Title of Invention

A COMPOSITION COMPRISING A HUMAN SKIN EQUIVALENT AND A METHOD OF MAKING IT

Abstract A method of making skin equivalents having improved barrier function comprising: providing a skin equivalent comprising Near-Diploid Immortalized Keratinocyte cells and a culture media comprising ascorbic acid, linoleic acid, isoproterenol, carnitine, serine, oleic acid, arachidonic acid, α- tocopherol, and epidermal growth factor in amounts effective to improve barrier function; culturing said skin equivalent under conditions such that said skin equivalent has a surface electrical capacitance of from about 40 to about 240 pF in vitro.
Full Text Improved Skin Substitutes and Uses Thereof
This application claims priority to U.S. provisional patent applications serial
numbers 60/287,898, filed 5/01/2001 and 60/273,034, filed 3/02/2001 and U.S. Patent
applications Serial No. Not Yet Assigned filed on 3/1/02 with Express Mail Label XXX,
Serial No. Not Yet Assigned filed on 3/1/02 with Express Mail Label XXX, and Serial
No. Not Yet Assigned filed on 3/1/02 with Express Mail Label XXX. This patent
application was supported in part by NIH SBIR grants 1 R43 AR47499-01 and 1 R43
ES10692-01A1. The government has certain rights in the invention.
Field of the Invention
The present invention relates to in vitro cultured skin substitutes,, and in particular
to in vitro cultured skin substitutes that have improved barrier function. In some
embodiments, improved barrier function is a result of improved culture conditions, while
in other embodiments, improved barrier function results from genetic modification of
keratinocytes. The present invention further relates to the use of such skin substitutes for
irritancy testing.
Background of the Invention
There is a large market for test products and services that can predict effects of
skin barrier function. There is a particular need for validated assays that would enable
companies with early stage compounds to test for barrier function without resorting to
expensive animal and human patch testing. Cosmetic companies spend approximately
$50 million to $100 million per year on this type of testing. Household product and
pharmaceutical companies make similar expenditures.
Furthermore, there is a substantial market for products for bum therapy and for
the repair or support of appropriate epithelial tissues and other wound and skin closure
uses. For example, venous leg ulcers affect about 1 million people in the United States
and 3 million worldwide, and other ulcer conditions such as diabetic ulcers and pressure
ulcers (bedsores), affect approximately 10 million people worldwide. Venous ulcer
standard care can take over 6 months to heal a wound and cost in excess of $10,000.00.

Furthermore, foot ulcers are a leading cause of hospitalization among diabetics and are
estimated to cost the U.S. healthcare system over $1 billion annually. Estimates for
hospitalizations for burns in the United States range from 60,000 to 80,00 annually, and
costs for recovery from acute injuries range from $36,000 to $117,000 per patient.
A major function of human skin is to provide a barrier to transcutaneous water
loss and a barrier to prevent entry of toxic compounds or microorganisms. Development
of the epidermal permeability barrier requires the coordinated synthesis and metabolism
of keratinocyte-specific protein and lipid products that are assembled into the outermost
skin layer, the stratum corneum. The expression of many of the key enzymes required,
for synthesis of these extracellular lipids is up-regulated during keratinocyte
differentiation or following disruption of epidermal barrier function, suggesting the
existence of transcription factors that function to promote barrier function development
(Sando et al., J. Biol. Chem., 271(36): 22044-51 (1996); Watanabe et al., J. Biol. Chem.,
273(16): 9651-5 (1998)). Barrier function is impaired by exposure to irritating
substances, by infection and by a number of diseases including atopic dermatitis and
psoriasis. Environmental stresses can exacerbate the effects of these conditions on the
essential barrier function of the skin. Many industries are interested in what effect their
product has on barrier function of the skin. For example, companies that deliver
Pharmaceuticals transdermally need to facilitate the penetration of the active agent past
the barrier. Cosmetic companies are interested in finding formulations that improve the
barrier function.
In order to test compounds or formulations early in the development process with
speed and accuracy, it would be beneficial to have an in vitro test system that mimics the
barrier properties of human skin. However, published studies indicate that existing skin
equivalent cultures, such as EPIDERM, SKINETHICS or EPISKIN, have very poor
barrier function (Ponec et al., J. Invest. Dermatol., 109(3): 348-55 (1997)). There has
been substantial recent progress, however, in understanding the importance of vitamin C,
nuclear hormone receptors, lipid synthesis, and humidity on the proper development of
barrier function (Ponec et al., J. Invest. Dermatol., 109(3): 348-55 (1997); Denda et al., J.
Invest. Dermatol., 111(5): 858-63 (1998); Hanley et al., J. Clin. Invest., 100(3): p. 705-
12 (1997); Hanley et al., J. Invest. Dermatol., 113(5): 788-95 (1999)). In many cases,

these studies focus on chemical or environmental signals that trigger the natural
developmental program that establishes barrier function at a specific time in utero.
Clearly, a great need exists for skin substitutes having improved barrier function.
Summary of the Invention
The present invention relates to in vitro cultured skin substitutes, and in particular
to in vitro cultured skin substitutes that have improved barrier function. In some
embodiments, improved barrier function is a result of improved culture conditions, while
in other embodiments, improved barrier function results from genetic modification of
keratinocytes. The present invention further relates to the use of such skin substitutes for
irritancy testing.
The present invention provides compositions comprising a human skin equivalent,
the skin equivalent having a surface electrical capacitance of from about 40 to about 240
pF. In some preferred embodiments, the skin equivalent has a surface electrical
capacitance of from about 80 to about 120 pF. In other preferred embodiments, the
combined content of ceramides 5, 6, and 7 in the skin equivalent is from about 20 to
about 50% of total ceramide content. In still other preferred, embodiments, the content of
ceramide 2 in the skin equivalent is from about 10 to about 40% of total ceramide
content. The present invention is not limited to skin equivalents formed from a particular
source of keratinocytes. Indeed, the skin equivalents may be formed from a variety of
primary and immortal keratinocytes, including, but not limited to NIKS cells. In still
further embodiments, the keratinocytes express exogenous wild-type or variant GKLF.
In still further embodiments, the keratinocytes are derived from two or more different
sources.
In other embodiments, the present invention provides isolated keratinocytes
comprising a sequence encoding GKLF operably linked to an exogenous promoter. In
still further embodiments, the present invention provides an organotypic culture
keratinocytes comprising a sequence encoding exogenous GKLF operably linked to an
exogenous promoter.
In some embodiments, the present invention provides methods for making skin
equivalents having improved barrier function. In some embodiments, the methods

comprise providing keratinocytes and a culture media comprising ascorbic acid and
linoleic acid; and culturing the keratinocytes under conditions such that a skin equivalent
having improved barrier function is formed. In some embodiments, the culture
conditions include culture at about 50 to 95% humidity, preferably about 75% humidity.
In some preferred embodiments, the ascorbic acid is provided at concentration of from
about 10 to 100 micrograms/ml. In still further preferred embodiments, linoleic acid is
provided at a concentration of from about 5 to 80 micromolar. The present invention is
not limited to skin equivalents formed from a particular source of keratinocytes. Indeed,
the skin equivalents may be formed from a variety of primary and immortal
keratinocytes, including, but not limited to NIKS cells. In still further embodiments, the
keratinocytes express exogenous wild-type or variant GKLF. In still further
embodiments, the keratinocytes are derived from two different sources. In other
embodiments, the skin equivalent has a surface electrical capacitance of from about 40 to
about 240 pF. In some preferred embodiments, the skin equivalent has a surface
electrical capacitance of from about 80 to about 120 pF. In other preferred embodiments,
the content of ceramides 5, 6, and 7 in the skin equivalent is from about 20 to about 50%
of total ceramide content. In still other preferred embodiments, the content of ceramide 2
in the skin equivalent is from about 10 to about 40% of total ceramide content. In still
further embodiments, the present invention provides the skin equivalent made by the
method just described.
In other embodiments, the present invention provides methods of making skin
equivalents having unproved barrier function comprising: providing keratinocytes and a
DNA construct comprising a sequence encoding GKLF operably linked to an exogenous
promoter; transfecting the keratinocytes with said DNA construct to provide transfected
keratinocytes; and culturing the transfected keratinocytes under conditions such that a
skin equivalent having improved barrier function is formed. In some embodiments, the
culturing step comprises culturing the transfected keratinocytes in a culture media
comprising ascorbic acid and linoleic acid. In some preferred embodiments, the ascorbic
acid is provided at concentration of from about 10 to 100 micrograms/ml. In still further
preferred embodiments, linoleic acid is provided at a concentration of from about 5 to 80
micromolar. The present invention is not limited to skin equivalents formed from a

particular source of keratinocytes. Indeed, the skin equivalents may be formed from a
variety of primary and immortal keratinocytes, including, but not limited to NIKS cells.
In still further embodiments, the keratinocytes express wild-type or variant GKLF. In
still further embodiments, the keratinocytes are derived from two different sources. In
other embodiments, the skin equivalent has a surface electrical capacitance of from about
40 to about 240 pF. In some preferred embodiments, the skin equivalent has a surface
electrical capacitance of from about 80 to about 120 pF. In other preferred embodiments,
the content of ceramides 5, 6, and 7 in the skin equivalent is from about 20 to about 50%
of total ceramide content. In still other preferred embodiments, the content of ceramide 2
in the skin equivalent is from about 10 to about 40% of total ceramide content. In still
further embodiments, the present invention provides the skin equivalent made by the
described methods.
In still other embodiments, the present invention provides methods for screening
compounds. In some embodiments, the methods comprise providing a skin equivalent
having a surface electrical capacitance of from about 40 to about 240 pF; and treating the
skin equivalent with said compound. In further embodiments, the method comprise step
c) assaying the effect of said compound on said skin equivalent. In some preferred
embodiments, the compound is selected from a combinatorial library. The present
invention is not limited to skin equivalents formed from a particular source of
keratinocytes. Indeed, the skin equivalents may be formed from a variety of primary and
immortal keratinocytes, including, but not limited to NIKS cells. In still further
embodiments, the keratinocytes express exogenous wild-type or variant GKLF. In still
further embodiments, the keratinocytes are derived from two different sources. In other
embodiments, the skin equivalent has a surface electrical capacitance of from about 40 to
about 240 pF. In some preferred embodiments, the skin equivalent has a surface
electrical capacitance of from about 80 to about 120 pF. In other preferred embodiments,
the content of ceramides 5, 6, and 7 in the skin equivalent is from about 20 to about 50%
of total ceramide content. In still other preferred embodiments, the content of ceramide 2
in the skin equivalent is from about 10 to about 40% of total ceramide content.
In other embodiments, the present invention provides kits comprising at least one
skin equivalent having a surface electrical capacitance of from about 40 to about 240 pF.

In still other embodiments, the kit includes culture media for culturing the at least one
skin equivalent. In some embodiments, the kit further comprises instructions for
culturing the skin equivalent. In other embodiments, the kit further comprises
instructions for testing compounds using said at least one skin equivalent. The present
invention is not limited to skin equivalents formed from a particular source of
keratinocytes. Indeed, the skin equivalents may be formed from a variety of primary and
immortal keratinocytes, including, but not limited to NIKS cells. In still further
embodiments, the keratinocytes express wild-type or variant GKLF. In still further
embodiments, the keratinocytes are derived from two different sources. In other
embodiments, the skin equivalent has a surface electrical capacitance of from about 80 to
about 120 pF. In some preferred embodiments, the skin equivalent has a surface
electrical capacitance of from about 80 to about 120 pF. In other preferred embodiments,
the content of ceramides 5, 6, and 7 in the skin equivalent is from about 20 to about 50%
of total ceramide content. In still other preferred embodiments, the content of ceramide 2
in the skin equivalent is from about 10 to about 40% of total ceramide content.
In still further embodiments, the present invention provides a method of screening
compounds suspected of being skin irritants, comprising: providing a compound
suspected of being a skin irritant; a skin equivalent comprising a irritant responsive
reporter gene construct; and contacting said skin equivalent with said compound; and
measuring the level of gene expression from said reporter gene construct. In some
embodiments, the human skin equivalent has a surface electrical capacitance of from
about 80 to about 120 pF. In some embodiments, the content of ceramides 5, 6, and 7 in
the skin equivalent is from about 20 to about 50% of total ceramide content. In other
embodiments, the content of ceramide 2 in said skin equivalent is from about 10 to about
40% of total ceramide content. In some embodiments, the skin equivalent comprises
keratinocytes selected from the group consisting of primary keratinocytes and
immortalized keratinocytes. In some embodiments, the immortalized keratinocytes are
NIKS cells. In other embodiments, the keratinocytes express heterologous GKLF. In yet
other embodiments, the irritant responsive reporter construct comprises at least a portion
of a gene selected from the group consisting of interleukin-8 and interleukin-lα. In some
preferred embodiment, the portion comprises a regulatory region.

The present invention also provides a composition comprising NIKS cells
comprising an irritant responsive reporter gene construct. In some embodiments, the
NIKS cells have a surface electrical capacitance of from about 40 to about 240 pF. In
other embodiments, the NIKS cells have a surface electrical capacitance of from about 80
to about 120 pF. In some embodiments, the combined content of ceramides 5, 6, and 7 in
the NIKS cells is from about 20 to about 50% of total ceramide content. In other
embodiments, the content of ceramide 2 in said NIKS cells is from about 10 to about
40% of total ceramide content. In still further embodiments, the NIKS cells express
heterologous GKLF. In some embodiments, the NIKS cells further comprise a DNA
construct comprising a sequence encoding GKLF operably linked to an exogenous
promoter. In yet other embodiments, the NIKS cells further comprise keratinocytes
derived from two different sources. In other embodiments, the NIKS cells are present as
nn organotypic culture
In still other embodiments, the present invention provides a method of identifying
irritant responsive genes, comprising: providing a skin irritant compound; a gene
expression array; and a skin equivalent; and contacting said skin irritant compound with
said skin equivalent to generate irritant treated skin equivalent; isolating a first mRNA
sample from said irritant treated skin equivalent and a second mRNA sample from said
skin equivalent; contacting said first and second mRNA samples with said gene
expression array; analyzing said gene expression array under conditions such that the
identity of genes that are expressed at greater levels in said irritant treated skin equivalent
than in said skin equivalent are determined. In some embodiments, the skin equivalent
comprises cultured human keratinocytes. In other embodiments, the cultured human
keratinocytes are present as an organotypic culture. In some embodiments, the irritant
responsive reporter construct comprises at least a portion of a gene selected from the
group consisting of interleukin-8 and interleukin-lα. In some preferred embodiments, the
portion comprises a regulatory region. In some embodiments, the gene array comprises
human cDNA sequences.
The present invention also relates to in vitro cultured skin substitutes, and in
particular to improved methods for organotypic culture of skin substitutes. In some
embodiments, the present invention provides processes for preparing a seeded dermal

equivalent comprising: providing a dermal equivalent, keratinocytes, and culture media
having an air interface; culturing the dermal equivalent in the culture media; lifting the
dermal equivalent to the air interface to provide a lifted dermal equivalent; and seeding
the dermal equivalent with the keratinocytes to provide a seeded dermal equivalent. The
present invention is not limited to the use of any particular type of keratinocytes. Indeed,
the use of keratinocytes from a variety of sources is contemplated, including but not
limited to keratinocytes selected from the group consisting of primary human
keratinocytes and immortalized human keratinocytes. In some particularly preferred
embodiments, the immortalized keratinocytes are NIKS cells. The present invention is
not limited to the use of any particular dermal equivalent. In some preferred
embodiments, the dermal equivalent comprises collagen and fibroblasts. The present
invention is not limited to the use of any particular type of collagen. Indeed, the use of a
variety of types of collagen is contemplated, including, but not limited to rat tail tendon
collagen. Likewise, the present invention is not limited to the use of any particular type
of fibroblasts. Indeed, the use of a variety of fibroblasts is contemplated, including, but
not limited to, NHDF cells. In some particularly preferred embodiments, the lifting step
further comprises incubating the lifted dermal equivalent at the air interface for at least
six hours prior to the seeding. In other particularly preferred embodiments, the lifting
step further comprises incubating the lifted dermal equivalent at the air interface for at
least twelve hours prior to the seeding. In still other particularly preferred embodiments,
the lifting step further comprises incubating the lifted dermal equivalent at the air
interface for at least eighteen hours prior to the seeding. In still more preferred
embodiments, the lifting step further comprises incubating the lifted dermal equivalent at
the air interface for about 24 hours prior to the seeding. In still other preferred
embodiments, the lifting step further comprises incubating the lifted dermal equivalent at
the air interface for about six hours to about 24 hours prior to the seeding.
In some embodiments, the methods of the present invention further comprise the
step of incubating the seeded dermal skin equivalent under conditions such that a skin
equivalent is formed. In some preferred embodiments, the skin equivalent is stratified.
In particularly preferred embodiments, the skin equivalent is stratified into squamous

epithelia. In still further embodiments, the present invention provides seeded dermal
equivalents and skin equivalents produced by the foregoing; methods.
In still other embodiments, the present invention provides compositions
comprising a growth chamber having a porous bottom surface and a side-wall, the porous
bottom having thereon a dermal equivalent wherein the dermal equivalent is substantially
adhered to the side-wall of the growth chamber. The present invention is not limited to
growth chambers of any particular size. Indeed, growth chambers of a variety of sizes
are contemplated. In some preferred embodiments, the porous bottom of the growth
chamber is about 0.1 to 20.0 centimeters in diameter. In other preferred embodiments,
the porous bottom of the growth chamber is about 1.0 centimeters in diameter. The
present invention is not limited to the use of any particular dermal equivalent. In some
preferred embodiments, the dermal equivalent comprises collagen and fibroblasts. The
present invention is not limited to the use of any particular type of collagen. Indeed, the
use of a variety of types of collagen is contemplated, including, but not limited to rat tail
tendon collagen. Likewise, the present invention is not limited to the use of any
particular type of fibroblasts. Indeed, the use of a variety of fibroblasts is contemplated,
including, but not limited to, NHDF cells. In some embodiments, the composition further
comprises keratinocytes; wherein the keratinocytes are seeded onto the dermal equivalent
to form a skin equivalent. The present invention is not limited to the use of any particular
type of keratinocytes. Indeed, the use of keratinocytes from a variety of sources is
contemplated, including but not limited to keratinocytes selected from the group
consisting of primary human keratinocytes and immortalized human keratinocytes. In
some particularly preferred embodiments, the immortalized keratinocytes are NIKS cells.
In some preferred embodiments, the keratinocytes are stratified. In particularly preferred
embodiments, the keratinocytes are stratified into squamous epithelia.
In still further embodiments, the present invention provides a composition
comprising a dermal equivalent, wherein the dermal equivalent contain about 0.2 mg
collagen per square centimeter of the dermal equivalent to 2.0 mg collagen per square
centimeter of the dermal equivalent. In some particularly preferred embodiments, the
dermal equivalent contains about 0.22 mg collagen per square centimeter of the dermal
equivalent to 1.0 mg collagen per square centimeter of the dermal equivalent. In other

particularly preferred embodiments, the dermal equivalent contains about 0.5 mg
collagen per square centimeter of the dermal equivalent. In some embodiments, the
composition further comprises keratinocytes, wherein the keratinocytes are seeded onto
the dermal equivalent to form a skin equivalent. The present invention is not limited to
the use of any particular type of keratinocytes. Indeed, the use of keratinocytes from a
variety of sources is contemplated, including but not limited to keratinocytes selected
from the group consisting of primary human keratinocytes and immortalized human
keratinocytes. In some particularly preferred embodiments, the immortalized
keratinocytes are NIKS cells. In some preferred embodiments, the keratinocytes are
stratified. In particularly preferred embodiments, the keratinocytes are stratified into
squamous epithelia. The present invention is not limited to the use of any particular
dermal equivalent. In some preferred embodiments, the dermal equivalent comprises
collagen and fibroblasts. The present invention is not limited to the use of any particular
type of collagen. Indeed, the use of a variety of types of collagen is contemplated,
including, but not limited to rat tail tendon collagen. Likewise, the present invention is
not limited to the use of any particular type of fibroblasts. Indeed, the use of a variety of
fibroblasts is contemplated, including, but not limited to, NHDF cells.
In still further embodiments, the present invention provides a composition
comprising BSA, isoproterenol, carnitine, serine, oleic acid, linoleic acid, arachidonic
acid, α-tocopherol, ascorbic acid, and EGF. The present invention is not limited to any
particular concentration of the foregoing compounds. Indeed, the amounts of these
compounds in the composition can vary. In preferred embodiments, the BSA,
isoproterenol, carnitine, serine, oleic acid, linoleic acid, arachidonic acid, α-tocopherol,
ascorbic acid, and EGF are present in concentrations sufficient to improve barrier
function in in vitro cultured skin equivalents. In some embodiments, the composition
further comprises serum. In still other embodiments, the compositions further comprise
calcium chloride, hydrocortisone, cholera toxin, insulin and adenine. In preferred
embodiments, the bovine serum albumin is provided at a concentration of about 0.1 -
10.0 mg/ml. In other preferred embodiments, the isoproterenol is provided at a
concentration of about 0.1 - 10.0 μM. In still other preferred embodiments, the carnitine
is provided at a concentration of about 1.0-100.0 μM. In further preferred

embodiments, the serine is provided at a concentration of about 1.0 - 100.0 μM. In still
further preferred embodiments, the oleic acid is provided at a concentration of about 1.0 -
100.0 μM. In still other preferred embodiments, the linoleic acid is provided at a
concentration of about 1.0 - 100.0 μM. In some preferred embodiments, the arachidonic
acid is provided at a concentration of about 1.0 - 100.0 μM. In other preferred
embodiments, the α-tocopherol is provided at a concentration of about 0.1 - 10.0 μM. In
still other preferred embodiments, the ascorbic acid is provided at a concentration of
about 0.005 - 5.0 mg/ml. In still further preferred embodiments, the epidermal growth
factor is provided at a concentration of about 0.1 - 10.0 ng/ml.
Description of the Figures
Figure 1 is the nucleic acid sequence for mouse Klf4 (SEQ ID NO:1).
Figure 2 is the nucleic acid sequence for human GKLF (SEQ ID NO:2)
Figure 3 shows EL-lα Secretion by NIKS organotypic cultures.
Figure 4 provides a depiction of the culture wells of some embodiments of the
present invention.
Definitions
As used herein, the term "GKLF" when used in reference to a protein or nucleic
acid refers to a protein or nucleic acid encoding a protein that shares greater than about
50% identity with SEQ ID NO: 1 and/or SEQ ID NO:2 and binds to the basic
transcription element of the cytochrome p450IAI promoter. Binding activity may be
conveniently assayed by an electrophoretic mobility gel shift assay using the
oligonucleotide GAGAAGGAGGCGTGGCCAAC (SEQ ID NO:3) as described in
Zhang et al., J. Biol. Chem., 273(28): 17917-25 (1998). Thus, the term GKLF
encompasses both proteins that are identical to wild-type GKLF and those that are
derived from wild type GKLF (e.g., variants of GKLF or chimeric genes constructed with
portions of GKLF coding regions).
As used herein, the term "activity of GKLF " refers to any activity of wild type
GKLF. The term is intended to encompass all activities of GKLF.

