PMID- 12207590 OWN - NLM STAT- MEDLINE DCOM- 20021122 LR - 20190704 IS - 0007-0963 (Print) IS - 0007-0963 (Linking) VI - 147 IP - 3 DP - 2002 Sep TI - Premature apoptosis of keratinocytes and the dysregulation of keratinization in porokeratosis. PG - 498-502 AB - BACKGROUND: Porokeratosis is a dyskeratotic disorder of the skin characterized by cornoid lamella with parakeratosis, hyperkeratosis and loss of granular layers. The pathogenesis of porokeratosis and the mechanism(s) of its abnormal keratinization are still unknown. OBJECTIVE: To elucidate the mechanism(s) of abnormal keratinization that leads to the formation of cornoid lamellae in porokeratosis. METHODS: Apoptosis of keratinocytes was assessed in the skin of seven patients by an in situ apoptosis assay based on the terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick-end labelling (TUNEL) reaction. Patterns of loricrin and involucrin expression were examined by immunohistochemistry. RESULTS: TUNEL-positive keratinocytes were observed in the epidermis underlying the cornoid lamella in all cases examined. Furthermore, loricrin expression was interrupted there, in contrast to involucrin, which was expressed diffusely in the lesional epidermis. CONCLUSIONS: These results suggest that an abnormal early keratinocyte apoptosis accompanied by dysregulation of terminal differentiation of those cells may be involved in the pathogenesis of porokeratosis. FAU - Shen, C-S AU - Shen CS AD - Department of Dermatology, Kyoto Prefectural University of Medicine, Kamigyo-ku, Kyoto 602-8566, Japan. FAU - Tabata, K AU - Tabata K FAU - Matsuki, M AU - Matsuki M FAU - Goto, T AU - Goto T FAU - Yokochi, T AU - Yokochi T FAU - Yamanishi, K AU - Yamanishi K LA - eng PT - Journal Article PL - England TA - Br J Dermatol JT - The British journal of dermatology JID - 0004041 RN - 0 (Membrane Proteins) RN - 0 (Protein Precursors) RN - 0 (loricrin) RN - 60108-77-2 (involucrin) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - *Apoptosis MH - Cell Differentiation MH - Down-Regulation MH - Epidermis/metabolism/pathology MH - Female MH - Humans MH - Immunoenzyme Techniques MH - In Situ Nick-End Labeling MH - Keratinocytes/*pathology MH - Male MH - Membrane Proteins/metabolism MH - Middle Aged MH - Porokeratosis/metabolism/*pathology MH - Protein Precursors/metabolism EDAT- 2002/09/05 10:00 MHDA- 2002/11/26 04:00 CRDT- 2002/09/05 10:00 PHST- 2002/09/05 10:00 [pubmed] PHST- 2002/11/26 04:00 [medline] PHST- 2002/09/05 10:00 [entrez] AID - 4853 [pii] AID - 10.1046/j.1365-2133.2002.04853.x [doi] PST - ppublish SO - Br J Dermatol. 2002 Sep;147(3):498-502. doi: 10.1046/j.1365-2133.2002.04853.x.