“…At the genetic level, the loss of barrier function can be caused by an array of defects in the complex machinery required for the proper assembly of keratin ®laments in the corneocyte, the assembly of corni®ed envelope components, the formation of corneocyte adherens junctions, or the assembly of intercorneocyte lipids, as observed in numerous inherited skin diseases or in transgenic mice with dominant or recessive mutations in epidermal components (Nemes and Steinert, 1999;Presland and Dale, 2000;Roop, 1995). Null, frameshift, or point mutations in genes encoding structural proteins of the corneocyte (e.g., keratins, loricrin), in components of the enzymatic machinery that process and cross-link these structural proteins (e.g., transglutaminase 1), in desmosomal cadherins linking corneocytes together (e.g., desmoglein), or in the enzymes that manufacture and process corni®ed envelope and intercorneocyte lipids (e.g., fatty aldehyde dehydrogenase, arylsulfatase C/cholesterol sulfatase) have all been reported to disrupt epidermal barrier function (De Laurenzi et al, 1996;Elias et al, 2001;Huber et al, 1995;Koch et al, 2000;Kubilus et al, 1979;Matsuki et al, 1998;Russell et al, 1995;Shapiro et al, 1978). The data presented in this paper strongly suggest that the abrogation of barrier function is related to abnormal extrusion of vesicular bodies in the transitional layer of the cornifying epidermis, which likely aects the formation of the specialized set of crosslinked intercorneocyte lipids that confer epidermal barrier function in conjunction with the corni®ed envelope.…”