Significance: The skin interfollicular epidermis (IFE) is an organism's first line of defense against a harmful environment and physical damage. During homeostasis and wound repair, the IFE is rejuvenated constantly by IFE stem cells (SCs) that are capable of both proliferation and differentiation. However, the identity and behavior of IFE SCs remain controversial. Recent Advances: Two opposing theories exist regarding homeostasis of the IFE. On the basis of morphological and proliferative characteristics, one posits that the IFE is composed of a discrete epidermal proliferative unit comprised of *10 transit-amplifying (TA) cells and a centrally located SC in the basal layer. The other suggests that homeostasis of the IFE is maintained by a single progenitor population in the basal layer. A recent study has challenged these two apparently distinct models and demonstrated that the basal layer of the IFE contains both SCs and TA cells, which make distinct contributions to tissue homeostasis and repair. Moreover, phosphorylation levels of the transcription factor p63, the master regulator of the proliferative potential of epidermal SCs, can be used to distinguish self-renewing SCs from TA cells with more limited proliferative potential. Critical Issues: As technologies advance, IFE SCs can be identified at a singlecell level. Refinements of their identification and characterization are critical, not only for SC biology but also for the development of novel clinical applications. Future Directions: Understanding the signaling pathways that control selfrenewal and differentiation of IFE SCs will aid in developing novel cell-based therapeutics targeting degenerative epidermal diseases and wound repair.
SCOPE AND SIGNIFICANCEIn this review, I discuss some of the major findings that have advanced our understanding of the behavior of epidermal stem cells (SCs) and their immediate progeny, transitamplifying (TA) cells. Particular emphasis is paid to those in the interfollicular epidermis (IFE), in light of their importance in homeostasis and tissue regeneration after injury. I also discuss the recent key findings on the regulation of p63, a transcription factor essential for the maintenance of the proliferative potential of epithelial SCs in both homeostatic and disease conditions of the epidermis, such as chronic wound healing.
TRANSLATIONAL RELEVANCEThe role of epidermal SCs in contributing to homeostatic maintenance of the skin and wound repair has been well acknowledged for many years. Over the past decade, characterization of SCs and their differentiating progeny has been successfully refined, owing to the development of nucleotidelabeling and lineage-tracing methodologies. Elucidating the molecular mechanisms controlling the behavior of these cell types will provide novel strategies for the treatment of traumatic and degenerative skin diseases. As p63 is highly expressed in SCs of other epithelial tissues as well as many types of tumors of epithelial origin, these studies will also contribute to our understanding of...