We propose that skin barrier morphogenesis may take place via a continuous
and highly dynamic process of intersection-free membrane unfolding with a c
oncomitant crystallization of the emerging multi-lamellar lipid structure r
epresenting the developing skin barrier. This implies that the trans-Golgi
network and lamellar bodies of the uppermost stratum granulosum cells as we
ll as the multilamellar lipid matrix of the intercellular space at the bord
er zone between stratum granulosum and stratum corneum could be representat
ions of one and the same continuous membrane structure. The profound differ
ence between the earlier Landmann model and the membrane folding model pres
ented here is that the Landmann model includes changes in membrane topology
, whereas topology is kept constant during skin barrier formation according
to the membrane folding model. The main advantages of the membrane folding
model with respect to the Landmann model are the following: (i) smaller en
ergy cost (involves no budding or fusion); (ii) conserves membrane continui
ty (preserves water compartmentalization and allows control hereof, membran
e continuity essential for barrier function); (iii) allows meticulous contr
ol (the thermodynamics of the unfolding procedure are related to curvature
energy); (iv) faster (milliseconds, as membrane unfolding basically represe
nts a phase transition from cubic-like to lamellar morphology; involves no
budding or fusion); (v) membrane folding between lamellar and cubic-like mo
rphologies has been identified in numerous biologic systems; (vi) there is
experimental evidence for an "extensive intracellular tubulo-reticular cist
ernal membrane system within the apical cytosol of the outermost stratum gr
anulosum"; and (vii) may explain the reported plethora of forms, numbers, s
izes and general appearances of "lamellar bodies" in transmission electron
microscopy micrographs.