The effect of vitamin A on growth and differentiation of human keratinocytes in vitro.

Epithelial outgrowths (keratinocytes) from normal human skin in vitro were exposed daily for 30 min to vitamin A alcohol for periods up to 5 weeks. There was a markedly decreased number of keratohyaline granules in treated cultures, indicating an effect on the differentiation process, but there was no evidence for mucous metaplasia. The area of vitamin A-treated outgrowths was greater than that of controls at all times. In addition, there was a higher mitotic index, higher labeling index, and larger growth fraction in treated cultures. The combination of altered differentiation and enhanced proliferation of keratinocytes would appear to account for the larger outgrowth area found in vitamin A-treated cultures.