As used herein, the terms "skin equivalent" and "skin substitute" are used
interchangeably to refer to an in vitro-derived culture of keratinocytes that has stratified
into squamous epithelia in what is termed an organotypic culture.
As used herein, the term "dermal equivalent" is used to refer to an in vitro-derived
culture comprising collagen and fibroblast cells. It is contemplated that "dermal
equivalents" can serve as substrates for differentiation of keratinocytes in an organotypic
culture.
As used herein, the term "air interface" refers to the interface between the
atmosphere and liquid medium in a culture dish.
As used herein the term "substantially adhered to a side-wall," when used in
reference to a dermal equivalent, refers to the physical adherence of a dermal equivalent
to a substantially vertical wall, as opposed to the dermal equivalent contracting or pulling
away from the substantially vertical wall.
As used herein, the term "organotypic" culture refers to a three-dimensional tissue
culture where cultured cells are used to reconstruct a tissue or organ in vitro.
As used herein, the term "NIKS cells" refers to cells having the characteristics of
the cells deposited as cell line ATCC CRL-12191.
As used herein, the term "NHDF" refers to cells having the characteristics of
normal human dermal fibroblasts.
As used herein, the term "content of ceramides" refers to the amount of ceramides
in a skin equivalent sample as assayed by high-performance thin-layer chromatography.
As used herein, the term "skin irritant" refers to a compound that, when applied to
skin or a skin equivalents, elicits a cellular response characterized by the expression of an
"irritant responsive gene." Examples of known skin irritants include, but are not limited
to, SDS, calcipotriol, and trans-retinoic acid. The term "skin irritant" is also intended to
encompass unknown or suspected irritants, including but not limited to, those containing
in some pharmaceuticals, cosmetics, and consumer products.
As used herein, the term "irritant responsive gene" refers to a gene that is
expressed to a greater level (e.g., as measured by the level of mRNA expression) in the
presence of a skin irritant. Examples of irritant responsive genes include, but are not

limited to, Interleukin-8 and Interleukin-1α. The term "irritant responsive gene" is also
intended to encompass unknown irritant responsive genes (e.g., those identified by the
methods of the present invention).
The term "gene" refers to a nucleic acid (e.g., DNA) sequence that comprises
coding sequences necessary for the production of a polypeptide or precursor (e.g.,
GKLF). The polypeptide can be encoded by a full length coding sequence or by any
portion of the coding sequence so long as the desired activity or functional properties
(e.g., enzymatic activity, ligand binding, signal transduction, etc.) of the full-length or
fragment are retained. The term also encompasses the coding region of a structural gene
and the including sequences located adjacent to the coding region on both the 5' and 3'
ends for a distance of about 1 kb on either end such that the gene corresponds to the
length of the full-length mRNA. The sequences that are located 5' of the coding region
and which are present on the mRNA are referred to as 5' untranslated sequences. The
sequences that are located 3' or downstream of the coding region and that are present on
the mRNA are referred to as 3' untranslated sequences. The term "gene" encompasses
both cDNA and genomic forms of a gene. A genomic form or clone of a gene contains
the coding region interrupted with non-coding sequences termed "introns" or "intervening
regions" or "intervening sequences." Introns are segments of a gene that are transcribed
into nuclear RNA (hnRNA); introns may contain regulatory elements such as enhancers.
Introns are removed or "spliced out" from the nuclear or primary transcript; introns
therefore are absent in the messenger RNA (mRNA) transcript. The mRNA functions
during translation to specify the sequence or order of amino acids in a nascent
polypeptide.
In particular, the term " GKLF gene" refers to the full-length GKLF nucleotide
sequence (e.g., contained in SEQ ID NO:2). However, it is also intended that the term
encompass fragments of the GKLF sequence, as well as other domains within the full-
length GKLF nucleotide sequence. Furthermore, the terms 'GKLF nucleotide sequence"
or " GKLF polynucleotide sequence" encompasses DNA, cDNA, and RNA (e.g., mRNA)
sequences.
As used herein, the term "gene array" refers to a solid support (e.g., a filter, a
glass slide, or a microchip) to which a plurality of nucleic acid sequences are affixed. As

used herein, the term "gene expression array" refers to a gene array for use in measuring
the expression of genes that are contained on the array. In preferred embodiments, the
nucleic acid sequences affixed to a gene expression array are cDNA sequences.
Where amino acid sequence is recited herein to refer to an amino acid sequence of
a naturally occurring protein molecule, amino acid sequence and like terms, such as
polypeptide or protein are not meant to limit the amino acid sequence to the complete,
native amino acid sequence associated with the recited protein molecule.
In addition to containing introns, genomic forms of a gene may also include
sequences located on both the 5' and 3' end of the sequences that are present on the RNA
transcript. These sequences are referred to as "flanking" sequences or regions (these
flanking sequences are located 5' or 3' to the non-translated sequences present on the
mRNA transcript). The 5' flanking region may contain regulatory sequences such as
promoters and enhancers that control or influence the transcription of the gene. The 3'
flanking region may contain sequences that direct the termination of transcription,
post-transcriptional cleavage and polyadenylation.
The term "wild-type" refers to a gene or gene product that has the characteristics
of that gene or gene product when isolated from a naturally occurring source. A wild-
type gene is that which is most frequently observed in a population and is thus arbitrarily
designed the "normal" or "wild-type" form of the gene. In contrast, the terms "modified",
"mutant", and "variant" refer to a gene or gene product that displays modifications in
sequence and or functional properties (i.e., altered characteristics) when compared to the
wild-type gene or gene product. It is noted that naturally-occurring mutants can be
isolated; these are identified by the fact that they have altered characteristics when
compared to the wild-type gene or gene product.
As used herein, the terms "nucleic acid molecule encoding," "DNA sequence
encoding," and "DNA encoding" refer to the order or sequence of deoxyribonucleotides
along a strand of deoxyribonucleic acid. The order of these deoxyribonucleotides
determines the order of amino acids along the polypeptide (protein) chain. The DNA
sequence thus codes for the amino acid sequence.
As used herein, the terms "an oligonucleotide having a nucleotide sequence
encoding a gene" and "polynucleotide having a nucleotide sequence encoding a gene,"

means a nucleic acid sequence comprising the coding region, of a gene or, in other words,
the nucleic acid sequence that encodes a gene product. The coding region may be present
in either a cDNA, genomic DNA, or RNA form. When present in a DNA form, the
oligonucleotide or polynucleotide may be single-stranded (i.e., the sense strand) or
double-stranded. Suitable control elements such as enhancers/promoters, splice
junctions, polyadenylation signals, etc. may be placed in close proximity to the coding
region of the gene if needed to permit proper initiation of transcription and/or correct
processing of the primary RNA transcript. Alternatively, the coding region utilized in the
expression vectors of the present invention may contain endogenous
enhancers/promoters, splice junctions, intervening sequences, polyadenylation signals,
etc. or a combination of both endogenous and exogenous control elements.
As used herein, the term "regulatory element" refers to a genetic element that
controls some aspect of the expression of nucleic acid sequences. For example, a
promoter is a regulatory element that facilitates the initiation of transcription of an
operably linked coding region. Other regulatory elements include splicing signals,
polyadenylation signals, termination signals, etc.
As used herein, the terms "complementary" or "complementarity" are used in
reference to polynucleotides (i.e., a sequence of nucleotides) related by the base-pairing
rules. For example, the sequence "5'-A-G-T-3"' is complementary to the sequence "3'-T-
C-A-5'." Complementarity may be "partial," in which only some of the nucleic acids'
bases are matched according to the base pairing rules. Or, mere may be "complete" or
"total" complementarity between the nucleic acids. The degree of complementarity
between nucleic acid strands has significant effects on the efficiency and strength of
hybridization between nucleic acid strands. This is of particular importance in
amplification reactions, as well as detection methods that depend upon binding between
nucleic acids.
The term "homology" refers to a degree of complementarity. There may be
partial homology or complete homology (i.e., identity). A partially complementary
sequence is one that at least partially inhibits a completely complementary sequence from
hybridizing to a target nucleic acid and is referred to using the functional term
"substantially homologous." The term "inhibition of binding," when used in reference to

nucleic acid binding, refers to inhibition of binding caused by competition of homologous
sequences for binding to a target sequence. The inhibition of hybridization of the
completely complementary sequence to the target sequence may be examined using a
hybridization assay (Southern or Northern blot, solution hybridization and the like) under
conditions of low stringency. A substantially homologous sequence or probe will
compete for and inhibit the binding (i.e., the hybridization) of a completely homologous
to a target under conditions of low stringency. This is not to say that conditions of low
stringency are such that non-specific binding is permitted; low stringency conditions
require that the binding of two sequences to one another be a specific (i.e., selective)
interaction. The absence of non-specific binding may be tested by the use of a second
target that lacks even a partial degree of complementarity (e.g., less than about 30%
identity); in the absence of non-specific binding the probe will not hybridize to the
second non-complementary target.
The art knows well that numerous equivalent conditions may be employed to
comprise low stringency conditions; factors such as the length and nature (DNA, RNA,
base composition) of the probe and nature of the target (DNA, RNA, base composition,
present in solution or immobilized, etc.) and the concentration of the salts and other
components (e.g., the presence or absence of formamide, dextran sulfate, polyethylene
glycol) are considered and the hybridization solution may be varied to generate
conditions of low stringency hybridization different from, but equivalent to, the above
listed conditions. In addition, the art knows conditions that promote hybridization under
conditions of high stringency (e.g., increasing the temperature of the hybridization and/or
wash steps, the use of formamide in the hybridization solution, etc.).
When used in reference to a double-stranded nucleic acid sequence such as a
cDNA or genomic clone, the term "substantially homologous" refers to any probe that
can hybridize to either or both strands of the double-stranded nucleic acid sequence under
conditions of low stringency as described below.
When used in reference to a single-stranded nucleic acid sequence, the term
"substantially homologous" refers to any probe that can hybridize (i.e., it is the
complement of) the single-stranded nucleic acid sequence under conditions of low
stringency as described above.

As used herein, the term "competes for binding" is used in reference to a first
polypeptide with an activity which binds to the same substrate as does a second
polypeptide with an activity, where the second polypeptide is a variant of the first
polypeptide or a related or dissimilar polypeptide. The efficiency (e.g., kinetics or
thermodynamics) of binding by the first polypeptide may be the same as. greater than, or
less than the efficiency of substrate binding by the second polypeptide. For example, the
equilibrium binding constant (KD)) for binding to the substrate may be different for the
two polypeptides. The term "Km" as used herein refers to the Michaelis-Menton constant
for an enzyme and is defined as the concentration of the specific substrate at which a
given enzyme yields one-half its maximum velocity in an enzyme catalyzed reaction.
As used herein, the term "hybridization" is used in reference to the pairing of
complementary nucleic acids. Hybridization and the strength of hybridization (i.e., the
strength of the association between the nucleic acids) is impacted by such factors as the
degree of complementary between the nucleic acids, stringency of the conditions
involved, the Tm of the formed hybrid, and the G:C ratio within the nucleic acids.
As used herein, the term "Tm" is used in reference to the "melting temperature."
The melting temperature is the temperature at which a population of double-stranded
nucleic acid molecules becomes half dissociated into single strands. The equation for
calculating the Tm of nucleic acids is well known in the art. As indicated by standard
references, a simple estimate of the Tm value may be calculated by the equation: Tm =
81.5 + 0.41(% G + C), when a nucleic acid is in aqueous solution at 1 M NaCl (See e.g.,
Anderson and Young, Quantitative Filter Hybridization, in Nucleic Acid Hybridization
[1985]). Other references include more sophisticated computations that take structural as
well as sequence characteristics into account for the calculation of Tm.
As used herein the term "stringency" is used in reference to the conditions of
temperature, ionic strength, and the presence of other compounds such as organic
solvents, under which nucleic acid hybridizations are conducted. Those skilled in the art
will recognize that "stringency" conditions may be altered by varying the parameters just
described either individually or in concert. With "high stringency" conditions, nucleic
acid base pairing will occur only between nucleic acid fragments that have a high

frequency of complementary base sequences (e.g., hybridization under "high stringency"
conditions may occur between homologs with about 85-100% identity, preferably about
70-100% identity). With medium stringency conditions, nucleic acid base pairing will
occur between nucleic acids with an intermediate frequency of complementary base
sequences (e.g., hybridization under "medium stringency" conditions may occur between
homologs with about 50-70% identity). Thus, conditions of "weak" or "low" stringency
are often required with nucleic acids that are derived from organisms that are genetically
diverse, as the frequency of complementary sequences is usually less.
"High stringency conditions" when used in reference to nucleic acid hybridization
comprise conditions equivalent to binding or hybridization at 42 C in a solution
consisting of 5X SSPE (43.8 g/l NaCl, 6.9 g/1 NaH2PO4 H2O and 1.85 g/1 EDTA, pH
adjusted to 7.4 with NaOH), 0.5% SDS, 5X Denhardt's reagent and 100 μg/ml denatured
salmon sperm DNA followed by washing in a solution comprising 0. 1X SSPE, 1.0% SDS
at 42°C when a probe of about 500 nucleotides in length is employed.
"Medium stringency conditions" when used in reference to nucleic acid
hybridization comprise conditions equivalent to binding or hybridization at 42 C in a
solution consisting of 5X SSPE (43.8 g/1 NaCl, 6.9 g/1 NaH2PO4 H2O and 1.85 g/1
EDTA, pH adjusted to 7.4 with NaOH), 0.5% SDS, 5X Denhardt's reagent and 100 μg/ml
denatured salmon sperm DNA followed by washing in a solution comprising 1.0X SSPE,
1.0% SDS at 42°C when a probe of about 500 nucleotides in length is employed.
"Low stringency conditions" comprise conditions equivalent to binding or
hybridization at 42°C in a solution consisting of 5X SSPE (43.8 g/1 NaCl, 6.9 g/1
NaH2PO4 H2O and 1.85 g/1 EDTA, pH adjusted to 7.4 with NaOH), 0.1% SDS, 5X
Denhardt's reagent [50X Denhardt's contains per 500 ml: 5 g Ficoll (Type 400,
Pharamcia), 5 g BSA (Fraction V; Sigma)] and 100 μg/ml denatured salmon sperm DNA
followed by washing in a solution comprising 5X SSPE, 0.1% SDS at 42°C when a probe
of about 500 nucleotides in length is employed.
The following terms are used to describe the sequence relationships between two
or more polynucleotides: "reference sequence", "sequence identity", "percentage of
sequence identity", and "substantial identity". A "reference sequence" is a defined

sequence used as a basis for a sequence comparison; a reference sequence may be a
subset of a larger sequence, for example, as a segment of a full-length cDNA sequence
given in a sequence listing or may comprise a complete gene sequence. Generally, a
reference sequence is at least 20 nucleotides in length, frequently at least 25 nucleotides
in length, and often at least 50 nucleotides in length. Since two polynucleotides may
each (1) comprise a sequence (i.e., a portion of the complete polynucleotide sequence)
that is similar between the two polynucleotides, and (2) may further comprise a sequence
that is divergent between the two polynucleotides, sequence; comparisons between two
(or more) polynucleotides are typically performed by comparing sequences of the two
polynucleotides over a "comparison window" to identify and compare local regions of
sequence similarity. A "comparison window", as used herein, refers to a conceptual
segment of at least 20 contiguous nucleotide positions wherein a polynucleotide sequence
may be compared to a reference sequence of at least 20 contiguous nucleotides and
wherein the portion of the polynucleotide sequence in the comparison window may
comprise additions or deletions (i.e., gaps) of 20 percent or less as compared to the
reference sequence (which does not comprise additions or deletions) for optimal
alignment of the two sequences. Optimal alignment of sequences for aligning a
comparison window may be conducted by the local homology algorithm of Smith and
Waterman [Smith and Waterman, Adv. Appl. Math. 2: 482 (1981)] by the homology
alignment algorithm of Needleman and Wunsch [Needleman and Wunsch, J. Mol. Biol.
48:443 (1970)], by the search for similarity method of Pearson and Lipman [Pearson and
Lipman, Proc. Natl. Acad. Sci. (U.S.A.) 85:2444 (1988)], by computerized
implementations of these algorithms (GAP, BESTFIT, FASTA, and TFASTA in the
Wisconsin Genetics Software Package Release 7.0, Genetics Computer Group, 575
Science Dr., Madison, Wis.), or by inspection, and the best alignment (i.e., resulting in
the highest percentage of homology over the comparison window) generated by the
various methods is selected. The term "sequence identity" means that two polynucleotide
sequences are identical (i.e., on a nucleotide-by-nucleotide basis) over the window of
comparison. The term "percentage of sequence identity" is calculated by comparing two
optimally aligned sequences over the window of comparison, determining the number of
positions at which the identical nucleic acid base (e.g., A, T, C, G, U, or I) occurs in both

sequences to yield the number of matched positions, dividing the number of matched
positions by the total number of positions in the window of comparison (i.e., the window
size), and multiplying the result by 100 to yield the percentage of sequence identity. The
terms "substantial identity" as used herein denotes a characteristic of a polynucleotide
sequence, wherein the polynucleotide comprises a sequence: that has at least 85 percent
sequence identity, preferably at least 90 to 95 percent sequence identity, more usually at
least 99 percent sequence identity as compared to a reference sequence over a
comparison window of at least 20 nucleotide positions, frequently over a window of at
least 25-50 nucleotides, wherein the percentage of sequences identity is calculated by
comparing the reference sequence to the polynucleotide sequence which may include
deletions or additions which total 20 percent or less of the reference sequence over the
window of comparison. The reference sequence may be a subset of a larger sequence, for
example, as a segment of the full-length sequences of the compositions claimed in the
present invention (e.g., GKLF).
As applied to polypeptides, the term "substantial identity" means that two peptide
sequences, when optimally aligned, such as by the programs GAP or BESTFIT using
default gap weights, share at least 80 percent sequence identity, preferably at least 90
percent sequence identity, more preferably at least 95 percent sequence identity or more
(e.g., 99 percent sequence identity). Preferably, residue positions that are not identical
differ by conservative amino acid substitutions. Conservative amino acid substitutions
refer to the interchangeability of residues having similar side chains. For example, a
group of amino acids having aliphatic side chains is glycine, alanine, valine, leucine, and
isoleucine; a group of amino acids having aliphatic-hydroxyl side chains is serine and
threonine; a group of amino acids having amide-containing side chains is asparagine and
glutamine; a group of amino acids having aromatic side chains is phenylalanine, tyrosine,
and tryptophan; a group of amino acids having basic side chains is lysine, arginine, and
histidine; and a group of amino acids having sulfur-containing side chains is cysteine and
methionine. Preferred conservative amino acids substitution groups are: valine-leucine-
isoleucine, phenylalanine-tyrosine, lysine-arginine, alanine-valine, and asparagine-
glutamine.

