1
|
Elmelegy NG. Cryocarboxy surgery for the aesthetic removal of congenital melanocytic nevi types I, II, and III. EUROPEAN JOURNAL OF PLASTIC SURGERY 2023. [DOI: 10.1007/s00238-022-02036-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
|
2
|
Gualeni B, Coulman S, Shah D, Eng P, Ashraf H, Vescovo P, Blayney G, Piveteau LD, Guy O, Birchall J. Minimally invasive and targeted therapeutic cell delivery to the skin using microneedle devices. Br J Dermatol 2018; 178:731-739. [DOI: 10.1111/bjd.15923] [Citation(s) in RCA: 31] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/28/2017] [Indexed: 12/21/2022]
Affiliation(s)
- B. Gualeni
- School of Pharmacy and Pharmaceutical Sciences; Redwood Building; Cardiff University; Cardiff CF10 3NB U.K
- Extraject Technologies Ltd; Cardiff Medicentre, Heath Park; Cardiff CF14 4UJ U.K
| | - S.A. Coulman
- School of Pharmacy and Pharmaceutical Sciences; Redwood Building; Cardiff University; Cardiff CF10 3NB U.K
- Extraject Technologies Ltd; Cardiff Medicentre, Heath Park; Cardiff CF14 4UJ U.K
| | - D. Shah
- The Hillingdon Hospital NHS Foundation Trust; Pield Heath Road Uxbridge UB8 3NN U.K
| | - P.F. Eng
- Centre for NanoHealth; College of Engineering; Swansea University; Swansea SA2 8PQ U.K
| | - H. Ashraf
- SPTS Technologies; Ringland Way Newport NP18 2TA U.K
| | - P. Vescovo
- Debiotech SA; Avenue de Sévelin 28 1004 Lausanne Switzerland
| | - G.J. Blayney
- Centre for NanoHealth; College of Engineering; Swansea University; Swansea SA2 8PQ U.K
| | - L.-D. Piveteau
- Debiotech SA; Avenue de Sévelin 28 1004 Lausanne Switzerland
| | - O.J. Guy
- Centre for NanoHealth; College of Engineering; Swansea University; Swansea SA2 8PQ U.K
| | - J.C. Birchall
- School of Pharmacy and Pharmaceutical Sciences; Redwood Building; Cardiff University; Cardiff CF10 3NB U.K
- Extraject Technologies Ltd; Cardiff Medicentre, Heath Park; Cardiff CF14 4UJ U.K
| |
Collapse
|
3
|
Impact of Age and Insulin-Like Growth Factor-1 on DNA Damage Responses in UV-Irradiated Human Skin. Molecules 2017; 22:molecules22030356. [PMID: 28245638 PMCID: PMC5432641 DOI: 10.3390/molecules22030356] [Citation(s) in RCA: 38] [Impact Index Per Article: 5.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2017] [Revised: 02/22/2017] [Accepted: 02/24/2017] [Indexed: 01/19/2023] Open
Abstract
The growing incidence of non-melanoma skin cancer (NMSC) necessitates a thorough understanding of its primary risk factors, which include exposure to ultraviolet (UV) wavelengths of sunlight and age. Whereas UV radiation (UVR) has long been known to generate photoproducts in genomic DNA that promote genetic mutations that drive skin carcinogenesis, the mechanism by which age contributes to disease pathogenesis is less understood and has not been sufficiently studied. In this review, we highlight studies that have considered age as a variable in examining DNA damage responses in UV-irradiated skin and then discuss emerging evidence that the reduced production of insulin-like growth factor-1 (IGF-1) by senescent fibroblasts in the dermis of geriatric skin creates an environment that negatively impacts how epidermal keratinocytes respond to UVR-induced DNA damage. In particular, recent data suggest that two principle components of the cellular response to DNA damage, including nucleotide excision repair and DNA damage checkpoint signaling, are both partially defective in keratinocytes with inactive IGF-1 receptors. Overcoming these tumor-promoting conditions in aged skin may therefore provide a way to lower aging-associated skin cancer risk, and thus we will consider how dermal wounding and related clinical interventions may work to rejuvenate the skin, re-activate IGF-1 signaling, and prevent the initiation of NMSC.
