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Updated: Mar 22, 2026

Human Ex vivo Wound Model and Whole-Mount Staining Approach to Accurately Evaluate Skin Repair
Published on: February 17, 2021
Opioids and skin homeostasis, regeneration and ageing - What's the evidence?
Paul L Bigliardi1,2,3, Yuri Dancik3, Christine Neumann3
1YLL School of Medicine, National University Singapore, Singapore.
Abstract:
What has the opioid receptor system, known for beneficial as well as disastrous effects in the central nervous system, to do with skin? The question is appropriate considering the fact that the nervous system and the skin both derive from the ectoderm. As part of the skin neuroendocrine system, the opioid receptor system exemplifies the closeness between the nervous system and the skin. Overexpression of the δ-opioid receptor in keratinocytes yields dysregulation of involucrin, loricrin, and filaggrin, proteins essential to the integrity of the skin barrier. The μ-opioid receptor ligand β-endorphin, produced in the pituitary gland and a variety of skin cells, promotes wound healing via regulation of cytokeratin 16 and TGF-β type II receptor expression in keratinocytes. These and other published results discussed in this viewpoint are evidence for the fundamental role of the skin opioid receptor system in skin homeostasis, regeneration and ageing. While considerable progress in understanding the opioid receptors' function on the cellular level has been made, there is a need to link these results to physiological observations for the development of local skin therapies.
Insights
The skin
Area of Science:
- Dermatology and Neuroscience
- Skin neuroendocrine system research
Background:
- The nervous system and skin share ectodermal origins, suggesting interconnected functions.
- Opioid receptors, primarily known for central nervous system roles, are increasingly recognized in skin physiology.
Purpose of the Study:
- To explore the role of the skin opioid receptor system in maintaining skin health.
- To investigate the connection between opioid receptors and skin homeostasis, regeneration, and aging.
Main Methods:
- Review of published research on opioid receptor expression and function in skin cells (keratinocytes).
- Analysis of the impact of opioid receptor modulation on key skin proteins and signaling pathways.
Main Results:
- δ-opioid receptor overexpression in keratinocytes disrupts skin barrier proteins (involucrin, loricrin, filaggrin).
- μ-opioid receptor ligand β-endorphin promotes wound healing by regulating keratinocyte expression of cytokeratin 16 and TGF-β type II receptor.
Conclusions:
- The skin opioid receptor system plays a fundamental role in skin homeostasis, regeneration, and aging.
- Further research is needed to correlate cellular-level findings with physiological observations for developing topical skin therapies.
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