KRT20 Antibody, HRP conjugated

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Description

Key Applications of KRT20 Antibody, HRP Conjugated

HRP-conjugated KRT20 antibodies are pivotal in both research and clinical diagnostics:

  • Cancer Biomarker Detection: Identifies adenocarcinomas of the colon, pancreas, and biliary tract .

  • Normal vs. Neoplastic Tissue Differentiation: Distinguishes hyperplastic conditions from malignancies in gastrointestinal and bladder tissues .

  • Subcellular Localization: Maps KRT20 distribution in epithelial cells via immunofluorescence (IF) .

Table 1: Performance Across Assays

ApplicationProtocol DetailsReactivitySource
Western Blot1:500–1:3000 dilution; detects endogenous KRT20 at ~48 kDa Human, Mouse
IHC1:50–1:200 dilution; EDTA-mediated antigen retrieval (pH 8.0) Human, Rat
Immunofluorescence1:50–1:500 dilution; DAPI counterstaining in A431/NRK cells Human, Mouse

Technical Validation in Published Studies

  • Colorectal Cancer Detection: In paraffin-embedded human colon cancer tissues, HRP-conjugated KRT20 antibodies yielded strong cytoplasmic staining, confirming utility in diagnosing adenocarcinomas .

  • Cross-Reactivity: Demonstrated specificity for human, mouse, and rat tissues, with no reactivity in breast carcinomas .

  • Sensitivity: Achieved detection limits as low as 1 μg/ml in IHC, using DAB chromogen .

Product Specs

Buffer
Preservative: 0.03% Proclin 300
Constituents: 50% Glycerol, 0.01M PBS, pH 7.4
Form
Liquid
Lead Time
We typically ship products within 1-3 business days of receiving your order. Delivery time may vary depending on the purchase method and location. Please consult your local distributor for specific delivery times.
Synonyms
CD20 antibody; CK 20 antibody; CK-20 antibody; CK20 antibody; Cytokeratin-20 antibody; Cytokeratin20 antibody; K1C20_HUMAN antibody; K20 antibody; KA20 antibody; Keratin 20 antibody; keratin 20, type I antibody; keratin 21, rat, homolog of antibody; Keratin antibody; Keratin type I cytoskeletal 20 antibody; Keratin-20 antibody; Keratin20 antibody; KRT 20 antibody; KRT 21 antibody; KRT20 antibody; KRT21 antibody; MGC35423 antibody; OTTHUMP00000164518 antibody; Protein IT antibody; type I cytoskeletal 20 antibody
Target Names
Uniprot No.

