Keratin expression in epidermis and its appendages. (Left) The hair follicle and its program of keratin gene expression. Permanent segments are the sebaceous glands (K5/K14 positive), upper outer root sheath (including the bulge, K5/K14 positive), and mesenchymally derived dermal papilla (vimentinpositive); all are established during embryonic follicle morphogenesis. The lower portion cycles throughout postnatal life by a process involving transient stimulation of bulge stem cells by dermal papilla. Matrix cells express little keratin; they are transit amplifying cells that differentiate upward in concentric rings of cells, giving rise to precortex cortex and medulla (hair shaft), Ha and Hb keratin positive, and surrounded by inner root sheath cells (K1/K10 expressing) and outer root sheath cells (K5/K14 positive). (Right) Schematic outlining the basic features of terminal differentiation in epidermis and the Source: Disorders of Intermediate Filaments and Their Associated Proteins, The Online Metabolic and Molecular Bases of Inherited Disease program of keratin gene expression. Outermost layer of cells is skin surface. As epidermal cells leave the basal layer and commit to terminally Valle D, expressing Beaudet AL,K5 Vogelstein B, K1 Kinzler SE, Ballabio A, Gibson Mitchell G. The Palmoplantar Online Metabolic Molecular differentiate, Citation: they switch from and K14 to and KW, K10. Antonarakis Later in differentiation, they expressK,K2e additionally. skinand is distinct in Bases of Inherited Disease; 2014 Available at: http://mhmedical.com/ Accessed: July 31, 2017 that it expresses K9 suprabasally in addition to the other differentiation-specific keratins. During wounding and in hyperproliferative disorders, K6 and K16 Copyright © 2017 Education. All rights reserved are expressed transiently in theMcGraw-Hill suprabasal layers.
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