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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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Haxaire C, Liebel F, Portocarrero Huang G, Chen S, Knapp E, Idkowiak-Baldys J, Glynn J. Effect of L-4-Thiazolylalanine (Protinol™) on skin barrier strength and skin protection. Int J Cosmet Sci 2023; 45:725-738. [PMID: 37402136 DOI: 10.1111/ics.12881] [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: 02/17/2023] [Revised: 05/19/2023] [Accepted: 06/24/2023] [Indexed: 07/05/2023]
Abstract
OBJECTIVES Skin barrier properties are critical for maintaining epidermal water content, protecting from environmental factors and providing the first line of defense against pathogens. In this study, we investigated the non-proteinogenic amino acid L-4-Thiazolylalanine (L4) as a potential active ingredient in skin protection and barrier strength. METHODS L4 on wound healing, anti-inflammatory and anti-oxidant properties were evaluated using monolayers and 3D skin equivalents. The transepithelial electrical resistance (TEER) value was used in vitro as a strong indicator of barrier strength and integrity. Clinical L4 efficacy was assessed for the evaluation of the skin barrier integrity and soothing benefits. RESULTS In vitro treatments of L4 show beneficial effects in wound closure mechanism, and we demonstrate that L4 anti-oxidant benefits with markedly increased HSP70 and decreased reactive oxygen species production induced by UVs exposure. Barrier strength and integrity were significantly improved by L4, confirmed clinically by an increase in 12R-lipoxygenase enzymatic activity in the stratum corneum. In addition, soothing benefits of L4 have been shown clinically with the decrease in redness after methyl nicotinate application on the inner arm and the significant reduction of the erythema and the skin desquamation on the scalp. CONCLUSION L4 delivered multiple skin benefits by strengthening the skin barrier, accelerating the skin repair process as well as soothing the skin and the scalp with anti-inflammaging effects. The observed efficacy validates L4 as a desirable skincare ingredient for topical treatment.
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Affiliation(s)
- C Haxaire
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
| | - F Liebel
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
| | - G Portocarrero Huang
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
| | - S Chen
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
| | - E Knapp
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
| | - J Idkowiak-Baldys
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
| | - J Glynn
- Avon Skin Care Institute, Global Research and Development, Avon Products Inc., Suffern, New York, USA
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Voegeli R, Cherel M, Schoop R, Rawlings AV. A comprehensive comparison of facial skin hydration based on capacitance and conductance measurements in Chinese women. Int J Cosmet Sci 2022; 44:703-718. [PMID: 35980652 PMCID: PMC9826081 DOI: 10.1111/ics.12814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 08/17/2022] [Accepted: 08/17/2022] [Indexed: 01/11/2023]
Abstract
OBJECTIVES The aim of this study was to compare the data of conductance and capacitance measurements of facial skin hydration and to evaluate and discuss the advantages and disadvantages of the different approaches. METHODS We measured skin capacitance (Corneometer® CM 825) and skin conductance (Skicon-200EX®) on 30 pre-defined facial sites of 125 Chinese women, resulting in 3750 readings per device. The data were analysed and compared, and continuous colour maps were generated on a 3D avatar for capacitance, conductance, relative difference (Δ%) and correlation (R-value) by interpolating between the individual readings and converting the values to colours. This visualization allows a better interpretation of the results. RESULTS The complexity of facial skin hydration is revealed by this approach. The similarities and discrepancies in the facial hydration maps are clearly apparent. Due to the superiority of the Skicon in measuring high hydration levels, differences in skin hydration were evident on the forehead compared with the Corneometer maps, which may be related to the more superficial measurement of the Skicon within the stratum corneum. Conversely, a greater understanding of the complexity of facial skin hydration in the nasolabial fold was obvious when using the Corneometer. The best congruence between the instruments was found at two specific but separated facial areas, one around the inner eye region and the other one on a line between the nasolabial sulcus and the oblique, lateral jaw. Interestingly, the data were not normally distributed for both instruments and they had opposite skews. All facial clusters were statistically different from each other (p < 0.001), except the cheek and jaw for the Skicon. Larger than expected percentage coefficients of variance were found for the Corneometer on some facial sites that might be explainable by differences in stratum corneum physiology and biochemistry. Corneometer values of 48 AU and Skicon values of 132 μS were taken as the cutoff for normally hydrated facial skin. CONCLUSIONS Both devices have their advantages and disadvantages suggesting that bio-instrumental measurement of skin hydration is actually more complicated than commonly thought and that the different facial zones and the use of multiple instrumentation have not been adequately considered.