As used herein, the term "recombinant DNA molecule" as used herein refers to a
DNA molecule that is comprised of segments of DNA joined together by means of
molecular biological techniques.
The term "isolated" when used in relation to a nucleic acid, as in "an isolated
oligonucleotide" or "isolated polynucleotide" refers to a nucleic acid sequence that is
identified and separated from at least one contaminant nucleic acid with which it is
ordinarily associated in its natural source. Isolated nucleic acid is present in a form or
setting that is different from that in which it is found in nature. La contrast, non-isolated
nucleic acids are nucleic acids such as DNA and RNA found in the state they exist in
nature. For example, a given DNA sequence (e.g., a gene) is found on the host cell
chromosome in proximity to neighboring genes; RNA sequences, such as a specific
mRNA sequence encoding a specific protein, are found in the cell as a mixture with
numerous other mRNAs that encode a multitude of proteins. However, isolated nucleic
acid encoding GKLF includes, by way of example, such nucleic acid in cells ordinarily
expressing GKLF where the nucleic acid is in a chromosomal location different from that
of natural cells, or is otherwise flanked by a different nucleic acid sequence than that
found in nature. The isolated nucleic acid, oligonucleotide., or polynucleotide may be
present in single-stranded or double-stranded form. When an isolated nucleic acid,
oligonucleotide or polynucleotide is to be utilized to express a protein, the
oligonucleotide or polynucleotide will contain at a minimum the sense or coding strand
(i.e., the oligonucleotide or polynucleotide may single-stranded), but may contain both
the sense and anti-sense strands (i.e., the oligonucleotide or polynucleotide may be
double-stranded).
As used herein the term "portion" when in reference to a nucleotide sequence (as
in "a portion of a given nucleotide sequence") refers to fragments of that sequence. The
fragments may range in size from four nucleotides to the entire nucleotide sequence
minus one nucleotide (10 nucleotides, 20, 30, 40, 50, 100, 200, etc.).
As used herein the term "coding region" when used in reference to structural gene
refers to the nucleotide sequences that encode the amino acids found in the nascent
polypeptide as a result of translation of a mRNA molecule. The coding region is
bounded, in eukaryotes, on the 5' side by the nucleotide triplet "ATG" that encodes the

initiator methionine and on the 3' side by one of the three triplets that specify stop codons
(i.e., TAA, TAG, TGA).
As used herein, the term "purified" or "to purify" refers to the removal of
contaminants from a sample.
As used herein, the term "vector" is used in references to nucleic acid molecules
that transfer DNA segments) from one cell to another. The term "vehicle" is sometimes
used interchangeably with "vector."
The term "expression vector" as used herein refers to a recombinant DNA
molecule containing a desired coding sequence and appropriate nucleic acid sequences
necessary for the expression of the operably linked coding sequence in a particular host
organism. Nucleic acid sequences necessary for expression in prokaryotes usually
include a promoter, an operator (optional), and a ribosome binding site, often along with
other sequences. Eukaryotic cells are known to utilize promoters, enhancers, and
termination and polyadenylation signals.
As used herein, the term "host cell" refers to any eukaryotic or prokaryotic cell
(e.g., bacterial cells such as E. coli, yeast cells, mammalian cells, avian cells, amphibian
cells, plant cells, fish cells, and insect cells), whether located in vitro or in vivo. For
example, host cells may be located in a transgenic animal.
The terms "overexpression" and "overexpressing" and grammatical equivalents,
are used in reference to levels of mRNA to indicate a level of expression approximately
3-fold higher than that typically observed in a given tissue in a control or non-transgenic
animal. Levels of mRNA are measured using any of a number of techniques known to
those skilled in the art including, but not limited to Northern blot analysis. Appropriate
controls are included on the Northern blot to control for differences in the amount of
RNA loaded from each tissue analyzed (e.g., the amount of 28S rRNA, an abundant RNA
transcript present at essentially the same amount in all tissues, present in each sample can
be used as a means of normalizing or standardizing the GKLF mRNA-specific signal
observed on Northern blots). The amount of mRNA present in the band corresponding in
size to the correctly spliced GKLF transgene RNA is quantified; other minor species of
RNA which hybridize to the transgene probe are not considered in the quantification of
the expression of the transgenic mRNA.

The term "transfection" as used herein refers to the introduction of foreign DNA
into eukaryotic cells. Transfection may be accomplished by a variety of means known to
the art including calcium phosphate-DNA co-precipitation, DEAE-dextran-mediated
transfection, polybrene-mediated transfection, electroporation, microinjection, liposome
fusion, lipofection, protoplast fusion, retroviral infection, and biolistics.
The term "stable transfection" or "stably transfected" refers to the introduction
and integration of foreign DNA into the genome of the transfected cell. The term "stable
transfectant" refers to a cell that has stably integrated foreign DNA into the genomic
DNA.
The term "transient transfection" or "transiently transfected" refers to the
introduction of foreign DNA into a cell where the foreign DNA fails to integrate into the
genome of the transfected cell. The foreign DNA persists in the nucleus of the
transfected cell for several days. During this time the foreign DNA is subject to the
regulatory controls that govern the expression of endogenous genes in the chromosomes.
The term "transient transfectant" refers to cells that have taken up foreign DNA but have
failed to integrate this DNA.
The term "calcium phosphate co-precipitation" refers to a technique for the
introduction of nucleic acids into a cell. The uptake of nucleic acids by cells is enhanced
when the nucleic acid is presented as a calcium phosphate-nucleic acid co-precipitate.
The original technique of Graham and van der Eb (Graham and van der Eb, Virol.,
52:456 [1973]), has been modified by several groups to optimize conditions for particular
types of cells. The art is well aware of these numerous modifications.
A "composition comprising a given polynucleotide sequence" as used herein
refers broadly to any composition containing the given polynucleotide sequence. The
composition may comprise an aqueous solution. Compositions comprising
polynucleotide sequences encoding GKLF (e.g., SEQ ID NO:2) or fragments thereof may
be employed as hybridization probes. In this case, the GKLF encoding polynucleotide
sequences are typically employed in an aqueous solution containing salts (e.g., NaCl),
detergents (e.g., SDS), and other components (e.g., Denhardt's solution, dry milk, salmon
sperm DNA, etc.).

The term "test compound" refers to any chemical entity, pharmaceutical, drug,
and the like that can be used to treat or prevent a disease, illness, sickness, or disorder of
bodily function, or otherwise alter the physiological or cellular status of a sample. Test
compounds comprise both known and potential therapeutic compounds. A test
compound can be determined to be therapeutic by screening using the screening methods
of the present invention. A "known therapeutic compound" refers to a therapeutic
compound that has been shown (e.g., through animal trials or prior experience with
administration to humans) to be effective in such treatment or prevention.
The term "sample" as used herein is used in its broadest sense. A sample
suspected of containing a human chromosome or sequences: associated with a human
chromosome may comprise a cell, chromosomes isolated from a cell (e.g., a spread of
metaphase chromosomes), genomic DNA (in solution or bound to a solid support such as
for Southern blot analysis), RNA (in solution or bound to a solid support such as for
Northern blot analysis), cDNA (in solution or bound to a solid support) and the like. A
sample suspected of containing a protein may comprise a cell, a portion of a tissue, an
extract containing one or more proteins and the like.
As used herein, the term "response", when used in reference to an assay, refers to
the generation of a detectable signal (e.g., accumulation of reporter protein, increase in
ion concentration, accumulation of a detectable chemical product).
As used herein, the term "reporter gene" refers to a gene encoding a protein that
may be assayed. Examples of reporter genes include, but are not limited to, luciferase
(See, e.g., deWet et al., Mol. Cell. Biol. 7:725 [1987] and U.S. Pat Nos.,6,074,859;
5,976,796; 5,674,713; and 5,618,682; all of which are incorporated herein by reference),
green fluorescent protein (e.g., GenBank Accession Number U43284; a number of GFP
variants are commercially available from CLONTECH Laboratories, Palo Alto, CA),
chloramphenicol acetyltransferase, -galactosidase, alkaline phosphatase, and horse radish
peroxidase.
As used herein, the term "irritant responsive reporter gene construct" refers to a
construct comprising a reporter gene operably linked to a regulatory region of an irritant
responsive gene.

Description of the Invention
The present invention relates to in vitro cultured skin substitutes, and in particular
to in vitro cultured skin substitutes that have improved barrier function. In some
embodiments, improved barrier function is a result of improved culture conditions, while
in other embodiments, improved barrier function results from genetic modification of
keratinocytes. m still other embodiments, the present invention provides skin substitutes
comprising reporter gene constructs (e.g., irritant responsive; reporter gene constructs).
Human skin protects the body from environmental insults such as chemicals and
microorganisms. It is also critical for preventing the loss of water from our bodies.
Defects in skin barrier function have detrimental effects leading to entry of poisonous
substances, infection or severe water loss. Sometimes it is desirable to improve the
barrier function of the skin for medical, infant care or cosmetic reasons, while at other
times it would be advantageous to lower the permeability barrier; to administer drugs
transdermally, for example. Pharmaceutical, cosmetic and consumer product companieis
all have products that may come into contact with the skin. These companies need to
know early in the development process whether their compound or formulation will
affect the essential barrier function of the skin. Excised skin tissue has been used for
measuring percutaneous absorption but a number of problems with this preparation have
been noted in the literature. There are differences in absorption between human and
animal skin that can result in misleading results and the availability of human tissue is
variable. There are also growing political and social pressures to eliminate or reduce the
number of animals being used for safety testing.
These difficulties and the growing need to understand the permeability properties
of new formulations and potential transdermal therapeutics have led to many studies to
improve the permeability properties of in vitro skin equivalent cultures. The
development of a cultured skin substitute that recapitulates the barrier properties of
human skin will also provide a better source of synthetic tissue for burn therapy. The
availability of cultured skin substitutes that more closely resemble human skin will
facilitate the testing of cosmetics, Pharmaceuticals, and other topical compounds by
reducing the reliance on animal testing of these products.

Stratified squamous epithelia, such as skin and oral epithelia, are multilayered
renewal tissues composed primarily of keratinocytes. Differentiated keratinocytes are
continuously lost from the surface and replaced by the proliferation of basal
keratinocytes. The rate at which a basal call initiates and completes its differentiation
program appears to be tightly regulated, although the molecular controls for such
regulation are ill-defined (Fuchs, J. Cell. Sci. Suppl., 17: 197-208 (1993)). In vivo, the
final stages of the terminal differentiation process are characterized by numerous changes
including filaggrin-mediated keratin intermediate filament bundling, and release of lipids
from membrane-coating granules into the intercellular space (Schurer et al.,
Dermatologica, 183: 77-94 (1991)). The cornified envelopes, another terminal
differentiation structure consisting of several proteins that are covalently crosslinked by
the action of calcium-dependent transglutaminases, is also formed in differentiating
keratinocytes (Aeschlimann et al., Thrombosis & Haemostasis, 71(4): 402-15 (1994);
Reichert et al., The cornified envelope: a key structure of terminally differentiating
keratinocytes, in Molecular Biology of the Skin, M. Darmon, Editor. 1993, Academic
Press, Inc.: San Diego. 107-150 (1993)). In the epidermis, keratinocytes lose intracellular
organelles and enucleate in the upper layers of the tissue, fanning a "dead shell" with
high tensile strength. Molecular mechanisms which govern keratinocyte enucleation and
terminal differentiation are poorly understood. Studies ((Sachsenmeier et al., J. Biol.
Chem., 271: 5-8 (1996); Hines et al., Promega Notes, 59: p. 30-36 (1996); Hines et al., J.
Biol. Chem., 271(11): 6245-6251 (1996); Polakowska et al., Developmental Dynamics,
199(3): 176-88 (1994); Haake et al., J. Invest. Derm. Symp. Proc., 3: 28-35 (1998))
suggest that terminal differentiation in keratinocytes may constitute a special form of
apoptotic cell death.
Human skin is composed of a dermal layer containing fibroblasts embedded in an
extracellular protein matrix and an epidermal layer, consisting primarily of keratinocytes
that differentiate to form the outermost, impermeable skin layer. The primary function of
human skin is to provide a physical barrier to prevent excessive loss of bodily fluid due to
evaporation. Barrier function is localized in the stratum corneum of the skin. The stratum
corneum has been described as an array of impermeable keratin-filled cells embedded in
a matrix of lipid, analogous to a brick wall. Critical components of the stratum comeum

barrier are the lipids deposited by the keratinocytes during formation of the stratum
corneum. In the stratum granulosum, keratinocytes contain keratohyalin granules and
lamellar bodies. At the stratum granulosum/stratum comeum interface, the lamellar
bodies fuse with the plasma membrane and extrude their lipid contents into the
intercellular space. A number of enzymes are also released which serve to process
phospholipids and glucosylceramides to fatty acids and ceramides respectively. The
extracellular lipids of the stratum corneum are assembled into multilamellar structures
that surround the keratin-filled comified envelopes produced from the keratinocytes.
Stratum corneum lipids comprise 10-15% of the dry weight of the tissue and consist
primarily (by weight) of ceramides (50%), cholesterol (25%) and free fatty acids (10%)
in roughly equimolar amounts (Wertz et al., Chem. Phys. Lipids., 91(2): 85-96 (1998)).
These lipids are derived principally from biosynthesis in the keratinocytes. A portion of
the ceramides have the unusual role of forming covalent bonds with groups at the surface
of the comified envelopes, including bonds to involucrin. This covalently bound omega-
hydroxyceramide forms a lipid monolayer surrounding the outer surface of the comified
cells. The precise role of this structure is unknown. Recently the importance of omega-
hydroxyceramides on barrier function was demonstrated by inhibiting their formation in
hairless mouse skin with an inhibitor of the CYP4 P-450 omega hydroxylase (Behne et
al., J. Invest. Dermatol., 114(1): 185-92 (2000)).
After the discovery that ruthenium tetroxide could be used to reveal the lamellae
in electron microscopy, analysis of stratum corneum ultrastructure has provided
important insights into the quality of the stratum corneum. For example, studies have
examined the presence of lamellar bodies in the stratum granulosum, the appropriate
excretion of lamellar body contents at the stratum granulosum/stratum comeum interface
and the presence of alternating electron dense and electron lucent bands of the lipid
lamellae. Electron microscopy also reveals electron dense desmosomes in the stratum
corneum, occupying ~15% of the intercellular spaces and possibly important in cell-cell
adherence.
The present invention provides skin substitutes having improved barrier function,
and compositions and methods for making skin substitutes: having improved barrier
function. For convenience, the description of the invention is presented in the following

sections: A) Sources of Keratinocytes and Other Cells for Creating Skin Substitutes
Having Improved Barrier Function; B) Culture Conditions for Creating Improved Barrier
Function in Skin Substitutes; C) Genetic Modification of Cells for Improved barrier
Function; and D) Uses of Skin Substitutes having Improved Barrier Function.
A. Sources of Keratinocytes and Other Cells for Creating Skin
Substitutes
It is contemplated that the methods of the present invention can be used to create
skin substitutes having improved barrier function. Generally, any source of cells or cell
line that can stratify into squamous epithelia are useful in the present invention.
Accordingly, the present invention is not limited to the use of any particular source of
cells that are capable of differentiating into squamous epithelia. Indeed, the present
invention contemplates the use of a variety of cell lines and sources that can differentiate
into squamous epithelia, including both primary and immortalized keratinocytes. Sources
of cells include keratinocytes and dermal fibroblasts biopsied from humans and cavaderic
donors (Auger et al., In Vitro Cell. Dev. Biol. - Animal 36:96-103; U.S. Pat. Nos.
5,968,546 and 5,693,332, each of which is incorporated herein by reference), neonatal
foreskins (Asbill et al., Pharm. Research 17(9): 1092-97 (2000); Meana et al., Burns
24:621-30 (1998); U.S. Pat. Nos. 4,485,096; 6,039,760; and 5,536,656, each of which is
incorporated herein by reference), and immortalized keratinocytes cell lines such as NM1
cells (Baden, In Vitro Cell. Dev. Biol. 23(3):205-213 (1987)), HaCaT cells (Boucamp et
al., J. cell. Boil. 106:761-771 (1988)); and NIKS cells (Cell line BC-1-Ep/SL; U.S. Pat.
No. 5,989,837, incorporated herein by reference; ATCC CRL-12191). Each of these cell
lines can be cultured or genetically modified as described below in order to improve
barrier function of the resulting skin equivalent.
In particularly preferred embodiments, NIKS cells, are utilized. The discovery of
a novel human keratinocyte cell line (near-diploid immortalized keratinocytes or NIKS)
provides an opportunity to genetically engineer human keratinocytes for new in vitro
testing methods. A unique advantage of the NIKS cells is that they are a consistent
source of genetically-uniform, pathogen-free human keratinocytes. For this reason, they
are useful for the application of genetic engineering and genomic gene expression

approaches to provide skin equivalent cultures with properties more similar to human
skin. Such systems will provide an important alternative to the use of animals for testing
compounds and formulations. The NIKS keratinocyte cell line, identified and
characterized at the University of Wisconsin, is nontumorigenic, exhibits a stable
karyotype, and exhibits normal differentiation both in monolayer and organotypic culture.
NIKS cells form fully stratified skin equivalents in culture. These cultures are
indistinguishable by all criteria tested thus far from organotypic cultures formed from
primary human keratinocytes. Unlike primary cells however, the immortalized NIKS
cells will continue to proliferate in monolayer culture indefinitely. This provides an
opportunity to genetically manipulate the cells and isolate new clones of cells with new
useful properties (Allen-Hoffinann et al., J. Invest. Dermatol., 114(3): 444-455 (2000)).
The NIKS cells arose from the BC-l-Ep strain of human neonatal foreskin
keratinocytes isolated from an apparently normal male infant. In early passages, the BC-
l-Ep cells exhibited no morphological or growth characteristics that were atypical for
cultured normal human keratinocytes. Cultivated BC-l-Ep cells exhibited stratification
as well as features of programmed cell death. To determine replicative lifespan, the BC-
l-Ep cells were serially cultivated to senescence in standard keratinocyte growth medium
at a density of 3 x 105 cells per 100-mm dish and passaged at weekly intervals
(approximately a 1:25 split). By passage 15, most keratinocytes in the population
appeared senescent as judged by the presence of numerous abortive colonies which
exhibited large, flat cells. However, at passage 16, keratinocytes exhibiting a small cell
size were evident. By passage 17, only the small-sized keratinocytes were present in the
culture and no large, senescent keratinocytes were evident. The resulting population of
small keratinocytes that survived this putative crisis period appeared morphologically
uniform and produced colonies of keratinocytes exhibiting typical keratinocyte
characteristics including cell-cell adhesion and apparent squame production. The
keratinocytes that survived senescence were serially cultivated at a density of 3 x 105
cells per 100-mm dish. Typically the cultures reached a cell density of approximately 8 x
106 cells within 7 days. This stable rate of cell growth was maintained through at least 59
passages, demonstrating that the cells had achieved immortality. The keratinocytes that
emerged from the original senescencing population were originally designated BC-1-

