Calcium regulates the proliferation and differentiation of keratinocytes both in vivo and in vitro. Elevated extracellular Ca 2+ concentration ([Ca 2+ ] o ) raises the intracellular free calcium ([Ca 2+ ] i ) and activates differentiation-related genes. Cells lacking the calcium sensing receptor (CaR) fail to respond to [Ca 2+ ] o and to differentiate, indicating a role for CaR in keratinocyte differentiation. These concepts derived from in vitro experiments have been tested and confirmed in two mouse models.
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CALCIUM IS A KEY REGULATOR FOR EPIDERMAL DIFFERENTIATIONThe mammalian epidermis is a highly specialized, highly organized, stratified squamous epithelium consisting of basal, spinous, granular and cornified cell layers. Each layer is defined by distinguishing morphological and biochemical features and state of differentiation of the keratinocytes (1). While cell proliferation occurs only in basal layer, post-mitotic keratinocytes undergo progressive differentiation as they travel across the epidermis towards the stratum corneum. Keratinocytes in each epidermal layer express distinct biochemical markers. Keratin 5 (K5) and 14 (K14) are predominantly expressed in basal keratinocytes (2). In spinous cells, synthesis of two early differentiation markers, keratins K1 and K10, is initiated (2, 3). In granular keratinocytes, proteins associated with the later stages of differentiation are expressed. These late differentiated markers include: profilaggrin (4), the precursor of the keratin cross-linking protein, filaggrin, transglutaminase I (5), and cornified envelope precursors such as involucrin (6) and loricrin (7). In corneocytes, loricrin and other structure proteins are extensively cross-linked by transglutaminase I to form the cornified envelope.
Calcium-induced Keratinocyte differentiationPrimary keratinocytes provide an excellent in vitro model for studying epidermal differentiation (8 level in the outer epidermis, independent of barrier perturbation, directly regulate lamellar body secretion and the expression of differentiation-specific markers in vivo (27,28). unlike the full-length CaR ( Fig. 2A) which displays distinct plasma membrane localization, the distribution of spliced variant (Fig. 2B) is strictly confined in the cytoplasm with a perinuclear pattern. Failure to generate a protein capable of being transferred to the cell surface due to a change in glycosylation is a likely basis for the failure of the CaR spliced variant to mediate cellular response to [Ca] o .
Calcium signaling in the keratinocytesThe full-length CaR and its spliced variant are expressed differentially during keratinocyte differentiation. In Western analyses of keratinocyte membrane proteins (Fig. 3A) the endogenous CaR was detected by an antibody (ADDR) that reacts with both forms of CaR as three major bands of 120-kDa, 160-kDa and 185-kDa and a minor band of 130-kDa (which was best seen in longer exposed film). Whereas the 120-kDa band corresponds to the nonglycosylated full-length CaR, the 160-kDa band co...