Terminal differentiation of keratinocytes was damaged in type 2 diabetic mice

Takeshi Takayanagi1, Hiroyuki Hirai1, Yohei Asada1

  • 1Department of Endocrinology, Diabetes and Metabolism, Fujita Health University, 1-98 Dengakugakubo, Kutsukake, Toyoake, Aichi, 470-1192, Japan.

Abstract

Insights

Type 2 diabetes mellitus (T2DM) impairs skin barrier function by disrupting keratinocyte differentiation. This study in mice reveals reduced expression of key differentiation markers, suggesting a mechanism for diabetic dermatoses.

Area of Science:

  • Dermatology
  • Endocrinology
  • Molecular Biology

Background:

  • Skin manifestations are frequent in patients with type 2 diabetes mellitus (T2DM), but their specific characteristics remain poorly understood.
  • Understanding keratinocyte behavior in T2DM is crucial for addressing associated dermatological complications.

Purpose of the Study:

  • To investigate the in vivo differentiation process of keratinocytes in a mouse model of type 2 diabetes mellitus.
  • To identify specific molecular changes in keratinocyte differentiation associated with T2DM.

Main Methods:

  • Utilized KKAy/TaJcl mice (T2DM model) and C57BL/6JJcl mice (control) at 8 and 12 weeks of age.
  • Quantified mRNA expression of keratinocyte differentiation markers using quantitative real-time polymerase chain reaction (qRT-PCR).
  • Examined marker expression in situ via immunohistochemistry.

Main Results:

  • KKAy mice exhibited hyperglycemia and showed increased epidermal thickness with structural impairment compared to controls.
  • While integrin beta 1 and keratin 14 expression were similar, KKAy mice displayed decreased expression of involucrin, keratin 10, filaggrin, and loricrin.
  • Immunohistochemistry confirmed a marked decrease in filaggrin expression in KKAy mice, with no change in keratinocyte proliferation marker Ki-67.

Conclusions:

  • The terminal differentiation of keratinocytes is impaired in diabetic skin, indicating a specific molecular defect in T2DM.
  • Keratinocyte proliferation remains preserved, suggesting the defect lies in terminal differentiation rather than cell division.
  • Impaired terminal differentiation of keratinocytes likely contributes to the compromised skin barrier function observed in diabetic dermatoses.