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Fluhr JW, Moore DJ, Lane ME, Lachmann N, Rawlings AV. Epidermal barrier function in dry, flaky and sensitive skin: A narrative review. J Eur Acad Dermatol Venereol 2024; 38:812-820. [PMID: 38140732 DOI: 10.1111/jdv.19745] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 11/17/2023] [Indexed: 12/24/2023]
Abstract
The stratum corneum (SC)-the outermost layer of the epidermis-is the principal permeability and protective barrier of the skin. Different components of the SC, including corneocytes, natural moisturizing factor, a variety of enzymes and their inhibitors, antimicrobial peptides and lipids, work interactively to maintain barrier function. The main barrier properties of the SC are the limitation of water loss and the prevention of infection and contact with potentially harmful exogenous factors. Although the SC functions consistently as a protective barrier throughout the body, variations in functions and morphology occur across body sites with age and skin type. Healthy SC function also depends on the interplay between the chemosensory barrier, the skin's microbiome and the innate immune system. Dysregulation of SC barrier function can lead to the development of skin disorders, such as dry, flaky or sensitive skin, but the complete underlying pathophysiology of these are not fully understood. This review provides insight into the current literature and emerging themes related to epidermal barrier changes that occur in the context of dry, flaky and sensitive skin. Additional studies are needed to further elucidate the underlying aetiology of dry, flaky and sensitive skin and to provide tailored treatment.
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Affiliation(s)
- Joachim W Fluhr
- Institute of Allergology IFA Charité Universitätsmedizin, Berlin, Germany
- Fraunhofer Institute for Translational Medicine and Pharmacology ITMP, Allergology and Immunology, Berlin, Germany
| | | | - Majella E Lane
- Department of Pharmaceutics, UCL School of Pharmacy, London, UK
| | | | - Anthony V Rawlings
- Department of Pharmaceutics, UCL School of Pharmacy, London, UK
- AVR Consulting Ltd., Northwich, UK
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2
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Tonnis K, Jaworska J, Kasting GB. Modeling the percutaneous absorption of solvent-deposited solids over a wide dose range: II. Weak electrolytes. J Control Release 2024; 365:435-447. [PMID: 37996054 DOI: 10.1016/j.jconrel.2023.11.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2023] [Revised: 11/13/2023] [Accepted: 11/19/2023] [Indexed: 11/25/2023]
Abstract
Dermal absorption of weak electrolytes applied to skin from pharmaceutical and cosmetic compositions is an important consideration for both their efficacy and skin safety. We developed a mechanistic, physics-based framework that simulates this process for leave on applications following solvent deposition. We incorporated this framework into our finite dose computational skin permeation model previously tested with nonelectrolytes to generate quantitative predictions for weak electrolytes. To test the model, we analyzed experimental data from an in vitro human skin permeation study of a weak acid (benzoic acid) and a weak base (propranolol) and their sodium and hydrochloride salts from simple, ethanol/water vehicles as a function of dose and ionization state. Key factors controlling absorption are the pH and buffer capacity of the dose solution, the dissolution rate of precipitated solids into a lipid boundary layer and the rate of conversion of the deposited solid to its conjugate form as the nonionized component permeates and (sometimes) evaporates from the skin surface. The resulting framework not only describes the current test data but has the potential to predict the absorption of other weak electrolytes following topical application.
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Affiliation(s)
- Kevin Tonnis
- College of Engineering and Applied Science, The University of Cincinnati, Cincinnati, OH 45221, USA
| | - Joanna Jaworska
- The Procter & Gamble Company, Data and Modeling Sciences, Brussels Innovation Center, Belgium
| | - Gerald B Kasting
- The James L. Winkle College of Pharmacy, The University of Cincinnati, Cincinnati, OH 45267-0514, USA.
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3
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Rawlings AV, Schoop R, Klose C, Monneuse J, Summers B, Voegeli R. Changes in levels of omega-O-acylceramides and related processing enzymes of sun-exposed and sun-protected facial stratum corneum in differently pigmented ethnic groups. Int J Cosmet Sci 2022; 44:166-176. [PMID: 35141910 PMCID: PMC9313807 DOI: 10.1111/ics.12765] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2021] [Accepted: 02/07/2022] [Indexed: 12/04/2022]
Abstract
INTRODUCTION We report on the differences in ceramide composition and levels of omega-O-acylceramide processing enzymes of sun-exposed and sun-protected facialstratum corneum (SC) among Albino African, Black African and Caucasian women living in South Africa. METHODS Tape strippings were taken from the sun-exposed cheek and the sunprotected postauricular site (PA). In two subsets proteomic (n = 18) and lipidomic (n = 24) analysis were performed using mass-spectrometry-based shotgun platforms. RESULTS No significant differences in total ceramide levels or ceramide subtypes were found between the Black African and Caucasian women in either the cheek or PA samples. Compared to the other two groups the levels of total ceramide as well as selected omega-O-acylceramide species were increased in Albino Africans. On the cheek, ceramide (CER) EOS, EOH along with CER AS were increased relative to the Caucasian women, while CER EOP and EOdS were elevated relative to the Black African women. Moreover, on the PA site CER EOP and EOdS were elevated compared with the Black African women and CER EOdS in Caucasians. Decreasesin masslevels of 12R-LOX and eLOX3 were observed on cheeks compared with the PA sites in all ethnic groups. On the PA sites 12R-LOX was particularly lower in the Albino Africans compared with the Black African and Caucasian women. On the cheeks mass levels of SDR9C7 was also lower in the Albino Africans. CONCLUSION The mass levels of the ceramides were similar between Black African and Caucasian women. However, elevated total ceramides and excessively elevated selected omega-O-acylceramides were apparent in the Albino African women. The findings in the Albino African women were unexpected as these participants suffer from impaired skin barrier function. However, the elevated levels omega-O-acylceramides can contribute to barrier insufficiency by directly impacting SC lipid phase behaviour and/or secondly elevated omegaO-acylceramide levels may indicate a reduced attachment of ceramides to the corneocyte lipid envelope and reduced corneocyte maturation that can also impair the barrier. Indeed, differences in the mass levels of omega-O-acylceramide processing enzymes were observed for 12R-LOX and SDR9C7 for the Albino Africans. This indicates a corneocyte lipid scaffold disorder in this population.
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Schachner LA, Blume-Peytavi U, Andriessen A, Izakovic J, Maruani A, Micali G, Murashkin N, Salavastru C, Torrelo A. Expert consensus on ceramides containing skincare in newborns and infants and potential mitigation of atopic dermatitis. Ital J Dermatol Venerol 2022; 157:23-32. [PMID: 35005855 DOI: 10.23736/s2784-8671.21.07172-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
INTRODUCTION The vulnerable skin of neonates and infants is still developing anatomically and functionally and more susceptible to skin barrier disruption. The current consensus paper explores challenges in caring for neonates and infants' skin, skincare use and evaluates the role of ceramides (CERs) containing cleansers and moisturizers. EVIDENCE AQUISITION A panel of eight clinicians who treat neonates and infants developed a consensus paper on new-born and infant skin barrier integrity and CERs-containing skincare importance. The consensus process consisted of a modified Delphi technique. The selected information from the literature searches, coupled with the panel's opinion and experience, was used to adopt statements to provide clinical data for paediatric dermatologists, dermatologists, and paediatric healthcare providers who treat neonates and infants. EVIDENCE SYNTHESIS Increasingly, evidence supports skincare starting early in life, recognizing the benefits of ongoing daily use of non-alkaline cleansers and moisturizers to maintain skin barrier function. Skincare for neonates and infants should be safe, effective, and fragrance as well as sensitizing agent-free. Skincare with CERs may benefit the stratum corneum's lipid and water content. CONCLUSIONS When applied from birth onwards, gentle cleansers and moisturizers containing barrier lipids help maintain the protective skin barrier and soothe the skin with long-term moisturizing benefits.
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Affiliation(s)
- Lawrence A Schachner
- Dermatology and Pediatrics, Pediatric Dermatology, University of Miami School of Medicine, Miami, FL, USA
| | - Ulrike Blume-Peytavi
- Department of Dermatology and Allergology, Clinical Research Center of Hair and Skin Science, Charité-Universitaetsmedizin, Berlin, Germany
| | - Anneke Andriessen
- Radboud Academy, Radboud UMC, Nijmegen and Andriessen Consultants, Malden, The Netherlands -
| | - Jan Izakovic
- Department of Dermatology, University of Miami Miller School of Medicine, Miami, FL, USA.,Department of Pediatric Dermatology, Basel University Children's Hospital (UKBB), Basel, Switzerland.,Dermatology Private Practice, Basel, Switzerland
| | - Annabel Maruani
- Unit of Pediatric Dermatology, Department of Dermatology, University Hospital Center of Tours, Tours, France
| | | | - Nikolay Murashkin
- Research Institute of Pediatrics and Children's Health in Central Clinical Hospital of the Russian Academy of Sciences, Moscow, Russian Federation
| | - Carmen Salavastru
- Pediatric Dermatology Department, Colentina Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
| | - Antonio Torrelo
- Department of Dermatology, Hospital Infantil Universitario Niño Jesús, Madrid, Spain
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Kawamori J, Itazawa T, Fukushima S, Ito R, Yamauchi H, Sekiguchi K. Effect of Heparinoid Moisturizer on Quality of Life in Patients with Acute Radiation Skin Damage Following Hypofractionated Radiation Therapy After Breast-Conserving Surgery: A Randomized Controlled Study. BREAST CANCER: TARGETS AND THERAPY 2021; 13:743-753. [PMID: 35002315 PMCID: PMC8728094 DOI: 10.2147/bctt.s347136] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Accepted: 12/22/2021] [Indexed: 11/25/2022]
Abstract
Background With few research reports on the effects of moisturizer use for dry skin associated with radiotherapy after breast-conserving surgery on patient quality of life (QOL), we conducted a randomized controlled trial to investigate this effect. Methods Patients with breast cancer were randomly assigned to receive either heparinoid moisturizer (Group M) or no treatment (Group C). Group M was instructed to apply heparinoid moisturizer during 3 weeks of hypofractionated whole-breast irradiation with or without boost until 4 weeks after completion of irradiation. Skin-related QOL was assessed using the Dermatology Life Quality Index (DLQI) for 7 weeks. The primary endpoint was total DLQI score at 4 weeks after the start date. Results In total, 35 patients in Group M and 37 patients in Group C were analyzed. The DLQI total score (2.06 ± 2.17: mean ± SD) at 4 weeks in Group M was slightly lower than in Group C (2.16 ± 2.13) but with no significant difference (p = 0.894). The “Symptoms and feelings” subscore indicated significant worsening at 3 weeks and maintained until 7 weeks in Group C. There was no significant change for this subscore during radiotherapy in Group M, and it significantly increased after radiotherapy (4–5 weeks) and returned to baseline in 7 weeks. The period of subscore worsening was shorter in Group M than in Group C. Conclusion Concomitant and extended use of heparinoid moisturizer with radiation therapy may improve the QOL of breast cancer patients impaired by dry skin for patients with breast cancer.
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Affiliation(s)
- Jiro Kawamori
- Department of Radiation Oncology, St. Luke’s International Hospital, Tokyo, Japan
- Correspondence: Jiro Kawamori Department of Radiation Oncology, St. Luke’s International Hospital, 9-1 Akashi-cho, Chuo-ku, Tokyo, 104-8560, JapanTel +81 3 5550 7006Fax +81 3 3544 0649 Email
| | - Tomoko Itazawa
- Department of Radiation Oncology, St. Luke’s International Hospital, Tokyo, Japan
| | | | - Ryoko Ito
- Department of Radiation Oncology, St. Luke’s International Hospital, Tokyo, Japan
| | - Hideko Yamauchi
- Department of Breast Surgery, St Luke’s International Hospital, Tokyo, Japan
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Abstract
Many dermatological studies have had limited success in revealing skin function because conventional histological methods are known to affect skin components. Recent progress in non-invasive optical imaging has enabled non-invasive visualization of the structure of each skin layer. However, it remains difficult to identify individual skin components. Alternatively, it is possible to obtain molecular vibrational signatures using spontaneous Raman scattering microscopy. Spontaneous Raman scattering microscopy requires long acquisition times and is rarely applied to skin imaging, especially because skin components, such as water and transepidermal agents, undergo relatively rapid changes. Consequently, non-linear Raman microscopies, such as coherent anti-Stokes Raman scattering and stimulated Raman scattering, have gradually been applied to acquire molecular imaging of skin tissue. In this review, the applications of Raman microscopies used to evaluate skin and research trends are presented. The applications of spontaneous Raman microscopy to in vivo human skin evaluation are first demonstrated with typical applications. Finally, the latest application of coherent Raman scattering microscopy to visualize 3D intracellular morphologies in the human epidermis during differentiation is described.