Target Background

Function
KRT20 plays a crucial role in maintaining the organization of keratin filaments within intestinal epithelial cells. Phosphorylation of KRT20 is implicated in the secretion of mucin in the small intestine.
Gene References Into Functions
  1. Sebaceous neoplasms exhibiting a carcinoid-like/labyrinthine pattern of cell arrangement, characterized by vimentin/cytokeratin 20 expression, may represent a morphological phenotype of sebaceous mantles. PMID: 28027080
  2. In our study of specimens with equivocal urothelial atypia, very few patients without a prior bladder cancer diagnosis progressed to a confirmed diagnosis of cancer (1 out of 22). This suggests that CK20 and p53 staining results should be cautiously interpreted in de novo atypia. PMID: 28967804
  3. Our findings demonstrate the diagnostic value of urinary cytology and confirm that CK 20 serves as an adjunct marker for the diagnosis of urothelial carcinoma. PMID: 28195264
  4. Our study indicates that sequential staining of CK20 and E-cadherin effectively prevents false-positive classification of basal cell carcinoma (BCC). Moreover, our study revealed that p40 exhibits a consistent staining pattern in BCC, trichoepithelioma (TE), and trichoblastoma (TB). PMID: 26180934
  5. In stomach adenocarcinomas, CDH17 demonstrated positive staining in 64.0% (112 out of 175) of tissues, compared to CK20 and CDX2, where staining was observed in only 24.6% (43 out of 175) and 46.9% (82 out of 175), respectively. PMID: 28029907
  6. Our results indicated upregulation of fibroblast growth factor receptor 1 and CK20 expression in cancerous bladder tissues. PMID: 27259667
  7. K20 expression was detected in 6 out of 75 patients with triple-negative carcinoma. PMID: 26670478
  8. Circulating tumor cell CK20 and survivin expression may effectively predict overall survival in metastatic colorectal cancer patients undergoing chemotherapy. PMID: 26227487
  9. During postoperative follow-up, serum negative CK20 patients exhibited significantly higher 3-year survival rates compared to serum positive CK20 patients. PMID: 26125781
  10. Patients exhibiting EGFR, CK19, CK20, or survinin positivity in their peripheral blood derive less benefit from radiotherapy. PMID: 25854400
  11. Case Report: Merkel cell carcinoma initially demonstrating cytokeratin 20 positivity, but subsequently losing expression in brain metastases. PMID: 24901475
  12. Our data indicate that incorporating CK20 as a biomarker significantly enhances the detection of circulating tumor cells (CTCs) in colorectal cancer patients. PMID: 25528628
  13. The present study confirmed that CK14, but not CK20 or CK7, is expressed in urothelial carcinoma with squamous differentiation and squamous cell carcinoma of the urinary bladder. PMID: 25643514
  14. Immunostaining of CDX2 and CK20 provides valuable information when considering whether to perform an endoscopic papillectomy (EP). PMID: 25081540
  15. High cytokeratin 20 expression is associated with an invasive histological phenotype in poorly differentiated colorectal adenocarcinoma. PMID: 24403457
  16. Its association with clinical stage suggests that CK20 may hold prognostic value as a marker for detecting circulating CRC cells. PMID: 23558939
  17. The CDX2/CK20 phenotype defines a distinct subgroup of colorectal cancers characterized by microsatellite instability and poor differentiation. PMID: 24025523
  18. Data indicate that lower overall survival (OS) and disease-free survival (DFS) rates were significantly associated with guanylate cyclase C (GCC) and CK20 mRNA levels. PMID: 23150200
  19. Overexpression of CK20 is associated with early-onset colorectal cancer. PMID: 23322277
  20. High cytokeratin 20 mRNA expression is associated with lymphatic metastasis in colon cancer. PMID: 22752373
  21. Pouch/peripouch and ulcerative colitis (UC)-associated adenocarcinoma exhibited a comparable positive rate for CK7, CK20, and CDX2 by immunohistochemistry. PMID: 22895272
