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Review
. 2022 Mar;31(3):290-298.
doi: 10.1111/exd.14470. Epub 2021 Nov 1.

Role of nitric oxide in regulating epidermal permeability barrier function

Mao-Qiang Man  1   2 , Joan S Wakefield  1 , Theodora M Mauro  1 , Peter M Elias  1
Affiliations
Review

Role of nitric oxide in regulating epidermal permeability barrier function

Mao-Qiang Man et al. Exp Dermatol. 2022 Mar.

Abstract

Nitric oxide (NO), a free radical molecule synthesized by nitric oxide synthases (NOS), regulates multiple cellular functions in a variety of cell types. These NOS, including endothelial NOS (eNOS), inducible NOS (iNOS) and neural NOS (nNOS), are expressed in keratinocytes. Expression levels of both iNOS and nNOS decrease with ageing, and insufficient NO has been linked to the development of a number of disorders such as diabetes and hypertension, and to the severity of atherosclerosis. Conversely, excessive NO levels can induce cellular oxidative stress, but physiological levels of NO are required to maintain the normal functioning of cells, including keratinocytes. NO also regulates cutaneous functions, including epidermal permeability barrier homeostasis and wound healing, through its stimulation of keratinocyte proliferation, differentiation and lipid metabolism. Topical applications of a diverse group of agents which generate nitric oxide (called NO donors) such as S-nitroso-N-acetyl-D,L-penicillamine (SNAP) can delay permeability barrier recovery in barrier-disrupted skin, but iNOS is still required for epidermal permeability barrier homeostasis. This review summarizes the regulatory role that NO plays in epidermal permeability barrier functions and the underlying mechanisms involved.

Keywords: differentiation; keratinocyte; nitric oxide; permeability barrier.

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Conflict of interest statement

Conflicts of Interest: All authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.. Schematic Diagram of Nitric Oxide Synthesis
Figure 2.
Figure 2.. Putative Mechanisms by Which Nitric Oxide Regulates the Epidermal Permeability Barrier.
See this image and copyright information in PMC

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