Ep/Spontaneous Line and are now termed NIKS. The NIKS cell line has been screened
for the presence of proviral DNA sequences for HIV-1, HIV-2, EBV, CMV, HTLV-1,
HTLV-2, HBV, HCV, B-19 parvovirus, HPV-16 and HPV-31 using either PCR or
Southern analysis. None of these viruses were detected.
Chromosomal analysis was performed on the parental BC-1-Ep cells at passage 3
and NIKS cells at passages 31 and 54. The parental BC-1-Ep cells have a normal
chromosomal complement of 46, XY. At passage 31, all NIKS cells contained 47
chromosomes with an extra isochromosome of the long arm of chromosome 8. No other
gross chromosomal abnormalities or marker chromosomes were detected. At passage 54,
all cells contained the isochromosome 8.
The DNA fingerprints for the NIKS cell line and the BC-1-Ep keratinocytes are
identical at all twelve loci analyzed demonstrating that the NIKS cells arose from the
parental BC-1-Ep population. The odds of the NIKS cell line having the parental BC-1-
Ep DNA fingerprint by random chance is 4 x 10-16. The DNA fingerprints from three
different sources of human keratinocytes, ED-1-Ep, SCC4 and SCC13y are different
from the BC-1-Ep pattern. This data also shows that keratinocytes isolated from other
humans, ED-1-Ep, SCC4, and SCC13y, are unrelated to the BC-1-Ep cells or each other.
The NIKS DNA fingerprint data provides an unequivocal way to identify the NIKS cell
line.
Loss of p53 function is associated with an enhanced proliferative potential and
increased frequency of immortality in cultured cells. The sequence of p53 in the NIKS
cells is identical to published p53 sequences (GenBank accession number: M14695). In
humans, p53 exists in two predominant polymorphic forms distinguished by the amino
acid at codon 72. Both alleles of p53 in the NIKS cells are wild-type and have the
sequence CGC at codon 72, which codes for an arginine. The other common form of p53
has a proline at this position. The entire sequence of p53 in the NIKS cells is identical to
the BC-l-Ep progenitor cells. Rb was also found to be wild-type in NIKS cells.
Anchorage-independent growth is highly correlated to tumorigenicity in vivo. For
this reason, the anchorage-independent growth characteristics of NIKS cells in agar or
methylcellulose-containing medium was investigated. After 4 weeks in either agar- or
methylcellulose-containing medium, NIKS cells remained as single cells. The assays

were continued for a total of 8 weeks to detect slow growing variants of the NIKS cells.
None were observed
To determine the tumorigenicity of the parental BC-1-Ep keratinocytes and the
immortal NIKS keratinocyte cell line, cells were injected into the flanks of athymic nude
mice. The human squamous cell carcinoma cell line, SCC4, was used as a positive
control for tumor production in these animals. The injection of samples was designed
such that animals received SCC4 cells in one flank and either the parental BC-l-Ep
keratinocytes or the NIKS cells in the opposite flank. This injection strategy eliminated
animal to animal variation in tumor production and confirmed that the mice would
support vigorous growth of tumorigenic cells. Neither the parental BC-1-Ep
keratinocytes (passage 6) nor the NIKS keratinocytes (passage 35) produced tumors in
athymic nude mice.
NIKS cells were analyzed for the ability to undergo differentiation in both surface
culture and organotypic culture. For cells in surface culture, a marker of squamous
differentiation, the formation cornified envelopes was monitored. In cultured human
keratinocytes, early stages of cornified envelope assembly result in the formation of an
immature structure composed of involucrin, cystatin-α and other proteins, which
represent the innermost third of the mature comified envelope. Less than 2% of the
keratinocytes from the adherent BC-1-Ep cells or the NIKS cell line produce cornified
envelopes. This finding is consistent with previous studies demonstrating that actively
growing, subconfluent keratinocytes produce less than 5% cornified envelopes. To
determine whether the NIKS cell line is capable of producing cornified envelopes when
induced to differentiate, the cells were removed from surface culture and suspended for
24 hours in medium made semi-solid with methylcellulose. Many aspects of terminal
differentiation, including differential expression of keratins and cornified envelope
formation can be triggered in vitro by loss of keratinocyte cell-cell and cell-substratum
adhesion. The NIKS keratinocytes produced as many as and usually more cornified
envelopes than the parental keratinocytes. These findings demonstrate that the NIKS
keratinocytes are not defective in their ability to initiate the; formation of this cell type-
specific differentiation structure.
To confirm that the NIKS keratinocytes can undergo squamous differentiation,

the cells were cultivated in organotypic culture. Keratinocyte cultures grown on plastic
substrata and submerged in medium replicate but exhibit limited differentiation.
Specifically, human keratinocytes become confluent and undergo limited stratification
producing a sheet consisting of 3 or more layers of keratinocytes. By light and electron
microscopy there are striking differences between the architecture of the multilayered
sheets formed in tissue culture and intact human skin. In contrast, organotypic culturing
techniques allow for keratinocyte growth and differentiation under in vivo-like
conditions. Specifically, the cells adhere to a physiological substratum consisting of
dermal fibroblasts embedded within a fibrillar collagen base. The organotypic culture is
maintained at the air-medium interface. In this way, cells in the upper sheets are air-
exposed while the proliferating basal cells remain closest to the gradient of nutrients
provided by diffusion through the collagen gel. Under these conditions, correct tissue
architecture is formed. Several characteristics of a normal differentiating epidermis are
evident. In both the parental cells and the NIKS cell line a single layer of cuboidal basal
cells rests at the junction of the epidermis and the dermal equivalent. The rounded
morphology and high nuclear to cytoplasmic ratio is indicative of an actively dividing
population of keratinocytes. In normal human epidermis, as the basal cells divide they
give rise to daughter cells that migrate upwards into the differentiating layers of the
tissue. The daughter cells increase in size and become flattened and squamous.
Eventually these cells enucleate and form cornified, keratinized structures. This normal
differentiation process is evident in the upper layers of both the parental cells and the
NIKS cells. The appearance of flattened squamous cells is evident in the upper layers of
keratinocytes and demonstrates that stratification has occurred in the organotypic
cultures. In the uppermost part of the organotypic cultures the enucleated squames peel
off the top of the culture. To date, no histological differences in differentiation at the
light microscope level between the parental keratinocytes and the NIKS keratinocyte cell
line grown in organotypic culture have been observed
To observe more detailed characteristics of the parental (passage 5) and NIKS
(passage 38) organotypic cultures and to confirm the histological observations, samples
were analyzed using electron microscopy. Parental cells and the immortalized human
keratinocyte cell line, NIKS, were harvested after 15 days in organotypic culture and

sectioned perpendicular to the basal layer to show the extent of stratification. Both the
parental cells and the NIKS cell line undergo extensive stratification in organotypic
culture and form structures that are characteristic of normal human epidermis. Abundant
desmosomes are formed in organotypic cultures of parental cells and the NIKS cell line.
The formation of a basal lamina and associated hemidesmosomes in the basal
keratinocyte layers of both the parental cells and the cell line was also noted.
Hemidesmosomes are specialized structures that increase adhesion of the keratinocytes to
the basal lamina and help maintain the integrity and strength of the tissue. The presence
of these structures was especially evident in areas where the parental cells or the NIKS
cells had attached directly to the porous support. These findings are consistent with
earlier ultrastructural findings using human foreskin keratinocytes cultured on a
fibroblast-containing porous support. Analysis at both the light and electron microscopic
levels demonstrate that the NIKS cell line in organotypic culture can stratify,
differentiate, and form structures such as desmosomes, basal lamina, and
hemidesmosomes found in normal human epidermis,
B. Culture Conditions for Creating Improved Barrier Function in Skin
Substitutes
In some embodiments of the present invention, methods of culturing skin
equivalents are provided that result in enhanced barrier function as compared to skin
equivalents cultured by conventional methods. Full stratification and histological
differentiation of normal keratinocytes can be achieved by the use of three-dimensional
organotypic culture methods (Bell et al., Proc. Nat. Acad. Sci. USA, 76: 1274-1278
(1979); Fusenig, Epithelial-mesenchymal interactions regulate keratinocyte growth and
differentiation in vitro, in The Keratinocyte Handbook, I.M. Leigh, Lane, E.B., and F.M.
Watt, Editor. 1994, University Press: Cambridge (1994); Parenteau et al.,
Cytotechnology, 9: 163-171(1992)). Normal keratinocytes grown on the surface of
collagen gels containing dermal fibroblasts can generate specialized structures, such as
the basement membrane and hemidesmosomes, which are characteristic of the normal
tissue architecture of stratified squamous epithelia. The organotypic culture technique for
normal keratinocytes has fostered the recent development of in vitro models for

cutaneous pharmacotoxicological studies. This has become: an important alternative to
animal testing.
When in vitro cultures of human keratinocytes are grown at an air-liquid
interface, a highly ordered stratum corneum is formed. Although permeability to water
decreases with increased culturing time at the air-liquid interface (Cumpstone et al., J.
Invest. Dermatol., 92(4): 598-600 (1989)), permeability of in vitro skin equivalent
cultures is much greater than that of intact human skin, i.e., the barrier function is
defective in the culture systems Ponec, Int. J. Cosmetic Sci., 14: 245-264 (1992)). In an
effort to improve the permeability barrier, a number of cukure variables have been
examined and some have led to improved properties of the: cultures (Table 1). For
example, growing the cultures at lowered relative humidity improves the barrier function
of skin equivalent cultures (Mak et al., J. Invest. Dermatol., 96(3): 323-7 (1991)). It is
believed that transepidermal water flux may serve as a regulatory signal for epidermal
lipid synthesis and repair following disruption of the epidermal barrier (Grubauer et al.,
J. Lipid Res., 30(3): 323-33 (1989)). Hairless mice have also been used to demonstrate
improved barrier function, epidermal morphology (SC thickness, number of lamellar
membrane structures, number of lamellar bodies) and lipid content in response to lowered
humidity.
A key biochemical difference between cultured skin substitutes and intact skin is
the profile of extracellular lipids that are found in the outermost layer of normal skin.
Cultures of differentiated keratinocytes are deficient in several ceramides that are major
constituents of normal skin (Ponec et al., J. Invest. Dermatol., 109(3): 348-55 (1997)).
Large quantities of these specialized extracellular lipids are secreted by differentiated
keratinocytes and assembled into lipid bi-layers that are essential for normal epidermal
barrier function. Comparison of the lipid composition between in vitro skin equivalent
cultures and human skin revealed striking differences. Human skin contains seven forms
of ceramides but the cultures produced primarily ceramides 1-3 and very little of
ceramides 6 and 7. Re-establishing a more complete lipid profile has been the end-point
of a number of studies. For example, addition of vitamin C to the media was found to be
critical for a complete spectrum of ceramide lipids in skin equivalent cultures. Ceramides
6 and 7 contain hydroxylated sphingoid base and/or fatty acid, and production of these is

likely facilitated by the presence of vitamin C. In this study, the lipid profiles of the
commercially available skin equivalent cultures EPIDERM, SKINETHIC and Living
Skin Equivalent were all deficient in ceramides 5, 6 and 7. Addition of vitamin C
improved the lipid profile and the overall SC architecture as determined by electron
microscopy.

Activators of nuclear hormone receptors have been tested for their effects on
barrier function development. Addition of vitamin D has led to improvements in some
studies (Mak et al., supra) but not in others (Hanley et al., supra). Activators of the
peroxisome proliferator-activated receptor (PPAR) and the farnesoid X-activated receptor
(FXAR) accelerate barrier maturation in fetal rat skin in vitro and in utero. Structural
changes were consistent with the reduction in transepidermal water loss, including the
appearance of a distinct SC, a thickened stratum granulosum, and increased density of
lamellar structures.

The aberrant lipid composition of skin equivalent cultures is also improved by
grafting onto immunodeficient mice (Vicanova et al., J. Investig. Dennatol. Symp. Proc,
3(2): 114-20 (1998)). Cultured human keratinocytes retain the ability of generating a
differentiated epidermis when grafted onto athymic mice. When cultured skin substitutes
were examined between six months and two years after grafting, significant
improvements in SC lipid composition and ultrastructure were observed. The high levels
of triglycerides and low levels of cholesterol esters and free fatty acids observed in the in
vitro cultures were normalized by six months after grafting. Ceramides 6 and 7,
undetectable in the in vitro cultures, were expressed by the human cells after six months
of grafting. These studies highlight the fact that current in vitro culture conditions are
defective in their ability to produce skin equivalents with normal barrier function.
Improved culture conditions that more closely mimic normal developmental signals
should enhance barrier function development.
The development of barrier function in vivo is temporally regulated. In the rat, for
example, at gestational day 19 fetal rat pups have no barrier, but by day 21a competent
barrier has formed (Aszterbaum et al., Pediatr. Res., 31(4 Pt 1): 308-17 (1992)).
Development of a competent epidermal barrier occurs between embryonic day 15 and 16
of mouse gestation (Hardman et al., Development, 125: 1541-1552(1998)). The
functional barrier arises coincident with a multilayered SC and mature lamellar
membranes in the SC. Expression of the comeocyte structural protein loricrin, filaggrin
and involucrin increase during this period. Expression of enzymes involved in lipid
processing, beta-glucocerebrosidase and steroid sulfatase, also increase. The process is
also susceptible to manipulation by environmental and hormonal factors. PPAR and
FXAR activators given for two days in utero accelerated the development of barrier
function on day 19 pups as measured by reduction in transepidermal water loss. The
treatments also improved SC morphology and gene expression of key structural proteins
and enzymatic functions.
Accordingly, in some embodiments of the present invention, the following
treatments, alone or in combination, are used to provide increased barrier function in
organotypically cultured skin equivalents. In some embodiments, the organotypic
cultures are supplemented with from about 1 micrograms/ml to about 200 micrograms/ml

ascorbic acid, preferably about 50 micrograms/ml ascorbic acid. In other embodiments,
the organotypic cultures are supplemented with about 1 to 200 μM linoleic acid,
preferably about 30 μM linoleic acid. In still further embodiments, the organotypic
cultures are supplemented with about 1 to 200 μM farnesol, preferably about 50 μM
farnesol. In still other embodiments, the organotypic cultures are performed at from
about 50 to 95% humidity, preferably about 75% humidity. Barrier function is
conveniently evaluated in the skin equivalents by measuring surface electrical
capacitance (SEC). In preferred embodiments, skin equivalents with improved barrier
function as compared to control skin equivalents have a SEC value of less than about 5
times of the SEC observed in normal human skin (e.g., about 150-250 pF). In
particularly preferred embodiments, skin equivalents with improved barrier function as
compared to control skin equivalents have an SEC of less than about 2-3 times of the
SEC observed in normal human skin (e.g., about 80-120 pF). In other embodiments, the
skin equivalents with improved barrier function are characterized by ceramide content.
Accordingly, in some embodiments, the content of ceramides 5-7 is between about 20-
50% of the total ceramide mass, preferably about 30-45% of the total ceramide mass. In
other embodiments, the content of ceramide 2 is between about 10 to 40% of the total
ceramide mass, preferably about 20 to 30% of total ceramide content.
The present invention further provides additional methods and compositions for
producing skin equivalents with improved characteristics, including improved barrier
function. The improved methods and compositions are described in the following
sections: 1) Culture Techniques and 2) Culture Media.
1. Culture Techniques
The present invention provides improved organotypic culture techniques for
producing skin equivalents with superior properties. In some embodiments, a dermal
equivalent is prepared. In preferred embodiments, the dermal equivalent comprises
collagen and human fibroblasts. The present invention is not limited to the use of any
particular type of collagen. Indeed, the use of a variety of types of collagen is
contemplated, including, but not limited to rat tail tendon collagen (Type I). Likewise,
the present invention is not limited to any particular type of fibroblasts. Indeed, the use

of a variety of different types of fibroblasts is contemplated including, but not limited to,
NHDF (Normal Human Dermal Fibroblasts) cells and cells harvested from a donor or
patient.
The present invention also is not limited to the use of any particular concentration or
amount of collagen. In preferred embodiments, the dermal equivalents are prepared with
about 0.2 mg collagen per square centimeter of said dermal equivalent to 2.0 mg collagen
per square centimeter of said dermal equivalent. In more preferred embodiments, the
dermal equivalent contains about 0.22 mg collagen per square centimeter of said dermal
equivalent to 1.0 mg collagen per square centimeter of said dermal equivalent. In most
preferred embodiments, the dermal equivalent contains about 0.5 mg collagen per square
centimeter of said dermal equivalent.
In contrast to most previously described methods for organotypic skin culture, a
mixture of collagen and fibroblasts is applied directly to whatever culture device is being
used. The applicants have discovered that the presence of an acelluar first layer is not
necessary to obtain good contraction and adherence to the culture device. In some
embodiments, the fibroblasts are included in a final concentration of from about 10,000
cells/ml to about 100,000 cells/ml, preferably about 50,000 cells/ml.
A variety of culture devices find use in the present invention. Preferred culture
devices (see Figure 4) are growth chambers comprised of a side-wall and a bottom
surface. In some preferred embodiments, the growth chamber is generally cup-shaped.
In preferred embodiments, the bottom surface is permeable to the culture medium. A
non-limiting example of a suitable permeable surface material is porous polycarbonate.
The present invention is compatible with commercially available culture devices
including MILLICELL (MILLIPORE) and TRANSWELL (CORNING) culture inserts.
The MILLICELL inserts are especially useful for the preparation of skin equivalents used
for testing purposes (e.g., skin equivalents of about 1 cm in diameter). The inventors
have discovered that a plurality of MILLICELL-size inserts may be incubated in a largeT
petri dish (i.e., a 100 mm culture dish). The TRANSWELL inserts are useful for the
production of larger skin equivalents (e.g., about 10 cm in diameter). These larger skin
equivalents can be used as grafts, for larger scale testing, or dissected into smaller testing
formats.

In preferred embodiments, the freshly poured dermal equivalents are submerged
in culture media and cultured until contraction of the dermal equivalent occurs. This
creates a dermal equivalent with a generally concave appearance. In previously
described methods, after contraction of the dermal layer, the dermal layer is seeded with
keratinocytes and then resubmerged. The organotypic culture is then lifted to the air
interface of the culture medium after about 4-7 days. In contrast to these previously
described methods, the present inventors have found that is preferable to lift the dermal
equivalent to the air interface prior to seeding with keratinocytes. The culture is then
preferably maintained at the air interface as stratification occurs. Accordingly, in some
embodiments, the dermal equivalent is preferably lifted to the air interface and
maintained for greater than about 6 hours prior to seeding. In more preferred
embodiments, the dermal equivalent is preferably lifted to the air interface and
maintained for greater than about twelve hours prior to seeding. In most preferred
embodiments, the dermal equivalent is preferably lifted to the air interface and
maintained for greater than about twenty-four hours prior to seeding. In some
embodiments, the dermal equivalent is maintained for more than 24 hours at the air
interface to provide a pre-made dermal equivalent for later use.
The culture techniques of the present invention provide skin equivalents with
superior properties. In preferred embodiments, the skin equivalents have improved
barrier function as compared to previously described skin equivalents. In still further
preferred embodiments, the present invention provides dermal equivalents for use in
producing skin equivalents with superior properties. In some embodiments, the dermal,
equivalents are characterized by containing increased concentrations of collagen as
described above.
In still further preferred embodiments, the present invention provides
compositions for use in producing skin equivalents. In some embodiments, the
compositions comprise a growth chamber having a bottom surface and a side-wall. In
further embodiments, the growth chamber includes a dermal equivalent adjacent to the
bottom surface. In still further embodiments, the dermal equivalent is substantially
adhered to the side-wall.

The inventors have also discovered that the seeding density of the keratinocytes
on the dermal equivalents can affect the quality of the resulting skin equivalent.
Accordingly, in some embodiments of the present invention, the seeding density is
increased by approximately an order of magnitude over previously described methods. In
some embodiments, the seeding density of keratinocytes ranges from about 1 x 105 to 1 x
106 cells/cm2 of dermal equivalent. In still further preferred embodiments, the seeding
density of keratinocytes is about 4.65 x 105 cells/cm2 of dermal equivalent.
Barrier function is conveniently evaluated in the skin equivalents by measuring
surface electrical capacitance (SEC). In preferred embodiments, skin equivalents with
improved barrier function as compared to control skin equivalents have a SEC value of
less than about 5 times of the SEC observed in normal human skin (e.g., about 150-250
pF). In particularly preferred embodiments, skin equivalents with improved barrier
function as compared to control skin equivalents have an SEC of less than about 2-3
times of the SEC observed in normal human skin (e.g., about 80-120 pF). In other
embodiments, the skin equivalents with improved barrier function are characterized by
ceramide content. Accordingly, in some embodiments, the content of ceramides 5-7 is
between about 20-50% of the total ceramide mass, preferably about 30-45% of the total
ceramide mass. In other embodiments, the content of ceramide 2 is between about 10 to
40% of the total ceramide mass, preferably about 20 to 30% of total ceramide content.
2. Culture Media
The present invention provides improved organotypic culture media for producing
skin equivalents with superior properties. In some embodiments, the culture media of the
present invention are Ham's F12 medium and Dulbecco's modified Eagle's medium
(DMEM). In some embodiments, the Ham's F12 and DMEM are supplemented with at
least one of the following supplements: bovine serum albumin, isoproterenol, carnitine,
serine, oleic acid, linoleic acid, arachidonic acid, a-tocopherol, ascorbic acid, and
epidermal growth factor (EGF). In other embodiments, at least one of bovine serum
albumin, isoproterenol, carnitine, serine, oleic acid, linoleic acid, arachidonic acid, α-
tocopherol, ascorbic acid, and EGF is (are) provided in concentrations) sufficient to
improve barrier function in in vitro cultured skin equivalents. In still other embodiments,

the medium comprises a serum supplement, preferably Fetal Clone II. In some
embodiments, the medium further comprises at least one of the following supplements:
hydrocortisone, cholera toxin, insulin, adenine, and CaCl2. In preferred embodiments,
the bovine serum albumin is provided at a concentration of about 0.1mg/mlto 20 mg/ml,
preferably about 1 mg/ml, the isoproterenol is provided at a concentration of about 0.1 -
10.0 μM, the carnitine is provided at a concentration of about 1.0 - 100.0 μM, the serine
is provided at a concentration of about 1.0 - 100.0 μM, the oleic acid is provided at a
concentration of about 1.0 - 100.0 μM, the linoleic acid is provided at a concentration of
about 1.0 - 100.0 μM, the arachidonic acid is provided at a concentration of about 1.0 -
100.0 μM, the a-tocopherol is provided at a concentration of about 0.1 - 10.0 μM, the
ascorbic acid is provided at a concentration of about 0.005 - 5.0 mg/ml, and the
epidermal growth factor is provided at a concentration of about 0.1 - 10.0 ng/ml.
C. Genetic Modification of Cells for Improved Barrier Function
The present invention also contemplates that barrier function can be improved by
expressing heterologous GKLF in the cells described in Section A. Expression of
heterologous GKLF may also be combined with the improved culture conditions
described in Section B. The final stages of epidermal differentiation are preceded by
increased expression of numerous genes that encode the enzymes required for the
biochemical modifications that result in the stratum corneum. In addition, culture
conditions that stimulate keratinocyte differentiation or experimental disruption of the
skin barrier function result in increased expression of enzymes involved in extracellular
lipid synthesis and metabolism. These gene expression changes indicate that one or more
regulatory transcription factors are responsible for altering the gene expression profile of
differentiating keratinocytes to facilitate development of the epidermal barrier. The
precise timing of skin barrier function in development suggests a precise temporal control
by a developmental switch. Complex developmental programs can be initiated by the
action of one or a small number of key regulatory transcription factors, sometimes called
master regulators or selector genes. A recent study on a knock-out mutation in the
transcription factor Kruppel-like factor 4 (Klf4) may have identified one of the key
regulators of barrier function in the skin (Segre et al., Nat. Genet., 22(4): 356-60 (1999)).

