Skin Health Skin Care & Cleansing Products What Is Keratin? This naturally occurring protein protects your hair, skin, and nails By Angelica Bottaro Angelica Bottaro Facebook LinkedIn Angelica Bottaro is a writer with expertise in many facets of health including chronic disease, Lyme disease, nutrition as medicine, and supplementation. Learn about our editorial process Updated on October 16, 2022 Medically reviewed by Casey Gallagher, MD Medically reviewed by Casey Gallagher, MD Casey Gallagher, MD, is board-certified in dermatology and works as a practicing dermatologist and clinical professor. Learn about our Medical Expert Board Print Table of Contents View All Table of Contents Types Structure and Function Associated Conditions Supplemental Keratin Risks and Side Effects Frequently Asked Questions Keratin is a protein in the cells on the surface of the skin. The fingernails, hair, and skin need keratin to grow, function, and stay healthy. The protein helps protect these structures from damage and may also be part of the healing process. The body naturally makes keratin. It's also found in the hooves, wool, and feathers of animals. It can be extracted from these sources and used for supplements, treatments, and other products to help with hair, skin, and nail health. jun xu / Getty Images Types of Keratin There are 54 types of keratin genetically encoded by the human genome and produced by the body. Out of the 54 types, half of them reside within hair follicles all over the body. Type I Type I keratins are categorized as being the smaller and more acidic type of keratin. They are separated into two groups that work together functionally towards the common goal of epithelial cell health. Type II Type II keratins are larger than their type I counterparts and have a neutral pH, which can help balance out the pairings of both types when they are synthesizing proteins and regulating cell activity. Alpha-Keratins Alpha-keratins are the exclusive form of keratin found in humans and the wool of other mammals. The structure of the alpha-keratin is fibrous and helical, and both types I and II keratins can fall under the category of alpha. Beta-Keratins Beta-keratins are categorized as polypeptide chains and are only found in birds and reptiles, although those species can also possess alpha-keratins. They have been a large contributor to the overall evolution of birds throughout history. Both alpha and beta keratins help these animals maintain the composition of their claws, scales, beaks, skin, and feathers. Structure and Function The structure and function of keratin proteins are determined by their amino acid chains. These chains are very similar in species across the board. Humans share similar amino acid sequences with bovine species and rats. Keratin cannot be dissolved in water, solvents, acids, or alkalines, so its structure remains largely intact when exposed to many of the body's chemicals. Keratin proteins rely on hydration (water) to maintain their overall size and function. To put this into context, wool is full of keratin. When a wool sweater is washed in heated water, it shrinks. This is because the keratin proteins lose their length when some of the molecular bonds break at high temperatures. Associated Conditions Hyperkeratosis (excess keratin) can lead to a variety of different conditions. Hyperkeratosis can develop due to inflammation. Pressure-related hyperkeratosis occurs when excess keratin is a protective response to skin damage, whereas non-pressure related keratosis happens without an identifiable reason and can be caused by genetics. Conditions involving keratin include: Keratosis pilaris (chicken skin): Although keratosis pilaris can have an unwanted appearance, it is not dangerous in any way. It happens when keratin clogs pores and blocks hair follicles. Actinic keratosis: This skin condition causes lesions on the body that can feel like rough sandpaper. The lesions are considered a precursor to skin cancer, and your healthcare provider may monitor your skin and/or treat the lesions. Epidermolytic hyperkeratosis: This form of hyperkeratosis is inherited, and it is present in infants at birth. Lichen planus: This is a type of inflammatory disorder that most commonly affects the flexor (inner) surfaces of the arms and legs. It can be caused by an overproduction of keratin in the body. Treatment Treatment of hyperkeratosis depends on the specific condition. For lichen planus, a corticosteroid cream may be prescribed by your healthcare provider, whereas you might need cryosurgery to remove the lesions of actinic keratosis. For hereditary conditions such as keratosis pilaris, there is no known cure. Uses of Supplemental Keratin Many industries have used keratin or other vitamin supplementations that promote production of keratin as a form of maintaining or improving hair, skin, and nail health. The beauty industry has advertised keratin as a way to combat damaged hair. Hair Treatments and Products Keratin is often a component in hair treatments that are used for shinier and stronger tresses. Depending on the type of keratin used, the results will vary widely. In the case of isolated animal keratin, results were found to be less efficient overall. Biotin Biotin is a B vitamin that has also soared in popularity because it is said to have a positive impact on the body’s ability to synthesize proteins such as keratin, thus leading to healthier skin, hair, and nails. Soluble Keratin As previously mentioned, keratin