Stratum Granulosum

   
 Ichthyosis vulgaris: ↓ profilaggrin, ↓ KHG

Lamellar ichthyosis: ↑ profilaggrin, ↑ granular cell layer

Psoriasis: ↑ involucrin, ↓ loricrin, ↑ K6/16
 
   
Cells with more flattened appearance; contain dense keratohyalin granules
  • Granular cells start to lose their nuclei but retain dense keratin filaments
  • Expression of K2 (modified from K1) and K11 (modified from K10)
  • Keratohyalin granules (KHG): dense stellate globules which contain profilaggrin, loricrin, and involucrin (latter two function in cornified cell envelope)
    • Filaggrin: keratin filament aggregating protein in KHG; binds intermediate filaments and organizes into fibrils; initially cleaved from profilaggrin (when granular layer transformed into cornified layer) and is degraded into free amino acids
    Cornified cell envelope (CE) (Figure 1.2): highly cross-linked lipid-rich flexible structure enveloping corneocytes; serves as insoluble exoskeleton and rigid scaffold for internal keratin filaments; provides both mechanical and water permeability barrier
    • Figure 1.2 Cornified envelope (CE)
      Figure 1.2 Cornified envelope (CE)
      CE assembly begins in granular layer where several proteins cross-linked by transglutaminase into γ-glutamyl lysine isopeptide bonds → rendering CE insoluble
    • CE comprised of lipid layer and several covalently cross-linked proteins: involucrin, loricrin, filaggrin, small prolinerich proteins (SPRs), envoplakin, and serine proteinase inhibitor called skin-derived anti-leukoproteinase (SKALP)
      • Loricrin: major protein component of CE, appears in granular layer within KHG along with profilaggrin, cross-links with involucrin
      • Involucrin: substrate for transglutaminase cross-linking in granular layer; forms insoluble cell boundary; early differentiation marker; upregulated in psoriasis