Collapse
|
4
|
Zapletalova A, Pata V, Janis R, Kejlova K, Stoklasek P. Objective measurements of skin surface roughness after microdermabrasion treatment. Skin Res Technol 2017; 23:346-353. [PMID: 28083897 DOI: 10.1111/srt.12341] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2016] [Indexed: 11/28/2022]
Abstract
BACKGROUND The aim of this article is to present a new methodology for assessment of skin topology using a three-dimensional image (3D). METHODS The measurement of the skin surface roughness is based on 3D scanning of silicone replicas by chromatic aberration length technique in a contactless manner, i.e. by a polychromatic light beam. Analysis of the skin surface reprints was performed using Talymap, Gold version. Results were analysed by fractal geometry, which allows to evaluate changes of the skin surface before and after application of cosmetics and instrumental cosmetological techniques. The methodology was applied for objective assessment of the effects of diamond microdermabrasion on the skin surface roughness. Measurements were performed on 23 volunteers in the age group of 31-67 years. RESULTS Based on the results of skin surface scanning after the treatment with diamond microdermabrasion it may be concluded that inequalities of the skin surface are reduced immediately after exfoliation. However, this effect mostly diminishes within 14 days after treatment. The entire study ultimately suggests that the instrumental method used only leads to improvement of the skin surface immediately after its application. Thermo vision images of the skin surface temperature were obtained during the application of the abrasive method. The experimental results showed that the skin is rather cooled than heated by the treatment. CONCLUSION This study is focused on the development of a methodology for objective measurement of changes in treated skin relief using 3D scanning. The results are evaluated using fractal dimension. The output may also include also an enlarged model of the skin surface made by 3D printer, which can serve for illustrative communication with the client.
Collapse
Affiliation(s)
- A Zapletalova
- Department of Fat, Surfactant and Cosmetics Technology, Tomas Bata University in Zlin, Zlin, Czech Republic
| | - V Pata
- Department of Production Engineering, Tomas Bata University in Zlin, Zlin, Czech Republic
| | - R Janis
- Department of Fat, Surfactant and Cosmetics Technology, Tomas Bata University in Zlin, Zlin, Czech Republic
| | - K Kejlova
- National Institute of Public Health, Centre of Toxicology and Health Safety, Prague, Czech Republic
| | - P Stoklasek
- Regional Research Centre CEBIA-Tech, Tomas Bata University in Zlin, Zlin, Czech Republic
| |
Collapse
|
5
|
Meaike JD, Agrawal N, Chang D, Lee EI, Nigro MG. Noninvasive Facial Rejuvenation. Part 3: Physician-Directed-Lasers, Chemical Peels, and Other Noninvasive Modalities. Semin Plast Surg 2016; 30:143-50. [PMID: 27478423 DOI: 10.1055/s-0036-1584818] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
A proper knowledge of noninvasive facial rejuvenation is integral to the practice of a cosmetic surgeon. Noninvasive facial rejuvenation can be divided into patient- versus physician-directed modalities. Patient-directed facial rejuvenation combines the use of facial products such as sunscreen, moisturizers, retinoids, α-hydroxy acids, and various antioxidants to both maintain youthful skin and rejuvenate damaged skin. Physicians may recommend and often prescribe certain products, but patients are in control with this type of facial rejuvenation. On the other hand, physician-directed facial rejuvenation entails modalities that require direct physician involvement, such as neuromodulators, filler injections, laser resurfacing, microdermabrasion, and chemical peels. With the successful integration of each of these modalities, a complete facial regimen can be established and patient satisfaction can be maximized. This article is the last in a three-part series describing noninvasive facial rejuvenation. Here the authors review the mechanism, indications, and possible complications of lasers, chemical peels, and other commonly used noninvasive modalities.
