Epidermal keratinocytes are well known to form a water-impermeable membrane, the stratum corneum, as a physical protective barrier at the surface of the skin. In contrast, studies on cutaneous sensation, for example, tactile sensation or temperature sensation, have focused on the role of nerve terminals or nerve fibres in the skin. However, in the past two decades, sensory functions of keratinocytes for many kinds of environment factors have been discovered. In addition, it has been found that keratinocytes express neurotransmitters and their receptors. These discoveries have dramatically changed our understanding of the role of the epidermis in human skin. Here, we review the sensory and information processing capabilities of keratinocytes, and we discuss the possible role of the epidermis from the standpoint of vertebrate evolution. We suggest that epidermal keratinocytes influence the physical and emotional health of the whole body.
| BACKG ROU N DWe have shown that a variety of physical and chemical factors influence epidermal water-impermeable barrier homeostasis. 1 Furthermore, it was reported that the epidermal Ca gradient regulates intracellular Ca distribution and plays a key role in maintaining the barrier function. 2,3 Based on these reports, we searched for corresponding receptors in keratinocytes, and identified a variety of receptors that were originally found in sensory organs and the nervous system, including the brain. 1 Moreover, many other sensory