The epidermal cutaneous permeability barrier can be disrupted by treat
ment with topical solvents. Recent studies have shown that barrier rec
overy, measured by the recovery of transepidermal water loss towards n
ormal, is inhibited by high extracellular Ca++ and K+, and accelerated
by low extracellular concentrations of these ions. To examine the eff
ects of Ca++ or K+ fluxes on barrier recovery, we tested the effects o
n transepidermal water loss recovery of agents that modify these fluxe
s. K+ channel agonists or blockers modified the inhibitory effects on
barrier recovery induced by raised extracellular Ca++ and K+. In addit
ion, Na+/K+ adenosine 5' triphosphatase inhibitors reversed the inhibi
tory effects of high extracellular Ca++ and K+. Our results suggest th
at barrier recovery requires both Ca++ and K+ fluxes and are consisten
t with the hypothesis that both verapamil or dihydropyridine-sensitive
Ca++-permeable channels and Ca++ sensitive K+ channels participate in
epidermal permeability barrier homeostasis.