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Affiliation(s)
- Mariko Egawa
- Shiseido Global Innovation Center, 1-2-11, Takashima, Nishi-ku, Yokohama, Kanagawa 220-0011, Japan.
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7
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Voegeli R, Guneri D, Cherel M, Summers B, Lane ME, Rawlings AV. Topical niacinamide enhances hydrophobicity and resilience of corneocyte envelopes on different facial locations. Int J Cosmet Sci 2020; 42:632-636. [PMID: 33038007 PMCID: PMC8365309 DOI: 10.1111/ics.12666] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Accepted: 09/24/2020] [Indexed: 12/27/2022]
Abstract
Age-related differences in maturation parameters of corneocyte envelopes (size, hydrophobicity and rigidity) were examined at several facial test sites in young and old female Caucasians. In addition, the effect of topically applied niacinamide on these parameters was evaluated in a 4-week placebo-controlled study.
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Affiliation(s)
- R Voegeli
- DSM Nutritional Products Ltd, Wurmisweg 576, 4303 Kaiseraugst, Switzerland
| | - D Guneri
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - M Cherel
- Newtone Technologies, 13bis, place Jule Ferry, 69006, Lyon, France
| | - B Summers
- Sefako Makgatho Health Sciences University, Basic Medical Sciences Building, Room N311, 3rd Floor, Molotlegi St., Medunsa 0204, Pretoria, Gauteng, South Africa
| | - M E Lane
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - A V Rawlings
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK.,AVR Consulting Ltd, 26 Shavington Way, Kingsmead, CW9 8FH, Northwich, Cheshire, UK
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8
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Calcutt JJ, Roberts MS, Anissimov YG. Modeling drug transport within the viable skin - a review. Expert Opin Drug Metab Toxicol 2020; 17:105-119. [PMID: 33017199 DOI: 10.1080/17425255.2020.1832081] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
INTRODUCTION In the past, mathematical modeling of the transport of transdermal drugs has been primarily focused on the stratum corneum. However, the development of pharmaceutical technologies, such as chemical enhancers, iontophoresis, and microneedles, has led to two outcomes; an increase in permeability in the stratum corneum or the ability to negate the layer entirely. As a result, these outcomes have made the transport of a solute in the viable skin far more critical when studying transdermal drug delivery. AREAS COVERED The review will explicitly show the various attempts to model drug transport within the viable skin. Furthermore, a brief review will be conducted on the different models that explain stratum corneum transport, microneedle dynamics and estimation of the diffusion coefficient. EXPERT OPINION Future development of mathematical models requires the focus to be changed from traditional diffusion-based tissue models to more sophisticated three-dimensional models that incorporate the physiology of the skin.
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Affiliation(s)
- Joshua J Calcutt
- School of Environment and Science, Griffith University , Gold Coast, Australia
| | - Michael S Roberts
- Therapeutics Research Centre, The University of Queensland Diamantina Institute, Translational Research Institute , Brisbane, Australia.,School of Pharmacy and Medical Sciences, University of South Australia, Basil Hetzel Institute for Translational Medical Research, the Queen Elizabeth Hospital , Adelaide, Australia
| | - Yuri G Anissimov
- School of Environment and Science, Griffith University , Gold Coast, Australia.,Institute of Molecular Medicine, Sechenov First Moscow State Medical University , Moscow, Russia
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Haftek M, McAleer MA, Jakasa I, McLean WI, Kezic S, Irvine AD. Changes in nano-mechanical properties of human epidermal cornified cells in children with atopic dermatitis. Wellcome Open Res 2020; 5:97. [PMID: 32954014 DOI: 10.12688/wellcomeopenres.15729.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2020] [Indexed: 01/08/2023] Open
Abstract
Background: Impaired skin barrier is an important etiological factor in atopic dermatitis (AD). The structural protein filaggrin (FLG) plays a major role in maintenance of the competent skin barrier and its deficiency is associated with enhanced susceptibility to mechanical injury. Here we examined biomechanical characteristics of the corneocytes in children with AD and healthy controls. Methods: We recruited 20 children with AD and 7 healthy children. They were genotyped for filaggrin gene ( FLG) loss-of-function mutations. Stratum corneum was collected from clinically unaffected skin by adhesive tapes. Cell stiffness (apparent elastic modulus, Ea) was determined by atomic force microscopy and filaggrin degradation products (NMF) by liquid chromatography. Skin barrier function was assessed through trans-epidermal water loss (TEWL) and disease severity by the SCORing Atopic Dermatitis (SCORAD) tool. Results: Corneocytes collected from AD patients showed a decreased elastic modulus which was strongly correlated with NMF and TEWL, but not with SCORAD. As compared with healthy controls, AD patients had reduced TEWL and NMF levels regardless of FLG mutations. NMF was strongly correlated with TEWL. Conclusion: Our findings demonstrate that AD patients have decreased corneocyte stiffness which correlates with reduced levels of filaggrin degradation products, NMF and skin barrier function. Altered mechanical properties of the corneocytes likely contribute to the loss of mechanical integrity of the SC and to reduced skin barrier function in AD.
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Affiliation(s)
- Marek Haftek
- Laboratory of Tissue Biology and Therapeutic Engineering, CNRS UMR5305, Lyon, France
| | - Maeve A McAleer
- Dermatology, Children's Health Ireland at Crumlin, Dublin, Ireland.,National Children's Research Centre, Dublin, Ireland
| | - Ivone Jakasa
- Laboratory for Analytical Chemistry, Dept. of Chemistry and Biochemistry,, University of Zagreb, Zagreb, Croatia
| | - Wh Irwin McLean
- Dermatology and Genetic Medicine, Univsersity of Dundee, Dundee, UK
| | - Sanja Kezic
- Coronel Institute of Occupational Health, Amsterdam University Medical Centres, Amsterdam, The Netherlands
| | - Alan D Irvine
- Dermatology, Children's Health Ireland at Crumlin, Dublin, Ireland.,National Children's Research Centre, Dublin, Ireland.,Clinical Medicine, Trinity College Dublin, Dublin, Ireland
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Stoffers KM, Cronkright AA, Huggins GS, Baleja JD. Noninvasive Epidermal Metabolite Profiling. Anal Chem 2020; 92:12467-12472. [PMID: 32830947 DOI: 10.1021/acs.analchem.0c02274] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
A buffer placed in brief contact in the skin was assayed by 1H NMR spectroscopy. We found that this passive extraction of the skin surface yields abundant metabolites. Metabolites of the skin surface originate from a variety of sources, including the sweat gland, which produces lactate from the glucose received from its capillary bed. Little is known about how metabolites resident on and within the skin surface respond to a metabolic or hemodynamic perturbation. As a possible application of epidermal metabolite profiling, we asked whether metabolites extracted from the skin surface are indicative of heart failure. The levels of lactate and other molecules were significantly lower in patients in heart failure than in individuals who reported healthy heart function, possibly due to reduced blood flow to the sweat gland resulting in a lack of tissue perfusion. Most amino acids were unchanged in levels, except for glycine and serine that increased as a percentage of all amino acids. These results have the potential in the long term to help decide the extent to which a patient has heart failure for which objective measures are lacking. Moreover, the results suggest that epidermal metabolite profiling may be useful for other assessments of human health.
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Affiliation(s)
- Katarina M Stoffers
- Department of Developmental, Molecular, and Chemical Biology, Tufts University School of Medicine, 136 Harrison Avenue, Boston, Massachusetts 02111, United States
| | - Ashley A Cronkright
- Molecular Cardiology Research Institute Center for Translational Genomics, Tufts Medical Center, 800 Washington Street, Boston, Massachusetts 02111, United States
| | - Gordon S Huggins
- Molecular Cardiology Research Institute Center for Translational Genomics, Tufts Medical Center, 800 Washington Street, Boston, Massachusetts 02111, United States
| | - James D Baleja
- Department of Developmental, Molecular, and Chemical Biology, Tufts University School of Medicine, 136 Harrison Avenue, Boston, Massachusetts 02111, United States
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Haftek M, McAleer MA, Jakasa I, McLean WI, Kezic S, Irvine AD. Changes in nano-mechanical properties of human epidermal cornified cells in children with atopic dermatitis. Wellcome Open Res 2020; 5:97. [PMID: 32954014 PMCID: PMC7477645 DOI: 10.12688/wellcomeopenres.15729.2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/14/2020] [Indexed: 01/24/2023] Open
Abstract
Background: Impaired skin barrier is an important etiological factor in atopic dermatitis (AD). The structural protein filaggrin (FLG) plays a major role in maintenance of the competent skin barrier and its deficiency is associated with enhanced susceptibility to mechanical injury. Here we examined biomechanical characteristics of the corneocytes in children with AD and healthy controls. Methods: We recruited 20 children with AD and 7 healthy children. They were genotyped for filaggrin gene ( FLG) loss-of-function mutations. Stratum corneum was collected from clinically unaffected skin by adhesive tapes. Cell stiffness (apparent elastic modulus, Ea) was determined by atomic force microscopy and filaggrin degradation products (NMF) by liquid chromatography. Skin barrier function was assessed through trans-epidermal water loss (TEWL) and disease severity by the SCORing Atopic Dermatitis (SCORAD) tool. Results: Corneocytes collected from AD patients showed a decreased elastic modulus which was strongly correlated with NMF and TEWL, but not with SCORAD. As compared with healthy controls, AD patients had reduced TEWL and NMF levels regardless of FLG mutations. NMF was strongly correlated with TEWL. Conclusion: Our findings demonstrate that AD patients have decreased corneocyte stiffness which correlates with reduced levels of filaggrin degradation products, NMF and skin barrier function. Altered mechanical properties of the corneocytes likely contribute to the loss of mechanical integrity of the SC and to reduced skin barrier function in AD.
