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Skin barrier protein expression refers to the synthesis of key structural proteins, including filaggrin, loricrin, and involucrin, which are essential for the formation of the epidermal permeability barrier [1, 16]. These proteins are primarily produced by keratinocytes during terminal differentiation and contribute to the assembly of the cornified envelope [4, 12]. A functional skin barrier is vital for preventing transepidermal water loss and protecting the body from environmental stressors, allergens, and pathogens [1, 13]. In conditions such as atopic dermatitis and psoriasis, the expression of these proteins is significantly reduced, often due to the inhibitory effects of Type 2 cytokines like IL-4 and IL-13 or other inflammatory mediators [1, 9, 14]. This downregulation leads to barrier dysfunction, increased sensitivity, and chronic inflammation [1, 4]. Therapeutic interventions often target the restoration of skin barrier protein expression to improve clinical outcomes [2, 8]. For example, aryl hydrocarbon receptor (AhR) agonists like tapinarof directly upregulate the expression of filaggrin and loricrin [3, 11, 17]. Alternatively, biologics and small molecules that inhibit JAK-STAT signaling or specific cytokines (e.g., dupilumab) can indirectly restore barrier protein levels by alleviating inflammatory suppression [1, 9, 11]. Monitoring the expression of these proteins serves as a critical biomarker for assessing the efficacy of dermatological treatments [9, 12]. Overall, modulating skin barrier protein expression is a central strategy in managing various inflammatory and genetic skin disorders [1, 11].
Upregulation of structural proteins (e.g., filaggrin, loricrin) through the activation of regulatory transcription factors like the aryl hydrocarbon receptor (AhR) or the inhibition of suppressive inflammatory pathways such as JAK-STAT and IL-4/IL-13 signaling [1, 3, 11].
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