“…Of particular interest, is that increased epidermal thickness not attributable to hyperproliferation, but possibly caused by abnormal terminal differentiation of keratinocytes that involves an increased expression of involucrin in the spinous and granular layers, has been recently reported in keloid scars [18]. Regarding the expression of Gal-1 in normal and pathological tissues, some studies highlighted that Gal-1 is detected in the cell nucleus, cytoplasm and intracellular and extracellular sides of cell membrane regulating cell growth, cellcell and cell-matrix adhesion, cell proliferation, differentiation, migration and survival [31][32][33][34], and that its expression might be induced by elevated levels of pro-inflammatory cytokines and growth factors [27,33,50,51]. Therefore, it is possible that Gal-1 contributes to the abnormal stratification and differentiation of keratinocytes in keloid tissues by upregulation of involucrin expression, and that a differential regulation of Gal-1 and Gal-3 expression would be occurring during the progression of keloid considering that Gal-1 was reduced or absent in normal epidermis and was present in the epidermal thickening of keloids, while Gal-3 appears gradually in normal epidermis and absent or decreased in the epidermal thickening of some skin lesions such as psoriasis, basal cellular carcinoma and lichen planus [37,52,53].…”