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Affiliation(s)
- Marek Haftek
- Laboratory of Tissue Biology and Therapeutic Engineering, CNRS UMR5305, Lyon, France
| | - Maeve A McAleer
- Dermatology, Children's Health Ireland at Crumlin, Dublin, Ireland.,National Children's Research Centre, Dublin, Ireland
| | - Ivone Jakasa
- Laboratory for Analytical Chemistry, Dept. of Chemistry and Biochemistry,, University of Zagreb, Zagreb, Croatia
| | - Wh Irwin McLean
- Dermatology and Genetic Medicine, Univsersity of Dundee, Dundee, UK
| | - Sanja Kezic
- Coronel Institute of Occupational Health, Amsterdam University Medical Centres, Amsterdam, The Netherlands
| | - Alan D Irvine
- Dermatology, Children's Health Ireland at Crumlin, Dublin, Ireland.,National Children's Research Centre, Dublin, Ireland.,Clinical Medicine, Trinity College Dublin, Dublin, Ireland
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Augustin M, Wilsmann-Theis D, Körber A, Kerscher M, Itschert G, Dippel M, Staubach P. Diagnosis and treatment of xerosis cutis - a position paper. J Dtsch Dermatol Ges 2020; 17 Suppl 7:3-33. [PMID: 31738016 DOI: 10.1111/ddg.13906] [Citation(s) in RCA: 46] [Impact Index Per Article: 11.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND AND RATIONALE Xerosis cutis (also referred to as xeroderma, dry skin, asteatosis) affects more than 10 million individuals in Germany. It is among the most common dermatological diagnoses and a cardinal symptom of many dermatological, internal and neurological diseases. Even though it has been established that basic skin care plays a significant role in the management of patients with xerosis cutis, there are as yet no evidence-based algorithms for diagnosis and treatment. OBJECTIVE The present position paper provides physicians across all specialties with a practical, symptom-based approach to the prevention, diagnosis and treatment of xerosis cutis. METHODS Within a structured decision-making process, a panel of experienced dermatologists first defined questions relevant to everyday clinical practice, which were then addressed by a systematic review of the literature. Based on the evidence available as well as expert consensus, diagnostic and treatment algorithms were subsequently developed and agreed upon. RESULTS Xerosis cutis is generally diagnosed on clinical grounds. Possible trigger factors must be avoided, and comorbidities should be adequately and specifically treated. Suitable skin care products should be chosen with a view to improving skin hydration and restoring its barrier function. They should therefore contain both rehydrating and lipid-replenishing components. The "drier" the skin appears, the greater the lipid content should be (preferably using water-in-oil formulations). The choice of ingredients is based on a patient's individual symptoms, such as scaling (e.g., urea), fissures/rhagades (e.g., urea or dexpanthenol), erythema (e.g., licochalcone A) and pruritus (e.g., polidocanol). Other factors to be considered include the site affected and patient age. Ingredients or rather combinations thereof for which there is good clinical evidence should be preferentially used. The best evidence by far is available for urea, whose efficacy in the treatment of xerosis is further enhanced by combining it with other natural moisturizing components and ceramides. The "xerosimeter" is a tool developed in an effort to facilitate patient management and for training purposes. It not only includes practical tools for diagnosis and follow-up but also a classification of ingredients and a structured treatment algorithm. CONCLUSION The structured symptom- and evidence-based approach proposed herein contains a road map for diagnosis and treatment of xerosis cutis. It aims to raise awareness in terms of prevention and early treatment of this condition and may thus improve quality of life and prevent potential sequelae.
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Affiliation(s)
- Matthias Augustin
- Hamburg-Eppendorf University Medical Center, Institute for Healthcare Research in Dermatology and Nursing (IVDP), Martinistr. 52, 20246, Hamburg, Germany
| | - Dagmar Wilsmann-Theis
- Department of Dermatology and Allergology, University Medical Center, Friedrich Wilhelm University, Sigmund Freud Str. 25, 53105, Bonn, Germany
| | - Andreas Körber
- Office-based Dermatologist, Rüttenscheider Str. 143, 45130, Essen, Germany
| | - Martina Kerscher
- University of Hamburg, Division of Cosmetic Sciences, Papendamm 21, 20146, Hamburg, Germany
| | - Götz Itschert
- Office-based Dermatologist, Am Rathaus 2a, 25421, Pinneberg, Germany
| | - Michaela Dippel
- MD medscript & consult, Am Kuhtriftberg 21, 67098, Bad Dürkheim, Germany
| | - Petra Staubach
- Department of Dermatology, University Medical Center, Johannes Gutenberg University, Langenbeckstr. 1, 55131, Mainz, Germany
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13
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Guneri D, Voegeli R, Doppler S, Zhang C, Bankousli AL, Munday MR, Lane ME, Rawlings AV. The importance of 12R-lipoxygenase and transglutaminase activities in the hydration-dependent ex vivo maturation of corneocyte envelopes. Int J Cosmet Sci 2020; 41:563-578. [PMID: 31429091 PMCID: PMC6899781 DOI: 10.1111/ics.12574] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2019] [Accepted: 08/18/2019] [Indexed: 12/26/2022]
Abstract
Background Terminally differentiated keratinocytes acquire corneocyte protein envelopes (CPE) complexed with corneocyte lipid envelopes (CLE). These two structural components of the corneocyte envelopes (CEs) undergo maturation by gaining in hydrophobicity, rigidity and surface area. Linoleoyl acylceramides are processed by 12R‐lipoxygenase (12R‐LOX) and other enzymes before transglutaminase (TG) attaches ω‐hydroxyceramides to involucrin in the CPE. Concurrently, structural proteins are cross‐linked by TG that has been activated by cathepsin D (CathD). Objectives The primary aim of this work was to demonstrate the impact of relative humidity (RH) during ex vivo CE maturation. Low, optimal and high RH were selected to investigate the effect of protease inhibitors (PIs) on CE maturation and TG activity; in addition, 12R‐LOX and CathD activity were measured at optimal RH. Finally, the effect of glycerol on ex vivo CE maturation was tested at low, optimal and high RH. Methods The first and ninth tape strip of photo‐exposed (PE) cheek and photo‐protected (PP) post‐auricular sites of healthy volunteers were selected. Ex vivo CE maturation was assessed via the relative CE maturity (RCEM) approach based on CE rigidity and hydrophobicity. The second and eighth tapes were exposed to RH in the presence of inhibitors. Results Irrespective of tape stripping depth, CEs from PE samples attained CE rigidity to the same extent as mature CEs from the PP site, but such improvement was lacking for CE hydrophobicity. 70% RH was optimal for ex vivo CE maturation. The inhibition of 12R‐LOX activity resulted in enhanced CE rigidity which was reduced by the TG inhibitor. CE hydrophobicity remained unchanged during ex vivo maturation in the presence of TG or 12R‐LOX inhibition. CE hydrophobicity was enhanced in the presence of glycerol at 44% RH and 100% RH but not at 70% RH. Furthermore, TG activity was significantly diminished at 100% RH compared to the commercial inhibitor LDN‐27219. However, a protease inhibitor mix reversed the negative effect of overhydration. Conclusion The study adds to the understanding of the roles of 12R‐LOX and TG activity in CE maturation and gives further insight into the effect of glycerol on the SC.
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Affiliation(s)
- D Guneri
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - R Voegeli
- DSM Nutritional Products Ltd., Wurmisweg 576, 4303, Kaiseraugust, Switzerland
| | - S Doppler
- DSM Nutritional Products Ltd., Wurmisweg 576, 4303, Kaiseraugust, Switzerland
| | - C Zhang
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - A L Bankousli
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - M R Munday
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - M E Lane
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK
| | - A V Rawlings
- UCL School of Pharmacy, 29-39 Brunswick Square, WC1N 1AX, London, UK.,AVR Consulting Limited, 26 Shavington Way, CW98FH, Northwich, UK
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14
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Nisbet SJ, Targett D, Rawlings AV, Qian K, Wang X, Lin CB, Thompson MA, Bulsara PA, Moore DJ. Clinical and in vitro evaluation of new anti-redness cosmetic products in subjects with winter xerosis and sensitive skin. Int J Cosmet Sci 2020; 41:534-547. [PMID: 31309600 PMCID: PMC6899962 DOI: 10.1111/ics.12559] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2019] [Accepted: 07/11/2019] [Indexed: 12/20/2022]
Abstract
Objective To demonstrate the in vitro activities of panthenol, palmitoylethanolamide (PEA), and niacinamide (NAM) and determine the biophysical properties, clinical safety, tolerability together with efficacy of two developmental anti‐redness (AR) formulations containing these ingredients, in alleviating facial redness associated with winter xerosis in healthy volunteers with sensitive skin. Methods The anti‐inflammatory and skin protective properties of panthenol, PEA and NAM were evaluated in vitro. The physical properties of the AR formulations were analysed using measurement of water vapour transport rate (WVTR) and infrared spectroscopy. Clinical studies were performed between the months of December and April (2014–2015) with efficacy assessed during the winter. Facial redness, irritation, sensitization potential, photo‐irritation, and photo‐sensitization were evaluated. Self‐assessed adverse reactions were reported in diaries of use. Results Panthenol and PEA reduced prostaglandin E2, interleukin‐6, and thymic stromal lymphopoietin levels in vitro, while NAM induced nicotinamide adenine dinucleotide (NAD) levels and the keratinocyte differentiation markers: filaggrin (2‐fold increase, P < 0.001), loricrin (2‐fold increase, P < 0.05), involucrin (2 fold increase, P < 0.001) & peroxisomal proliferator activated receptor‐alpha (1.5 fold increase, P < 0.05). The two AR products exhibited low WVTR vs. no treatment (P < 0.001) and displayed an ordered lipid structure. The day cream formulation protected against ultraviolet B radiation in vitro. A total of 382 participants were included in clinical studies which showed the AR formulations significantly improved facial redness associated with winter xerosis (Day 29 mean change from baseline: AR day cream 0.77 (P < 0.001); AR serum 0.67 (P < 0.001)). No irritation, sensitization, photo‐irritation, photo‐sensitization or product‐related adverse reactions were observed or reported in the clinical studies. Conclusion The new products significantly improved skin redness associated with winter xerosis in participants with self‐perceived sensitive skin. Both products were well tolerated with a suitable safety profile for topical use in subjects with sensitive skin.
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Affiliation(s)
- S J Nisbet
- Skin Health Research & Development at GlaxoSmithKline Consumer Healthcare, Weybridge, Surrey, UK
| | - D Targett
- Primoris Contract Solutions Ltd., Ascot, Berkshire, UK
| | | | - K Qian
- Thomas J. Stephens & Associates, Richardson, TX, USA
| | - X Wang
- GlaxoSmithKline, Collegeville, PA, USA
| | - C B Lin
- GlaxoSmithKline, Collegeville, PA, USA
| | - M A Thompson
- GlaxoSmithKline Consumer Healthcare, Warren, NJ, USA
| | - P A Bulsara
- GlaxoSmithKline Consumer Healthcare, Warren, NJ, USA
| | - D J Moore
- GlaxoSmithKline Consumer Healthcare, Warren, NJ, USA
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15
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Ri JS, Choe SH, Schleusener J, Lademann J, Choe CS, Darvin ME. In vivo Tracking of DNA for Precise Determination of the Stratum Corneum Thickness and Superficial Microbiome Using Confocal Raman Microscopy. Skin Pharmacol Physiol 2019; 33:30-37. [PMID: 31614347 DOI: 10.1159/000503262] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2019] [Accepted: 09/06/2019] [Indexed: 11/19/2022]
Abstract
The skin barrier function is mostly provided by the stratum corneum (SC), the uppermost layer of the epidermis. To noninvasively analyze the physiological properties of the skin barrier functionin vivo, it is important to determine the SC thickness. Confocal Raman microscopy (CRM) is widely used for this task. In the present in vivo study, a new method based on the determination of the DNA concentration profile using CRM is introduced for determining the SC thickness. The obtained SC thickness values are compared with those obtained using other CRM-based methods determining the water and lipid depth profiles. The obtained results show almost no significant differences in SC thickness for the utilized methods. Therefore, the results indicate that it is possible to calculate the SC thickness by using the DNA profile in the fingerprint region, which is comparable with the SC thickness calculated by the water depth profiles (ANOVA test p = 0.77) and the lipid depth profile (ANOVA test p = 0.74). This provides the possibility to measure the SC thickness by using the DNA profile, in case the water or lipid profile analyses are influenced by a topically applied formulation. The increase in DNA concentration in the superficial SC (0-2 µm) is related to the DNA presence in the microbiome of the skin, which was not present in the SC depth below 4 µm.
