which cysteine-rich highly flexible protein is the major structural component of the cornified cell envelope?
Definition
Loricrin (>70%)
Term
What is the function of involucrin?
Definition
Connects corneocytes to extracellular lipid layer
Term
What ion signal triggers the release/secretion of lamellar bodies?
Definition
Increase extracellular calcium
Term
What precursors to ceramides are secreted from lamellar granules?
Definition
Glucosylceramides, sphingomyelin
Term
Formation of cornified envelope process- describe the steps
Definition

1) Transglutaminases (TGM1)

2) Cross-link structural proteins (loricrin, involucrin, small proline-rich peptides, filaggrin

3) Cornified envelope replaces the plasma membrane[image]

Term
Name the arrows of the corneocyte
Definition
[image]
Term
Which breed is affected by epidermolytic hyperkeratosis and which gene is mutated?
Definition

-Norwich Terrier

-Mutation in keratin 10 (splice mutation in the gene encoding keratin 10 (KRT10)[image]

Term
What is the term ARCI an abbreviation for?
Definition

-Autosomal recessive congenital ichthyosis 

-The term "Lamellar Ichthyosis" was once synonymous with TGM1 deficiency

-Many other mutations can cause the phenotype

-Lamellar ichthyosis is often still used for TGM1 (but not specific)

Term
What is the gene mutation in Jack Russell Terrier Ichthyosis ARCI?
Definition

-Transglutaminase 1

-Birth

-Thick parchment paper-like scale

-Malassezia ++++

Term
Name the arrows for the process of formation of the lipid layer of a corneocyte[image]
Definition
[image]
Term
What is the difference between scale vs crust in a clinical exam?
Definition

-Scale versus crust? changes your differential diagnosis

-Scale= stratum corneum (Keratin squames)

-Crust= debris, bacteria, serum, necrotic granulocytes, keratin, etc

Term
Where are keratin, filaggrin and degradation products found in a corneocyte?
Definition
[image]
Term
Discuss the two keratin types and explain which one is basic/acidic and smaller/larger?
Definition

1) Type 1: Acidic, smaller than type II, K9-19 in the epidermis

2) Type 2: Basic to neutral, larger than type 1, K1-8 in epidermis

 

*Acidic and basic proteins form pairs

Term
Discuss Filaggrin's function and precursor?
Definition

-Component of keratohyalin granules

-Precursor: profilaggrin

-Histidine-rich, cationic protein

-Synthesis starts after K1 and K10

-Consists of multiple filaggrin units between N- and C- terminal domains (N-terminal has a calcium binding domain and calcium is likely involved in profilaggrin processing)

 

Term
Cornified Cell Envelope Components
Definition

1) Involucrin

2) Loricrin

3) Envoplakin, periplakin

4) Small proline-rich peptides (SPRs)

5) Multiple other proteins[image]

Term
What 2 components make up the cornified cell envelope?
Definition

1) Involucrin: Glutamine-rich protein, connects corneocytes to the extracellular lipid layer

 

2) Loricrin: Cysteine-rich highly flexible protein with glycine loops, major structural component (>70%)

Term
What are the 4 components of the corneocyte?
Definition

1) Nucleus and organelles degraded

2) KIF and filaggrin tightly bundled

3) CE replaced plasma membrane

4) Desmosomes modified into corneodesmosomes

Term
Describe corneocytes embedded in an extracellular lipid matrix (What is on the outside of corneocyte, what is the brick vs mortar?)
Definition
[image]
Term
What are the 3 components of the Stratum corneum lipids?
Definition

1) Ceramides

2) Free fatty acids

3) Cholesterol

Term
What do Lamellar bodies at Interface of Stratum granulosum/corneum contain?
Definition
  • Hydrolytic enzymes
  • phospholipids
  • ceramides
  • glycoyl ceramides
  • sterols

 

[image]

Term
What is the extracellular lipid matrix (mortar) composed of?
Definition

1) Phospholipids---> free fatty acids and glycerol

2) Free fatty acids (acidify stratum corneum and assists enzymes; B-glucocerebrosidase, Acid sphingomyelinase)

3) Glycerol- helps with hydration

Term
ω-hydroxyceramides unique to stratum corneum- what are the numbers and what are the main components?
Definition

-EOS/Cer1, EOH/Cer4, EOP/Cer9

-Unique to Stratum corneum

-Very long chain fatty acids

-Linoleic acid (ω-6 EFA) is component

-Bonded to involucrin in CE and interdigitate with other lipids

-Key to stratum corneum barrier function

Term
What is a ceramide composed of, name the structure?
Definition

-Amide-linked fatty acid attached to sphingoid base

-Type of sphingolipid (Sphingolipids ubiquitous in mammalian tissues with tissue-specific distribution) [image] 

 

Term
Diagram showing generation and degradation of ceramides
Definition
[image]
Term
What 3 precursors make up ceramides?
Definition

1) Sphingomyelin

2) Phospholipids

3) Glucosylceramides

[image]

