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Published on: June 29, 2022
[Expression of c-kit in human intermediate-split-thickness skin grafts]
Fang Cao1, Chunyu Xue, Xin Xing
1Department of Plastic Surgery, Wuxi No.2 Hospital, Wuxi Jiangsu, 214001, P.R. China.
Summary
The expression of c-kit (KIT proto-oncogene receptor tyrosine kinase) is significantly elevated in hyperpigmented split-thickness skin grafts compared to normal skin. This suggests c-kit plays a key role in the hyperpigmentation process of skin grafts.
Area of Science:
- Dermatology
- Molecular Biology
- Cell Biology
Context:
- Split-thickness skin grafts are prone to hyperpigmentation.
- The molecular mechanisms underlying graft hyperpigmentation are not fully understood.
- c-kit is a receptor tyrosine kinase implicated in cell growth and differentiation.
Purpose:
- To investigate the expression levels of c-kit in human intermediate-split-thickness skin grafts.
- To compare c-kit expression in grafted skin versus normal skin.
- To elucidate the role of c-kit in the hyperpigmentation of skin grafts.
Summary:
- Immunohistochemistry revealed c-kit expression in melanocytes and keratinocytes of the epidermis's basal layer.
- Significantly higher c-kit positive expression index (PI) was observed in hyperpigmented skin grafts compared to normal skin controls.
- The PI of c-kit in skin grafts was 131,216 ± 19,130, versus 92,958 ± 16,208 in recipient site skin and 91,306 ± 8,135 in donor site skin (P < 0.05).
Impact:
- This study identifies increased c-kit expression as a key factor in skin graft hyperpigmentation.
- Understanding c-kit's role may lead to novel therapeutic strategies for managing post-operative pigmentation.
- Provides a molecular basis for the observed hyperpigmentation in split-thickness skin grafts.

