Skin is the major target of allergic reactions to paraphenylenediamine (PPD
). Such small molecules require activation to become immunogenic. The balan
ce between activation and/or detoxification processes is critical for immun
ogenic potentials of compounds. Therefore, we investigated N-acetylation (N
AT) capacities of human skin for PPD to gain a better understanding of its
mechanisms of action. PPD is acetylated to monoacetyl-PPD (MAPPD), which in
turn is acetylated to N,N'-diacetyl-PPD (DAPPD). This was found using cyto
solic fractions from human skin (n = 9) and cultured normal human epidermal
keratinocytes (n = 7). The cutaneous activities for MAPPD formation ranged
from 0.41 to 3.68 nmol/mg/min (9-fold variation) and DAPPD formation from
0.65 to 3.25 nmol/mg protein/min (5-fold), respectively. Similar results we
re obtained with keratinocytes. NAT activities toward both substrates, PPD
and MAPPD, were correlated in keratinocytes (r = 0.930), suggesting that th
e reactions were catalyzed by the same enzyme. Formation of MAPPD and DAPPD
was competitively inhibited in the presence of p-aminobenzoic acid (300 mu
M), a typical NAT1 substrate, but not by sulfamethazine. These kinetic cha
racteristics suggest that the acetylation of PPD in human skin and keratino
cytes is predominantly attributable to the polymorphic NAT1, although both
mRNAs (NAT1 and NAT2) are synthesized in human skin and keratinocytes. The
metabolism of PPD by NAT1 in human skin and keratinocytes as well as the vi
rtual absence of NAT2 activity may have important toxicological implication
s. In the case of PPD, our results emphasize that N-acetylation status may
be a susceptibility factor for the development of an allergy to PPD.