Term
CE construction, name 3 steps
Definition

1) CE replaces cell membrane

2) KIFs linked to CE at type 2 head domains

3) Loricrin inside, involucrin outside

Term
What are contents of the Lamellar bodies?
Definition

1) Lipid precursors (Glucosylceramides, Sphingomyelin, Phospholipids)

2) Desquamation proteases (SSCE/KLK7, SCTE/KLK5)

3) Lipid hydrolases (B-glucocerebrosidase, Acid sphingomyelinase, Phospholipase A2)

4) Cholesterol

5) Corneodesmosin

6) Steroid sulfatase

7) Antimicrobial peptides

Term
Explain the epidermal calcium gradient
Definition

-Basal- relatively low

-Spinous- very low

-Granular- highest

-Cornified- very low

Term
How does the process of Desquamation (shedding of corneocytes) occur?
Definition

-Enzymatic cleavage of corneodesmosomes

-Serine proteases (SCCE- stratum corneum chymotryptic enzyme- aka kallikrein 7 degrades corneodesmosin, desmocollin-1)

-SCTE- stratum corneum tryptic enzyme- aka kallikrein 6 degrades corneodesmosin, desmocollin-1 and desmoglein-1

Term
Epidermal barrier function is dependent on calcium gradient- explain how calcium regulates the barrier?
Definition

-High calcium in the granular layer regulates transglutaminase activity, lamellar body exocytosis, cleavage of profilaggrin to filaggrin

-Extracellular calcium ions required for desmosomal adhesion

Term
What is LEKTI and how does it participate in desquamation?
Definition

-LEKTI (lympho-epithelial Kazal type inhibitor)

-Serine protease inhibitor

-Secreated from lamellar bodies

-Effective inhibition at neutral pH

-Balance between KLKs and LEKTI regulates normal desquamation

Term
What are connexons?
Definition

-Connexons in plasma membranes of adjoining cells associate to form gap junctions

-6 connexins---> connexon

-Gap junctions are channels in plasma membrane

-Link cytoplasm of neighboring cells

-Allow selective exchange of ions, second messengers and small metabolites

Term
What is the pathway for the extracellular lipid matrix metabolism that provides for the permeability barrier
Definition
[image]
Term
Where is cholesterol synthesized and how does it help form the extracellular lipid matrix?
Definition

-Synthesized in the lower epidermis

-Some incorporated into lamellar bodies and secreted unchanged

-Some converted to cholesterol sulfate

-Metabolized to cholesterol by steroid sulfatase

-Cholesterol sulfate impairs desquamation

Term
What does a mutation in FAM83G gene result in?
Definition

-Familial Pawpad hyperkeratosis/hereditary footpad hyperkeratosis

-In mice, results in wooly haircoat

-Is also mutated in CKCS with CKCSID (dry eye curly coat syndrome)

-Mutated in humans with palmoplantar keratoderma

-Delay in terminal differentiation of footpad keratinocytes

-Daily soaks in 50% propylene glycol may help decrease cracked footpads

Term
Name the enzyme that is expressed and assembled onto the plasma membrane during the formation of the cornified cell envelope?
Definition
  • The cornified envelope replaces the plasma membrane of differentiating keratinocytes and consists of keratins enclosed within insoluble proteins which as crosslinked by transglutaminases and surrounded by a lipid envelope.
Term
What are the keratin expression patterns for Proliferation activation vs. Pawpad?
Definition
  • Proliferation activation: Keratin 6, 16, 17
  • Pawpad: Keratin 6, 9 and 16
Term
How do hyperproliferative conditions such as psoriasis, actinic keratosis, and wound healing change the synthesis of K1 and K10 mRNA in Spinous cells?
Definition
  • Spinous cells retain the stable K5/K14 keratins that are produced in the basal layer and only synthesize new messenger RNA (mRNA) for these proteins in hyperproliferative disorders
  • Instead, the new synthesis of the K1/K10 keratin pair occurs in this epidermal layer
  • In psoriasis, actinic keratosis and wound healing, synthesis of K1 and K10 mRNA and protein is downregulated, and the synthesis and translation of messages for K6 and K16 are favored
Term
Hyperkeratosis without inflammation- 3 types of cornification defects
Definition
  • Cornification defects
    • Autosomal recessive congenital ichthyosis
      • Epidermolytic- rare Norfolk terrier- Protein core
      • Nonepidermolytic- Golden retriever- PNPLA-1-Lipid envelope and ECM
          • American bulldog- NIPAL4 (Ichthyn)-Lipid envelope and ECM
          • Jack Russel Terrier- TGM 1- Cornified envelope
    • Malassezia overgrowth is common
    • Generalized
    • [image]
Term
Shedding of corneocytes during desquamation is controlled by what?
Definition
  • LEKTI (lympho-epithelial Kazal type inhibitor)
    • Serine protease inhibitor
    • Secreted from lamellar bodies
    • effective inhibition at neutral pH
  • Balance between KLKs and LEKTI
    • regulates normal desquamation
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