Profilaggrin is a major highly phosphorylated protein component of the keratohyalin granules of mammalian epidermis. It contains 10 to 12 tandemly repeated filaggrin units and is processed into the intermediate filament-associated protein filaggrin by specific dephosphorylation and proteolysis during terminal differentiation of the epidermal cells. Later, filaggrin itself is degraded to free amino acids that participate in maintenance of epidermal flexibility. The present paper describes the structural organization of the 5' region of the human profilaggrin gene as well as the amino terminus of the profilaggrin protein. profilaggrin mRNA, are transcribed from the profilaggrin gene system at earlier stages of epidermal differentiation. The amino terminus of profilaggrin exhibits a significant homology to the small calcium-binding S100-like proteins. It contains two a-helical regions, termed EF-hands, that bind calcium in vitro. This is the first example of functional calcium-binding domains fused to a structural protein. We suggest that in addition to its role in filament aggregation and the maintenance of epidermal flexibility, profilaggrin may play an important role in the differentiation of the epidermis by autoregulating its own processing in a calciumdependent manner or by participating in the transduction of calcium signal in epidermal cells.Terminal differentiation of human epidermis involves the expression of sets of novel structural proteins including the keratin intermediate filaments (composed of keratins 1 and 10) and two other proteins, loricrin and profilaggrin, which are codeposited as keratohyalin granules (7,60). Loricrin is now known to be a principal component of the insoluble cell envelope to which it is covalently cross-linked both by disulfide bonds and by N-(y-glutamyl)lysine cross-links formed by the action of epidermal transglutaminases (24, 25). Profilaggrin has a completely different fate. This protein initially accumulates as an insoluble phosphorylated polyprotein precursor consisting largely of filaggrin repeats (36,44,55). It has a half-life of about 6 h, and at very late stages of differentiation, it is dephosphorylated and proteolytically processed into individual filaggrin molecules (22, 45, 51) that presumably interact with and align the keratin filaments in a plane parallel to the surface of the epidermis (8, 57, 58). Filaggrin itself has a half-life of only about 24 h in stratum corneum cells (45) and is degraded mostly into free amino acids that are required for maintenance of epidermal osmolarity and hence flexibility and perhaps even for immunological protection of the organism (9,43,56). Thus, on the basis of our current understanding, the product of the profilaggrin gene is ultimately utilized in at least two important functions in normal epidermis. This series of events is clearly abnormal in a number of diseases of cornification in the epidermis, particularly the various classes of ichthyoses (65). For example, in epidermolytic hyperkeratosis and lamellar ich-* Correspo...