The regulation of tight junction permeability by a variety of signal transd
uction pathways is summarized. An emphasis is placed on regulation of parac
ellular permeability by the protein kinase C family of isoforms, which invo
lves the reporting of a large number of studies using the phorbol ester fam
ily of protein kinase C activators. The ability of protein kinase C activat
ion to open epithelial barriers to a very wide range of solutes is emphasiz
ed, but then countered with discussion of the role of phorbol esters and pr
otein kinase C activation in epithelial carcinogenesis. The ability of prot
ein kinase C activation to enable growth factors to leak from luminal fluid
compartments of epithelial tissues into lateral intercellular and intersti
tial fluid spaces may play a role in this carcinogenic action. An examinati
on of protein kinase C effects on the phosphorylation states of tight junct
ional proteins suggests that downstream kinases and/or phosphatases mediate
protein kinase C's effect on tight junction permeability. A role for prote
in kinase C in transepithelial drug delivery is questioned herein. The tigh
t junctional leakiness associated with protein kinase C activation and appa
rently intrinsic to transformed epithelia suggests a potentially useful rol
e for tight junction leakiness as a marker for early cancer diagnosis. (C)
2000 Elsevier Science B.V. All rights reserved.