Collapse
Affiliation(s)
- Jesse D Meaike
- Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
| | - Nikhil Agrawal
- Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
| | - Daniel Chang
- Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
| | - Edward I Lee
- Division of Plastic Surgery, Department of Surgery, Baylor College of Medicine, Houston, Texas
| | | |
Collapse
|
6
|
Li Z, Zhang H, Li SH, Byard RW. Fatal Phenol Toxicity Following Attempted Tattoo Removal. J Forensic Sci 2016; 61:1143-1145. [DOI: 10.1111/1556-4029.13106] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2015] [Revised: 10/14/2015] [Accepted: 11/01/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Zhen Li
- School of Forensic Medicine; Kunming Medical University; Kunming China
| | - Huang Zhang
- School of Forensic Medicine; Kunming Medical University; Kunming China
| | - Shu-Hua Li
- School of Forensic Medicine; Kunming Medical University; Kunming China
| | - Roger W. Byard
- School of Medicine; The University of Adelaide; Frome Rd Adelaide SA
| |
Collapse
|
7
|
Busch KH, Bender R, Walezko N, Aziz H, Altintas MA, Aust MC. Combination of medical needling and non-cultured autologous skin cell transplantation (ReNovaCell) for repigmentation of hypopigmented burn scars. Burns 2016; 42:1556-1566. [PMID: 27156803 DOI: 10.1016/j.burns.2016.04.009] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Revised: 04/06/2016] [Accepted: 04/07/2016] [Indexed: 12/24/2022]
Abstract
Burn scars remain a serious physical and psychological problem for the affected people. Clinical studies as well as basic scientific research have shown that medical needling can significantly increase the quality of burn scars with comparatively low risk and stress for the patient with regards to skin elasticity, moisture, erythema and transepidermal water loss. However, medical needling has no influence on repigmentation of large hypopigmented scars. The goal of this study is to evaluate whether two established methods - needling (for improvement of scar quality) and non-cultured autologous skin cell suspension (for repigmentation) - can be successfully combined. Twenty subjects with mean age of 33 years (6-60 years) with scars from deep second and third degree burns have been treated. The average treated surface area was 94cm2 (15-250cm2) and was focused on prominent areas such as the face, neck, chest and arm. Percutaneous collagen induction or "medical needling" was performed using a roller covered with 3mm long needles. The roller is vertically, horizontally and diagonally rolled over the scar, inducing microtrauma. Then, non-cultured autologous skin cell suspension (NCASCS) was produced and applied using the ReNovaCell Autologous Cell Harvesting Device (Avita Medical), according to the manufacturer's instructions. The patients were followed 12 months postoperatively. Pigmentation changes were measured objectively, as well as with patient and observer ratings. Patient satisfaction/preference was also obtained. Taken together, the pigmentation ratings and objective measures indicate individual improvement in 17 of the study participants. The melanin increases seen 12 months after NCASCS treatment are statistically significant. Medical needling in combination with NCASCS shows promise for repigmentation of burn cars.
Collapse
Affiliation(s)
- K H Busch
- Department for Plastic and Reconstructive Surgery, Johanniter Hospital, Bonn, Germany
| | - R Bender
- Department for Plastic and Reconstructive Surgery, Johanniter Hospital, Bonn, Germany
| | - N Walezko
- Department for Plastic and Reconstructive Surgery, Johanniter Hospital, Bonn, Germany
| | - H Aziz
- Department for Plastic and Reconstructive Surgery, Johanniter Hospital, Bonn, Germany
| | - M A Altintas
- Department for Plastic and Reconstructive Surgery, Bergmannsheil und Kinderklinik Buer, Gelsenkirchen, Germany
| | - M C Aust
- Department for Plastic and Reconstructive Surgery, Johanniter Hospital, Bonn, Germany.
| |
Collapse
|
8
|
The Role of the Transcriptional Regulation of Stromal Cells in Chronic Inflammation. Biomolecules 2015; 5:2723-57. [PMID: 26501341 PMCID: PMC4693255 DOI: 10.3390/biom5042723] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2015] [Revised: 09/23/2015] [Accepted: 10/09/2015] [Indexed: 01/02/2023] Open
Abstract
Chronic inflammation is a common process connecting pathologies that vary in their etiology and pathogenesis such as cancer, autoimmune diseases, and infections. The response of the immune system to tissue damage involves a carefully choreographed series of cellular interactions between immune and non-immune cells. In recent years, it has become clear that stromal resident cells have an essential role perpetuating the inflammatory environment and dictating in many cases the outcome of inflammatory based pathologies. Signal transduction pathways remain the main focus of study to understand how stimuli contribute to perpetuating the inflammatory response, mainly due to their potential role as therapeutic targets. However, molecular events orchestrated in the nucleus by transcription factors add additional levels of complexity and may be equally important for understanding the phenotypic differences of activated stromal components during the chronic inflammatory process. In this review, we focus on the contribution of transcription factors to the selective regulation of inducible proinflammatory genes, with special attention given to the regulation of the stromal fibroblastic cell function and response.
