Abstract

In skin, although the extracellular matrix (ECM) is highly developed in dermis and hypodermis, discrete intercellular spaces between cells of the living epidermal layers are also filled with ECM components. Herein, we review knowledge about structure, localization and role of epidermal hyaluronan (HA), a key ECM molecule. HA is a non-sulfated glycosaminoglycan non-covalently bound to proteins or lipids. Components of the basal lamina maintain some segregation between the epidermis and the underlying dermis, and all epidermal HA is locally synthesized and degraded. Functions of HA in keratinocyte proliferation and differentiation are still controversial. However, through interactions with partners, such as the TSG-6 protein, HA is involved in the formation, organization and stabilization of the epidermal ECM. In addition, epidermal HA is involved in the formation of an efficient epidermal barrier made of cornified keratinocytes. In atopic dermatitis (AD) with profuse alterations of the epidermal barrier, HA is produced in larger amounts by keratinocytes than in normal skin. Epidermal HA inside AD lesional skin is located in enlarged intercellular spaces, likely as the result of disease-related modifications of HA metabolism.

Highlights

  • Hyaluronan, called hyaluronic acid (HA), is a linear non-sulfated glycosaminoglycan (GAG) present in extracellular matrices (ECM) of vertebrates [1]

  • The present review focuses on HA in the epidermal extracellular matrix and its potential implication in atopic dermatitis, a disease associated with an altered epidermal barrier

  • HA is a glycosaminoglycan found in intercellular spaces

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Summary

Introduction

Hyaluronan, called hyaluronic acid (HA), is a linear non-sulfated glycosaminoglycan (GAG) present in extracellular matrices (ECM) of vertebrates [1]. First identified in the vitreous humor, HA is present in skin, muscles, skeleton, and synovial fluid where it plays a role in shock absorption. HA is involved in the establishment of a competent barrier and plays controversial roles in keratinocyte proliferation and differentiation. Some of these functions are made possible by its binding to the membrane receptor CD44 (see Section 3.5 below for further details on CD44) [6]. Other protein partners are involved in HA functions and ECM organization. The present review focuses on HA in the epidermal extracellular matrix and its potential implication in atopic dermatitis, a disease associated with an altered epidermal barrier

The Epidermal Extracellular Matrix
Synthesis of HA
Degradation of HA
Regulation of Keratinocyte Differentiation
Involvement in the Epidermal Barrier Settings and Integrity
Epidermal Hyaladherins
Implication of HA in Atopic Dermatitis
Findings
Conclusions
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