In spite of extensive investigations, epidermal keratinization remains relatively poorly understood. A number of recent studies have helped define some of the components involved in this basic process (1). The chemical composition of keratin, the role of keratohyalin granules, the influence of dermal components, the nature of both the intra- and extracellular cementing substance, and the role of cholesterol and mucopolysaccharides have received considerable attention.The purpose of this study was to investigate the possible influence of mucopolysaccharides, their components, or both, on the process of keratinization of adult human skin in vitro. Experiments with human skin in organ culture are well suited to the study of this basic process and allow more control and isolation of the factors involved (2, 3).MATERIALS AND METHODSThe modified Trowell technic was used (4). Normal skin specimens from the arm, leg or trunk were obtained either by use of local xylocaine anesthesia or at the time of surgery for other conditions performed under general anesthesia. The specimens were cut into approximately 2 square millimeter pieces after removal of the subcutaneous fat. Several specimens were grown with the full thickness dermis attached.The specimens were placed in small Petri dishes on open mesh paper (tea bag) resting on stainless steel platforms, 2 by 2 centimeters and 3 millimeters high. Usually 3 or 4 specimens of skin were grown in a single Petri dish.The medium was Eagle's with an Earle base containing glutamine and 10 per cent calf serum. Ten cubic centimeters of media were used, changed every second or third day. Initially and throughout the experimental period the pH was adjusted to 7.2 with 5 per cent carbon dioxide in air when necessary. Several Petri dishes were incubated at37°C within large staining dishes sealed with Saran wrap.The additives and their concentrations were as follows :heparin sodium 0.25 mg, 0.5 mg or 1.0 mg/ccmepesulfate (Treburon) 0.25 mg, 0.5 mg or 1.0 mg/ccglucosamine hydrochloride 0.25 mg, 0.5 mg or 1.0 mg/ccgalactosamine hydrochloride 0.25 mg, 0.5 mg or 1.0 mg/ccN acetyl-glucosamine 055 mg, 0.5 mg or 1.0 mg/ccN acetylgalactosamine 0.25 mg, 0.5 mg or 1.0 mg/ccchondroitin sulfate 0.25 mg, 0.5 mg or 1.0 mg/cchyaluronic acid 055 mg, or 1.0 mg/ccFor every experiment expiants were grown in plain media under the same conditions and parallel observations were made. The sequential histological findings were compared with the original epidermis and with those of the expiants grown in media containing additives.Additional controls included :glucose 1 mg or 5 mg/ccheparin sodium and protamine sulfate 1 mg. each/cc.protamine sulfate 0.5 mg or 1 mg/cc.sodium sulfate 1 mg/cccysteine 0.5 mg or 1 mg/cc Specimens were routinely removed at 3, 6, 9, 12, 15, 18 and 21 days intervals. Some were maintained through 35 days.The specimens were fixed in formalin, dehydrated and serially sectioned in the routine fashion. Special stains included Barnett-Seligman, toluidine blue at pH 2.5 and 5.0, colloidal iron-periodic acid-Schiff, Alcian blue at pH 0.45 and 2.5 and aldehyde fuchsin.In order to determine the uptake of radioactive sulfur S85< in expiants grown in the presence of glucosamine hydrochloride (1 mg/cc) media, 2 microcuries of sodium sulfate containing S85< (NasS O*) were added to media with and without glucosamine hydrochloride. For these studies 1 cc of growth media in disposable dishes§ was used. Some expiants were continuously exposed to the radioactive sulfate, while others were pulsed at 2 day intervals inand Cox, A. J.: Organ culture of human skin. J. Invest. Derm., 44' 151, 1965.