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Updated: Jul 27, 2025

Generation and Culturing of Primary Human Keratinocytes from Adult Skin
Published on: December 22, 2017
Altered pathways of keratinization, extracellular matrix generation, angiogenesis, and stromal stem cells
Amelia Spinella1, Domenico Lo Tartaro2, Lara Gibellini2
1Scleroderma Unit and Rheumatology Unit, Medical School, University of Modena and Reggio Emilia, University Hospital of Modena Policlinico of Modena, Modena, Italy.
Objective:
Systemic sclerosis is characterized by endothelial dysfunction, autoimmunity abnormalities, and fibrosis of the skin and internal organs. The pathogenetic mechanisms underlying systemic sclerosis vasculopathy are still not clarified. A complex cellular and extracellular network of interactions has been studied, but it is currently unclear what drives the activation of fibroblasts/myofibroblasts and the extracellular matrix deposition.
Methods:
Using RNA sequencing, the aim of the work was to identify potential functional pathways implied in systemic sclerosis pathogenesis and markers of endothelial dysfunction and fibrosis in systemic sclerosis patients. RNA-sequencing analysis was performed on RNA obtained from biopsies from three systemic sclerosis patients and three healthy controls enrolled in our University Hospital. RNA was used to generate sequencing libraries that were sequenced according to proper transcriptomic analyses. Subsequently, we performed gene set enrichment analysis of differentially expressed genes on the entire list of genes that compose the RNA-sequencing expression matrix.
Results:
Gene set enrichment analysis revealed that healthy controls were characterized by gene signatures related to stromal stem cells proliferation, cytokine-cytokine receptor interaction, macrophage-enriched metabolic network, whereas systemic sclerosis tissues were enriched in signatures associated with keratinization, cornification, retinoblastoma 1 and tumor suppressor 53 signaling.
Conclusion:
According to our data, RNA-sequencing and pathway analysis revealed that systemic sclerosis subjects display a discrete pattern of gene expression associated with keratinization, extracellular matrix generation, and negative regulation of angiogenesis and stromal stem cells proliferation. Further analysis on larger numbers of patients is needed; however, our findings provide an interesting framework for the development of biomarkers useful to explore potential future therapeutic approaches.
Insights
Systemic sclerosis involves distinct gene expression patterns related to skin keratinization and reduced stem cell proliferation. This study identifies key pathways for potential biomarkers and therapies in systemic sclerosis patients.
Area of Science:
- Immunology
- Dermatology
- Genomics
Background:
- Systemic sclerosis (SSc) is a complex autoimmune disease marked by endothelial dysfunction, immune system abnormalities, and progressive fibrosis affecting skin and internal organs.
- The precise pathogenetic mechanisms driving SSc vasculopathy, fibroblast activation, and extracellular matrix deposition remain incompletely understood.
- Existing research highlights a complex interplay of cellular and extracellular factors, yet the primary drivers are unclear.
Purpose of the Study:
- To identify functional pathways and potential biomarkers associated with SSc pathogenesis, endothelial dysfunction, and fibrosis using transcriptomic analysis.
- To compare gene expression profiles between SSc patients and healthy controls to uncover disease-specific molecular signatures.
- To lay the groundwork for developing novel diagnostic markers and therapeutic strategies for SSc.
Main Methods:
- RNA sequencing was performed on tissue biopsies from three SSc patients and three healthy controls.
- Transcriptomic analysis involved generating sequencing libraries and performing gene set enrichment analysis on differentially expressed genes.
- Pathway analysis was conducted on the complete RNA-sequencing expression matrix to identify enriched biological processes.
Main Results:
- Healthy controls exhibited gene signatures related to stromal stem cell proliferation and immune cell metabolism.
- SSc tissues showed enrichment in gene signatures associated with keratinization, cornification, and cell cycle regulation (RB1, TP53 signaling).
- Differential gene expression in SSc was linked to keratinization, extracellular matrix generation, and negative regulation of angiogenesis and stem cell proliferation.
Conclusions:
- RNA sequencing and pathway analysis reveal a distinct gene expression pattern in SSc patients, characterized by keratinization and impaired stromal stem cell proliferation.
- The findings suggest a potential role for keratinization pathways and highlight the negative regulation of angiogenesis and stem cell proliferation in SSc.
- While further validation in larger cohorts is necessary, these results offer a promising framework for developing SSc biomarkers and future therapeutic interventions.
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