Substance P (SP) released by cutaneous C fibres is involved in the phy
siopathology of cutaneous lesions, As normal human keratinocytes have
been reported to express SP receptors, we studied the effects of SP on
keratinocyte activation markers such as ICAM-1 induction and cytokine
production. Human keratinocytes derived from skin obtained during pla
stic surgery were cultured in defined medium (MCDB 153) and were stimu
lated by SP, Flow cytometry analysis showed that SP (10(-7) and 10(-5)
M) as well as the specific NK1 agonist Sar(9)Met(O-2)(SP)-S-11 (Sar M
et) induced a slight but significant expression of ICAM-1 at the cell
surface during treatment periods of 24 h and 48 h, SP (10(-5) M) also
induced a significant but transient increase in the production of IL-1
alpha, IL-1 beta, IL-1 receptor antagonist and IL-8 which was detecta
ble by ELISA techniques 6 h after stimulation. This elevation returned
to constitutive levels 24 or 48 h postinduction, TNF alpha secretion
was detected in stimulated cells only after 48 h, These results sugges
t that SP can activate keratinocytes and support its role in the local
inflammatory reaction.