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Voegeli R, Rawlings AV. Moisturizing at a molecular level - The basis of Corneocare. Int J Cosmet Sci 2022; 45:133-154. [PMID: 36453857 DOI: 10.1111/ics.12832] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 11/24/2022] [Indexed: 12/04/2022]
Abstract
BACKGROUND This review covers the last 20 years of research we and our collaborators have conducted on ethnic differences in facial skin moisturization placed in historical context with previous research. METHODS We have focussed particularly on the biochemical and cellular gradients of the stratum corneum (SC) with the aim of discovering new skin moisturization and SC maturation mechanisms, identifying new technologies and/or providing conceptual innovations for ingredients that will improve our understanding and treatment of dry skin. Specifically, we discuss gradients for corneodesmosomes and proteases, corneocyte phenotype-inducing enzymes, filaggrin and natural moisturizing factor (NMF), and barrier lipids. These gradients are interdependent and influence greatly corneocyte maturation. RESULTS The interrelationship between corneodesmolysis and the covalent attachment of ω-hydroxy ceramides and ω-hydroxy fatty acids to the corneocyte protein envelope forming the corneocyte lipid envelope is especially relevant in our new understanding of mechanisms leading to dry skin. This process is initiated by a linoleoyl-ω-acyl ceramide transforming enzyme cascade including 12R lipoxygenase (12R-LOX), epidermal lipoxygenase-3 (eLOX3), epoxide hydrolase 3 (EPHX3), short-chain dehydrogenase/reductase family 9C member 7 (SDR9C7), ceramidase and transglutaminase 1. CONCLUSION Our research has opened the opportunity of using novel treatment systems for dry skin based on lipids, humectants, niacinamide and inhibitors of the plasminogen system. It is clear that skin moisturization is a more complex mechanism than simple skin hydration.
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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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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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Rawlings A. Microbes: Fighting for space on a fragile interface. Int J Cosmet Sci 2020; 42:310-312. [DOI: 10.1111/ics.12616] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 03/17/2020] [Indexed: 11/27/2022]
Affiliation(s)
- A.V. Rawlings
- Director AVR Consulting Limited 26 Shavington Way Northwich Cheshire CW98FHUnited Kingdom
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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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Voegeli R, Gierschendorf J, Summers B, Rawlings AV. Facial skin mapping: from single point bio-instrumental evaluation to continuous visualization of skin hydration, barrier function, skin surface pH, and sebum in different ethnic skin types. Int J Cosmet Sci 2019; 41:411-424. [PMID: 31325176 PMCID: PMC6851972 DOI: 10.1111/ics.12562] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2019] [Accepted: 07/16/2019] [Indexed: 02/06/2023]
Abstract
Dry skin is one of the most important concerns of consumers worldwide. Despite huge efforts over several decades, the personal care industry still does not offer a perfect solution to satisfy the unmet needs of consumers for moisturising treatments in different ethnic groups. The paucity of data for the underlying cellular and biochemical problems in, and the effects of moisturisers on photodamaged facial skin may partly explain this. Mainly, single point measurements are used to understand the effects of products on skin physiology even on surrogate skin sites such as the non‐photodamaged volar forearm. Some groups have developed discontinuous facial maps of skin biophysical properties, however, in 2014 a continuous facial analysis of bio‐instrumental evaluations was developed using a heat map approach. These maps enabled a continuous visualization of features that not only revealed an unexpected complexity of facial skin but also indicated that use of surrogate skin sites for facial skin is inappropriate. We have demonstrated that remarkable gradients of skin hydration, TEWL, skin surface pH and sebum exist within short distances across the face and the gradients are distinctive among different ethnic groups. In addition, these studies have demonstrated that darkly‐pigmented individuals do not necessarily have a better skin barrier function than their less‐pigmented counterparts and that Caucasians have a lower facial skin surface pH compared with more pigmented subjects. Overall, there are no correlations between capacitance, TEWL and skin surface pH including individual topology angle values. Novel 3D camera approaches have also been used to facilitate a more precise assignment of measurement sites and visualisation. The 3D facial colour mappings illustrated precisely the local moisturising effects of a moisturising cream. There were subtle ethnic differences in efficacy that may be related to underlying skin biochemistry and/or ethnic differences in product application. A placebo‐controlled study using conductance measurements in Chinese subjects is also reported. Finally, a new whole face statistical approach has been taken to prove differences in skin parameters but also of moisturiser treatment that adds further to our understanding of the ethnic differences in skin physiology and product application. This paper reviews the background of the development and application of this methodology.
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Affiliation(s)
- R Voegeli
- DSM Nutritional Products Ltd, P.O. Box 2676, Bldg. 203.4/86, CH-4002, Basel, Switzerland
| | - J Gierschendorf
- Newtone Technologies, 13bis, place Jule Ferry, 69006, Lyon, France
| | - B Summers
- Sefako Makgatho Health Sciences University, Molotlegi St, Medunsa 0204, Pretoria, Gauteng, South Africa
| | - A V Rawlings
- AVR Consulting Ltd, 26 Shavington Way, Northwich, CW98FH, Cheshire, UK
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