Stratum Corneum

  • Provides mechanical protection, impermeability, and barrier to water loss
  • Brick and mortar model: lipid-depleted, protein-rich corneocytes (“bricks”) surrounded by extracellular lipid-rich matrix (“mortar”)
  • Corneocytes composed of high weight keratins embedded in filaggrin-rich matrix
  • Urocanic acid (UCA): filaggrin degradation product found naturally in the cornified layer; absorbs/blocks UV radiation and forms natural moisturization factor (NMF) with other filaggrin degradation products (amino acids, pyrrolidone carboxylic acid); NMF allows stratum corneum to remain hydrated even in drying conditions
  • Ceramide is a major lipid barrier of skin; other barrier lipids include cholesterol, cholesterol sulfate, and fatty acids
   
 
Of note, steroid sulfatase cleaves cholesterol sulfate to cholesterol; enzyme abnormal in X-linked ichthyosis, resulting in more cohesive corneocytes