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Pathophysiology of cutaneous inflammation.

B J Nickoloff1

  • 1Department of Pathology, University of Michigan Medical School, Ann Arbor.

Archives of Dermatological Research
|January 1, 1992
PubMed
Summary

Epidermal keratinocytes, once viewed as passive skin cells, are now recognized as active participants in initiating and perpetuating inflammatory skin conditions. This research highlights their dynamic immunomodulatory capacity in various cutaneous reactions.

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Area of Science:

  • Dermatology
  • Immunology
  • Cell Biology

Background:

  • Historically, skin has been viewed as a protective barrier, with epidermal keratinocytes primarily recognized for structural roles.
  • Keratinocytes were considered passive targets in inflammatory skin conditions, affected by infiltrating leukocytes.

Purpose of the Study:

  • To challenge the traditional view of keratinocytes as passive cells in skin inflammation.
  • To highlight the active role and immunomodulatory capacity of epidermal keratinocytes in cutaneous inflammatory reactions.

Main Methods:

  • Review of in vitro and in vivo evidence.
  • Emphasis on the immunomodulatory functions of epidermal keratinocytes.

Main Results:

  • Accumulating evidence supports keratinocytes actively initiating and perpetuating numerous cutaneous inflammatory reactions.
  • Keratinocytes are involved with a diverse array of inciting agents in skin inflammation.

Conclusions:

  • Epidermal keratinocytes possess significant dynamic immunomodulatory capabilities.
  • A novel perspective positions keratinocytes as key active players in skin immunity and inflammation, not just passive targets.

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