The S100A8/A9 heterodimer is expressed by myeloid cells where its function has been extensively investigated. Immune cell S100A8/A9 promotes proinflammatory effects, and its absence is often associated with lack of leukocyte recruitment resulting in protection in terms of disease progression. S100A8/A9 is also expressed by certain epithelia, either constitutively as in mucosal epithelia or following stimulation as in skin keratinocytes. The role of the heterodimer in this context has not been as frequently explored. In this study, the incidence of skin papillomas induced by 7,12-dimethylbenz(a)anthracene (DMBA)/ 12-O-tetradecanoylphorbol-13-acetate (TPA) in S100a9 2/2 mice has been investigated. Unlike the immune disorders and certain models of cancer, absence of S100A8/A9 caused an increased incidence in skin of papillomas and, subsequently, squamous cell carcinomas. Although associated in S100a9 2/2 mice with increased recruitment of neutrophils and T cells, a bone marrow chimera experiment revealed the major defect to be primarily due to the absence of S100A8/A9 in the skin keratinocytes. S100a9 2/2 skin displayed enhanced Ki-67 expression over the time period of appearance of the papillomas suggesting an effect of S100A8/A9 in regulating proliferation in the epidermal layer. Thus, despite immune cell recruitment in S100a9 2/2 mouse skin that might have been predicted to promote tumor growth, it was the absence of S100A8/A9 in skin keratinocytes that dominated in terms of papilloma formation. The study highlights the importance of the S100A8/A9-expressing skin epidermal layer in controlling skin tumor formation and suggests that the influence of the heterodimer is dependent on the tissue context in which it is expressed.The S100A8/A9 heterodimer (MRP-8/MRP-14, calprotectin and calgranulin A/B) belongs to a family of 20 small Ca 21 -binding proteins that are coded for in the epithelial differentiation complex on human chromosome 1q21 and 3qF1-F2, the orthologous region in the mouse. 1-4 The heterodimer is constitutively expressed in myeloid cells such as neutrophils, monocytes, dendritic cells and platelets, with the level in neutrophil cytosolic protein constituting an abundance of 45%. 5 S100A8/ A9 is also constitutively expressed in certain mucosal epithelia and in other epithelial tissues such as skin under conditions of inflammation or injury. 6,7 Complex carbohydrates such as carboxylated glycans and heparan sulfate are bound by S100A8/ A9. 8,9 The glycans decorate receptor of advanced glycation end Products (RAGE) that acts as one well-studied type of target ligand. 10 S100A8/A9 also serves as a coreceptor of the toll-like receptor TLR4-MD2 complex enhancing the response to endotoxin lipopolysaccharide (LPS). 11 Mechanistic analysis has focused on myeloid cells with studies making use of the S100a9 2/2 mouse, which lacks not only S100A9 but also the protein of its partner S100A8 which is unstable in the absence of S100A9. 12,13 In these models, S100A8/ A9 is frequently associated with proinflammatory ef...