Collapse
|
9
|
Travers JB, Spandau DF, Lewis DA, Machado C, Kingsley M, Mousdicas N, Somani AK. Fibroblast senescence and squamous cell carcinoma: how wounding therapies could be protective. Dermatol Surg 2013; 39:967-73. [PMID: 23437969 DOI: 10.1111/dsu.12138] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
BACKGROUND Squamous cell carcinoma (SCC), which has one of the highest incidences of all cancers in the United States, is an age-dependent disease, with the majority of these cancers diagnosed in people age 70 and older. Recent findings have led to a new hypothesis on the pathogenesis of SCC. OBJECTIVES To evaluate the potential of preventive therapies to reduce the incidence of SCC in at-risk geriatric patients. MATERIALS AND METHODS Survey of current literature on wounding therapies to prevent SCCs. RESULTS This new hypothesis of SCC photocarcinogenesis states that senescent fibroblasts accumulate in the dermis, resulting in a reduction in dermal insulin-like growth factor-1 (IGF-1) expression. This lack of IGF-1 expression sensitizes epidermal keratinocytes to fail to suppress ultraviolet light B (UVB)-induced mutations, leading to increased proclivity to photocarcinogenesis. Recent evidence suggests that dermal wounding therapies, specifically dermabrasion and fractionated laser resurfacing, can decrease the proportion of senescent dermal fibroblasts, increase dermal IGF-1 expression, and correct the inappropriate UVB response found in geriatric skin, protecting geriatric keratinocytes from UVB-induced SCC initiation. CONCLUSIONS In this review, we will discuss the translation of pioneering basic science results implicating commonly used dermal fibroblast rejuvenation procedures as preventative treatments for SCC.
Collapse
Affiliation(s)
- Jeffrey B Travers
- Department of Dermatology, Indiana University, Indianapolis, Indiana 46202, USA.
| | | | | | | | | | | | | |
Collapse
|
10
|
Spandau DF, Lewis DA, Somani AK, Travers JB. Fractionated laser resurfacing corrects the inappropriate UVB response in geriatric skin. J Invest Dermatol 2012; 132:1591-6. [PMID: 22377757 PMCID: PMC3352957 DOI: 10.1038/jid.2012.29] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Non-melanoma skin cancer is a disease primarily afflicting geriatric patients as evidenced by the fact that 80% of all non-melanoma skin cancers are diagnosed in patients over the age of 60 years. As such, geriatric skin responds to cancer-inducing UVB irradiation in a manner that allows the establishment of tumor cells. Currently, the only effective treatment for non-melanoma skin cancer is the removal of the tumors after they appear, indicating the need for a more cost-effective prophylactic therapy. Geriatric volunteers were treated with fractionated laser resurfacing therapy on either sun-protected (upper buttocks) or chronically sun-exposed (dorsal forearm) skin. Fractionated laser resurfacing therapy was demonstrated to decrease the occurrence of senescent fibroblasts in geriatric dermis, increase the dermal expression of insulin-like growth factor-1, and correct the inappropriate UVB response observed in untreated geriatric skin. These responses to fractionated laser resurfacing were equal to the effects seen previously using the more aggressive wounding following dermabrasion. Furthermore, fractionated laser resurfacing was equally effective in both sun-protected and sun-exposed skin. The ability of fractionated laser resurfacing treatment to protect against the occurrence of UVB-damaged proliferating keratinocytes indicates the potential of fractionated laser resurfacing to reduce or prevent aging-associated non-melanoma skin cancer.
Collapse
Affiliation(s)
- Dan F Spandau
- Department of Dermatology, Indiana University School of Medicine, Indianapolis, Indiana 46202-5121, USA.
| | | | | | | |
Collapse
|
11
|
|
12
|
Zhao L, Rooker SM, Morrell N, Leucht P, Simanovskii D, Helms JA. Controlling the in vivo activity of Wnt liposomes. Methods Enzymol 2009; 465:331-47. [PMID: 19913175 DOI: 10.1016/s0076-6879(09)65017-5] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
Liposomes offer a method of delivering small molecules, nucleic acids, and proteins to sites within the body. Typically, bioactive materials are encapsulated within the liposomal aqueous core and liposomal phase transition is elicited by pH or temperature changes. We developed a new class of liposomes for the in vivo delivery of lipid-modified proteins. First, we show that the inclusion of a chromophore into the liposomal or vesosomal membrane renders these lipid vesicles extremely sensitive to very small (muJ) changes in energy. Next, we demonstrate that the lipid-modified Wnt protein is not encapsulated within a liposome but rather is tethered to the exoliposomal surface in an active configuration. When applied to intact skin, chromophore-modified liposomes do not penetrate past the corneal layer of the epidermis, but remain localized to the site of application. Injury to the epidermis allows rapid penetration of liposomes into the dermis, which suggests that mild forms of dermabrasion will greatly enhance transdermal delivery of liposome-packaged molecules. Finally, we demonstrate that topical application of Wnt3a liposomes rapidly stimulates proliferation of cells in the corneal layer, resulting in a thicker, more fibrillous epidermis.
Collapse
Affiliation(s)
- L Zhao
- Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, California, USA
| | | | | | | | | | | |
Collapse
|