Despite being used in commonly lab as an aprotic solvent, DMSO, or dimethyl sulfoxide, is used by many people as a topical nonsteriodal anti-inflamatory drug (NSAID). DMSO is used topically as an incredibly powerful and immediate anti-inflammatory treatment, as it can immediately travel through the skin. However, because of its immediate skin penetrating ability, it can also be used as a carrier to transport other medications into the blood stream much faster. Not only can DMSO decrease the amount of time needed for a medication to reach its target location in the body but it can also increase their concentration and effectiveness once it does reach its target. Furthermore, when you use DMSO on your skin, it has been said that within seconds you will taste it in your mouth, usually as a garlic-y taste. This is because when the DMSO is absorbed into your blood stream, it can very quickly interact with your sensory nerves and taste buds. Common uses include using DMSO to reduce discoloration from bruising and mixing DMSO with aspirin as a topical ointment for immediate sore relief. Interestingly, DMSO is used very often with horses, especially racehorses. When a racehorse is injured, it is often necessary for that horse to recover as soon as possible so that it may continue to compete. Because of the very fast antiinflammatory properties and thorough skin absorbance that DMSO has, it is used very often to get horses ready to compete again much faster. Furthermore, a common method for treating horses with open wounds quickly is the use of Furazone, an anti-microbial ointment, with DMSO. This combination allows DMSO to act as a carrier for the Furazone to travel further subdermally than it would on its own and react not only faster but better. (So now, if you ever need to treat a racehorse’s leg quickly, you’ll know how…you’re welcome!)
As a biochemist though, I’m more concerned with how DMSO is able to absorb so quickly and deeply through the skin and through cell membranes. What I found was super cool. So as we know, dimethyl sulfoxide is an amphipathic molecule, with one nonpolar end and one polar end (dimethyl = nonpolar end, sulfoxide = polar end). So when the DMSO molecules come in contact with the cell membrane, the nonpolar regions actually push the membrane apart, while leaving their polar ends out to allow water and other medications (especially hydrophilic ones) to pass through the membrane without needing any type of carrier. When this happens, the bilayer actually curves downward and then a pore is created. Obviously, this is also why we need to be very careful when using DMSO since it can enhance the membrane permeability of almost anything else that’s also on your skin. The DMSO molecules have been found (link below) to fit in just below the polar head group of the phospholipids in the cell membrane bilayer. At very high concentration of DMSO, DMSO can actually form a water pore for the cell! I would check out the article I posted the source for below, they have a super cool figure showing this mechanism with computer generated animation screenshots, but for some reason it won’t let me post the image here. Enjoy!
Source:
Notman, R., et al. (2006). “Molecular basis for dimethylsulfoxide (DMSO) action on lipid membranes.” J Am Chem Soc 128(43): 13982-13983.