  22. HER2 and CK20 were exclusively observed in the mucinogenic proliferations in congenital pulmonary airway malformations. PMID: 22348416
  23. Patients at stage IV had significantly higher CEA mRNA, CK20 mRNA, and serum CEA levels than those at stages I-III. PMID: 22414974
  24. Results suggest that CK20 mRNA, in conjunction with other biomarkers in the peripheral blood of breast cancer patients, may be valuable for monitoring the presence of disseminated tumor cells in the bloodstream and predicting breast cancer prognosis. PMID: 22677992
  25. Both the CK7-/CK20+ phenotype and expression of the antibody CDX2 are highly specific and sensitive markers of colorectal origin. PMID: 22268990
  26. This is the first reported study investigating the relationship between CK20/CK7 immunophenotype, BRAF mutations, and microsatellite status in colorectal carcinomas. PMID: 22361037
  27. Positivity rates of CK19 and CK20 in the transverse mesocolon were 48.6% and 61.2%, respectively, and increased with the depth of tumor invasion. PMID: 21938557
  28. Keratin 20 expression is prevalent in colorectal carcinoma. PMID: 22237712
  29. The expression of CK7 and CK20 in nasal polyps was analyzed. PMID: 22119824
  30. Cytokeratin 20-positive hepatocellular carcinoma. PMID: 22073364
  31. CK20 and VEGF expressions in the peripheral blood of colorectal carcinoma patients are promising molecular markers for disease progression and metastasis. PMID: 20395351
  32. Merkel cell carcinoma admixed with squamous cell carcinoma can be cytokeratin 20-negative and thyroid transcription factor-1-positive [case report]. PMID: 21775107
  33. Our findings, along with data from the literature, indicate that CK7/CK20 expression may hold clinical significance. PMID: 21574103
  34. SATB2, in combination with cytokeratin 20, identifies over 95% of all colorectal carcinomas. PMID: 21677534
  35. A substantial number of colorectal carcinomas displayed no immunoreactivity to CK20. PMID: 21282015
  36. The immunohistochemical subtypes based on CK20 and MUC1 expression correlated with ampullary tumor progression. PMID: 21106111
  37. Case Report: CK7+/CK20- Merkel cell carcinoma presenting as inguinal subcutaneous nodules with subsequent epidermotropic metastasis. PMID: 20574624
  38. MMP-11 and CK-20 are potential prognostic markers whose expression reflects the stages of tumor differentiation and lymph node metastasis (LNM) of breast cancer. PMID: 19914229
  39. CK20 expression is associated with the progression of breast cancer. PMID: 19664394
  40. The expression level of CK20 mRNA in the peripheral blood of patients with gastric cancer declines after postoperative adjuvant chemotherapy. PMID: 19145500
  41. CK20 expression is modified in Helicobacter pylori chronic gastritis. PMID: 11642721
  42. CK20 expression in lymph nodes correlates with poor prognosis in colorectal cancer. PMID: 11844829
  43. CK20 expression pattern is unique to Barrett's esophagus. PMID: 11857318
  44. Changing pattern of cytokeratin 7 and 20 expression from normal epithelium to intestinal metaplasia of the gastric mucosa and gastroesophageal junction. PMID: 11962749
  45. The detection of cancer metastasis in the lymph nodes in colon carcinoma is nearly doubled (21.9% vs 11.1%) by CK-20 mRNA. PMID: 12515621
  46. CK 20 mRNA identification by RT-PCR is reliable and may be useful for early diagnosis in peritoneal dissemination of colon cancer. PMID: 12636102
  47. It is feasible to apply a simple and reliable method for detecting circulating tumor cells based on cytokeratin-20 and prostate stem cell antigen RT-PCR assays in gastrointestinal cancers. PMID: 12894563
  48. Downregulation of cytokeratin 20 is associated with transitional and squamous cell carcinoma of the bladder. PMID: 12954496
  49. The combined expression of CK7 and CK20 exhibits low specificity in distinguishing between esophageal and cardiac (stomach) adenocarcinomas. PMID: 14631371
  50. Alteration of CK7 and CK20 expression profile that occurs early in small intestinal tumorigenesis. PMID: 15371952