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Affiliation(s)
- Jin Song Ri
- Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea
| | - Se Hyok Choe
- Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea
| | - Johannes Schleusener
- Center of Experimental and Applied Cutaneous Physiology, Department of Dermatology, Venerology and Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Jürgen Lademann
- Center of Experimental and Applied Cutaneous Physiology, Department of Dermatology, Venerology and Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany
| | - Chun Sik Choe
- Kim Il Sung University, Pyongyang, Democratic People's Republic of Korea
| | - Maxim E Darvin
- Center of Experimental and Applied Cutaneous Physiology, Department of Dermatology, Venerology and Allergology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, Germany,
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16
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Egawa M, Iwanaga S, Hosoi J, Goto M, Yamanishi H, Miyai M, Katagiri C, Tokunaga K, Asai T, Ozeki Y. Label-free stimulated Raman scattering microscopy visualizes changes in intracellular morphology during human epidermal keratinocyte differentiation. Sci Rep 2019; 9:12601. [PMID: 31467379 PMCID: PMC6715667 DOI: 10.1038/s41598-019-49035-x] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 08/19/2019] [Indexed: 11/14/2022] Open
Abstract
Epidermal keratinocyte (KC) differentiation, which involves the process from proliferation to cell death for shedding the outermost layer of skin, is crucial for the barrier function of skin. Therefore, in dermatology, it is important to elucidate the epidermal KC differentiation process to evaluate the symptom level of diseases and skin conditions. Previous dermatological studies used staining or labelling techniques for this purpose, but they have technological limitations for revealing the entire process of epidermal KC differentiation, especially when applied to humans. Here, we demonstrate label-free visualization of three-dimensional (3D) intracellular morphological changes of ex vivo human epidermis during epidermal KC differentiation using stimulated Raman scattering (SRS) microscopy. Specifically, we observed changes in nuclei during the initial enucleation process in which the nucleus is digested prior to flattening. Furthermore, we found holes left behind by improperly digested nuclei in the stratum corneum, suggesting abnormal differentiation. Our findings indicate the great potential of SRS microscopy for discrimination of the degree of epidermal KC differentiation.
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Affiliation(s)
- Mariko Egawa
- Shiseido Global Innovation Center, Yokohama, 220-0011, Japan.
| | - Shinya Iwanaga
- Shiseido Global Innovation Center, Yokohama, 220-0011, Japan
| | - Junichi Hosoi
- Shiseido Global Innovation Center, Yokohama, 220-0011, Japan
| | - Makiko Goto
- Shiseido Global Innovation Center, Yokohama, 220-0011, Japan
| | | | - Masashi Miyai
- Shiseido Global Innovation Center, Yokohama, 220-0011, Japan
| | - Chika Katagiri
- Shiseido Global Innovation Center, Yokohama, 220-0011, Japan
| | - Kyoya Tokunaga
- Department of Electrical Engineering and Information Systems, Graduate School of Engineering, The University of Tokyo, Tokyo, 113-8656, Japan
| | - Takuya Asai
- Department of Electrical Engineering and Information Systems, Graduate School of Engineering, The University of Tokyo, Tokyo, 113-8656, Japan
| | - Yasuyuki Ozeki
- Department of Electrical Engineering and Information Systems, Graduate School of Engineering, The University of Tokyo, Tokyo, 113-8656, Japan
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17
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Morris SAV, Ananthapadmanabhan KP, Kasting GB. Anionic Surfactant-Induced Changes in Skin Permeability. J Pharm Sci 2019; 108:3640-3648. [PMID: 31374320 DOI: 10.1016/j.xphs.2019.06.030] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2019] [Revised: 06/05/2019] [Accepted: 06/25/2019] [Indexed: 02/07/2023]
Abstract
Anionic surfactants compromise skin's barrier function by damaging stratum corneum lipids and proteins. The objective of this study was to examine anionic surfactant-induced changes in the skin's polar and transcellular pathways and the resulting impact on surfactant penetration into the skin. Three anionic surfactant formulations and one control formulation were each applied to split-thickness human cadaver skin in vitro for 24 h. Electrical conductivity of the skin, determined using a four-terminal resistance method, and water permeation across the skin, determined using a radiolabeled water tracer, were simultaneously measured at several points over the experimental period. Surfactant permeation across the skin was similarly measured using a radiolabeled sodium dodecyl sulfate tracer. Anionic surfactants rapidly enhanced skin electrical conductivity and water permeability in the excised human skin, resulting in nonlinear enhancements in surfactant permeation across the skin over time. Surfactant penetration into the skin was found to increase linearly with increasing surfactant monomer concentration. Surfactant zeta potential was found to correlate well with skin conductivity, water permeation across the skin, and surfactant permeation across the skin, particularly with long surfactant exposures. Micelle charge is a significant predictor of anionic surfactant-induced damage to the human skin, with more highly charged surfactants inducing the most damage.
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Affiliation(s)
- Stephanie A V Morris
- Pharmaceutical Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio 45267-0004
| | | | - Gerald B Kasting
- Pharmaceutical Sciences, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, Ohio 45267-0004.
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18
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Ma J, Xu S, Wang X, Zhang J, Wang Y, Liu M, Jin L, Wu M, Qian D, Li X, Zhen Q, Guo H, Gao J, Yang S, Zhang X. Noninvasive analysis of skin proteins in healthy Chinese subjects using an Orbitrap Fusion Tribrid mass spectrometer. Skin Res Technol 2019; 25:424-433. [PMID: 30657212 DOI: 10.1111/srt.12668] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2018] [Revised: 11/29/2018] [Accepted: 12/08/2018] [Indexed: 12/12/2022]
Affiliation(s)
- Jie Ma
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Shuangjun Xu
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Xiaomeng Wang
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Jing Zhang
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Yaochi Wang
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Mengting Liu
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Ling Jin
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Mingshun Wu
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Danfeng Qian
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Xueying Li
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Qi Zhen
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Huimin Guo
- Center for Biological TechnologyAnhui Agricultural University Hefei China
| | - Jinping Gao
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Sen Yang
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
| | - Xuejun Zhang
- Institute of Dermatology and Department of DermatologyThe First Affiliated Hospital, Anhui Medical University Hefei China
- The Key Laboratory of Dermatology (Anhui Medical University), Ministry of Education Hefei China
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19
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Kasting GB, Miller MA, LaCount TD, Jaworska J. A Composite Model for the Transport of Hydrophilic and Lipophilic Compounds Across the Skin: Steady-State Behavior. J Pharm Sci 2019; 108:337-349. [DOI: 10.1016/j.xphs.2018.09.007] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Revised: 08/17/2018] [Accepted: 09/06/2018] [Indexed: 02/06/2023]
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20
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Kang MC, Yumnam S, Kim SY. Oral Intake of Collagen Peptide Attenuates Ultraviolet B Irradiation-Induced Skin Dehydration In Vivo by Regulating Hyaluronic Acid Synthesis. Int J Mol Sci 2018; 19:ijms19113551. [PMID: 30423867 PMCID: PMC6274925 DOI: 10.3390/ijms19113551] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2018] [Revised: 11/09/2018] [Accepted: 11/10/2018] [Indexed: 12/24/2022] Open
Abstract
Collagen peptide (CP) has beneficial effects on functions of the skin, such as skin barrier function and skin elasticity, in vivo. However, there are few studies investigating the mechanism underlying the potential effects of CP in skin epidermal moisturization after ultraviolet B (UVB) irradiation. In this study, we examined whether orally-administered CP affects the loss of skin hydration induced by UVB irradiation in hairless mice. SKH-1 hairless mice were orally administered CP at two doses (500 and 1000 mg/kg) for nine weeks, and the dorsal skin was exposed to UVB. The potential effects of CP were evaluated by measuring the transepidermal water loss (TEWL), skin hydration, wrinkle formation, and hyaluronic acid expression in the dorsal mice skin. We found that oral administration of CP increased skin hydration and decreased wrinkle formation compared to the UVB-irradiated group. Treatment of CP increased the mRNA and protein expression of hyaluronic acid synthases (HAS-1 and -2) concomitant with an increased hyaluronic acid production in skin tissue. The expression of hyaluronidase (HYAL-1 and 2) mRNA was downregulated in the CP-treated group. In addition, the protein expression of skin-hydrating factors, filaggrin and involucrin, was upregulated via oral administration of CP. In summary, these results show that oral administration of CP increases hyaluronic acid levels, which decreases during UVB photoaging. Therefore, we suggest that CP can be used as a nutricosmetic ingredient with potential effects on UVB-induced skin dehydration and moisture loss in addition to wrinkle formation.
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Affiliation(s)
- Min Cheol Kang
- College of Pharmacy, Gachon University, 191, Hambakmoero, Yeonsu-gu, Incheon 21936, Korea.
| | - Silvia Yumnam
- College of Pharmacy, Gachon University, 191, Hambakmoero, Yeonsu-gu, Incheon 21936, Korea.
| | - Sun Yeou Kim
- College of Pharmacy, Gachon University, 191, Hambakmoero, Yeonsu-gu, Incheon 21936, Korea.
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21
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Riethmüller C. Assessing the skin barrier via corneocyte morphometry. Exp Dermatol 2018; 27:923-930. [DOI: 10.1111/exd.13741] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2018] [Revised: 06/28/2018] [Accepted: 07/13/2018] [Indexed: 12/30/2022]
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22
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Augustin M, Wilsmann-Theis D, Körber A, Kerscher M, Itschert G, Dippel M, Staubach P. Positionspapier: Diagnostik und Therapie der Xerosis cutis. J Dtsch Dermatol Ges 2018; 16 Suppl 4:3-35. [DOI: 10.1111/ddg.13580] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- Matthias Augustin
- Universitätsklinikum Hamburg-Eppendorf; Institut für Versorgungsforschung in der Dermatologie und bei Pflegeberufen (IVDP); Martinistr. 52 20246 Hamburg
| | - Dagmar Wilsmann-Theis
- Klinik und Poliklinik für Dermatologie und Allergologie der Rheinischen-Friedrich-Wilhelms Universität Bonn; Sigmund-Freud-Str. 25 53105 Bonn
| | | | - Martina Kerscher
- Universität Hamburg; Fachbereich Kosmetikwissenschaft; Papendamm 21 20146 Hamburg
| | | | - Michaela Dippel
- MD medscript & consult; Am Kuhtriftberg 21 67098 Bad Dürkheim
| | - Petra Staubach
- Hautklinik und Poliklinik der Universitätsmedizin; Johannes Gutenberg-Universität; Langenbeckstr. 1 55131 Mainz
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23
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McAleer MA, Jakasa I, Raj N, O'Donnell CPF, Lane ME, Rawlings AV, Voegeli R, McLean WHI, Kezic S, Irvine AD. Early-life regional and temporal variation in filaggrin-derived natural moisturizing factor, filaggrin-processing enzyme activity, corneocyte phenotypes and plasmin activity: implications for atopic dermatitis. Br J Dermatol 2018; 179:431-441. [PMID: 29691836 PMCID: PMC6175251 DOI: 10.1111/bjd.16691] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/17/2018] [Indexed: 12/15/2022]
Abstract
Background Filaggrin is central to the pathogenesis of atopic dermatitis (AD). The cheeks are a common initiation site of infantile AD. Regional and temporal expression of levels of filaggrin degradation products [natural moisturizing factors (NMFs)], activities of filaggrin‐processing enzymes [bleomycin hydrolase (BH) and calpain‐1 (C‐1)] and plasmin, and corneocyte envelope (CE) maturity in early life are largely unknown. Objectives We conducted a cross‐sectional, observational study investigating regional and age‐dependent variations in NMF levels, activity of proteases and CE maturity in stratum corneum (SC) from infants to determine whether these factors could explain the observed predilection sites for AD in early life. Methods We measured NMF using a tape‐stripping method at seven sites in the SC of 129 children (aged < 12 months to 72 months) and in three sites in 56 neonates and infants (< 48 h to 3 months). In 37 of these neonates and infants, corneocyte size, maturity, BH, C‐1 and plasmin activities were determined. Results NMF levels are low at birth and increase with age. Cheek SC, compared with elbow flexure and nasal tip, has the lowest NMF in the first year of life and is the slowest to reach stable levels. Cheek corneocytes remain immature. Plasmin, BH and C‐1 activities are all elevated by 1 month of age in exposed cheek skin, but not in elbow skin. Conclusions Regional and temporal differences in NMF levels, CE maturity and protease activities may explain the predilection for AD to affect the cheeks initially and are supportive of this site as key for allergen priming in early childhood. These observations will help design early intervention and treatment strategies for AD. What's already known about this topic?Atopic dermatitis (AD) frequently starts in early infancy, and the first eczematous lesions emerge on the cheeks. Filaggrin is a major structural protein in the stratum corneum (SC). Filaggrin deficiency is associated with the development of AD and, in the context of AD, food allergies and asthma. Filaggrin is metabolized into natural moisturizing factors (NMFs), which can be measured in the SC.
