During embryological development and throughout life, regulation of th
e thickness of skin is likely to involve modulation of keratinocyte pr
oliferation, differentiation, and cell death. One major mechanism of c
ell death is apoptosis; but the precise relationship between apoptosis
and differentiation has not been well-defined. In this report, we dem
onstrate that when cultured undifferentiated keratinocytes have their
adhesive interactions interrupted by either enzymatic treatment (ie, t
rypsin) and suspension in a semi-solid methyl cellulose medium, or exp
osure to antibodies against beta 1 integrins and E-cadherin, induction
of differentiation occurs (expression of involucrin), as well as apop
tosis (positive terminal deoxynucleotidyl transferase (Tdt)-mediated d
UTP-biotin nick end labeling (TUNEL) assay and DNA fragmentation). How
ever, these events are not directly interdependent processes, as deter
mined by two-color immunofluorescence staining. Thus, apoptosis can oc
cur without evidence of differentiation and vice versa. The process of
apoptosis in keratinocytes was dissected at the molecular level and f
ound to be correlated with increased expression of Bar and decreased l
evels of Bcl-x(L), with no role for either Bcl-2 or Bcl-x(S). We concl
ude that keratinocytes do not need to undergo differentiation before u
ndergoing apoptosis.