GRHL1 and neoplasm: At the present moment it is known that regardless of the cause of skin barrier disruption; whether it is brought about by alterations in the Notch signaling pathway [16], or in the Wnt signaling pathway [36], or by targeting a desmosomal component [37], or by ablation of the Grhl1 gene (present study); in all these cases a not yet characterized skin barrier-dependent, tumor-promoting pathway is triggered which leads to increased cancer susceptibility.