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Regulation of keratin expression by retinoids.
[epidermolysis bullosa simplex]
Vitamin
A
and
its
natural
and
synthetic
metabolites
(
retinoids
)
affect
growth
and
differentiation
of
human
skin
and
among
the
genes
affected
by
retinoids
in
epidermis
are
keratin
genes
.
Keratins
are
intermediate
filament
proteins
that
have
essential
functions
in
maintaining
the
structural
integrity
of
epidermis
and
its
appendages
.
Their
expressions
are
under
strict
control
to
produce
keratins
that
are
optimally
adapted
to
their
environment
.
In
this
article
,
retinoid
regulation
of
keratin
expression
in
cultured
human
epidermal
keratinocytes
and
in
human
skin
in
vivo
will
be
reviewed
.
The
direct
and
indirect
mechanisms
involved
will
be
discussed
and
novel
therapeutic
strategies
will
be
proposed
for
utilizing
retinoids
in
skin
disorders
due
to
keratin
mutations
(
e
.
g
.
,
epidermolysis
bullosa
simplex
and
epidermolytic
ichthyosis
)
.
Diseases
Validation
Diseases presenting
"ichthyosis"
symptom
child syndrome
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
harlequin ichthyosis
hirschsprung disease
junctional epidermolysis bullosa
kallmann syndrome
lamellar ichthyosis
This symptom has already been validated