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Database Links

HGNC: 20412

OMIM: 608218

KEGG: hsa:54474

STRING: 9606.ENSP00000167588

UniGene: Hs.84905

Protein Families
Intermediate filament family
Subcellular Location
Cytoplasm.
Tissue Specificity
Expressed predominantly in the intestinal epithelium. Expressed in luminal cells of colonic mucosa. Also expressed in the Merkel cells of keratinized oral mucosa; specifically at the tips of some rete ridges of the gingival mucosa, in the basal layer of t

Q&A

What is KRT20 and why is it a significant biomarker in research?

KRT20 (Cytokeratin 20) is a member of the keratin family of intermediate filament proteins responsible for maintaining the structural integrity of epithelial cells. It is a 48 kDa protein that plays a critical role in differentiation and tissue specialization . KRT20 is abundantly expressed in goblet cells and enterocytes of the gastrointestinal tract, making it particularly valuable as a specific marker for colorectal and urothelial carcinomas . Its importance in research stems from its tissue-specific expression pattern and its utility in distinguishing different types of highly related carcinomas, such as renal oncocytomas from renal cell carcinomas .

What tissue types typically express KRT20 and how is this relevant to experimental design?

KRT20 shows a highly restricted expression pattern, which researchers should consider when designing experiments:

  • Gastrointestinal tract: Strongly expressed in intestinal epithelium (particularly in goblet cells and enterocytes)

  • Urothelial cells: Present in bladder epithelium

  • Pancreatic tissue: Useful marker for pancreatic cancer

  • Merkel cells in the skin

Notable expression is documented in:

  • Mouse intestine tissue

  • Human appendix tissue

  • Human stomach cancer tissue

  • Human bladder cancer tissue

  • Human colon cancer tissue

The tissue-specific expression makes KRT20 valuable for identifying tumors of gastrointestinal and urothelial origin, particularly in metastatic settings where the primary tumor site is unknown .

What are the recommended storage conditions for KRT20 antibodies to maintain optimal activity?

Based on manufacturer recommendations:

  • Short-term storage (up to one month): 2-8°C

  • Long-term storage: -20°C in aliquots

  • Avoid repeated freeze-thaw cycles as this can compromise antibody activity

  • Most preparations contain preservatives such as 0.05% sodium azide or 0.02% sodium azide in PBS with 10% glycerol

For HRP-conjugated antibodies specifically, it's essential to store them protected from light to prevent photobleaching of the enzyme conjugate .

What factors should be considered when selecting a KRT20 antibody for specific applications?

ApplicationKey Selection FactorsRecommended Dilutions
Western BlottingSpecificity for the 48 kDa band, low background1:500-1:1000
IHC on Paraffin SectionsHeat-mediated antigen retrieval compatibility, specific staining pattern1:50-1:200
ImmunofluorescenceSignal intensity, background levels1:50-1:200
ELISACross-reactivity profile, detection sensitivityVaries by kit

Additional considerations include:

  • Host species (rabbit monoclonal antibodies often show higher specificity)

  • Clonality (monoclonal for consistent results, polyclonal for stronger signals)

  • Reactivity with human, mouse, or rat samples depending on model system

  • Region specificity (N-terminal, C-terminal, or full-length reactivity)

What are the optimal antigen retrieval protocols for KRT20 immunohistochemistry?

Based on published protocols:

EDTA-Based Protocol (Most Commonly Used):

  • Prepare EDTA buffer at pH 8.0 (epitope retrieval solution)

  • Apply heat-mediated antigen retrieval

  • Block tissue sections with 10% goat serum

  • Incubate with KRT20 antibody (1-2 μg/ml) either overnight at 4°C or for 30 minutes at 37°C

  • Use HRP-conjugated secondary antibody (30 minutes at 37°C)

  • Develop using DAB as chromogen

This protocol has been validated in multiple tissue types including human appendix, mouse bladder, rat bladder, human stomach cancer, and human bladder cancer tissues .

For challenging samples, enzyme antigen retrieval can be used as an alternative:

  • Apply IHC enzyme antigen retrieval reagent for 15 minutes

  • Continue with standard blocking and antibody incubation steps

How can researchers troubleshoot non-specific binding when using KRT20 antibodies in immunoassays?

Common issues and solutions:

IssuePotential CauseTroubleshooting Approach
High backgroundInsufficient blockingIncrease blocking time or concentration (10% goat serum recommended)
Non-specific bands in WBCross-reactivityUse affinity-purified antibodies (>95% pure by SDS-PAGE)
Weak signalInadequate antigen retrievalOptimize buffer pH and retrieval time; EDTA buffer (pH 8.0) is preferred for KRT20
Variable resultsAntibody degradationAliquot antibody to avoid freeze-thaw cycles
False positivesSecondary antibody cross-reactivityUse double affinity-purified secondary antibodies

Advanced solution: For Western blotting, increase working dilutions (1:3,000) to decrease background and increase signal-to-noise ratio of the conjugated enzyme assay .

What controls are essential when validating KRT20 antibody specificity for research applications?

