Cytokeratin 15 expression in trichoepitheliomas and a subset of basal cell carcinomas suggests they originate from hair follicle stem cells

DM Jih, S Lyle, R Elenitsas, DE Elder… - Journal of cutaneous …, 1999 - Wiley Online Library
DM Jih, S Lyle, R Elenitsas, DE Elder, G Cotsarelis
Journal of cutaneous pathology, 1999Wiley Online Library
Trichoepitheliomas and many basal cell carcinomas appear to arise from the hair follicle,
and in particular from the hair follicle bulge. This histogencsis is suggested from both
morphological and immunohisto‐chemical studies on tumor cells and siroma. Epithelial
stem cells are thought to be important in tumorigenesis, and we previously localized a
population of stem ceils to the bulge area of the outer root sheath. We recently identified an
anti‐CD8 monoclonal antibody (DAKO clone C8/144B) that cross‐reacts with cytokeratin 15 …
Trichoepitheliomas and many basal cell carcinomas appear to arise from the hair follicle, and in particular from the hair follicle bulge. This histogencsis is suggested from both morphological and immunohisto‐chemical studies on tumor cells and siroma. Epithelial stem cells are thought to be important in tumorigenesis, and we previously localized a population of stem ceils to the bulge area of the outer root sheath. We recently identified an anti‐CD8 monoclonal antibody (DAKO clone C8/144B) that cross‐reacts with cytokeratin 15 (K15), and serves as a specific marker for the bulge. In this study, we screened a Series of trichocpitheliomas (n=13), basal cell carcinomas (n=37) and a variety of other skin tumors with this antibody, All trichocpitheliomas (100%) showed keratin 15 expression, while only a subset of basal cell carcinomas (27%) was K15‐positive. Epidermal tumors, including squamous cell carcinomas, were K15‐negative. Tumors of follicular derivation such as proliferating trichilemmal cysts were also K15‐positive, while others such as pilomatricoma were K15‐negative. Expression of K15 in trichoepitheliomas, some basal cell carcinomas and other follicular tumors suggests that these tumors are related to hair follicle stem cells in the bulge.
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