What does this study add? Regional differences in NMF levels, corneocyte envelope immaturity and protease activities may help explain why infantile AD most often initially affects the cheeks. Filaggrin processing, corneocyte maturity, and protease activities show regional and temporal differences in infant skin. These findings may explain disease patterns in early‐life AD.
What is the translational message? Cheek skin may be highly relevant for allergen priming. Emollient therapy at the vulnerable cheek site might help to prevent AD and/or food sensitization.
Linked Editorial: https://doi.org/10.1111/bjd.16806. https://doi.org/10.1111/bjd.16959 available online https://goo.gl/Uqv3dl
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Affiliation(s)
- M A McAleer
- National Children's Research Centre, Our Lady's Children's Hospital, Dublin, Ireland.,Paediatric Dermatology, Our Lady's Children's Hospital, Dublin, Ireland
| | - I Jakasa
- Laboratory for Analytical Chemistry, Department of Chemistry and Biochemistry, Faculty of Food Technology and Biotechnology, University of Zagreb, Zagreb, Croatia
| | - N Raj
- School of Pharmacy, University College London, London, U.K
| | - C P F O'Donnell
- Department of Neonatology, National Maternity Hospital, Dublin, Ireland
| | - M E Lane
- School of Pharmacy, University College London, London, U.K
| | - A V Rawlings
- School of Pharmacy, University College London, London, U.K
| | - R Voegeli
- DSM Nutritional Products Ltd, Wurmisweg 571, Kaiseraugst, Switzerland
| | - W H I McLean
- Dermatology and Genetic Medicine, Division of Biological Chemistry and Drug Discovery, School of Life Sciences, University of Dundee, Dundee, U.K
| | - S Kezic
- Coronel Institute of Occupational Health, Amsterdam Public Health Research Institute, Academic Medical Center, Amsterdam, the Netherlands
| | - A D Irvine
- National Children's Research Centre, Our Lady's Children's Hospital, Dublin, Ireland.,Paediatric Dermatology, Our Lady's Children's Hospital, Dublin, Ireland.,Department of Clinical Medicine, Trinity College Dublin, Dublin, Ireland
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24
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Age related depth profiles of human Stratum Corneum barrier-related molecular parameters by confocal Raman microscopy in vivo. Mech Ageing Dev 2018; 172:6-12. [DOI: 10.1016/j.mad.2017.08.011] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2017] [Accepted: 08/19/2017] [Indexed: 12/20/2022]
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25
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Yu F, Kasting GB. A geometrical model for diffusion of hydrophilic compounds in human stratum corneum. Math Biosci 2018. [DOI: 10.1016/j.mbs.2018.03.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
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26
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Akdeniz M, Tomova‐Simitchieva T, Dobos G, Blume‐Peytavi U, Kottner J. Does dietary fluid intake affect skin hydration in healthy humans? A systematic literature review. Skin Res Technol 2018; 24:459-465. [DOI: 10.1111/srt.12454] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/01/2018] [Indexed: 11/27/2022]
Affiliation(s)
- M. Akdeniz
- Department of Dermatology and AllergyClinical Research Center for Hair and Skin ScienceCharité—Universitätsmedizin Berlin Berlin Germany
| | - T. Tomova‐Simitchieva
- Department of Dermatology and AllergyClinical Research Center for Hair and Skin ScienceCharité—Universitätsmedizin Berlin Berlin Germany
| | - G. Dobos
- Department of Dermatology and AllergyClinical Research Center for Hair and Skin ScienceCharité—Universitätsmedizin Berlin Berlin Germany
| | - U. Blume‐Peytavi
- Department of Dermatology and AllergyClinical Research Center for Hair and Skin ScienceCharité—Universitätsmedizin Berlin Berlin Germany
| | - J. Kottner
- Department of Dermatology and AllergyClinical Research Center for Hair and Skin ScienceCharité—Universitätsmedizin Berlin Berlin Germany
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Boiten WA, Berkers T, Absalah S, van Smeden J, Lavrijsen APM, Bouwstra JA. Applying a vernix caseosa based formulation accelerates skin barrier repair by modulating lipid biosynthesis. J Lipid Res 2017; 59:250-260. [PMID: 29217624 DOI: 10.1194/jlr.m079186] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2017] [Revised: 11/08/2017] [Indexed: 01/02/2023] Open
Abstract
Restoring the lipid homeostasis of the stratum corneum (SC) is a common strategy to enhance skin barrier function. Here, we used a ceramide containing vernix caseosa (VC)-based formulation and were able to accelerate barrier recovery in healthy volunteers. The recovery was examined over 16 days by monitoring trans-epidermal water loss (TEWL) after barrier disruption by tape-stripping. Four skin sites were used to examine the effects of both treatment and barrier recovery. After 16 days, samples were harvested at these sites to examine the SC ceramide composition and lipid organization. Changes in ceramide profiles were identified using principal component analysis. After barrier recovery, the untreated sites showed increased levels of ceramide subclass AS and ceramides with a 34 total carbon-atom chain length, while the mean ceramide chain length was reduced. These changes were diminished by treatment with the studied formulation, which concurrently increased the formulated ceramides. Correlations were observed between SC lipid composition, lipid organization, and TEWL, and changes in the ceramide subclass composition suggest changes in the ceramide biosynthesis. These results suggest that VC-based formulations enhance skin barrier recovery and are attractive candidates to treat skin disorders with impaired barrier properties.
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Affiliation(s)
- Walter A Boiten
- Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands
| | - Tineke Berkers
- Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands
| | - Samira Absalah
- Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands
| | - Jeroen van Smeden
- Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands
| | - Adriana P M Lavrijsen
- Department of Dermatology, Leiden University Medical Centre, Leiden, The Netherlands
| | - Joke A Bouwstra
- Leiden Academic Centre for Drug Research, Leiden University, Leiden, The Netherlands
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Wang P, Sun M, Ren J, Aslam MN, Xu Y, Fisher GJ, Voorhees JJ, Wang X, Li Y. Dietary Fish Oil Supplementation Enhances Expression of Genes Involved in Cornified Cell Envelope Formation in Rat Skin. J Invest Dermatol 2017; 138:981-983. [PMID: 29203358 DOI: 10.1016/j.jid.2017.11.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2017] [Revised: 11/06/2017] [Accepted: 11/07/2017] [Indexed: 01/31/2023]
Affiliation(s)
- Peiru Wang
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA; Department of Photomedicine, Shanghai Dermatology Hospital, Shanghai, China
| | - Min Sun
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA
| | - Jianwei Ren
- Department of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA
| | | | - Yuting Xu
- Department of Photomedicine, Shanghai Dermatology Hospital, Shanghai, China
| | - Gary J Fisher
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA
| | - John J Voorhees
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA
| | - Xiuli Wang
- Department of Photomedicine, Shanghai Dermatology Hospital, Shanghai, China.
| | - Yong Li
- Department of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
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Choe C, Schleusener J, Lademann J, Darvin ME. Keratin-water-NMF interaction as a three layer model in the human stratum corneum using in vivo confocal Raman microscopy. Sci Rep 2017; 7:15900. [PMID: 29162917 PMCID: PMC5698327 DOI: 10.1038/s41598-017-16202-x] [Citation(s) in RCA: 57] [Impact Index Per Article: 8.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2017] [Accepted: 11/09/2017] [Indexed: 11/09/2022] Open
Abstract
The secondary and tertiary structure of keratin and natural moisturizing factor (NMF) are of great importance regarding the water regulating functions in the stratum corneum (SC). In this in vivo study, the depth-dependent keratin conformation and its relationship to the hydrogen bonding states of water and its content in the SC, are investigated using confocal Raman microscopy. Based on the obtained depth-profiles for the β-sheet/α-helix ratio, the stability of disulphide bonds, the amount of cysteine forming disulphide bonds, the buried/exposed tyrosine and the folding/unfolding states of keratin, a "three layer model" of the SC, regarding the keratin-water-NMF interaction is proposed. At the uppermost layers (30-0% SC depth), the keratin filaments are highly folded, entailing limited water binding sites, and NMF is mostly responsible for binding water. At the intermediate layers (70-30% SC depth), the keratin filaments are unfolded, have the most water binding sites and are prone to swelling. At the bottom layers (100-80% SC depth), the water binding sites are already occupied with water and cannot swell substantially. The hydrogen bonding states of water molecules can only be explained by considering both, the molecular structure of keratin and the contribution of NMF as a holistic system.
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Affiliation(s)
- ChunSik Choe
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venerology and Allergology, Center of Experimental and Applied Cutaneous Physiology, Charitéplatz 1, 10117, Berlin, Germany.,Kim Il Sung University, Ryongnam-Dong, Taesong District, Pyongyang, Democratic People's Republic of Korea
| | - Johannes Schleusener
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venerology and Allergology, Center of Experimental and Applied Cutaneous Physiology, Charitéplatz 1, 10117, Berlin, Germany
| | - Jürgen Lademann
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venerology and Allergology, Center of Experimental and Applied Cutaneous Physiology, Charitéplatz 1, 10117, Berlin, Germany
| | - Maxim E Darvin
- Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Department of Dermatology, Venerology and Allergology, Center of Experimental and Applied Cutaneous Physiology, Charitéplatz 1, 10117, Berlin, Germany.
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Voegeli R, Monneuse JM, Schoop R, Summers B, Rawlings AV. The effect of photodamage on the female Caucasian facial stratum corneum corneome using mass spectrometry-based proteomics. Int J Cosmet Sci 2017; 39:637-652. [PMID: 28865110 DOI: 10.1111/ics.12426] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2017] [Accepted: 08/29/2017] [Indexed: 12/23/2022]
Abstract
BACKGROUND The effect of photodamage on facial stratum corneum (SC) is still poorly understood. OBJECTIVE To describe the SC proteome from tape strippings of Caucasian SC from photoexposed cheek and photoprotected post-auricular (PA) site, a global analysis of photodamage on the skin will be developed leading to a better understanding of keratinocyte signalling pathways and identification of new molecular targets for the treatment of photoaged skin. METHODS Female Caucasian subjects had nine consecutive tape strippings taken from their cheeks and PA site. Proteins were extracted and the trypsin-digested peptides were analysed by nanochromatography coupled to a high-resolution mass spectrometer. Data-dependent acquisition allowed protein identification that was processed by Paragon algorithm of Protein Pilot software. RESULTS Changes in the levels of epidermal differentiation proteins were apparent indicating poor epidermal differentiation and SC maturation (keratins, cornified envelope (CE) proteins) on photoexposed cheeks. Differences in protease-anti-protease balance were observed for corneodesmolysis (favouring desquamation) and filaggrinolysis (favouring reduced filaggrin processing). 12R-LOX, a CE maturation enzyme, was reduced in photodamaged skin but not transglutaminases. Changes in signal keratinocyte transduction pathway markers were demonstrated especially by reduced levels of downstream signalling markers such as calreticulin (unfolded protein response; UPR) and increased level of stratifin (target of rapamycin; mTOR). Evidence for impaired proteostasis was apparent by reduced levels of a key proteasomal subunit (subunit beta type-6). Finally, key antioxidant proteins were upregulated except catalase. CONCLUSION Clear examples of poor keratinocyte differentiation and associated metabolic and signalling pathways together with reduced SC maturation were identified in photodamaged facial SC. Corneocyte immaturity was evident with changes in CE proteins. Particularly, the reduction in 12R-LOX is a novel finding in photodamaged skin and supports the lack of SC maturation. Moreover, filaggrinolysis was reduced, whereas corneodesmolysis was enhanced. From our results, we propose that there is a poor cross-talk between the keratinocyte endoplasmic reticulum UPR, proteasome network and autophagy machinery that possibly leads to impaired keratinocyte proteostasis. Superimposed on these aberrations is an apparently enhanced mTOR pathway that also contributes to reduced SC formation and maturation. Our results clearly indicate a corneocyte scaffold disorder in photodamaged cheek SC.