A comprehensive validation approach should include:

Positive Controls:

  • Human colon cancer tissue (strong KRT20 expression)

  • Human appendix tissue (established KRT20 positivity)

  • Cell lines: A431 and NRK cells (validated for immunocytochemistry)

  • RT4 cell lysates (validated for Western blot)

Negative Controls:

  • RKO cell line (fully methylated and expresses neither CDX1 nor KRT20)

  • Omission of primary antibody while maintaining all other steps

  • Non-expressing tissues (e.g., most breast carcinomas are KRT20 negative)

Technical Validation:

  • Sequence-specific knockdown (e.g., siRNA targeting KRT20)

  • Correlation of protein detection with mRNA expression

  • Comparison of results using antibodies targeting different epitopes of KRT20

  • Peptide competition assays using the immunogenic peptide

How does the expression pattern of KRT20 vary across different carcinomas, and what are the implications for diagnostic research?

KRT20 expression patterns provide valuable diagnostic information:

Cancer TypeKRT20 Expression PatternDiagnostic Implication
Colorectal carcinomaStrongly positiveUseful for identifying colorectal origin in metastases
Gastric carcinomaPositiveHelps distinguish from esophageal origin
Pancreatic adenocarcinomaPositiveUseful marker for pancreatic cancer
Urothelial carcinoma (bladder)Variable positivity, diagnostic when combined with other markersHigher expression correlates with tumor grade and distant metastasis
Merkel cell carcinomaPositive (with characteristic dot-like pattern)Distinguishes from other neuroendocrine tumors
Breast carcinomaGenerally negativeHelps rule out breast origin
Head and neck squamous cell carcinoma (HNSCC)Variable; higher expression correlates with lymphatic metastasisPotential prognostic marker; higher KRT20 expression associated with poorer prognosis

Research applications: KRT20 expression has been identified as a potential key gene in lymphatic metastasis of head and neck squamous cell carcinoma, suggesting its value beyond traditional diagnostic applications .

How should researchers interpret discrepancies between KRT20 expression patterns in different assay formats?

When faced with conflicting results across different techniques:

Common Discrepancies and Interpretations:

  • IHC positive but Western blot negative: May indicate low abundance requiring enrichment for Western detection or epitope masking in protein extraction

  • Variable subcellular localization: KRT20 has been observed in intercellular matrix in some studies , while typically being cytoplasmic; this may reflect genuine biological differences between tissue types

  • Differential expression in primary vs. metastatic lesions: May reflect biological progression and should be investigated rather than dismissed as technical artifact

Recommended Approach:

  • Verify antibody specificity using multiple antibodies targeting different epitopes

  • Consider methodological differences - IHC preserves tissue architecture while Western blotting denatures proteins

  • Evaluate tissue heterogeneity through multiple sampling

  • Correlate protein expression with mRNA data when available

  • Consider post-translational modifications that might affect antibody binding

Research has shown that KRT20 expression can vary significantly between matched primary and metastatic samples, potentially reflecting biological changes rather than technical issues .

How can KRT20 be effectively used in dual reporter systems for cancer research?

Recent advanced research has utilized KRT20 in sophisticated reporter systems:

Dual Reporter System Methodology:

  • Engineer dual endogenous reporter systems by genome-editing the SOX9 and KRT20 loci of human colorectal cancer (CRC) cell lines to express fluorescent reporters

  • KRT20 can be tagged with GFP while other markers (e.g., SOX9) can be tagged with different fluorescent proteins (e.g., mKate2)

  • This approach enables live tracking of cellular differentiation states

  • Flow cytometry can be used to isolate cell populations based on KRT20 expression levels

Applications:

  • Identifying regulators of aberrant stem cell and differentiation activity in cancer

  • Functional genetic screens using CRISPR-Cas9 technology

  • Real-time monitoring of cellular differentiation and dedifferentiation processes

Research has demonstrated that such dual reporter systems using KRT20 provide greater discrimination in genetic screens compared to single-reporter systems .

What is the significance of decreased plasma KRT20 levels in acute graft versus host disease (aGvHD) and how can this inform biomarker research?

