Fluoxetine exerts anti-proliferative effect in human epidermal keratinocytes

Dorottya Ádám1,2, József Arany1,2, Kinga Fanni Tóth1,2

  • 1Department of Physiology, Faculty of Medicine, University of Debrecen, Debrecen, Hungary.

PubMed

Insights

Fluoxetine (FX) suppresses human epidermal keratinocyte proliferation without affecting differentiation or barrier function. This study investigated FX

Area of Science:

  • Dermatology
  • Cell Biology
  • Pharmacology

Background:

  • Fluoxetine (FX) previously demonstrated anti-inflammatory effects in human epidermal keratinocytes.
  • Phosphoinositide 3-kinase (PI3K) signaling regulates keratinocyte proliferation.
  • The impact of FX on keratinocyte proliferation and differentiation remained unexamined.

Purpose of the Study:

  • To investigate the effects of fluoxetine (FX) on the proliferation and differentiation of human epidermal keratinocytes.
  • To determine if FX impairs epidermal differentiation or barrier formation.

Main Methods:

  • Assessed FX effects on keratinocyte proliferation using CyQUANT assays in 2D cultures (HaCaT, NHEKs) and Ki-67 immunohistochemistry in 3D epidermal equivalents.
  • Analyzed epidermal thickness via hematoxylin-eosin staining.
  • Evaluated gene expression patterns related to differentiation using RNA-Seq and RT-qPCR (K1, K10, occludin).
  • Assessed barrier function using electrical impedance and Lucifer Yellow penetration assays.

Main Results:

  • FX (14 µM) exhibited anti-proliferative effects in both 2D and 3D keratinocyte cultures.
  • FX did not significantly alter epidermal thickness or differentiation-associated gene expression.
  • Keratin 1, keratin 10, and occludin expression remained unchanged by FX treatment.
  • FX did not impair the differentiation-associated barrier-forming capacity of epidermal keratinocytes.

Conclusions:

  • Fluoxetine suppresses human epidermal keratinocyte proliferation.
  • FX does not negatively impact keratinocyte differentiation or barrier function.
  • FX presents potential therapeutic applications for skin conditions involving inflammation and hyperproliferation.