Biochemical and Immunohistochemical Analyses of Keratin Expression in Basal Cell Carcinoma

    Kenichi Yoshikawa, Yohtaro Katagata, Shigeo Kondô
    TLDR Basal cell carcinoma shows keratin patterns similar to undifferentiated hair follicle cells.
    The study analyzed keratin expression in 8 cases of basal cell carcinoma (BCC) using biochemical and immunohistochemical methods. It found that stratified epithelial keratins K5/K14 and large amounts of K17 were present in all cases, while simple epithelial keratins K8 and K19 were expressed in all and half of the cases, respectively. Hyperproliferative keratins (K6/K16) and keratinized keratins (K1/K10) were detected in only a few cases. Immunohistochemical analysis showed BCC tumor cells reacted positively with antibodies against K8, K14, K17, and K19. The predominant expression of K17 and frequent expression of K8 and K19, with little K6/K16 and K1/K10 expression, suggested that BCC was differentiated towards undifferentiated follicular epithelia, likely hair bulge cells.
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