Recent research has identified KRT20 as a potentially valuable biomarker for aGvHD:

Key Findings:

  • Plasma KRT20 shows a progressive decrease from unaffected individuals to patients with single-organ, and patients with multi-organ aGvHD

  • KRT20 is affected by both cutaneous (p = 0.0263) and gastrointestinal aGvHD (p = 0.0242) independently and in an additive manner

  • The sensitivity and specificity of KRT20 for aGvHD involving both target organs (AUC = 0.852) are comparable to established markers

Methodological Considerations for Biomarker Research:

  • KRT20 plasma levels should be measured using validated ELISA assays

  • Samples should be collected with standardized protocols (one-time use of frozen plasma aliquots without repeated freeze-thaw cycles)

  • Context-specific reference ranges should be established for accurate interpretation

  • Comparison with established biomarkers (e.g., REG3A for gut-aGvHD) is essential for validation

  • Longitudinal sampling improves prognostic accuracy

This research demonstrates how tissue-specific markers like KRT20 can have unexpected systemic implications when released into circulation during pathological processes.

What experimental approaches can determine the functional significance of KRT20 in cancer progression?

Experimental ApproachMethodologyResearch Application
Gene Knockdown/KnockoutsiRNA, shRNA, or CRISPR-Cas9 targeting KRT20Evaluate effects on cell migration, invasion, and metastasis
OverexpressionTransient or stable transfection of KRT20 expression vectorsAssess impact on cellular phenotype and behavior
Dual Reporter SystemsGenome-edited cancer cell lines with fluorescent KRT20 reportersMonitor differentiation states in real-time
CRISPR ScreensGenome-wide or targeted screens with KRT20 expression as readoutIdentify regulators of KRT20 expression
Transcriptional RegulationLuciferase reporter assays with KRT20 promoter fragmentsIdentify transcription factors (e.g., CDX1) that regulate KRT20
In vivo ModelsXenografts with KRT20-modified cellsEvaluate impact on tumor growth and metastasis

Research has shown that overexpression of KRT20 increases migration and invasion ability in head and neck squamous cell carcinoma cell lines, suggesting a functional role in cancer progression beyond its value as a biomarker .

What are the optimal detection systems for HRP-conjugated KRT20 antibodies in immunohistochemistry?

For optimal visualization of KRT20 using HRP-conjugated antibodies:

Recommended Detection Systems:

  • DAB (3,3′-diaminobenzidine) chromogen system:

    • Provides a stable brown precipitate

    • Compatible with permanent mounting media

    • Allows for counterstaining with hematoxylin for context

  • HRP Conjugated Rabbit IgG Super Vision Assay Kit (e.g., Catalog # SV0002):

    • Provides enhanced sensitivity

    • Reduced background

    • Validated for KRT20 detection in multiple tissue types

Optimization Strategies:

  • Incubation time: 30 minutes at 37°C for secondary antibody provides optimal signal-to-noise ratio

  • Working dilution: Higher dilutions (1:3,000) can decrease background while maintaining specific signal

  • Counterstaining: Light hematoxylin counterstaining provides cellular context without obscuring specific staining

How can researchers optimize signal amplification for low-abundance KRT20 detection?

When KRT20 expression is low or sample is limited:

Signal Amplification Methods:

  • Biotin-Streptavidin System:

    • Use biotinylated secondary antibody (e.g., biotinylated goat anti-rabbit IgG)

    • Follow with Strepavidin-Biotin-Complex (SABC) (e.g., Catalog # SA1022)

    • This approach has been validated for KRT20 detection in mouse intestine tissue

  • Tyramide Signal Amplification (TSA):

    • Utilizes the catalytic activity of HRP to generate high-density labeling

    • Can increase sensitivity 10-100 fold over conventional methods

    • Particularly valuable for dual immunofluorescence applications

  • Polymer-Based Detection Systems:

    • HRP-conjugated polymers carrying multiple secondary antibodies

    • Provides amplification without biotin-related background issues

    • Compatible with automated staining platforms

Application-Specific Optimization:

  • For FFPE tissues: Extended antibody incubation (overnight at 4°C) may improve signal

  • For fresh-frozen samples: Shorter fixation times and gentler antigen retrieval methods are recommended

  • For cell lines: Enzyme antigen retrieval for 15 minutes has shown good results for KRT20 detection

What methodological considerations are important when designing multiplexed assays including KRT20?