Klf4 mutant mice are born in normal numbers but die shortly ( apparently from hypo-volemic shock as a result of excessive evaporative fluid loss.
Further analysis demonstrated that, while normal mice develop an intact epidermal
barrier function by day 17.5 of gestation, Klf4 mutant mice fail to develop this barrier
function and have an epidermis that exhibits excessive trans-epidermal water loss. Klf4
is expressed in the differentiating layers of the epidermis, the upper spinous and granular
layers. In contrast to the defects caused in other mutant mouse lines, the absence of Klf4
does not result in gross alterations of the epidermal ultrastructure or in lipid profiles.
This led to the hypothesis that its primary role is in the acquisition of barrier function.
Consistent with this, defects were observed in the stratum granulosum in the keratohyalin
granules and flattening of SC cells. By EM, the intercellular lamellae were discontinuous
in the mutant skin. The defect in Klf-4 mutant skin was not rescued by grafting it onto
foster mice. Klf4 is a member of a family of transcription factors; other members are
implicated in tissue-specific differentiation events in erythroid cells and T-cells. Analysis
of gene expression differences between wild-type and Kif4 mutant mice led to the
identification of three genes that were up-regulated in the mutant skin, suggesting that
Klf4 may repress the expression of these genes normally. The observation that loss of
Klf4 has no other observable effects on mouse development suggests that Klf4 functions
primarily to regulate the development of the epidermal permeability barrier. The role of
Klf4 in the acquisition of epidermal barrier function raises the possibility that expression
of Klf4 in cultured skin substitutes might improve the barrier properties of these synthetic
skin cultures.
Accordingly, in some embodiments, primary keratinocytes or immortalized
keratinocytes are transfected with a vector encoding a functional GKLF homolog. It is
contemplated that when these keratinocytes are organotypically cultured, the resulting
skin equivalent will exhibit improved barrier function as compared to organotypic
cultures formed from nontransfected, control keratinocytes. In preferred embodiments,
skin equivalents with improved barrier function as compared to control skin equivalents
have a SEC value of less than about 5 times of the SEC observed in normal human skin
(e.g., about 150-250 pF). In particularly preferred embodiments, skin equivalents with
improved barrier function as compared to control skin equivalents have an SEC of less

than about 2-3 times of the SEC observed in normal human skin (e.g., about 80-120 pF).
In other embodiments, the skin equivalents with improved barrier function are
characterized by ceramide content. Accordingly, in some embodiments, the content of
ceramides 5-7 is between about 20-50% of the total ceramide mass, preferably about 30-
45% of the total ceramide mass. In other embodiments, the content of ceramide 2 is
between about 10 to 40% of the total ceramide mass, preferably about 20 to 30% of total,
ceramide content.
The present invention is not limited to the use of any particular homolog or
variant of GKLF. Indeed, a variety of GKLF variants may be used so long as they retain
at least some of the activity of wild-type GKLF. In particular, it contemplated that both
mouse (SEQ ID NO:1) and human (SEQ ID NO:2) GKLF find use in the present
invention. Additionally, it is contemplated that GKLF variants encoded by sequences
that hybridize to SEQ ID NOs: 1 and 2 under conditions of from low to high stringency
will find use in the present invention. Functional variants can be screened for by
expressing the variant in an appropriate vector (described in more detail below) in
keratinocytes, using the heratinocytes to produce a skin equivalent, and analyzing the
skin equivalent for increased barrier function. Alternatively, functional variants can be
identified by an electrophoretic mobility shift assay as described in (Zhang et al., J. Biol.
Chem., 273(28): 17917-25 (1998).
In some embodiments, variants result from mutation, (i.e., a change in the nucleic
acid sequence) and generally produce altered mRNAs or polypeptides whose structure or
function may or may not be altered. Any given gene may have none, one, or many
variant forms. Common mutational changes that give rise to variants are generally
ascribed to deletions, additions or substitutions of nucleic acids. Each of these types of
changes may occur alone, or in combination with the others, and at the rate of one or
more times in a given sequence.
It is contemplated that it is possible to modify the structure of a peptide having a
function (e.g., GKLF function) for such purposes as increasing binding affinity of GKLF
for its nucleic acid ligand. Such modified peptides are considered functional equivalents
of peptides having an activity of GKLF as defined herein. A modified peptide can be
produced in which the nucleotide sequence encoding the polypeptide has been altered,

such as by substitution, deletion, or addition. In particularly preferred embodiments,
these modifications do not significantly reduce the activity of the modified GKLF. In
other words, construct "X" can be evaluated in order to determine whether it is a member
of the genus of modified or variant GKLF's of the present invention as defined
functionally, rather than structurally. In preferred embodiments, the activity of variant or
mutant GKLF is evaluated by the methods described above.
Moreover, as described above, variant forms of GKLF are also contemplated as
being equivalent to those peptides and DNA molecules that are set forth in more detail
herein. For example, it is contemplated that isolated replacement of a leucine with an
isoleucine or valine, an aspartate with a glutamate, a threonine with a serine, or a similar
replacement of an amino acid with a structurally related amino acid (i.e., conservative
mutations) will not have a major effect on the biological activity of the resulting
molecule. Accordingly, some embodiments of the present invention provide variants of
GKLF disclosed herein containing conservative replacements. Conservative
replacements are those that take place within a family of amino acids that are related in
their side chains. Genetically encoded amino acids can be divided into four families: (1)
acidic (aspartate, glutamate); (2) basic (lysine, arginine, histidine); (3) nonpolar (alanine,
valine, leucine, isoleucine, proline, phenylalanine, methionine, tryptophan); and (4)
uncharged polar (glycine, asparagine, glutamine, cysteine, serine, threonine, tyrosine).
Phenylalanine, tryptophan, and tyrosine are sometimes classified jointly as aromatic
amino acids. In similar fashion, the amino acid repertoire can be grouped as (1) acidic
(aspartate, glutamate); (2) basic (lysine, arginine, histidine), (3) aliphatic (glycine,
alanine, valine, leucine, isoleucine, serine, threonine), with serine and threonine
optionally be grouped separately as aliphatic-hydroxyl; (4) aromatic (phenylalanine,
tyrosine, tryptophan); (5) amide (asparagine, glutamine); and (6) sulfur-containing
(cysteine and methionine) (e.g., Stryer ed., Biochemistry, pg. 17-21, 2nd ed, WH
Freeman and Co., 1981). Whether a change in the amino acid sequence of apeptide
results in a functional homolog can be readily determined by assessing the ability of the
variant peptide to function in a fashion similar to the wild-type protein. Peptides having
more than one replacement can readily be tested in the same manner.

More rarely, a variant includes "nonconservative" changes (e.g., replacement of a
glycine with a tryptophan). Analogous minor variations can also include amino acid
deletions or insertions, or both. Guidance in determining which amino acid residues can
be substituted, inserted, or deleted without abolishing biological activity can be found
using computer programs (e.g., LASERGENE software, DNASTAR Inc., Madison,
Wis.).
The heterolgous GKLF is expressed in keratinocytes by using a suitable vector
and regulatory sequences. In some preferred embodiments, either a involucrin or
transglutaminase 3 promoters are utilized. In other preferred embodiments, the
expression of GKLF will be driven by the inducible promoter system of the pTetOn
plasmid (Clontech, Palo Alto, CA). It is contemplated that a number of other mammalian
expression vectors are suitable for use in the present invention, including, but not limited
to, pWLNEO, pSV2CAT, pOG44, PXT1, pSG (Stratagene) pSVK3, pBPV, pMSG,
pSVL (Pharmacia). Any other plasmid or vector may be used as long as they are
replicable and viable in the host. In some preferred embodiments of the present
invention, mammalian expression vectors comprise an origin of replication, a suitable
promoter and enhancer, and also any necessary ribosome binding sites, polyadenylation
sites, splice donor and acceptor sites, transcriptional termination sequences, and 5'
flanking non-transcribed sequences. In other embodiments, DNA sequences derived
from the SV40 splice, and polyadenylation sites may be used to provide the required
non-transcribed genetic elements. Additionally, the Klf 4 gene may be inserted via a
retroviral vector. In particularly preferred embodiments, the retroviral vector is
pseudotyped retroviral vector (Clontech, Palo Alto, CA). Transfection can be
accomplished by any method known in the art, including but not limited to calcium-
phosphate coprecipitation, electroporation, microparticle bombardment, liposome
mediated transfection, or retroviral infection.
D. Uses of Skin Substitutes having Improved Barrier Function
It is contemplated that the skin substitutes of the present invention have a variety
of uses. These uses include, but are not limited to, use for screening compounds (e.g.,
irritants), substrates for culturing tumors and pathological agents (e.g., human papilloma

virus), and use for wound closure and burn treatment. Theses uses are described in more
detail below.
1. Use for Screening Compounds
The skin equivalents of the present invention may be; used for a variety of in vitro
tests. In particular, the skin equivalents find use in the evaluation of: skin care products,
drug metabolism, cellular responses to test compounds, wound healing, phototoxicity,
dermal irritation, dermal inflammation, skin corrosivity, and cell damage. The skin
equivalents are provided in a variety of formats for testing, including but not limited to,
6-well, 24-well, and 96-well plates. Additionally, the skin equivalents can be divided by
standard dissection techniques and then tested. The skin equivalents of the present
invention have both an epidermal layer with a differentiated stratum comeum and dermal
layer that includes dermal fibroblasts. As described above, in particularly preferred
embodiments, the epidermal layer is derived from immortalized NIKS cells. Other
preferred cell lines, including NIKS cells, are characterized by i) being immortalized; ii)
being nontumorigenic; iii) forming cornified envelopes when induced to differentiate; iv)
undergoing normal squamous differentiation in organotypic culture; and v) maintaining
cell type-specific growth requirements in submerged culture, wherein said cell type-
specific growth requirements include 1) exhibition of morphological characteristics of
normal human keratinocytes when cultured in standard keratinocyte growth medium in
the presence of mitomycin C-treated 3T3 feeder cells; 2) dependence on epidermal
growth factor for serial cultivation; and 3) inhibition of growth by transforming growth
factor β1.
The present invention encompasses a variety of screening assays. In some
embodiments, the screening method comprises providing a skin equivalent of the present
invention and at least one test compound or product (e.g., a skin care product such as a
moisturizer, cosmetic, dye, or fragrance; the products can be in any from, including, but
not limited to, creams, lotions, liquids and sprays), applying the product or test compound
to skin equivalent, and assaying the effect of the product or test compound on the skin
equivalent. A wide variety of assays are used to determine the effect of the product or
test compound on the skin equivalent. These assays include, but are not limited to, MIT

cytotoxicity assays (Gay, The Living Skin Equivalent as an In Vitro Model for Ranking
the Toxic Potential of Dermal Irritants, Toxic. In Vitro (1992)) and ELISA to assay the
release of inflammatory modulators (e.g., prostaglandin E2, prostacyclin, and interleukm-
1-alpha) and chemoattractants. The assays can be further directed to the toxicity,
potency, or efficacy of the compound or product. Additionally, the effect of the
compound or product on growth, barrier function, or tissue strength can be tested.
In particular, the present invention contemplates the use of the skin equivalents
for high throughput screening of compounds from combinatorial libraries (e.g., libraries
containing greater than 104 compounds). In some embodiments, the cells are used in
second messenger assays that monitor signal transduction following activation of cell-
surface receptors. In other embodiments, the cells can be used in reporter gene assays
that monitor cellular responses at the transcription/translation level. In still further
embodiments, the cells can be used in cell proliferation assays to monitor the overall
growth/no growth response of cells to external stimuli.
In second messenger assays, the skin equivalents are treated with a compound or
plurality of compounds (e.g., from a combinatorial library) and assayed for the presence
or absence of a second messenger response. In some preferred embodiments, the cells
(e.g., NIKS cells) used to create the skin equivalents are transfected with an expression
vector encoding a recombinant cell surface receptor, ion-channel, voltage gated channel
or some other protein of interest involved in a signaling cascade. It is contemplated that
at least some of the compounds in the combinatorial library can serve as agonists,
antagonists, activators, or inhibitors of the protein or proteins encoded by the vectors. It
is also contemplated that at least some of the compounds in the combinatorial library can
serve as agonists, antagonists, activators, or inhibitors of protein acting upstream or
downstream of the protein encoded by the vector in a signal transduction pathway.
In some embodiments, the second messenger assays measure fluorescent signals
from reporter molecules that respond to intracellular changes (e.g., Ca2+ concentration,
membrane potential, pH, IP3, cAMP, arachidonic acid release) due to stimulation of
membrane receptors and ion channels (e.g., ligand gated ion channels) (Denyer et
al., Drug Discov. Today 3:323-32 (1998); Gonzales et al., Drug. Discov. Today
4:431-39 (1999)). Examples of reporter molecules include, but are not limited to,

florescence resonance energy transfer systems (e.g., Cuo-lipids and oxonols,
EDAN/DABCYL), calcium sensitive indicators (e.g., Fluo-3, FURA 2, INDO 1, and
FLUO3/AM, BAPTA AM), chloride-sensitive indicators (e.g., SPQ, SPA), potassium-
sensitive indicators (e.g., PBFI), sodium-sensitive indicators (e.g., SBFI), and pH
sensitive indicators (e.g., BCECF).
In general, the cells comprising the skin equivalents are loaded with the indicator
prior to exposure to the compound. Responses of the host cells to treatment with the
compounds can be detected by methods known in the art, including, but not limited to,
fluorescence microscopy, confocal microscopy, flow cytometry, microfluidic devices,
FLIPR systems (Schroeder and Neagle, J. Biomol. Screening 1:75-80 (1996)), and plate-
reading systems. In some preferred embodiments, the response (e.g., increase in
fluorescent intensity) caused by compound of unknown activity is compared to the
response generated by a known agonist and expressed as a percentage of the maximal
response of the known agonist. The maximum response caused by a known agonist is
defined as a 100% response. Likewise, the maximal response recorded after addition of
an agonist to a sample containing a known or test antagonist is detectably lower than the
100% response.
The skin equivalents of the present invention are also useful in reporter gene
assays. Reporter gene assays involve the use of host cells transfected with vectors
encoding a nucleic acid comprising transcriptional control elements of a target gene (i.e.,
a gene that controls the biological expression and function of a disease target or
inflammatory response) spliced to a coding sequence for a reporter gene. Therefore,
activation of the target gene results in activation of the reporter gene product. This serves
as indicator of response such an inflammatory response. Therefore, in some
embodiments, the reporter gene construct comprises the 5' regulatory region (e.g.,
promoters and/or enhancers) of a gene that is induced due to skin inflammation or
irritation or protein that is involved in the synthesis of compounds produced in response
to inflammation or irritation (e.g., prostaglandin or prostacyclin) operably linked to a
reporter gene. Examples of reporter genes finding use in the present invention include,
but are not limited to, chloramphenicol transferase, alkaline phosphatase, firefly and
bacterial luciferases, β-galactosidase, β-lactamase, and green fluorescent protein. The

production of these proteins, with the exception of green, reel, yellow, or blue fluorescent
protein, is detected through the use of chemiluminescent, cotorimetric, or bioluminecent
products of specific substrates (e.g., X-gal and luciferin). Comparisons between
compounds of known and unknown activities may be conducted as described above.
In other preferred embodiments, the skin equivalents find use for screening the
efficacy of drug introduction across the skin or the affect of drugs directed to the skin. In
these embodiments, the skin equivalents are treated with the drug delivery system or
drug, and the permeation, penetration, or retention or the drug into the skin equivalent is
assayed. Methods for assaying drug permeation are provided in Asbill et al., Pharm Res.
17(9): 1092-97 (2000). In some embodiments, the skin equivalents are mounted on top
of modified Franz diffusion cells. The skin equivalents are allowed to hydrate for one
hour and then pretreated for one hour with propylene glycol. A saturated suspension of
the model drug in propylene glycol is then added to the skin equivalent. The skin
equivalent can then be sampled at predetermined intervals. The skin equivalents are then
analyzed by HPLC to determine the concentration of the drag in the sample. Log P
values for the drugs can be determined using the ACD program (Advanced Chemistry
Inc., Ontario, Canada). These methods may be adapted to study the delivery of drugs via
transdermal patches or other delivery modes.
In still further preferred embodiments, the seeded dermal equivalents, which have
not yet undergone differentiation, find use in assays for compounds that inhibit,
accelerate, or otherwise effect differentiation of the seeded keratinocytes.
2. Skin Irritancy Testing
In some embodiments, the skin equivalents of the present invention are utilized in
reporter gene assays for the testing of compounds for their skin irritant activity. In other
embodiments, the present invention provides methods of utilizing the skin equivalent for
identifying novel genes that are responsive to known skin irritants. The novel genes
identified using the methods of the present invention further find use in the generation of
additional reporter gene constructs for screening potential akin irritants.
Initial screening experiments have been carried out to confirm that stable
transfectants of NIKS keratinocytes expressing a transgene (GFP) exhibit normal

stratification in organotypic culture. NIKS cells have been stably transfected with the
Aequorea victoria green fluorescent protein (GFP) and a clonal population has been
isolated. The ability of these stably transfected GFP-positive NIKS cells (NIKSGFP) to
recreate normal tissue architecture in organotypic cultures was tested. Samples were
frozen, cryostat sectioned, and analyzed by fluorescent microscopy. Cultures were first
examined for expression and localization of GFP. In addition, sections were stained with
Hoechst, a nuclear dye, and hematoxylin and eosin (H&E) to orient and visualize the
cellular layers of the cultures. Sections of organotypic cultures were visualized using an
IX-70 inverted fluorescent microscope (Olympus) equipped with GFP and Hoechst filters
(Magnification, 400X). Sections of NIKSGFP cultures showed that GFP was present
throughout all layers of the organotypic culture with the most intense fluorescence
observed in the comified layer.
The histology of the organotypic NIKSGFP cultures was next compared with those
of untransfected NIKS cells and parental BC-1-Ep keratinocytes. H&E-stained sections
of NIKSGFP rafts showed a well organized, defined basal layer and excellent stratification
with no abnormalities relative to untransfected controls and the parental BC-1-Ep
keratinocytes. All three cultures show comparable cell stratification with no noticeable
histological differences at the light microscope level.
To further examine the ability of NIKSGFP cells to differentiate normally, the
expression of several keratinocyte-specific differentiation markers was analyzed by
immunofluoresence microscopy. As keratinocytes move to a suprabasal position within
the tissue, they synthesize differentiation-specific proteins. Keratinocytes cease
production of the basal keratins K5 and K14 and begin expressing the differentiation
specific Kl and K10 keratins, which are expressed throughout the rest of the layers in the
epidermis. Sections of the organotypic cultures were examined for expression and
localization of K10 using indirect immunofluorescence. Keratin 10 was expressed
normally in the suprabasal layers in BC-1-Ep, NIKS, and N1KSGFP organotypic cultures.
To further characterize the differentiation pattern of the NIKSGFP cells, the expression and
localization of filaggrin, which is a late-stage differentiation marker, was examined.
Keratinocyte differentiation into the stratum granulosum is distinguished by the presence
of distinct keratohyalin granules. These granules are composed of filaggrin and other

