Background: Cultures of epidermal cells are commonly used to study ski
n biology and differentiation. Recently a method to culture nail matri
x cells has been established. Objective: We report the biologic charac
teristics of nail matrix cells in vitro compared with those of epiderm
al keratinocytes. Methods: Human nail matrix cells were isolated and c
ultured in defined medium. Electronmicroscopic examination, growth rat
e, integrin expression and keratin synthesis pattern were evaluated. I
n addition, the cells were cultured in serum-containing medium. Result
s: Nail matrix cells appear to be larger than human epidermal keratino
cytes and, at the ultrastructural level, they contain a higher euchrom
atin/heterochromatin ratio and a lower nucleus/cytoplasm ratio and hav
e a higher growth rate. The synthesis of ''hard'' keratins was detecte
d at all calcium concentrations. Immunofluorescence analyses showed th
e expression of alpha 2, alpha 3, and alpha 6 integrin subunits. When
cultured in serum-containing medium, nail matrix cells produced an out
growth of epithelium and a spontaneous migration phenomenon associated
with a tendency to stratify in a semilunar area that resembles the ar
chitecture of the nail matrix. The pluristratified epithelium showed c
haracteristic markers of nail differentiation. Conclusion: Culture of
nail matrix cells may represent a useful model to study the biologic p
roperties of nail structure, alterations in some nail diseases and the
effects of drugs.