For researchers developing multiplexed detection systems:

Key Considerations for Multiplexed Assays:

  • Antibody Selection:

    • Choose antibodies raised in different host species to avoid cross-reactivity

    • For same-species antibodies, use directly conjugated primary antibodies

    • Validate antibodies individually before combining in multiplexed format

  • Signal Separation Strategies:

    • For chromogenic detection: Use spectrally distinct chromogens (e.g., DAB for KRT20, Vector Red for second target)

    • For fluorescence: Use fluorophores with minimal spectral overlap

    • Sequential detection may be necessary for challenging combinations

  • Validated Multiplex Applications with KRT20:

    • KRT20 has been successfully used in dual immunofluorescence with nuclear counterstains (DAPI)

    • KRT20-GFP reporter systems have been combined with other markers (SOX9-mKate2) in engineered cell lines

    • In diagnostic pathology, KRT20 is often used in panels with CK7, CDX-2, and GATA3

  • Technical Protocol Adjustments:

    • Increase washing steps between antibody applications

    • Consider using antibody stripping or quenching between sequential detections

    • Optimize concentration of each antibody independently before combining

A specific example from the literature shows dual fluorescent detection of KRT20 using DyLight®550 Conjugated secondary antibodies paired with DAPI nuclear counterstain in NRK cells .

How is KRT20 being utilized as a differentiation marker in stem cell and organoid research?

Recent advances in stem cell biology have incorporated KRT20 as a key marker:

Applications in Stem Cell/Organoid Research:

  • Intestinal Organoid Differentiation:

    • KRT20 expression marks terminally differentiated enterocytes

    • Used to assess differentiation efficiency in iPSC-derived intestinal organoids

    • Can be measured by immunofluorescence, qRT-PCR, or reporter systems

  • Cancer Stem Cell Dynamics:

    • KRT20 expression is inversely correlated with stem cell markers in colorectal cancer

    • Dual reporter systems (KRT20-GFP/SOX9-mKate2) enable real-time tracking of differentiation status

    • Used to identify regulators of aberrant differentiation in cancer

  • Methodological Approaches:

    • Flow cytometry sorting based on KRT20 reporter expression

    • Single-cell RNA sequencing to correlate KRT20 with other differentiation markers

    • Live-cell imaging to track differentiation dynamics in real-time

Research has shown that KRT20 is regulated by CDX1, a key transcription factor in intestinal differentiation, indicating its value as a terminal differentiation marker in gastrointestinal biology .

What are the challenges and solutions when using KRT20 as a circulating biomarker?

As research moves toward liquid biopsy applications:

Challenges in KRT20 Detection in Circulation:

  • Low Abundance:

    • KRT20 is typically an intracellular protein, with low circulating levels

    • In certain pathological conditions (e.g., aGvHD), plasma levels decrease rather than increase

    • Standard ELISA may lack sensitivity for early detection

  • Sample Processing Impact:

    • Pre-analytical variables (collection tubes, processing time, freeze-thaw cycles) can significantly affect results

    • Standardized protocols are essential for reproducible quantification

  • Specificity Concerns:

    • Other epithelial markers may be released during tissue damage

    • Need to distinguish cancer-specific versus general tissue damage markers

Innovative Solutions:

  • Digital ELISA Technologies:

    • Single molecule array (Simoa) technology for ultra-sensitive detection

    • Can detect femtomolar concentrations of proteins in circulation

  • Multi-marker Panels:

    • Combine KRT20 with other tissue-specific markers for improved specificity

    • Integrate with genetic markers (e.g., circulating tumor DNA) for comprehensive liquid biopsy approach

  • Standardized Reference Materials:

    • Develop calibrated reference standards for KRT20 quantification

    • Establish reference ranges for different clinical contexts (e.g., cancer screening vs. treatment monitoring)

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