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Affiliation(s)
- R Voegeli
- DSM Nutritional Products Ltd., Wurmisweg 571, 4303, Kaiseraugst, Switzerland
| | - J-M Monneuse
- Phylogene S.A., 62, Route Nationale 113, 30620, Bernis, France
| | - R Schoop
- DSM Nutritional Products Ltd., Wurmisweg 571, 4303, Kaiseraugst, Switzerland
| | - B Summers
- Photobiology Laboratory, Sefako Makgatho Health Sciences University, Molotlegi St, Medunsa 0204, Pretoria, South Africa
| | - A V Rawlings
- AVR Consulting Ltd., 26 Shavington Way, Northwich, Cheshire CW9 8FH, UK
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Moore DJ, Rawlings AV. The chemistry, function and (patho)physiology of stratum corneum barrier ceramides. Int J Cosmet Sci 2017; 39:366-372. [DOI: 10.1111/ics.12399] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2017] [Accepted: 03/19/2017] [Indexed: 11/28/2022]
Affiliation(s)
- D. J. Moore
- GSK Consumer Healthcare; Skin Health R&D; 184 Liberty Corner Road Warren NJ 07059 USA
| | - A. V. Rawlings
- AVR Consulting Ltd; 26 Shavington Way Kingsmead Northwich Cheshire CW9 8FH UK
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Schroeter A, Stahlberg S, Školová B, Sonnenberger S, Eichner A, Huster D, Vávrová K, Hauß T, Dobner B, Neubert RHH, Vogel A. Phase separation in ceramide[NP] containing lipid model membranes: neutron diffraction and solid-state NMR. SOFT MATTER 2017; 13:2107-2119. [PMID: 28225091 DOI: 10.1039/c6sm02356h] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
Abstract
The stratum corneum is the outermost layer of the skin and protects the organism against external influences as well as water loss. It consists of corneocytes embedded in a mixture of ceramides, fatty acids, and cholesterol in a molar ratio of roughly 1 : 1 : 1. The unique structural and compositional arrangement of these stratum corneum lipids is responsible for the skin barrier properties. Many studies investigated the organization of these barrier lipids and, in particular, the exact conformation of ceramides. However, so far no consensus has been reached. In this study, we investigate a model system comprised of N-(non-hydroxy-tetracosanoyl)-phytosphingosine/cholesterol/tetracosanoic acid (CER[NP]-C24/CHOL/TA) at a 1 : 1 : 1 molar ratio using neutron diffraction and 2H solid-state NMR spectroscopy at temperatures from 25 °C to 80 °C. Deuterated variants of all three lipid components of the model system were used to enable their separate investigation in the NMR spectra and quantification of the amount of molecules in each phase. Neutron scattering experiments show the coexistence of two lipid phases at low temperatures with repeat spacings of 54.2 Å and 43.0 Å at a physiological skin temperature of 32 °C. They appear to be indistinguishable in the 2H NMR spectra as both phases are crystalline and ceramide molecules do not rotate around their long axis on a microsecond timescale. The evolution of these phases upon heating is followed and with increasing temperature fluid and even isotropically mobile molecules are observed. A model of the organization of the lamellar phases is proposed in which the thicker phase consists of CER[NP]-C24 in a hairpin conformation mixed with CHOL and TA, while the phase with a repeat spacing of 43.0 Å contains CER[NP]-C24 in a V-shape conformation.
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Affiliation(s)
- Annett Schroeter
- Institute of Pharmacy, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Sören Stahlberg
- Institute for Medical Physics and Biophysics, University of Leipzig, Härtelstraße 16-18, D-04107 Leipzig, Germany.
| | - Barbora Školová
- Institute for Medical Physics and Biophysics, University of Leipzig, Härtelstraße 16-18, D-04107 Leipzig, Germany. and Faculty of Pharmacy, Charles University, Akademika Heyrovského 1203, 50005 Hradec Králové, Czech Republic
| | - Stefan Sonnenberger
- Institute of Pharmacy, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Adina Eichner
- Institute of Pharmacy, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Daniel Huster
- Institute for Medical Physics and Biophysics, University of Leipzig, Härtelstraße 16-18, D-04107 Leipzig, Germany.
| | - Kateřina Vávrová
- Faculty of Pharmacy, Charles University, Akademika Heyrovského 1203, 50005 Hradec Králové, Czech Republic
| | - Thomas Hauß
- Institute of Soft Matter and Functional Materials, Helmholtz-Zentrum für Materialien und Energie, Berlin, Germany
| | - Bodo Dobner
- Institute of Pharmacy, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Reinhard H H Neubert
- Institute of Pharmacy, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany and Institute of Applied Dermatopharmacy at the Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - Alexander Vogel
- Institute for Medical Physics and Biophysics, University of Leipzig, Härtelstraße 16-18, D-04107 Leipzig, Germany.
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Pérez B, Dahlgaard S, Bulsara P, Rawlings A, Jensen M, Dong M, Glasius M, Clarke M, Guo Z. Synthesis and characterization of O-acylated-ω-hydroxy fatty acids as skin-protecting barrier lipids. J Colloid Interface Sci 2017; 490:137-146. [DOI: 10.1016/j.jcis.2016.11.031] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Revised: 11/08/2016] [Accepted: 11/08/2016] [Indexed: 11/16/2022]
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van Zuuren EJ, Fedorowicz Z, Christensen R, Lavrijsen A, Arents BWM. Emollients and moisturisers for eczema. Cochrane Database Syst Rev 2017; 2:CD012119. [PMID: 28166390 PMCID: PMC6464068 DOI: 10.1002/14651858.cd012119.pub2] [Citation(s) in RCA: 76] [Impact Index Per Article: 10.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
BACKGROUND Eczema is a chronic skin disease characterised by dry skin, intense itching, inflammatory skin lesions, and a considerable impact on quality of life. Moisturisation is an integral part of treatment, but it is unclear if moisturisers are effective. OBJECTIVES To assess the effects of moisturisers for eczema. SEARCH METHODS We searched the following databases to December 2015: Cochrane Skin Specialised Register, CENTRAL, MEDLINE, Embase, LILACS, the GREAT database. We searched five trials registers and checked references of included and excluded studies for further relevant trials. SELECTION CRITERIA Randomised controlled trials in people with eczema. DATA COLLECTION AND ANALYSIS We used standard Cochrane methodological procedures. MAIN RESULTS We included 77 studies (6603 participants, mean age: 18.6 years, mean duration: 6.7 weeks). We assessed 36 studies as at a high risk of bias, 34 at unclear risk, and seven at low risk. Twenty-four studies assessed our primary outcome 'participant-assessed disease severity', 13 assessed 'satisfaction', and 41 assessed 'adverse events'. Secondary outcomes included investigator-assessed disease severity (addressed in 65 studies), skin barrier function (29), flare prevention (16), quality of life (10), and corticosteroid use (eight). Adverse events reporting was limited (smarting, stinging, pruritus, erythema, folliculitis).Six studies evaluated moisturiser versus no moisturiser. 'Participant-assessed disease severity' and 'satisfaction' were not assessed. Moisturiser use yielded lower SCORAD than no moisturiser (three studies, 276 participants, mean difference (MD) -2.42, 95% confidence interval (CI) -4.55 to -0.28), but the minimal important difference (MID) (8.7) was unmet. There were fewer flares with moisturisers (two studies, 87 participants, RR 0.40, 95% CI 0.23 to 0.70), time to flare was prolonged (median: 180 versus 30 days), and less topical corticosteroids were needed (two studies, 222 participants, MD -9.30 g, 95% CI -15.3 to -3.27). There was no statistically significant difference in adverse events (one study, 173 participants, risk ratio (RR) 15.34, 95% CI 0.90 to 261.64). Evidence for these outcomes was low quality.With Atopiclair (three studies), 174/232 participants experienced improvement in participant-assessed disease severity versus 27/158 allocated to vehicle (RR 4.51, 95% CI 2.19 to 9.29). Atopiclair decreased itching (four studies, 396 participants, MD -2.65, 95% CI -4.21 to -1.09) and achieved more frequent satisfaction (two studies, 248 participants, RR 2.14, 95% CI 1.58 to 2.89), fewer flares (three studies, 397 participants, RR 0.18, 95% CI 0.11 to 0.31), and lower EASI (four studies, 426 participants, MD -4.0, 95% CI -5.42 to -2.57), but MID (6.6) was unmet. The number of participants reporting adverse events was not statistically different (four studies, 430 participants, RR 1.03, 95% CI 0.79 to 1.33). Evidence for these outcomes was moderate quality.Participants reported skin improvement more frequently with urea-containing cream than placebo (one study, 129 participants, RR 1.28, 95% CI 1.06 to 1.53; low-quality evidence), with equal satisfaction between the two groups (one study, 38 participants, low-quality evidence). Urea-containing cream improved dryness (investigator-assessed) more frequently (one study, 128 participants, RR 1.40, 95% CI 1.14 to 1.71; moderate-quality evidence) with fewer flares (one study, 44 participants, RR 0.47, 95% CI 0.24 to 0.92; low-quality evidence), but more participants in this group reported adverse events (one study, 129 participants, RR 1.65, 95% CI 1.16 to 2.34; moderate-quality evidence).Three studies assessed glycerol-containing moisturiser versus vehicle or placebo. More participants in the glycerol group noticed skin improvement (one study, 134 participants, RR 1.22, 95% CI 1.01 to 1.48; moderate-quality evidence), and this group saw improved investigator-assessed SCORAD (one study, 249 participants, MD -2.20, 95% CI -3.44 to -0.96; high-quality evidence), but MID was unmet. Participant satisfaction was not addressed. The number of participants reporting adverse events was not statistically significant (two studies, 385 participants, RR 0.90, 95% CI 0.68 to 1.19; moderate-quality evidence).Four studies investigated oat-containing moisturisers versus no treatment or vehicle. No significant differences between groups were reported for participant-assessed disease severity (one study, 50 participants, RR 1.11, 95% CI 0.84 to 1.46; low-quality evidence), satisfaction (one study, 50 participants, RR 1.06, 95% CI 0.74 to 1.52; very low-quality evidence), and investigator-assessed disease severity (three studies, 272 participants, standardised mean difference (SMD) -0.23, 95% CI -0.66 to 0.21; low-quality evidence). In the oat group, there were fewer flares (one study, 43 participants, RR 0.31, 95% CI 0.12 to 0.7; low-quality evidence) and less topical corticosteroids needed (two studies, 222 participants, MD -9.30g, 95% CI 15.3 to -3.27; low-quality evidence), but more adverse events were reported (one study, 173 participants; Peto odds ratio (OR) 7.26, 95% CI 1.76 to 29.92; low-quality evidence).All moisturisers above were compared to placebo, vehicle, or no moisturiser. Participants considered moisturisers more effective in reducing eczema (five studies, 572 participants, RR 2.46, 95% CI 1.16 to 5.23; low-quality evidence) and itch (seven studies, 749 participants, SMD -1.10, 95% CI -1.83 to -0.38) than control. Participants in both treatment arms reported comparable satisfaction (three studies, 296 participants, RR 1.35, 95% CI 0.77 to 2.26; low-quality evidence). Moisturisers led to lower investigator-assessed disease severity (12 studies, 1281 participants, SMD -1.04, 95% CI -1.57 to -0.51; high-quality evidence) and fewer flares (six studies, 607 participants, RR 0.33, 95% CI 0.17 to 0.62; moderate-quality evidence), but there was no difference in adverse events (10 studies, 1275 participants, RR 1.03, 95% CI 0.82 to 1.30; moderate-quality evidence).Topical active treatment combined with moisturiser was more effective than active treatment alone in reducing investigator-assessed disease severity (three studies, 192 participants, SMD -0.87, 95% CI -1.17 to -0.57; moderate-quality evidence) and flares (one study, 105 participants, RR 0.43, 95% CI 0.20 to 0.93), and was preferred by participants (both low-quality evidence). There was no statistically significant difference in number of adverse events (one study, 125 participants, RR 0.39, 95% CI 0.13 to 1.19; very low-quality evidence). Participant-assessed disease severity was not addressed. AUTHORS' CONCLUSIONS Most moisturisers showed some beneficial effects, producing better results when used with active treatment, prolonging time to flare, and reducing the number of flares and amount of topical corticosteroids needed to achieve similar reductions in eczema severity. We did not find reliable evidence that one moisturiser is better than another.