proteins that are precursors for the production of the cornified envelope. Filaggrin
staining in sections of all organotypic cultures displayed a punctate pattern characteristic
of cells in the granular layer.
In addition, the expression and localization of the adherens junctional
components, E- and P-cadherin, was analyzed. In normal epidermis two members of the
classical cadherin family, E-and P-cadherin are expressed, both of which play an
important role in differentiation and cell adhesion in the epidermis. P-cadherin
expression is limited to the basal layer and E-cadherin is located throughout the
epidermis. The E-cadherin staining pattern is normal and localized to the cell-cell
borders in sections of all three cultures. These data demonstrate that genetically-
modified NIKS cells exhibit normal differentiation. Thus, it is contemplated that NIKS
cells containing reporter gene constructs will form cultured skin equivalents similar to
those formed with primary keratinocytes.
Experiments were also performed to confirm that in response to known irritants,
NIKS cells secrete a cytokine known to be secreted in response to skin irritants. Example
3 demonstrated that NIKS cells secrete IL-1α in response to a known skin irritant.
i) Reporter Gene Assays
In some embodiments, the present invention provides skin equivalent (e.g., NIKS)
cells comprising a reporter gene construct responsive to skin irritants. Suitable reporter
gene constructs include, but are not limited to, those described above. In some
embodiments, the cells further have improved barrier function.
Previous studies indicated that IL-8 expression correlates well with skin irritation
(de Brugerolle de Fraissinette et al., Cell Biology and Toxicology, 15:121 [1999]).
Published sequences from the IL-8 gene include 1,482 bp of DNA upstream from the
transcription start site and 102 bp of transcribed, untranslated DNA upstream from the
EL-8 coding region (Mukaida et al., J. Immunology, 143:1366 [1989]). Chang and
collaborators have found that a reporter gene containing IL-8 promoter sequences
between -1472 and +19 is induced by trans-retinoic acid in tracheobronchial epithelial

cells (Chang et al., Am J. Respir Cell Mol Biol. 22:502 [2000]). Abe et al. have shown
that IL-8 promoter fragments containing as little as 130 bp upstream from the
transcription start site direct inducible expression of a luciferase reporter gene (Abe et al.,
Am J. Respir Cell Mol Biol., 22:51 [2000]). This fragment contains binding sites for NF-
ΚB, AP-1, and NF-IL-6 and the binding sites for these factors are required for inducible
IL-8 expression (reviewed in Roebuck, J. Interferon Cytokine Res., 19:429 [1999]).
Accordingly, in some embodiments, the present invention provides skin
equivalent (e.g., NIKS) cells comprising a reporter gene in which expression of a reporter
gene (e.g., an enzyme) is controlled by the regulatory region of an irritant responsive
gene. The present invention is not limited to any irritant responsive promoter. Indeed, a
variety of promoters are contemplated, including but not limited to IL-8 and IL-1α. The
present invention is not limited to the entire regulatory region of the irritant responsive
gene. Indeed, in some embodiments, fragments comprising a portion of the regulatory
region are contemplated. Any region or regions that are responsive to an irritant find use
in the present invention. Guidance for determining if a given region of a gene is
responsive is provided in Example 4 below.
The present invention is not limited to any particular reporter gene. Indeed, a
variety of reporter genes are contemplated, including but not limited to, secreted alkaline
phosphatase (SEAP), chloramphenicol transferase, firefly and bacterial luciferases, -
galactosidase, -lactamase, and green fluorescent protein. The production of these
proteins, with the exception of green fluorescent protein, is detected through the use of
chemiluminescent, colorimetric, or bioluminecent products of specific substrates (e.g., X-
gal and luciferin).
Reporter gene contructs contained on a plasmid are generated using standard
molecular biology techniques. For example, in some embodiments, pSEAP (Tropix,
Bedford, MA) is used to generate a reporter gene construct. pSEAP is a mammalian
expression vector lacking a promoter and containing the SEAP gene (Berger et al., 1988).
The vector contains a polylinker for promoter/enhancer insertion, as well as an intron and
polyadenylation signals from SV40. The vector can be propagated in E.coli due to the
pUC19 derived origin of replication and ampicillin resistance gene. Other suitable

vectors for the generation of reporter gene constructs are available (e.g., including but not
limited to, pβ-Gal (β-galactosidase reporter); Tropix).
Stable skin equivalent (e.g., NIKS) cell lines are established which contain the
reporter gene, and these transfected cells are used to generate; in vitro skin equivalents.
The cells are then used to monitor expression of the reporter gene construct in response to
a panel of irritant compounds (See Example 4).
Expression by the reporter gene may be measured using any suitable assay. In
some preferred embodiments, the present invention utilizes gene expression read-outs of
skin irritants by NIKS-derived cell lines harboring reporter gene constructs. The use of
such assays increases the speed and lowers the costs of using the assays for testing new
compounds. For Example, in some embodiments, chemiluminescent reporter gene assays
that can be performed in 30 minutes or less are utilized. Example 4 describes one
illustrative assay that finds use in the present invention.
ii) Screening for Novel Irritant Responsive Genes
In other embodiments, the present invention provides methods and compositions
for identifying novel irritant responsive genes. In some embodiments, in order to obtain
data that correlates well with irritant exposure in the general population, global gene
expression changes in organotypic cultures of primary human keratinocytes from pooled
donors that have been exposed to known skin irritants are assayed. Novel genes
identified by the methods of the present invention find use in irritancy testing assays
using skin equivalent (e.g., NIKS) derived gene reporter cell lines and an irritancy-
predictor gene expression array.
Gene expression arrays have been used successfully to gain new insights into the
global gene expression responses of mammalian cells to serum (Iyer et al., Science
283:83 [1999]) and specific growth factor signaling pathways (Fambrough et al., Cell
97:727 [1999]). In addition, it has recently been established that cluster analysis (Eisen et
al., PNAS 95:14863 [1998] of gene expression patterns can distinguish and predict
different forms of cancer (acute myeloid leukemia versus acute lymphoblastic leukemia)

(Golub et al., Science 286:531 [1999]). Analysis of the expression of 6817 human genes
in these two forms of cancer led to the generation of a "predictor" array of the 50 most
informative genes that successfully distinguished an independent set of patient samples
(Golub et al., Supra). This is a powerful example of DNA array analysis to derive a
subset of known and novel genes whose overall pattern can distinguish the subtleties of
two different cellular states of disease. Accordingly, in some embodiments, the present
invention uses gene arrays to identify novel genes secreted in response to known irritants.
The present invention is not limited to any one gene expression array. Gene
expression arrays are available in a variety of formats from a number of commercial
sources, including but not limited to, filter-based arrays (Research Genetics and
Clontech), glass-slide cDNA arrays (Incyte-Genome Systems) and oligonucleotide DNA
microarrays (Affymetrix). In one illustrative example (Example 5), cDNA microarrays
(Genome Systems) are used to screen cultured human keratinocytes treated with known
irritants.
The screening methods of the present invention are used to generate a database of
gene expression changes in human keratinocytes in response to multiple known skin
irritants. The information contained in the database finds use in the development of
irritancy-predictor gene expression arrays. Such arrays are utilized to generate an
irritancy profile that is likely to be a better predictor of in vivo skin irritation than single
endpoint assays currently in use. Simple gene expression read-outs of skin irritants by
skin equivalent (e.g., NIKS) derived cell lines harboring reporter gene constructs will
increase the speed and lower the costs of using these assays for testing new compounds.

3. Substrates for Culturing Tumors and Pathological Agents
It is contemplated that skin equivalents of the present invention are also useful for the
culture and study of tumors that occur naturally in the skin as well as for the culture and
study of pathogens that affect the skin. Accordingly, in some embodiments, it is
contemplated that the skin equivalents of the present invention are seeded with malignant
cells. By way of non-limiting example, the skin equivalents can be seeded with
malignant SCC13y cells as described in U.S. Pat. No. 5,989,837, which is incorporated
herein by reference, to provide a model of human squamous cell carcinoma. These
seeded skin equivalents can then be used to screen compounds or other treatment
strategies (e.g., radiation or tomotherapy) for efficacy against the tumor in its natural
environment. Thus, some embodiments of the present invention provide methods
comprising providing a skin equivalent comprising malignant cells or a tumor and at least
one test compound, treating the skin equivalent with the compound, and assaying the
effect of the treatment on the malignant cells or tumors. In other embodiments of the
present invention, methods are provided that comprise providing a skin equivalent
comprising malignant cells or a tumor and at least one test therapy (e.g., radiation or
phototherapy) treating the skin equivalent with the therapy, and assaying the effect of the
therapy on the malignant cells or tumors.
In other embodiments, the skin equivalents are used to culture and study skin
pathogens. By way of non-limiting example, the skin equivalents are infected with
human papilloma virus (HPV) such as HPV18. Methods for preparing skin equivalents
infected with HPV are described in U.S. Pat. No. 5,994,115, which is incorporated herein
by reference. Thus, some embodiments of the present invention provide methods
comprising providing a skin equivalent infected with a pathogen of interest and at least
one test compound or treatment and treating the skin equivalent with the test compound
or treatment. In some preferred embodiments, the methods further comprise assaying the
effect the test compound or treatment on the pathogen. Such assays may be conducted by
assaying the presence, absence, or quantity of the pathogen in the skin substitute
following treatment. For example, an ELISA may be performed to detect or quantify the
pathogen. In some particularly preferred embodiments, the pathogen is viral pathogen
such as HPV.

4. Wound Closure and Burn Treatment
The skin equivalents of the present invention find use in wound closure and burn
treatment applications. The use of autografts and allografts for the treatment of burns and
wound closure is described in Myers et al., A. J. Surg. 170(l):75-83 (1995) and U.S. Pat.
Nos. 5,693,332; 5,658,331; and 6,039,760, each of which is incorporated herein by
reference. In some embodiments, the skin equivalents may be used in conjunction with
dermal replacements such as DERMAGRAFT. In other embodiments, the skin
equivalents are produced using both a standard source of keratinocytes (e.g., NIKS cells)
and keratinocytes from the patient that will receive the graft. Therefore, the skin
equivalent contains keratinocytes from two different sources. In still further
embodiments, the skin equivalent contains keratinocytes from a human tissue isolate.
Accordingly, the present invention provides methods for wound closure, including
wounds caused by burns, comprising providing a skin equivalent having improved barrier
function according to the present invention and a patient suffering from a wound and
treating the patient with the skin equivalent under conditions such that the wound is
closed.
5. Gene Therapy
In still further embodiments, the skin equivalent is engineered to provide a
therapeutic agent to a subject. The present invention is not limited to the delivery of any
particular therapeutic agent. Indeed, it is contemplated that a variety of therapeutic
agents may be delivered to the subject, including, but not limited to, enzymes, peptides,
peptide hormones, other proteins, ribosomal RNA, ribozymes, and antisense RNA.
These therapeutic agents may be delivered for a variety of purposes, including but not
limited to the purpose of correcting genetic defects. In some particular preferred
embodiments, the therapeutic agent is delivered for the purpose of detoxifying a patient
with an inherited inborn error of metabolism (e.g., aninoacidopathesis) in which the graft
serves as wild-type tissue. It is contemplated that delivery of the therapeutic agent
corrects the defect. In some embodiments, the keratinocytes used to form the skin
equivalent are transfected with a DNA construct encoding a therapeutic agent (e.g.,

insulin, clotting factor DC, erythropoietin, etc) and the skin equivalent is grafted onto the
subject. The therapeutic agent is then delivered to the patient's bloodstream or other
tissues from the graft. In preferred embodiments, the nucleic; acid encoding the
therapeutic agent is operably linked to a suitable promoter. The present invention is not
limited to the use of any particular promoter. Indeed, the use of a variety of promoters is
contemplated, including, but not limited to, inducible, constitutive, tissue specific, and
keratinocyte specific promoters. In some embodiments, the nucleic acid encoding the
therapeutic agent is introduced directly into the keratinocytes (i.e., by calcium phosphate
co-precipitation or via liposome transfection). In other preferred embodiments, the
nucleic acid encoding the therapeutic agent is provided as a vector and the vector is
introduced into the keratinocytes by methods known in the art. In some embodiments,
the vector is an episomal vector such as a plasmid. In other embodiments, the vector
integrates into the genome of the keratinocytes. Examples of integrating vectors include,
but are not limited to, retroviral vectors, adeno-associated virus vectors, and transposon
vectors.
Experimental
The following examples are provided in order to demonstrate and further illustrate
certain preferred embodiments and aspects of the present invention and are not to be
construed as limiting the scope thereof.
In the experimental disclosure which follows, the following abbreviations apply:
eq (equivalents); M (Molar); μM (micromolar); N (Normal); mol (moles); mmol
(millimoles); μmol (micromoles); nmol (nanomoles); g (grams); mg (milligrams); μg
(micrograms); ng (nanograms); 1 or L (liters); ml (milliliters); μl (microliters); cm
(centimeters); mm (millimeters); μm (micrometers); nm (nanometers); C (degrees
Centigrade); U (units), mU (milliunits); min. (minutes); sec. (seconds); % (percent); kb
(kilobase); bp (base pair); PCR (polymerase chain reaction):, BSA (bovine serum
albumin).

Example 1
Effect of Culture Conditions on Epidermal Barrier Function of NIKS Cells
While a number of culture conditions have been shown to enhance various aspects
of barrier function (see Table 1, supra), there has been no systematic attempt to examine
synergistic effects of these conditions. This example provides an assessment of the
combined effects of ascorbic acid, PPAR activators (linoleic acid), FXAR activators
(farnesol), and reduced relative humidity on epidermal barrier function of NIKS
organotypic cultures. Barrier properties of treated cultures are evaluated by measuring
surface electrical capacitance (SEC) (Boyce et al., J. Invest. Dermatol., 107(1): p. 82-7
(1996)), analysis of extracellular lipid composition, and by ultrastructural examination of
tissue sections by electron microscopy.
The culture conditions to be evaluated are presented in Table 2. Culture
supplements are added individually or in combination to the cornification medium at the
indicated concentrations. The organotypic cultures are incubated at the air/liquid
interface for 14-17 days before analysis. The NIKS-based cultures consist of dermal and
epidermal compartments. The dermal compartment consists of a collagen base and is
formed by mixing normal human neonatal dibroblasts, strain CI-1-F, with Type I collagen
in Ham's F-12 medium containing 10% fetal call serum (FCS) and
penicillin/streptomycin (P/S) and allowing contraction. The epidermal compartment is
produced by seeding the NIKS cells on the contracted collagen gel in 25 μl of a mixture
of Ham's F-12:DME, (3:1, final calcium concentration 1.88 mM) supplemented with
0.2% FCS, 0.4 μg/ml hydrocortisone (HC), 8.4 ng/ml cholera toxin (CT), 5 μg/ml insulin
(Ins), 24 μg/ml adenine (Ade), and 100 units/ml P/S. Cells are allowed to attach 2 hours
before flooding culture chamber with media (day 0). On days 1 and 2 cells are refed. On
day 4, cells are lifted to the air interface with a cotton pad and switched to cornification
medium containing Ham's F-12-.DME, (3:1, final calcium concentration 1.88 mM)
supplemented with 2% FCS, 0.4 μg/ml HC, 8.4 ng/ml CT, 5 μg/ml Ins, 24 μg/ml Ade,
and P/S. Cells are fed fresh cornification medium every 3 days.
For measurement of SEC, the impedence of the culture surfaces is determined
using a Dermaphase 9003 impedence meter (NOVA Technologies Corp, Portsmouth,
NH). This instrument provides a measure of the electrical conductivity of the skin

surface, which is directly related to the sample's hydration state and barrier properties.
The probe is placed in contact with the culture surface and readings are taken
immediately upon probe contact and at the end of the 10 second period. The initial
reading is then compared to the reading after the probe has been in place for 10 seconds.
An increase in the reading after 10 seconds reflects increased hydration of the culture
surface due to occlusion of the skin surface by the probe. Since surface hydration is
largely determined by the permeability of the stratum corneum, the magnitude of the
difference between the initial and final SEC readings provides a measure of the barrier
properties of the cultures. Each culture condition is analyzed in triplicate and the average
impedence measurements compared to standard, unsupplemented culture conditions to
assess improvements in barrier function. SEC readings from in vitro cultures are also
compared to SEC measurements obtained from normal human skin. Previous studies
have shown that the SEC values of in vitro skin substitutes (400 pF) are about ten-fold
higher than those observed with normal human skin. The goal of these experiments is to
develop conditions that improve barrier function of organotypic keratinocyte cultures
such that SEC readings of these cultures are at most 2-3 fold higher than normal skin.



The lipid compositions of in vitro skin substitutes examined to date show
significant differences compared to that found in normal human skin. In particular, the
levels of ceramides 6 and 7 are greatly reduced in the in vitro cultures. To determine
whether preparation of organotypic skin cultures using the culture conditions shown in
Table 2 has a synergistic effect on epidermal lipid composition, the lipid profiles of
supplemented cultures are compared to lipids isolated from unsupplemented control
cultures and to lipids extracted from normal human skin. Lipid profiles of the cultures
are determined by high-performance thin-layer chromatography (HPTLC) of lipids
extracted from the epidermal culture layers. Organotypic cultures are heated to 60°C for
1 min to separate the epidermal and dermal layers. Total lipids are extracted from the
epidermal layer by sequential extraction with 2 ml chloroform/methanol (1:2), 2 ml
chloroform/methanol/water (1:2:0.5), 2 ml chloroform/methanol (1:2), 2 ml
chloroform/methanol (2:1) and finally with 2 ml chloroform. Following the addition of
0.2 ml 2.5% KC1 and 2 ml water, the samples are centrifuged and the lower phase
removed to a clean tube. The remaining upper phase is extracted with 4 ml chloroform.
The chloroform extract is combined with the lower phase from the initial extract.
Solvents are removed by evaporation under nitrogen and the extracted lipids are
dissolved in chloroform/methanol (2:1). Total lipid content in the extracts is determined
by weighing samples of the extract after evaporation of solvent.
Extracted lipids (50 micrograms) are applied to silica gel 60 HPTLC plates
(Merck, Darmstad, FRG) and resolved by one-dimensional HPTLC using the ceramide
development system. Lipid separation is achieved by sequential development of HPTLC
plates in chloroform, chloroform/acetone/methanol (76:8:16), ohloroform/hexyl

acetate/acetone/methanol (86:1:10:4), chloroform/acetone/methanol (76:4:20),
chloroform/diethyl ether/hexyl acetate/ethyl acetate/acetone/methanol (72:4:1:4:16:4),
and finally with hexane/diethyl ether/ethyl acetate (80:16:4). The TLC plate is dried
briefly following each development step before proceeding to the next solvent system.
Following separation, lipids are detected by staining with copper acetate and copper
sulfate in sulfuric acid followed by charring. Each culture condition is analyzed in
triplicate and the levels of specific lipid components quantified by densitometry and
expressed as a percentage of total lipid. Previous studies have shown that ceramides 5-7
comprise only 10% of total ceramide mass of in vitro skin substitutes as compared to
39% in normal epidermis. There is a corresponding increase in ceramide 2 in the in vitro
cultures, which comprises approximately 50% of total ceramide mass as compared to
22% in normal skin. In preferred embodiments, skin equivalents of the present invention
are cultured under conditon that result in an increase in the content of ceramides 5-7 to
between 30-45% of total ceramide mass and a reduction of the levels of ceramide 2 to
between 20-30% of total ceramide mass.
The ultrastructure of lipid lamellae in organotypic cultures prepared under the
conditions described in Table 2 is examined by electron microscopy. Cultures are fixed
in 2% glutaraldehyde and 2% formaldehyde in 0.1M cacodylate buffer pH 7.4, then post-
fixed in 1% osmium tetroxide followed by 0.25% ruthenium tetroxide. Samples are
dehydrated through an ethanol series, embedded in Eponate, and sectioned on a Reichert
Ultracut microtome. Sections are stained with uranyl acetate and lead citrate and
examined using a Hitachi H-7000 electron microscope (Hitachi, San Jose, CA). The
organotypic cultures produced by the conditions listed in Table 2 are examined for
restoration of the pattern of alternating electron lucent and electron dense lipid lamellae
seen in normal skin.
Organotypic cultures are also assessed for cell proliferation and cell-type specific
differentiation markers, including involucrin, transglutaminase and keratins.

