Cholesteatoma epithelium is characterised by a keratinocyte dysregulat
ion with a hyperproliferative growth and altered differentiation. Kera
tinocytes with a reduced turnover time show an increase of calcium bin
ding proteins like calgranulin A and B. These proteins are highly link
ed with the modulation of cell growth and differentiation. The express
ion of calgranulin A and B was studied immunohistochemically using the
monoclonal antibody F12 on cryosections of cholesteatoma biopsies. No
rmal skin served as control. The staining in normal skin was confined
to the highly proliferative activated follicular keratinocytes, wherea
s most cholesteatomas showed a staining of all cell layers of the epit
helium. Our findings show that the keratinocyte dysregulation of the c
holesteatoma epithelium is reflected by variations of the expression o
f calcium binding proteins.