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Affiliation(s)
- Esther J van Zuuren
- Department of Dermatology, Leiden University Medical Center, PO Box 9600, B1-Q, Leiden, Netherlands, 2300 RC
| | | | - Robin Christensen
- Musculoskeletal Statistics Unit, The Parker Institute, Copenhagen University Hospital, Bispebjerg og Frederiksberg, Nordre Fasanvej 57, Copenhagen, Denmark, DK-2000
| | - Adriana Lavrijsen
- Department of Dermatology, Leiden University Medical Center, PO Box 9600, B1-Q, Leiden, Netherlands, 2300 RC
| | - Bernd WM Arents
- Dutch Association for People with Atopic Dermatitis (VMCE: Vereniging voor Mensen met Constitutioneel Eczeem), PO Box 26, Nijkerk, Netherlands, NL-3860AA
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Bulsara PA, Varlashkin P, Dickens J, Moore DJ, Rawlings AV, Clarke MJ. The rational design of biomimetic skin barrier lipid formulations using biophysical methods. Int J Cosmet Sci 2016; 39:206-216. [DOI: 10.1111/ics.12366] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Accepted: 09/07/2016] [Indexed: 02/02/2023]
Affiliation(s)
- P. A. Bulsara
- Skin Health Innovation; Consumer Healthcare; GlaxoSmithKline; 184 Liberty Corner Rd Warren NJ 07059 U.S.A
| | - P. Varlashkin
- Skin Health Innovation; Consumer Healthcare; GlaxoSmithKline; 184 Liberty Corner Rd Warren NJ 07059 U.S.A
| | - J. Dickens
- Skin Health Innovation; Consumer Healthcare; GlaxoSmithKline; 184 Liberty Corner Rd Warren NJ 07059 U.S.A
| | - D. J. Moore
- Skin Health Innovation; Consumer Healthcare; GlaxoSmithKline; 184 Liberty Corner Rd Warren NJ 07059 U.S.A
| | | | - M. J. Clarke
- Skin Health Innovation; Consumer Healthcare; GlaxoSmithKline; 184 Liberty Corner Rd Warren NJ 07059 U.S.A
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Abdayem R, Formanek F, Minondo AM, Potter A, Haftek M. Cell surface glycans in the human
stratum corneum
: distribution and depth‐related changes. Exp Dermatol 2016; 25:865-871. [DOI: 10.1111/exd.13070] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/10/2016] [Indexed: 01/10/2023]
Affiliation(s)
- Rawad Abdayem
- University of Lyon1 EA4169 “Fundamental, Clinical and Therapeutic Aspects of Skin Barrier Function” Lyon France
- L'Oréal Research and Innovation Aulnay sous Bois France
| | | | | | - Anne Potter
- L'Oréal Research and Innovation Aulnay sous Bois France
| | - Marek Haftek
- University of Lyon1 EA4169 “Fundamental, Clinical and Therapeutic Aspects of Skin Barrier Function” Lyon France
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38
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Choe C, Lademann J, Darvin ME. Depth profiles of hydrogen bound water molecule types and their relation to lipid and protein interaction in the human stratum corneum in vivo. Analyst 2016; 141:6329-6337. [PMID: 27774531 DOI: 10.1039/c6an01717g] [Citation(s) in RCA: 95] [Impact Index Per Article: 11.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
Confocal Raman microscopy has been used to measure depth-dependent profiles of human SC in vivo in the high wavenumber (HWN) region. In order to keep the linearity of HWN region boundaries and to not remove an informative signal from Raman spectra, a new baseline subtraction procedure has been introduced. After baseline subtraction, the HWN spectrum was deconvoluted using 10 Gaussian functions with individual chemical meanings. The results show that the hydrogen bound water molecule types contributed differently to the water diffusion process in the SC. The most concentrated double donor-double acceptor (DDAA) and single donor-single acceptor (DA) water molecule types in the SC represent more than 90% of the SC's water and mostly contribute to the water flux in the skin. Single donor-double acceptor (DAA) and weakly-bound water molecule types represent less than 10% of the SC's water content. The most tightly hydrogen bound water molecule type, DAA, reaches its maximum concentration near the skin surface and does not take part in the water diffusion process via the SC. The results show that the hydrogen bonding state of water (DA/DDAA water molecule type ratio) reaches its maximum at the depth of approx. 30% of the SC thickness, which correlates well with the maximum lateral packing order of intercellular lipids (ICL) and the natural moisturizing factor (NMF), and does not coincide with the folding/unfolding state of keratin. The NMF's contribution to the bonding of water in the SC is supposed to dominate over that of ICL.
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Affiliation(s)
- ChunSik Choe
- Charité- Universitätsmedizin Berlin, Department of Dermatology, Venerology and Allergology, Center of Experimental and Applied Cutaneous Physiology, Charitéplatz 1, 10117 Berlin, Germany.
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39
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Stamatas G. Neonatal skin barrier. Br J Dermatol 2016; 175:670-1. [DOI: 10.1111/bjd.14946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- G.N. Stamatas
- Johnson & Johnson Santé Beauté France; Issy-les-Moulineaux 92130 France
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Raj N, Voegeli R, Rawlings AV, Doppler S, Imfeld D, Munday MR, Lane ME. A fundamental investigation into aspects of the physiology and biochemistry of the stratum corneum in subjects with sensitive skin. Int J Cosmet Sci 2016; 39:2-10. [PMID: 27079667 DOI: 10.1111/ics.12334] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2016] [Accepted: 04/10/2016] [Indexed: 12/14/2022]
Abstract
BACKGROUND Sensitive skin is a poorly understood skin condition. Defects in stratum corneum (SC) barrier function and/or extrasensory neuronal networks in the epidermis are believed to be involved in the problem. OBJECTIVES This study aimed to unravel the relationships between bleomycin hydrolase (BH) and calpain-1 (C-1), pyrrolidone carboxylic acid (PCA) levels, corneocyte maturation, transglutaminase (TG) and plasmin activities on the cheeks of subjects with sensitive skin. METHODS Forty-eight female Caucasian subjects, Fitzpatrick skin phototypes II-III, with self-perceived sensitive facial skin, were assessed and underwent a capsaicin reactivity test. Expert grading of skin condition was conducted as well as the measurement of transepidermal water loss (TEWL), skin capacitance, SC cohesion and SC integrity. BH, C-1 and plasmin activities were measured as well as PCA levels, plasmin and TG activity. Differential Nile red and involucrin immunostaining was performed to assess corneocyte maturation and size. RESULTS About 52% of the subjects reacted to capsaicin. There were no significant differences between the capsaicin-sensitive and non-capsaicin-sensitive subjects with reference to skin grading, TEWL, skin capacitance and SC cohesion. PCA levels and BH activity were lowest in the capsaicin-sensitive panel (P < 0.05) and were correlated in non-capsaicin-sensitive subjects (r = 0.72). The activity of TG was significantly lower (48%) in the capsaicin-sensitive subjects (P < 0.001) and their corneocytes were less mature and smaller (P ≤ 0.05). SC was estimated to be thinner (6.87 ± 0.28 vs. 8.68 ± 0.26 μm; P = 0.001) in the capsaicin-sensitive subjects with a corresponding shorter SC path length (83.2 ± 4.4 μm and 113.1 ± 4.5 μm; P = 0.001). CONCLUSIONS Despite the physiological similarities between the two groups of sensitive skin subjects, differences in their biochemistry were clearly evident. Lower levels of PCA, BH and TG activities together with a greater number of smaller and immature corneocytes indicate inferior SC maturation in the capsaicin-sensitive subjects. The reduced maturation of corneocytes and thinner SC likely contributes to a greater penetration of capsaicin and the associated increased skin sensitivity.
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Affiliation(s)
- N Raj
- UCL School of Pharmacy, London, UK
| | - R Voegeli
- DSM Nutritional Products Ltd., Kaiseraugst, Switzerland
| | | | - S Doppler
- DSM Nutritional Products Ltd., Kaiseraugst, Switzerland
| | - D Imfeld
- DSM Nutritional Products Ltd., Kaiseraugst, Switzerland
| | | | - M E Lane
- UCL School of Pharmacy, London, UK
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Raj N, Voegeli R, Rawlings AV, Summers B, Munday MR, Lane ME. Variation in the activities of late stage filaggrin processing enzymes, calpain-1 and bleomycin hydrolase, together with pyrrolidone carboxylic acid levels, corneocyte phenotypes and plasmin activities in non-sun-exposed and sun-exposed facial stratum corneum of different ethnicities. Int J Cosmet Sci 2016; 38:567-575. [PMID: 27028209 DOI: 10.1111/ics.12321] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2016] [Accepted: 03/22/2016] [Indexed: 01/01/2023]
Abstract
BACKGROUND Knowledge of the ethnic differences and effects of photodamage on the relative amounts of natural moisturizing factor (NMF) together with filaggrin processing enzymes in facial stratum corneum is limited. Our aim was to characterize the activities of calpain-1 (C-1), bleomycin hydrolase (BH) and the levels of pyrrolidone carboxylic acid (PCA) as a marker for total NMF levels and to relate them to plasmin activities and corneocyte maturation. METHODS Enzyme activities, PCA levels and corneocyte maturation were determined from facial tape strippings of photoexposed cheek and photoprotected post-auricular areas (PA) of healthy Caucasian (C), Black African (BA) and albino African (AA) female subjects living in South Africa. RESULTS PCA concentration levels were of the order AA > BA > C subjects, and the highest activities of BH were present in the AA subjects. BH activities were greater on the photoexposed sites for the BA and C subjects, but they were only numerically elevated in the AA subjects. Photoprotected sites had an increase in C-1 activity in pigmented groups (C and BA), whereas in the AA subjects, the opposite was measured. Plasmin activities were greater on the cheek compared with the PA site for the AA and C subjects, but the activity was low in the BA subjects. In both test sites, the AA, but not the BA and C subjects, had smaller, parakeratotic and less mature corneocytes. CONCLUSION Variation in PCA levels has been found for different ethnic groups in this study (AA > BA > C subjects). The values in the AA subjects are surprising as one might expect that the lack of pigmentation, and thereby increased photodamage, might lead to lower levels. Increased BH, but not C-1 activity, was observed in the AA subjects indicating that BH is associated with PCA production to a greater extent. Surprisingly, corneocyte maturation is still impaired with elevated PCA levels in AA subjects. The higher levels of plasmin and BH activities on the cheeks, especially for AA and C subjects, suggest that they can be used as markers for epidermal photodamage.