Example 2
Expression of Exogenous Klf4 in NIKS Cells
This Example describes the expression of exogenous Klf4 in NIKS cells. The
transcription factor Krüppel-like factor 4 (Klf4) is a zinc-finger protein expressed at high
levels in epithelium undergoing terminal differentiation, especially skin and intestinal
epithelium. In skin, it is enriched in the mitotically inactive suprabasal layer of the
epidermis. Klf4 was identified by low-stringency hybridization with a probe for a zinc-
finger domain in aNIH 3T3 cell cDNA library (Shields et at., J. Biol. Chem, 271(33):
20009-17 (1996)). Its three C2H2 zinc fingers relate it to a family of zinc finger
transcription factors that includes EKLF and LKLF, factors that are important for tissue-
specific differentiation. It is expressed at highest levels in growth-arrested cells and at
undetectable levels in proliferating cells. Constitutive expression of Klf4 COS-1 cells
inhibits DNA synthesis. It binds to a defined DNA sequence that is important in the
regulation of the cytochrome P450 gene CYP1A1 (Zhang et al., J. Biol. Chem., 273(28):
17917-25 (1998)). Binding of Klf4 to its binding site in CYP1A1 inhibits expression of
CYP1 A1, probably by competing for DNA binding with SP1 and through direct protein-
protein interactions with SP1. Recent studies report that KLf4 can also regulate its own
expression and that an important binding interaction is with p300/CBP (Geiman et al.,
Nucleic Acids Res., 28(5): 1106-1113 (2000); Mahatan et al., Nucleic Acids Res.,
27(23): 4562-9 (1999)). As is true with other key transcription factors, Klf4 can be a
potent activator of some genes and a repressor of others.
Klf4 is currently the best candidate gene for a key regulator of barrier function in
the skin. Elimination of Klf4 expression in mice results in neonatal lethality, apparently
as a result of excessive water loss through a defective epidermal permeability barrier.
These observations suggest that Klf4 regulates genes that are essential for the formation
of a normal epidermal permeability barrier and raise the possibility that expression of
Klf4 in cultured skin substitutes might improve the barrier function of these cultures.
This Example describes two methods of expressing Klf4 in differentiating keratinocytes.
The first method is the generation of an inducible expression construct in which
expression of human Klf4 is regulated by the presence or absence of the tetracycline
derivative, doxycycline, in the culture medium. A second method of directing Klf4

epression in organotypic cultures utilizes a DNA fragment containing either 3.7 kb of the
involucrin promoter region, which directs expression in differentiating keratinocytes
(Carroll et al., Proc. Natl. Acad. Sci. USA, 90(21): p. 10270-4 (1993)) or 135 bp of the
transglutaminase 3 promoter region, which also directs expression in differentiating
keratinocytes (Lee et al., J. Biol. Chem., 271(8): 4561-8 (1996)).
The cDNA encoding human Klf4 is isolated by PCR using primers to the known
Klf4 sequence (Yet et al., J. Biol. Chem., 273(2): 1026-31 (1998)). The Klf4 cDNA is
cloned into the expression vector pTRE2 (Clontech, Palo Alto, CA), which contains a
minimal CMV promoter flanked by seven repeats of the tet operator (tetO). The integrity
of the cloned Klf4 cDNA is verified by sequence analysis using primers derived from the
known Klf4 sequence.
Purified DNA from the Klf4 expression plasmid is introduced into NIKS cells
along with the pTet-On plasmid (Clontech, Palo Alto, CA), which encodes a derivative of
the tet repressor protein. This protein, rtTA, binds to the tet operator in the presence of
doxycycline and induces expression of Klf4 when doxycycline is present in the culture
medium. The gene encoding a protein that confers resistance to blasticidin will be
amplified by PCR and cloned into the pTet-On plasmid to allow for selection of stably-
transfected cells. Transfected cells are selected by growth in media containing blasticidin
(5 micrograms/ml), which will kill any NIKS cells that have not incorporated the
plasmids into their genome. Stable cell lines that contain both the pTRE2-Klf4 and pTet-
On plasmids are identified by examining multiple clonal cell lines by Southern blot using
digoxygenin-labeled probes derived from both the pTet-On and pTRE2 plasmids.
Multiple clones that contain intact copies of the pTet-On and pTRE2 plasmids are
isolated and examined for expression of the Klf4 transgene in the presence of
doxycycline.
To examine expression from the Klf4 transgene, monolayer cultures of stably-
transfected cell lines and control untransfected cells are incubated in medium containing
doxycycline (1 microgram per ml). Total RNA is then isolated from cultures at multiple
time points after doxycycline addition using Trizol Reagent (Life Technologies,
Rockville, MD). Twenty micrograms of total RNA is analyzed by Northern blot
hybridization using digoxygenin-labeled probes derived from the cloned Klf4 cDNA and

detected using the Genius non-radioactive detection system (Roche Molecular
Biochemicals, Indianapolis, IN). RNA is also isolated from transfected cultures grown in
the absence of doxycycline to determine the basal level of Klf4 expression from the
transgene. RNA isolated from untransfected cells at each time point will be analyzed to
establish a background level of Klf4 expression from the endogenous Klf4 gene.
The Klf4 cDNA is also cloned into an expression plasmid containing promoter
sequences from the involucrin gene. A DNA fragment containing 3.7 kb of the
involucrin promoter directs transgene expression to the suprabasal layers of the
epidermis. This promoter fragment is amplified from total genomic DNA by PCR using
primers to the known INV promoter sequence (Lopez-Bayghen et al., J. Biol. Chem.,
271(1): 512-520 (1996)). The Klf4 cDNA is cloned into a plasmid containing this
involucrin promoter fragment and used to generate stable cell lines of NIKS that contain
this transgene. Stable cell lines are selected by co-transfecting NIKS cells with the
INV/Klf4 plasmid and a plasmid expressing the blasticidin resistance gene and growing
the transfected cells in the presence of blasticidin. Multiple blasticidin-resistant cell lines
will be isolated and examined by Northern blot for increased Klf4 expression as
compared to cells transfected only with the blasticidin-resistance plasmid.
While the involucrin promoter has been used successfully to direct expression of several
transgenes to the differentiating epidermis, it is possible that the INV/KLF4 construct
will not be expressed to high enough levels or in the proper temporal or spatial pattern to
have an effect on barrier function. If Klf4 expression from the involucrin promoter
construct is not readily detected, expression constructs are generated containing the
promoter regions of another keratinocyte-specific gene, transglutaminase 3. The Klf4
cDNA is cloned into an expression plasmid containing promoter sequences from the
transglutaminase 3 (TG3) gene. A TG3 promoter fragment containing 126 bp upstream
and 10 bp downstream from the transcription start site directs transgene expression to
epithelial cells (Lee et al., J Biol Chem, 271(8): 4561-8 [1996]).
The Klf4 cDNA is cloned into a plasmid containing this TG3 promoter fragment
and generate stable cell lines of NIKS that contain this transgene. Stable cell lines are
selected by co-transfecting NIKS cells with the TG3/Klf4 plasmid and a plasmid
expressing the blasticidin resistance gene and growing the transfected cells in the

presence of blasticidin. Multiple blasticidin-resistant cell lines are isolated and examined
by Northern blot for increased Klf4 expression as compared to cells transfected only with
the blasticidin-resistance plasmid.
Stable NIKS cell lines that express Klf4 from the involucrin promoter or the
doxycycline-inducible system are examined in organotypic culture to confirm that Klf4 is
expressed under these culture conditions. Standard media and procedures for organotypic
cultures are described in Example 1. Klf4-expressing NIKS cells are seeded onto a
contracted collagen matrix containing fibroblasts and grown in submerged culture for 4
days before being lifted to the air interface. Organotypic cultures are fed cornification
medium every 3 days and maintained at the air/liquid interface for 14 days to form a
stratified epithelium. Cultures with NIKS expressing Klf4 from the inducible promoter
are grown in media containing 1 microgram/ml doxycycline. Total RNA is isolated from
organotypic cultures by homogenizing the epidermal layer in Trizol reagent, extracting
the homogenate with chloroform, and precipitating total RNA with isopropanol. RNA is
examined for Klf4 expression as described above for monolayer cultures.
The effects of Klf4 expression on barrier function are examined by surface
capacitance measurement, lipid composition and ultrastructure of the organotypic
cultures by the methods described in Example 1. In addition, some of the agents to be
added to the cultures in Example 1, especially the PPAR and FXAR activators, may serve
to activate other regulatory genes that act in concert with Klf 4. This hypothesis is
supported by the ability of these agents to accelerate the in utero development of barrier
function.
Data on the timing and extent of Klf4 expression using the two expression
systems described herein will allow for the design of strategies to enhance barrier
function by regulating Klf4 expression in NIKS organotypic cultures. The NIKS
organotypic cultures have been extensively characterized for ultrastructure and
expression of key differentiation markers. Examination of these phenotypic properties of
the culture in the presence of added Klf4 expression will provide additional clues to the
consequences of Klf4 expression.

Example 3
Secretion of IL-1α in Response to Skin Irritants
This example demonstrates that NIKS cells secrete IL-1α in response to skin
irritants. To determine whether organotypic cultures of NIKS cells exhibit irritant
responses typical of primary keratinocytes, NIKS skin equivalent cultures were exposed
to concentrations of SDS that are known to elicit skin irritant responses in vivo and in
vitro. Solutions of SDS (0.1%, 0.2%, and 0.5%) were topically applied to air-exposed
NIKS organotypic cultures and incubated for 24 hr at 37°C. After 24 hr, the media
underneath the cultures was assayed for IL-1α protein using a Quantikine IL-1α ELISA
kit (R&D Systems, Minneapolis, MN) and cultures were incubated with MTS reagent
(Promega Corp., Madison, WI) to determine cell viability. The concentrations of IL-1α
in media from control and SDS-treated cultures are shown in Figure 3. Media from
untreated cultures contained 25 pg/ml EL-1α, whereas the concentration of IL-1α in
cultures treated with 0.1%, 0.2% or 0.5% SDS was 290, 375 and 275 pg/ml respectively.
These values correspond well with published IL-1α responses in SDS-exposed
skin equivalents (Perkins et al., Toxicological Sciences, 48:218 [1999]). The decrease in
IL-1α secretion in cultures treated with 0.5% SDS is likely due to decreased cell viability
in these cultures as detected by an MTS assay.
Example 4
Generation of Reporter Gene Constructs
This example describes methods for generating NIKS cells comprising reporter
gene constructs comprising IL-8 promoter fragments. Using primers to the known
sequence, PCR is used to amplify a 1.5 kb DNA fragment containing the IL-8 promoter
and flanking sequences. After verification of the amplified DNA by sequence analysis,
this DNA fragment is cloned into the expression vector pSEAP (Tropix, Bedford, MA),
which contains the coding region for SEAP but which lacks regulatory elements to drive
its expression. The integrity of the reporter construct is verified by restriction analysis
and DNA sequencing.

Initially experiments to determine whether the IL-8/SEAP reporter construct is
inducible by irritants are performed with transiently-transfected NIKS cells. Pools of
transfected cells are exposed to known irritants (e.g., SDS, trans-retinoic acid) and to
control substances (e.g., mineral oil, water) and the amount of SEAP activity is
determined by chemiluminescence at 4, 8 and 24 hr after irritant exposure. SEAP activity
is detected by incubation of media from transfected cells with a chemiluminescent
substrate (Phospha-light, Tropix, Bedford, MA) using a microplate luminometer.
Analysis of IL-8/SEAP reporter gene expression is performed in triplicate using
independently transfected cell populations.
Expression of RNA from the IL-8/SEAP reporter is compared with increases in
the mRNA from the endogenous EL-8 gene. In parallel with the SEAP assays described
above, RNA is isolated from identically-treated cultures using Trizol reagent (Life
Technologies, Rockville, MD). As an independent measurement of EL-8 expression in
irritant-treated keratinocytes, cultures of primary keratinocytes from pooled donors are
treated with the irritants and processed for RNA purification. Total RNA is examined by
Northern blot for increased expression of the endogenous IL-8 gene using a PCR
fragment amplified based on known sequences. The level of SEAP mRNA expressed
from the IL-8/SEAP transgene is also quantified by Northern, analysis. Increases in
SEAP activity, as measured by chemiluminescence, and SBAP mRNA, determined by
Northern blot, are compared to increases in IL-8 mRNA to determine whether expression
of the SEAP reporter accurately reflects the induction of IL-8 in response to irritants.
Expression of IL-8 mRNA increases 7 to 40-fold following 24 hr exposure to
various skin irritants (de Brugerolle de Fraissinette et al., supra). The reporter construct
is judged to be irritant-inducible if the level of SEAP activity and mRNA increase at least
5-fold in irritant-treated cultures.
If SEAP activity is increased in transfected NIKS cells following irritant
exposure, stable cell lines are generated with the IL-8/SEAP reporter construct as
follows. NIKS cells are co-transfected with the IL-8/SEAP reporter construct and a
plasmid that confers resistance to blasticidin (pCMV/bsd Invitrogen, Carlsbad, CA).
Transfected cells are grown in the presence of blasticidin to select for stably-transfected
cells. Individual clones of transfected cells are examined for expression of the IL-

8/SEAP reporter gene in response to irritants. Clones that display irritant-inducible
transgene expression are used to generate organotypic skin cultures. These cultures are
examined for irritant-responsiveness by topical application of SDS, trans-retinoic acid,
and negative controls (water, mineral oil) as described above. The organotypic cultures
may also be mechanically disrrupted, lysed in buffer containing a non-ionic detergent,
and assayed for SEAP activity.
Because the 1.5 kb fragment of the EL-8 regulatory region may not contain all of
the regulatory elements necessary for full responsiveness, it is possible that the
magnitude of the reporter gene response may be less than that observed with the
endogenous EL-8 gene. If this fragment is insufficient to direct irritant-specific
expression of SEAP, the PCR product is used as a probe to screen a genomic DNA
library. This approach allows one to recover larger DNA fragments that are likely to
contain more of the IL-8 regulatory region. These DNA fragments are characterized by
restriction mapping and sequence analysis. DNA fragments containing between 5 and 10
kb of genomic DNA flanking the EL-8 promoter are cloned into the pSEAP vector and
examined for the ability to direct irritant-inducible SEAP expression as described above.
Alternative reporter gene constructs are also generated using a DNA fragment
containing the regulatory region of another irritant-inducible cytokine, EL-1α. Published
sequences for this gene include 1437 bp of DNA upstream from the transcription start site
(Furutani et al., Nuc. Acid Res. 14:3167 [1986]). A DNA fragment containing these
sequences has been used to direct expression of a CAT reporter gene in response to viral
transactivators (Mori and Prager, Blood 87:3410 [1996]). This fragment contains two
binding sites for NF-ΚB, a transcription factor that is involved in gene expression changes
in response to skin irritants (Corsini et al., J. Invest Dermatol. 108:892 [1997]).
Additionally, a NIKS cell line reporter gene construct is also generated by
introducing a reporter gene construct into the endogenous IL-8 locus in NIKS cells. This
"knock-in" strategy has been utilized to accurately reproduce proper temporal and spatial
expression of reporter genes (Elefanty et al., Proc Natl Acad Sci USA, 95:11897 [1998];
Morrison et al., Mech Dev, 1999. 84169 [1999]; Jin et al., Biochem Biophys Res
Commun, 270:978 [2000]).

Example 5
Identification of Irritant-Responsive Genes
This example describes experiments useful for the identification of novel genes
whose expression is induced by irritant exposure. Genome Systems cDNA microarray
(GEM microarrays; Incyte Genomics, Palo Alto, California) are used for the analysis of
gene expression. All manipulations are performed by Incyte Genomics. A UniGEM V
2.0 Microarray, built from Incyte's sequence verified cDNA clones and containing 8514
unique human cDNAs is used. Larger arrays are used as they become available.
In vitro skin equivalent cultures are prepared using cultured human keratinocytes from
pooled adult donors (available from Clonetics, Walkersville, MD). Cultured
keratinocytes are seeded onto a dermal equivalent consisting of dermal fibroblasts
embedded in a contracted collagen matrix and the resulting organotypic culture is lifted
to the air interface to induce differentiation and stratification of the keratinocyte layer.
After 14 days, organotypic cultures are treated topically with known irritants (e.g., 0.2%
SDS, 0.005% calcipotriol, 0.025% trans-retinoic acid) or non-irritant controls (e.g.,
mineral oil, vaseline) for 24 hr. These compounds all indues expression and secretion of
the pro-inflammatory cytokines IL-1α and IL-8 in irritant-treated skin equivalents (de
Brugerolle de Fraissinette et al., supra).
Purification of mRNA from organotypic cultures is carried out using known
procedures. The epidermal layer of control and irritant-exposed organotypic cultures is
mechanically dislodged from the collagen dermal equivalent and placed in Trizol reagent
(Life Technologies, Rockville, MD) for 1 hr. Following periodic vortexing and pipetting
to break apart the tissue, RNA is separated from cellular protein and DNA by phenol-
chloroform extraction. The aqueous phase from this extraction is then treated with
ethanol to precipitate total RNA. Poly A+ mRNA is isolated from total cellular RNA
using the Oligotex mRNA purification system (Qiagen, Valencia, CA).
To verify the that treated cultures exhibit an irritant response, equal amounts of
mRNA from control and irritant-treated cultures are examined by Northern blot for
induction of the known irritant-responsive genes IL-1α and DL-8. RNA from cultures
that exhibit induction of EL-1α and IL-8 expression are compared to RNA from control
cultures by gene expression profiling to identify novel irritant-responsive genes. Purified

mRNA is dissolved in TE buffer at a concentration of 50ng/μl and shipped to Incyte
Genomics for cDNA microarray analysis. Data analysis is performed using the
GEMTools Software from Genome Systems and cluster analysis programs available from
the MIT Center for Genome Research and the laboratory of Patrick O. Brown at Stanford
University.
Genes identified as irritant responsive are utilized in reporter gene assays using
the methods described in Example 4 above.
Example 6
Lipid Content of Skin Equivalents
This example describes the preparation of skin equivalents with optimized serum-
free medium and a second set of skin equivalents prepared with sub-optimal medium.
Subsequently, the lipid content of the resulting cultures was determined.
Organotypic cultures were initiated by plating 350,000 NIKS cells onto dermal
equivalents previously prepared within a 10 mm MELLICELL insert. The media used to
complete this step was comprised of a base medium [3:1 mixture of Ham's F12
medium/Dulbecco's modified Eagle's medium (DME), supplemented with 24 μg/ml
adenine, 8.3 ng/ml cholera toxin, 5 μg/ml insulin, 0.4 μg/ml hydrocortisone, with the
final calcium concentration adjusted to 1.88 mM] supplemented with 0.2% Fetal Clone II
(a calf serum substitute).
Two days post-plating, the organotypic cultures were supplied with fresh medium
to maintain growth. Cultures were supplied with either base medium supplemented with
0.2% Fetal Clone II or base medium supplemented with 0.2% Fetal Clone II and
additional constituents (1 mg/ml endotoxin-free BSA, 1 ng/ml epidermal growth factor,
50μg/ml ascorbic acid, lμM isoproterenol, 10μM carnitine, 10μM serine, 25 μM oleic
acid, 15μM linoleic acid, 7ΜM arachidonic acid and 1μM α-tocopherol).
Four days post-lifting, and every other day for the remainder of the culture period,
the cultures were supplied with optimal medium (base medium supplemented with 1
mg/ml endotoxin-free BSA, 1 ng/ml epidermal growth factor, 50 μg/ml ascorbic acid,
1μM isoproterenol. 10μM carnitine, 10μM serine, 25 μM oleic acid, 15ΜM linoleic acid,
7μM arachidonic acid and 1μM α-tocopherol) or a sub-optimal medium (base medium

supplemented with 1 mg/ml endotoxin-free BSA, 1 ng/ml epidennal growth factor, 10μM
carnitine and 10μM serine).
At the completion of the culture period, total lipids were extracted from the
cultures and resolved by high-performance thin-layer chromatography (HPTLC).
Following separation, the plates were charred and the resulting chromatograms were
scanned by densitometry to quantify individual lipid species. The cultures grown in
optimized culture medium contained a higher percentage of total ceramides than cultures
grown in sub-optimal medium (Table 3). In addition, the cultures grown in optimal
medium contained much higher levels of the polar ceramides 3, 4, 5, and 6 than cultures
grown under sub-optimal conditions.

