Regulation of keratinocyte proliferation and epidermal inflammation by meprin α-mediated cleavage of dermokine

J Invest Dermatol. 2026 Feb 10:S0022-202X(26)00084-9. doi: 10.1016/j.jid.2026.01.034. Online ahead of print.

Abstract

Dysregulations within the epidermal proteolytic network can cause hyperproliferative and inflammatory disorders. While the metalloprotease meprin α is localized in the stratum basale in healthy skin, increased levels are found in the upper epidermal layers in wound healing and psoriatic lesions. To investigate a link between meprin α expression and keratinocyte proliferation, we developed a mouse model for inducible expression of pathological meprin α levels (K5Mα). K5Mα mice developed a skin phenotype characterized by hyperkeratosis, acanthosis, parakeratosis and barrier defect. Keratinocyte hyperproliferation and local inflammation were induced upon induction of meprin α expression. By N-terminomics we identified dermokine, a regulator of keratinocyte proliferation and epidermal immune response, as a putative substrate of meprin α. We validated the proteolysis and identified the cleavage site, which is highly conserved in mammals, suggesting that dermokine degradation by meprin α represents a central mechanism in wound healing and hyperproliferative skin diseases.

Keywords: Hyperproliferation; Ichthyosis; Inflammation; N-Terminomics; Proteolysis.