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Affiliation(s)
- N Raj
- UCL School of Pharmacy, London, U.K
| | - R Voegeli
- DSM Nutritional Products Ltd., Kaiseraugst, Switzerland
| | | | - B Summers
- Photobiology Laboratory, Sefako Makgatho Health Sciences University, Medunsa, South Africa
| | | | - M E Lane
- UCL School of Pharmacy, London, U.K
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van Zuuren EJ, Fedorowicz Z, Lavrijsen A, Christensen R, Arents B. Emollients and moisturisers for eczema. THE COCHRANE DATABASE OF SYSTEMATIC REVIEWS 2016. [DOI: 10.1002/14651858.cd012119] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
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Horimukai K, Morita K, Narita M, Kondo M, Kabashima S, Inoue E, Sasaki T, Niizeki H, Saito H, Matsumoto K, Ohya Y. Transepidermal water loss measurement during infancy can predict the subsequent development of atopic dermatitis regardless of filaggrin mutations. Allergol Int 2016; 65:103-8. [PMID: 26666481 DOI: 10.1016/j.alit.2015.09.004] [Citation(s) in RCA: 76] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2015] [Revised: 09/24/2015] [Accepted: 09/27/2015] [Indexed: 01/26/2023] Open
Abstract
BACKGROUND Atopic dermatitis (AD) is characterized by skin barrier dysfunction. Few studies have used noninvasive techniques to measure epidermis function in asymptomatic neonates. METHODS Data of 116 infants from our previous randomized controlled study were analyzed. Skin barrier function was measured through transepidermal water loss (TEWL), stratum corneum hydration (SCH), and pH. The association between skin barrier function and time to AD development was evaluated. Patients were classified with high or low TEWL, and SCH and pH were assessed. The survival function of the time to AD development and hazard ratios were estimated. Allergic sensitization to egg white and ovomucoid at 32 weeks was assessed. RESULTS Regardless of a filaggrin mutation, TEWL (optimal cutoff, 6.5 g/m(2)/h) of the forehead within the first week of life showed a lower p-value than TEWL of the leg, and the SCH and pH measurements. Baseline TEWL of the forehead was not different between groups, except for the mean gestational age, and it was not affected by humidity. We found a significant difference in the cumulative AD incidence between the high and low TEWL groups for the forehead only (p < 0.05). The probability without AD was lower in the high TEWL group than in the low TEWL group. For only the high TEWL group, AD development decreased significantly with daily emollient use. The high TEWL group exhibited a higher rate of sensitization to ovomucoid (p = 0.07). CONCLUSIONS TEWL of the forehead during the first week of life is associated with AD development.
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Raj N, Voegeli R, Rawlings AV, Gibbons S, Munday MR, Summers B, Lane ME. Variation in stratum corneum protein content as a function of anatomical site and ethnic group. Int J Cosmet Sci 2015; 38:224-31. [DOI: 10.1111/ics.12274] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2015] [Accepted: 09/02/2015] [Indexed: 11/30/2022]
Affiliation(s)
- N. Raj
- School of Pharmacy; University College London; London U.K
| | - R. Voegeli
- DSM Nutritional Products Ltd.; Kaiseraugst Switzerland
| | - A. V. Rawlings
- School of Pharmacy; University College London; London U.K
| | - S. Gibbons
- School of Pharmacy; University College London; London U.K
| | - M. R. Munday
- School of Pharmacy; University College London; London U.K
| | - B. Summers
- Photobiology Laboratory; Sefako Makgatho University; Mednusa South Africa
| | - M. E. Lane
- School of Pharmacy; University College London; London U.K
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Lee S, Kim JE, Suk S, Kwon OW, Park G, Lim TG, Seo SG, Kim JR, Kim DE, Lee M, Chung DK, Jeon JE, Cho DW, Hurh BS, Kim SY, Lee KW. A fermented barley and soybean formula enhances skin hydration. J Clin Biochem Nutr 2015; 57:156-63. [PMID: 26388675 PMCID: PMC4566027 DOI: 10.3164/jcbn.15-43] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2015] [Accepted: 05/01/2015] [Indexed: 01/25/2023] Open
Abstract
Skin hydration is one of the primary aims of beauty and anti-aging treatments. Barley (Hordeum vulgare) and soybean (Glycine max) are major food crops, but can also be used as ingredients for the maintenance of skin health. We developed a natural product-based skin treatment using a barley and soybean formula (BS) incorporating yeast fermentation, and evaluated its skin hydration effects as a dietary supplement in a clinical study. Participants ingested a placebo- (n = 33) or BS- (3 g/day) containing drink (n = 32) for 8 weeks. A significant increase in hydration in the BS group as compared to the placebo group was observed on the faces of subjects after 4 and 8 weeks, and on the forearm after 4 weeks. Decreases in stratum corneum (SC) thickness were also observed on the face and forearm. BS enhanced hyaluronan (HA) and skin barrier function in vitro and reduced Hyal2 expression in human dermal fibroblasts (HDF). BS also recovered ultraviolet (UV) B-induced downregulation of HA in HaCaT cells. These results suggest that BS has promising potential for development as a health functional food to enhance skin health.
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Affiliation(s)
- Sein Lee
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea
| | - Jong-Eun Kim
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea
| | - Sujin Suk
- Interdisciplinary Program in Agricultural Biotechnology Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea
| | - Oh Wook Kwon
- Graduate School of East-West Medical Science, Kyung Hee University, Global Campus, #1732 Deogyeong-daero, Giheung-gu, Yongin, Gyeonggi-do, 446-701, Korea
| | - Gaeun Park
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea
| | - Tae-Gyu Lim
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea
| | - Sang Gwon Seo
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea
| | - Jong Rhan Kim
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea
| | - Dae Eung Kim
- Sempio Fermentation Research Center; #183 Osongsaengmyeong 4-ro, Osongeup, Cheongwongun, Chungcheongbukdo, 363-954, Korea
| | - Miyeong Lee
- Skin Biotechnology Center, Gyeonggi Biocenter, Suwon, Korea
| | - Dae Kyun Chung
- Skin Biotechnology Center, Gyeonggi Biocenter, Suwon, Korea ; Graduate School of Biotechnology and Institute of Life Science and Resources, Kyung Hee University, Yongin 446-701, Korea
| | - Jong Eun Jeon
- Sempio Fermentation Research Center; #183 Osongsaengmyeong 4-ro, Osongeup, Cheongwongun, Chungcheongbukdo, 363-954, Korea
| | - Dong Woon Cho
- Sempio Fermentation Research Center; #183 Osongsaengmyeong 4-ro, Osongeup, Cheongwongun, Chungcheongbukdo, 363-954, Korea
| | - Byung Serk Hurh
- Sempio Fermentation Research Center; #183 Osongsaengmyeong 4-ro, Osongeup, Cheongwongun, Chungcheongbukdo, 363-954, Korea
| | - Sun Yeou Kim
- College of Pharmacy, Gachon University, #191 Hambakmoero, Yeonsu-gu, Incheon 406-799, Korea
| | - Ki Won Lee
- WCU Biomodulation Major, Department of Agricultural Biotechnology, Seoul National University, Seoul 151-921, Korea ; Advanced Institutes of Convergence Technology, Seoul National University, Seoul 151-921, Korea ; Institute on Aging, Seoul National University, Seoul 151-921, Korea
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Franz J, Beutel M, Gevers K, Kramer A, Thyssen JP, Kezic S, Riethmüller C. Nanoscale alterations of corneocytes indicate skin disease. Skin Res Technol 2015; 22:174-80. [DOI: 10.1111/srt.12247] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/17/2015] [Indexed: 12/20/2022]
Affiliation(s)
- J. Franz
- nAnostic Institute; Centre for Nanotechnology; University of Münster; Münster Germany
| | - M. Beutel
- nAnostic Institute; Centre for Nanotechnology; University of Münster; Münster Germany
- Institute of Astrophysics; University of Heidelberg; Heidelberg Germany
| | - K. Gevers
- nAnostic Institute; Centre for Nanotechnology; University of Münster; Münster Germany
| | - A. Kramer
- Serend-ip GmbH; Centre for Nanotechnology; Münster Germany
| | - J. P. Thyssen
- Dept. Dermatology and Allergology; Gentofte University Hospital; Copenhagen Denmark
| | - S. Kezic
- Coronel Institute; AMC; University of Amsterdam; Amsterdam The Netherlands
| | - C. Riethmüller
- nAnostic Institute; Centre for Nanotechnology; University of Münster; Münster Germany
- Serend-ip GmbH; Centre for Nanotechnology; Münster Germany
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Riethmuller C, McAleer MA, Koppes SA, Abdayem R, Franz J, Haftek M, Campbell LE, MacCallum SF, McLean WHI, Irvine AD, Kezic S. Filaggrin breakdown products determine corneocyte conformation in patients with atopic dermatitis. J Allergy Clin Immunol 2015; 136:1573-1580.e2. [PMID: 26071937 PMCID: PMC4669308 DOI: 10.1016/j.jaci.2015.04.042] [Citation(s) in RCA: 83] [Impact Index Per Article: 9.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Revised: 04/23/2015] [Accepted: 04/24/2015] [Indexed: 01/22/2023]
Abstract
Background Loss-of-function (LOF) mutations in the filaggrin gene (FLG) are a well-replicated risk factor for atopic dermatitis (AD) and are known to cause an epidermal barrier defect. The nature of this barrier defect is not fully understood. Patients with AD with FLG LOF mutations are known to have more persistent disease, more severe disease, and greater risk of food allergies and eczema herpeticum. Abnormalities in corneocyte morphology have been observed in patients with AD, including prominent villus-like projections (VP); however, these ultrastructural features have not been systematically studied in patients with AD in relation to FLG genotype and acute and convalescent status. Objective We sought to quantitatively explore the relationship between FLG genotype, filaggrin breakdown products (natural moisturizing factor [NMF]), and corneocyte morphology in patients with AD. Methods We studied 15 children at first presentation of AD and after 6 weeks of standard therapy. We applied atomic force microscopy to study corneocyte conformation in patients with AD stratified by FLG status and NMF level. By using a new quantitative methodology, the number of VPs per investigated corneocyte area was assessed and expressed as the Dermal Texture Index score. Corneocytes were also labeled with an anti-corneodesmosin antibody and visualized with scanning electron microscopy. Results We found a strong correlation between NMF levels and Dermal Texture Index scores in both acute and convalescent states (respective r = −0.80 and −0.75, P < .001 and P = .002). Most, but not all, VPs showed the presence of corneodesmosin abundantly all over the cell surface in homozygous/compound heterozygous FLG patients and, to a lesser extent, in heterozygous and wild-type patients. Conclusions NMF levels are highly correlated with corneocyte morphology in patients with AD. These corneocyte conformational changes shed further insight into the filaggrin-deficient phenotype and help explain the barrier defect in patients with AD with FLG LOF mutations.
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Affiliation(s)
| | - Maeve A McAleer
- Department of Dermatology, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland; National Children's Research Centre, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland
| | - Sjors A Koppes
- Coronel Institute of Occupational Health, Academic Medical Center, Amsterdam, The Netherlands
| | - Rawad Abdayem
- University of Lyon 1, EA4169 "Fundamental, clinical and therapeutic aspects of the skin barrier function", Lyon, France
| | | | - Marek Haftek
- University of Lyon 1, EA4169 "Fundamental, clinical and therapeutic aspects of the skin barrier function", Lyon, France
| | - Linda E Campbell
- Centre for Dermatology and Genetic Medicine, Division of Molecular Medicine, Colleges of Life Sciences and Medicine, Dentistry & Nursing, University of Dundee, Dundee, United Kingdom
| | - Stephanie F MacCallum
- Centre for Dermatology and Genetic Medicine, Division of Molecular Medicine, Colleges of Life Sciences and Medicine, Dentistry & Nursing, University of Dundee, Dundee, United Kingdom
| | - W H Irwin McLean
- Centre for Dermatology and Genetic Medicine, Division of Molecular Medicine, Colleges of Life Sciences and Medicine, Dentistry & Nursing, University of Dundee, Dundee, United Kingdom
| | - Alan D Irvine
- Department of Dermatology, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland; National Children's Research Centre, Our Lady's Children's Hospital, Crumlin, Dublin, Ireland; Centre for Dermatology and Genetic Medicine, Division of Molecular Medicine, Colleges of Life Sciences and Medicine, Dentistry & Nursing, University of Dundee, Dundee, United Kingdom; Clinical Medicine, Trinity College Dublin, Dublin, Ireland.
| | - Sanja Kezic
- Coronel Institute of Occupational Health, Academic Medical Center, Amsterdam, The Netherlands.
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