Example 7
Expression of GKLF in NIKS Cells
This example describes the expression in NIKS cells of GKLF, a protein thought
to mediate barrier function development in mice.
DNA encoding the GKLF protein was isolated by PCR and cloned into an
expression vector containing the human involucrin promoter. After verification of the
GKLF and involucrin fragments by DNA sequencing, the constructs were introduced into

NIKS cells by transfection. Twenty-four hours after transfection, total RNA was isolated
from the transfected cells and expression of GKLF in these cells was examined by
reverse-transcription/PCR (RT-PCR).
A PCR product corresponding to spliced GKLF mRNA was detected in RNA
from cells transfected with the involucrin/GKLF construct, but not in control RNA from
cells transfected with empty vector. In addition, the GKLF PCR product was not
detected in reactions from which reverse transcriptase was omitted. These results
demonstrate that GKLF mRNA was expressed in transfected NIKS cells.
In a second set of experiments, DNA encoding GKLF was cloned into the pTRE2
vector, which allows for inducible expression of GKLF following addition of
doxycycline. After verification of the GKLF and involucrin fragments by DNA
sequencing, the constructs were introduced into NIKS cells by transfection. Eight hours
after transfection, doxycycline was added to half of the transfected cultures and all
cultures were incubated for an additional 16 hours. Twenty-four hours after transfection,
total RNA was isolated from the transfected cells and expression of GKLF in these cells
was examined by reverse-transcription/PCR (RT-PCR). A PCR product corresponding to
spliced GKLF mRNA was observed in samples with and without doxycycline, but more
product was seen in samples following doxycycline addition. No PCR products were
detected in reactions from which reverse transcriptase was omitted. These results
demonstrate inducible expression of GKLF mRNA in transfected NIKS cells.
Example 8
Culture Methods
This example describes culture methods common to the follwoing Examples.
Media. The organotypic culture process uses six different culture media: 3T3
feeder cell medium (TM); fibroblast growth medium (FM); "NIKS medium (NM); plating
medium (PM); stratification medium A (SMA); and stratification medium B (SMB). TM
is used to propagate 3T3 cells that act as feeder cells for NIKS cells in monolayer culture.
TM is a mixture of Dulbecco's modified Eagle's medium (DME, GibcoBRL)
supplemented with 10% calf serum (Hyclone). FM is a mixture of Ham's F-12 medium
(GibcoBRL) and 10% Fetal Clone II (Hyclone) serum. NM is used to grow NIKS

keratinocytes. NM is a 3:1 mixture of Ham's F-12 medium (GibcoBRL) and DME
supplemented with 2.5% Fetal Clone II (Hyclone), 0.4 μg/ml hydrocortisone
(Calbiochem), 8.4 ng/ml cholera toxin (ICN), 5 μg/ml insulin (GibcoBRL), 24 μg/ml
adenine (Sigma) and 10 ng/ml epidermal growth factor (EGF, R&D systems). PM is the
medium used when NIKS cells are seeded onto a dermal equivalent. PM is the same as
NM except that EGF is removed,CaCl2 (Sigma) is supplemented to a final calcium
concentration of 1.88 mM, and only 0.2% Fetal Clone II serum is added. SMA is the
same as PM with the addition of 1 mg/ml bovine serum albumin (BSA), 1 μM
isoproterenol, 10 μM carnitine, 10 μM serine, 25 μM oleic acid, 15 μM linoleic acid, 7
μM arachidonic acid, 1 μM α-tocopherol, 0.05 mg/ml ascorbic acid (all from Sigma), and
1 ng/ml EGF. SMB is used during the epidermal stratification phase of STRATATEST
skin equivalent and STRATAGRAFT skin equivalent growth. SMB is the same as SMA
but without the presence of the Fetal Clone II serum supplement.
Feeder preparation. Prior to starting STRATATEST skin equivalent or
STRATAGRAFT skin equivalent organotypic cultures, 3T3 feeder cells are prepared and
then used either fresh or frozen for later use. 3T3 cells are grown to confluence and
treated with mitomycin-C (4 μg/ml of mitomycin-C in TM, Roche) for two hours. The
cells are then washed, resuspended, and plated at a density of 1.25 x 106 per 100 mm
tissue culture dish to support NIKS growth. If frozen feeders are used, a single frozen
ampoule containing 1 ml with 2.5 x 106 is thawed, diluted with fresh TM and plated onto
one or more 100 mm tissue culture dishes. This is done for as many dishes as will be
needed for NIKS cell growth one day prior to plating the NIKS cells.
Dermal equivalent preparation. Frozen NHDF cells are thawed and plated.
The cells are fed FM the next day to remove residual cryoprotectant and subsequently to
maintain cell growth. Preconfluent NHDF cells are harvested for use in the dermal
equivalent. To prepare the dermal equivalent, rat tail tendon collagen (Type I, Becton-
Dickinson) is first diluted to 3 mg/ml in 0.03N acetic acid and chilled on ice. A mixture
of concentrated Ham's F1.2 medium (8.7X normal strength, buffered with HEPES at pH
7.5) is mixed with Fetal Clone EL These two solutions are 11.5 and 10% of the final
solution volume. 1 N NaOH is added to the medium mixture (2.5% of final solution).
The diluted collagen (74%) is then added to the mixture. A 2% volume of suspended

fibroblasts (2.5 x 106cells/ml for the dermal equivalent of STRATATEST and 1 x 106
for dermal equivalent of STRATAGRAFT) is added to the mixture. The solution is
mixed gently but thoroughly. 100 Μl is aliquoted into tissue culture inserts (MILLICELL
from Millipore Corp.) placed 25 in a 100 mm tissue culture dish for STRATATEST. The
STRATAGRAFT skin equivalent uses TRANSWELL inserts from Corning. A 13 ml
dermal equivalent is poured into each insert making it roughly three times the thickness
of a STRATATEST dermal equivalent. After 30 minutes for gel formation, the dish
containing STRATATEST dermal equivalents is flooded with 20 ml of FM. One or two
drops FM are placed on the surface of each STRATATEST dermal equivalent. For
STRATAGRAFT dermal equivalents, 80 ml of FM is placed around the TRANSWELL
insert in a 150 mm tissue culture dish and 10 ml is placed on top of the dermal
equivalent. The inserts are placed in 37°C, 5% CO2, 90% relative humidity incubator
until used. One day prior to seeding the dermal equivalents with NIKS cells, they are
lifted to the air interface by placing them onto a sterile stainless steel mesh with two
wicking pads (S&S Biopath) on top to supply medium through the bottom of the tissue
culture insert.
NIKS Growth and Seeding. Feeders are prepared fresh or thawed and plated in
TM one day prior to NIKS plating. NIKS cells are plated onto the feeders at a density of
approximately 3 x 105 cells per 100 mm dish. If the NIKS cells are newly thawed, they
are fed fresh NM one day post-plating to remove residual cryoprotectant. The NIKS cells
are fed NM to maintain growth as required. When cell approach confluence, the NIKS
cells are harvested, counted, and resuspended in PM. 4.65 x 1.05 NIKS cells/cm2 are
seeded onto the surface of the MIILLICELL or TRANSWELL dermal equivalents, which
have been lifted to the air interface for one day. The dishes are fed PM to flood
underneath the metal lifter and placed back into the incubator. Two days later, the
cultures are fed SMA. After an additional two days, the cultures are fed SMB and
transferred to a 75% humidity incubator where they remain, maintained with additional
SMB feedings, until mature.

Example 9
This example describes the preparation of dermal equivalents using 1 mg/ml
collagen. Briefly, 24 ml Ham's F12 medium prepared at 10X concentration was mixed
with 4.8 ml sterile H2O, 2.4 ml Penicillin/Streptomycin mixture and 24 ml Fetal Clone II
in a 50 ml conical tube. Rat tail tendon collagen Type I (1.46 ml) at 4.11 mg/ml was
diluted with 1.882 ml sterile H2O and 2.658 ml of 0.05% acetic acid. Normal human
dermal fibroblasts were harvested from culture and resuspended at a cell density of 106
and 104 cells/ml. 0.815 ml of the medium-containing mixture was combined with 2.619
ml of diluted collagen and 34 ul of fibroblasts at 104 cells/ml. 116.5 ul of this mixture
was aliquotted into tissue culture inserts (25 of which are in a Petri dish) and allowed to
gel for 15 minutes at 37°C. An additional 0.815 ml of the medium-containing mixture
was combined with another 2.619 ml of diluted collagen and 137 μl of fibroblasts at 106
cells/ml. 116.5 μl of this mixture was aliquotted into the tissue culture inserts on top of
the previous gel and allowed to gel for 30 minutes.
The petri dish was then flooded with 20 ml of FM medium and incubated for 5
days. The FM was then removed and the liquid aspirated from the surfaces of the dermal
equivalents. NIKS cells were harvested using standard procedures, resuspended at
2.345x106 cells/ml in plating medium (PM). 150 μl of this suspension was put on the
surface of each dermal equivalent and allowed to incubate for 2 hours. The seeded
dermal equivalents were then flooded with 20 ml PM. After two days the submerged
cultures were refed with PM.
After two more days the medium was removed from the petri dish as well as from
the surface of the cultures. The cultures were lifted to the air interface and fed
approximately 30 ml of PM supplemented to 2% serum every 2 days. Cultures were
analyzed 14 days after they were seeded. None of the cultures had complete epidermal
coverage of the dermal equivalent. Thus they were unsuitable for commercial
application.
Example 10
This example describes the preparation of dermal equivalents using 3 mg/ml
collagen. 4.785 ml Ham's F12 medium prepared at 10X concentration was mixed with

0.946 ml sterile H2O, 0.473 ml Penicillin/Streptomycin mixture, and 4.785 ml Fetal
Clone II in a 50 ml conical tube. 4.6 ml of this medium mixture was mixed with 0.242
ml sterile H2O and 0.289 ml 1N NaOH. 0.92 ml of the mixture was mixed with 3 ml rat
tail tendon collagen Type I at 3.11 mg/ml. To this was added 186 μl of a human dermal
fibroblast suspension at 106 cells/ml. 100 μl of this mixture was placed into the
MILLICELL inserts (1 cm diam) and allowed to gel for 30 minutes. The petri dish was
then flooded with 20 ml of FM medium and allowed to incubate. After 5 days, the FM
was removed and the liquid aspirated from the surfaces of the dermal equivalents.
NIKS™ cells were harvested using standard procedures, resuspended at 2.345x106
cells/ml in plating medium (PM). 150 μl of this suspension was put on the surface of
each dermis and allowed to incubate for 2 hours. The seeded dermal equivalents were
then flooded with 20 ml PM. After two more days the medium was removed from the
petri dish (including the surface of the cultures) and the cultures were lifted to the air
interface and fed approximately 30 ml of stratification medium every 2 days. Cultures
were analyzed 14 days after they were seeded. At the completion of culture growth, all
of the cultures had complete coverage of the dermal equivalent with epidermis and were
smooth and dry in appearance. Thus they were highly acceptable for commercial
application.
Example 11
This example demonstrates the beneficial effects of prelifting the dermal equivalent
prior to seeding with keratinocytes. 1.31 ml Ham's F12 medium prepared at 10X
concentration was mixed with 0.328 ml sterile H2O, 0.148 ml Penicillin/Streptomycin
mixture, and 1.472 ml Fetal Clone II in a 50 ml conical tube and 1.63 ml (~half) was split
into a second tube. 2.92 ml of rat tail tendon collagen (4.11 mg/ml) was mixed with
3.764 ml sterile H2O, and 5.316 ml of 0.05% acetic acid to give 1 mg/ml collagen in
0.05% acetic acid. 5.24 ml of the diluted collagen was added to 1.63 ml of the medium
mixture. 74 μl of human dermal fibroblast cells harvested with standard protocols at a cell
density of 104 cells/ml was added and gently mixed. 116.5 Μl of this mixture was
aliquotted into tissue culture inserts (25 to a Petri dish) and allowed to gel for 15 minutes
at 37°C. Another 5.24 ml of collagen was added to the second 1.63 ml of medium

mixture along with 274 μl of fibroblasts at 106 cells/ml. 116.5 μl was added to each
insert on top of the first gelled collagen layer. This was allowed to gel for 30 minutes at
37 °C. The petri dishes were then flooded with 20 ml of FM so that the dermal
equivalents could mature submerged in medium. After four days the medium was
removed from the petri dish (including from the surface of the cultures) and the cultures
were lifted to the air interface and fed approximately 30 ml of FM. The cultures were left
in the incubator in this state overnight. Then they were seedsd with 150 μl of NIKS
keratinocytes harvested from monolayer culture using standard protocols at a cell density
of 2.345 x 106 cells/ml. After seeding, the cultures were fed PM and returned to the
incubator. Two days later, the cultures were fed with SMA, and every second day
thereafter cultures were fed with SMB for a total of eight feedings. At the completion of
culture growth, all of the cultures had complete coverage of the dermal equivalent with
epidermis and were smooth and dry in appearance. Histology revealed that the prelifted
samples had approximately equal thicknesses of dermis and epidermis, and all stratified
layers were present in the epidermis.
Example 12
This example describes the effect of prelifting for the entire life of the dermal
equivalent. Cultures were prepared exactly as in the successful experiment listed above,
with the exception that they were never submerged. The gels were poured with the
MILLICELL inserts lifted to the air interface and all subsequent seeding and feeding took
place with the cultures lifted. At the completion of culture growth, one in ten of the
cultures had complete coverage of the dermal equivalent with epidermis. This effect is
apparently due in part to poor adherence of the dermal equivalent to the bottom of the
MILLICELL insert since the dermal equivalent had pulled away from the sides in most
samples. Histology indicated that the dermal and epidermal, layer thicknesses were
highly variable. Likewise epidermal stratification ranged from well differentiated to only
monolayer coverage which was unacceptable for commercial use.

Example 13
This example describes the optimization of a serum-free media that supports full
stratification of keratinocytes in organotypic culture that also results in skin equivalents
with improved barrier function.
Organotypic cultures were initiated by plating 350,000 NIKS cells onto a dermal
equivalent previously prepared within a 10mm MILLICELL insert. The media used to
complete this step was comprised of a base medium (3:1 mixture of Ham's F12
medium/Dulbecco's modified Eagle's medium (DME), supplemented with 24 μg/ml
adenine, 8.3 ng/ml cholera toxin, 5 μg/m.1 insulin, 0.4 μg/ml hydrocortisone, 100 units/ml
penicillin, 100 μg/ml streptomycin, with final calcium concentration adjusted to 1.88 mM
through the addition of CaCl2) supplemented with 0.2% Fetal Clone II.
Two days post-plating, the organotypic cultures were supplied with fresh media to
maintain growth. Cultures were supplied with either base media supplemented with 0.2%
Fetal Clone II or base media with additional constituents (1 mg/ml low endotoxin bovine
serum albumin, 1 ng/ml epidermal growth factor, 1 μM isoproterenol, 10 ΜM carnitine,
10 ΜM serine, 25 ΜM oleic acid, 15 μM linoleic acid, 7 μM arachidonic acid, 1 μM α-
tocopherol, and 0.05 mg/ml ascorbic acid) supplemented with 0.2% Fetal Clone II.
Four days post-plating, and for the remainder of the experiment, the organotypic
cultures were supplied with one of six media formulations. Cultures that had previously
received base media supplemented with 0.2% Fetal Clone II, were supplied with either
base media without Fetal Clone II supplementation, or base media supplemented with
0.2% Fetal Clone II, or base media supplemented with 2% Fetal Clone II. Cultures that
had previously received base media with additional constituents supplemented with 0.2%
Fetal Clone II, were supplied with either base media with additional constituents without
Fetal Clone II supplementation, or base media with additional constituents supplemented
with 0.2% Fetal Clone II, or base media with additional constituents supplemented with
2% Fetal Clone II.
Three criteria were used to evaluate the impact of the media formulations. Visual
inspection was used to determine the extent of contiguous cellular surface coverage.
Impedance meter readings were used to measure the resulting barrier function of cultures.
Viability of tissue post-exposure to 0.1% SDS was used as a practical evaluation of

barrier function. For all criteria, organotypic cultures maintained in base media with
additional constituents performed better than base media without additional constituents.
The exclusion of serum did not hinder the performance of organotypic cultures as long as
additional constituents were supplied.
All publications and patents mentioned in the above specification are herein
incorporated by reference. Various modifications and variations of the described method
and system of the invention will be apparent to those skilled in the art without departing
from the scope and spirit of the invention. Although the invention has been described in
connection with specific preferred embodiments, it should be understood that the
invention as claimed should not be unduly limited to such specific embodiments. Indeed,
various modifications of the described modes for carrying out the invention which are
obvious to those skilled in molecular biology, genetics, or related fields are intended to be
within the scope of the following claims.

We Claim:
1. A method of making skin equivalents having improved barrier
function comprising:
a) providing a skin equivalent comprising Near-Diploid
Immortalized Keratinocyte cells and a culture media
comprising ascorbic acid, linoleic acid, isoproterenol, carnitine,
serine, oleic acid, arachidonic acid, α-tocopherol, and epidermal
growth factor in amounts effective to improve barrier function;
b) culturing said skin equivalent under conditions such that said
skin equivalent has a surface electrical capacitance of from
about 40 to about 240 pF in vitro.
2. The method as claimed in claim 1, wherein the ascorbic acid is
provided at concentration of from about 10 to 100 micrograms/ml.
3. The method as claimed in claim 1, wherein said ascorbic acid is
provided at concentration of about 50 micrograms/ml.
4. The method as claimed in claim 1, wherein said linoleic acid
provided at a concentration 20 of from about 5 to 80 micromolar.
5. The method as claimed in claim 1, wherein the content of
ceramides 5, 6 and 7 in said skin equivalent is from about 20 to
about 50% of total ceramide content.

6. The method as claimed in claim 1, wherein the content of ceramide
2 in said skin equivalent is from about 10 to about 40% of total
ceramide content.
7. The skin equivalent produced by the method as claimed in claim 1.
8. The method as claimed in claim 1, wherein said Near-Diploid
Immortalized Keratinocyte cells comprise a DNA construct
comprising a sequence encoding GKLF operably linked to an
exogenous promoter.
9. The method as claimed in claim 8, wherein said keratinocytes
contain a DNA construct comprising a sequence encoding GKLF
operably linked to an inducible promoter.

A method of making skin equivalents having improved barrier function
comprising:
providing a skin equivalent comprising Near-Diploid Immortalized
Keratinocyte cells and a culture media comprising ascorbic acid, linoleic
acid, isoproterenol, carnitine, serine, oleic acid, arachidonic acid, α-
tocopherol, and epidermal growth factor in amounts effective to improve
barrier function;
culturing said skin equivalent under conditions such that said skin
equivalent has a surface electrical capacitance of from about 40 to about 240
pF in vitro.

Documents:

1088-KOLNP-2003-(03-01-2012)-FORM-27.pdf

1088-KOLNP-2003-(04-01-2012)-CORRESPONDENCE.pdf

1088-KOLNP-2003-(04-01-2012)-OTHER PATENT DOCUMENT.pdf

1088-KOLNP-2003-(04-01-2012)-PA-CERTIFIED COPIES.pdf

1088-kolnp-2003-granted-abstract.pdf

1088-kolnp-2003-granted-assignment.pdf

1088-kolnp-2003-granted-claims.pdf

1088-kolnp-2003-granted-correspondence.pdf

1088-kolnp-2003-granted-description (complete).pdf

1088-kolnp-2003-granted-examination report.pdf

1088-kolnp-2003-granted-form 1.pdf

1088-kolnp-2003-granted-form 18.pdf

1088-kolnp-2003-granted-form 2.pdf

1088-kolnp-2003-granted-form 26.pdf

1088-kolnp-2003-granted-form 3.pdf

1088-kolnp-2003-granted-form 5.pdf

1088-kolnp-2003-granted-reply to examination report.pdf

1088-kolnp-2003-granted-sequence listing.pdf

1088-kolnp-2003-granted-specification.pdf

1088-kolnp-2003-granted-translated copy of priority document.pdf


Patent Number 225948
Indian Patent Application Number 1088/KOLNP/2003
PG Journal Number 49/2008
Publication Date 05-Dec-2008
Grant Date 03-Dec-2008
Date of Filing 27-Aug-2003
Name of Patentee STRATATECH CORPORATION
Applicant Address 505 SOUTH ROSA ROAD, MADISON, WI
Inventors:
# Inventor's Name Inventor's Address
1 HOFFMANN, MICHAEL 3905 COUNCIL CREST, MADISON WI 53711
2 IVARIE, CATHY, ANN-RASMUSSEN 147 HIGHWAY BB, MARSHALL, WI 53559
3 CONRAD, PAUL, BARTH 65 MERLHAM DRIVE, MADISON WI 53705
4 COMER, ALLEN 5804 CHESTER CIRCLE, MADISON WI 53719
5 ALLEN-HOFFMANN, LYNN 3905 COUNCIL CREST, MADISON WI 53711
PCT International Classification Number G01N 33/50
PCT International Application Number PCT/US02/06088
PCT International Filing date 2002-03-01
PCT Conventions:
# PCT Application Number Date of Convention Priority Country
1 60/287,898 2001-05-01 U.S.A.
2 60/273,034 2001-03-02 U.S.A.