is not an easily dissolvable protein. The manufacturing of a soluble form of the protein has been targeted towards athletes who wish to supplement their protein intake for athletic performance. Risks and Side Effects Although there is not a lot of evidence suggesting that using keratin by itself is dangerous to hair, skin, and nail health, the chemicals that may be added to keratin hair treatments can have adverse effects. Formaldehyde exposure has been a problem for those who use hair products with keratin regularly. The use of formaldehyde in these products can then lead to health issues, including: Itching and stinging eyesNose and throat irritationAn allergic reactionItchy skin with or without a rashScalp irritation that may present with burns or blistersMood changesHair loss and damage Extended exposure to formaldehyde has also been shown to have carcinogenic (cancer-causing) effects. A Word From Verywell Since keratin is a naturally occurring protein in the body, using keratin supplements is not typically necessary. If you suffer from a type of hyperkeratosis, your dermatologist (skin healthcare provider) can make treatment recommendations that improve your condition. It’s important to talk to your salon stylist and your healthcare provider if you are looking to get a supplemental keratin treatment for your hair. It may help in the short-term, but the long-term effects of some products could be damaging to your health. Opting for keratin treatments that are free of unwanted chemicals and substances such as formaldehyde will give you the opportunity to improve hair health without adding any unnecessary risk to your overall health. Frequently Asked Questions What does keratin do? Keratin is a type of protein that maintains the health and structure of our hair, skin, and fingernails. For example, keratin affects hair texture, causing it to be straight, wavy, or curly. What is hyperkeratosis? Hyperkeratosis is the excessive production of keratin proteins. It can be caused by inflammation as a response to skin damage, genetics, or for unknown reasons. Are there side effects to keratin treatments for hair? Side effects of keratin treatments for hair can include coughing, wheezing, eye irritation, headache, dizziness, nausea, chest pain, vomiting, rashes, and more. High levels of repeated exposure have been linked to some cancers, including leukemia.These side effects are not caused by keratin itself, but instead by formaldehyde, a chemical used in certain keratin treatments for hair. 15 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Bragulla HH, Homberger DG. Structure and functions of keratin proteins in simple, stratified, keratinized and cornified epithelia. J Anat. 2009;214(4):516-59. doi:10.1111/j.1469-7580.2009.01066.x Jacob JT, Coulombe PA, Kwan R, Omary MB. Types I and II keratin intermediate filaments. Cold Spring Harb Perspect Biol. 2018;10(4):a018275. doi:10.1101/cshperspect.a018275 Moll R, Divo M, Langbein L. The human keratins: biology and pathology. Histochem Cell Biol. 2008;129(6):705-33. doi:10.1007/s00418-008-0435-6 Greenwold MJ, Bao W, Jarvis ED, Hu H, Li C, Gilbert MT, Zhang G, Sawyer RH. Dynamic evolution of the alpha (α) and beta (β) keratins has accompanied integument diversification and the adaptation of birds into novel lifestyles. BMC Evol Biol. 2014;14:249. doi:10.1186/s12862-014-0249-1 Hassan MM, Carr CM. A review of the sustainable methods in imparting shrink resistance to wool fabrics. J Adv Res. 2019;18:39-60. doi:10.1016/j.jare.2019.01.014 Thomas M, Khopkar US. Keratosis pilaris revisited: Is it more than just a follicular keratosis?. Int J Trichology. 2012;4(4):255-8. doi:10.4103/0974-7753.111215 American Academy of Dermatology. Actinic keratosis: Overview. MedlinePlus. Epidermolytic hyperkeratosis. Madke B, Gutte R, Doshi B, Khopkar U. Hyperkeratotic palmoplantar lichen planus in a child. Indian J Dermatol. 2013;58(5):405. doi:10.4103/0019-5154 Basit A, Asghar F, Sadaf S, Akhtar MW. Health improvement of human hair and their reshaping using recombinant keratin K31. Biotechnol Rep (Amst). 2018;20:e00288. doi:10.1016/j.btre.2018.e00288 Patel DP, Swink SM, Castelo-Soccio L. A review of the use of biotin for hair loss. Skin Appendage Disord. 2017;3(3):166-169. doi:10.1159/000462981 Crum EM, McLeay YD, Barnes MJ, Stannard SR. The effect of chronic soluble keratin supplementation in physically active individuals on body composition, blood parameters and cycling performance. J Int Soc Sports Nutr. 2018;15(1):47. doi:10.1186/s12970-018-0251-x Pierce JS, Abelmann A, Spicer LJ, Adams RE, Glynn ME, Neier K, Finley BL, Gaffney SH. Characterization of formaldehyde exposure resulting from the use of four professional hair straightening products. J Occup Environ Hyg. 2011;8(11):686-99. doi:10.1080/15459624.2011.626259 Swenberg JA, Moeller BC, Lu K, Rager JE, Fry RC, Starr TB. Formaldehyde carcinogenicity research: 30 years and counting for mode of action, epidemiology, and cancer risk assessment. Toxicol Pathol. 2013;41(2):181-9. doi:10.1177/0192623312466459 National Center for Health Research (NCHR). What’s the deal with keratin treatments? August 9, 2015. By Angelica Bottaro Angelica Bottaro is a professional freelance writer with over 5 years of experience. She has been educated in both psychology and journalism, and her dual education has given her the research and writing skills needed to deliver sound and engaging content in the health space. 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