Fluoxetine exerts anti-proliferative effect in human epidermal keratinocytes

Arch Dermatol Res. 2025 Jan 18;317(1):277. doi: 10.1007/s00403-024-03711-9.

Abstract

We have recently shown that fluoxetine (FX) suppressed polyinosinic-polycytidylic acid-induced inflammatory response and endothelin release in human epidermal keratinocytes, via the indirect inhibition of the phosphoinositide 3-kinase (PI3K)-pathway. Because PI3K-signaling is a positive regulator of the proliferation, in the current, highly focused follow-up study, we assessed the effects of FX (14 µM) on the proliferation and differentiation of human epidermal keratinocytes. We found that FX exerted anti-proliferative actions in 2D cultures (HaCaT and primary human epidermal keratinocytes [NHEKs]; 48- and 72-h; CyQUANT-assay) as well as in 3D reconstructed epidermal equivalents (48-h; Ki-67 immunohistochemistry). Importantly, FX did not influence epidermal thickness (hematoxylin-eosin staining), and it did not have a major impact on the differentiation-associated alteration of the gene expression pattern (24-h treatments; RNA-Seq). Moreover, neither keratin (K)-1, nor K10 expression was altered by FX in NHEKs (RT-qPCR) or in 3D epidermal equivalents (semi-quantitative immunohistomorphometry). FX did not influence differentiation-induced up-regulation of occludin (RT-qPCR; NHEKs), and did not alter differentiation-associated barrier forming capacity of epidermal keratinocytes (electrical impedance; Lucifer Yellow penetration assay). Our data indicate that, besides the previously reported combined anti-inflammatory and putative anti-pruritic effects, FX may also suppress proliferation of human epidermal keratinocytes without impairing their differentiation and barrier-forming capacity.

Keywords: Fluoxetine; Keratinocyte; Phosphoinositide 3-kinase; Proliferation.

MeSH terms

  • Cell Differentiation* / drug effects
  • Cell Proliferation* / drug effects
  • Cells, Cultured
  • Epidermal Cells / drug effects
  • Epidermal Cells / metabolism
  • Epidermis / drug effects
  • Epidermis / metabolism
  • Epidermis / pathology
  • Fluoxetine* / pharmacology
  • HaCaT Cells
  • Humans
  • Keratin-1 / metabolism
  • Keratin-10 / metabolism
  • Keratinocytes* / drug effects
  • Keratinocytes* / metabolism
  • Occludin / metabolism
  • Signal Transduction / drug effects

Substances

  • Fluoxetine
  • Occludin
  • OCLN protein, human
  • Keratin-10
  • Keratin-1