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Takaya K, Sakamoto Y, Noji S, Imanishi N, Kishi K. Three-dimensional adipofascial and dermal structures involved in forehead crease formation. Clin Anat 2024; 37:321-328. [PMID: 37732501 DOI: 10.1002/ca.24118] [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: 06/18/2023] [Accepted: 08/26/2023] [Indexed: 09/22/2023]
Abstract
Deeply etched forehead creases indicate aging. Various treatments such as filler injections, fat grafting, and facelift surgery are used to remove them. However, knowledge of the anatomical structures associated with subcutaneous tissue changes and the superficial musculoaponeurotic system is lacking, and there is no consensus about the appropriate treatment. We have investigated the subcutaneous structures involved in forehead creases; this will help to establish selection criteria for improved treatment. The forehead sections of five unfixed adult Asian cadavers were obtained. Tissues containing forehead creases were removed from the periosteum and were examined using gross observation, radiography, histology, and nano-computed tomography. All methods revealed that the dermis in the skin crease area, namely the fold visible from the body surface, was bound to the frontalis muscle by a three-dimensional fibrous structure between the fatty septa. This structure was dense near the skin folds and sparse and thin in other areas. In particular, it was tightly bound to the dermis immediately below the crease, with collagen fibers traversing toward the epidermis. In addition, there were fewer skin appendages near the crease than in the normal area, or they were absent altogether; the epidermis was thicker, and the dermal papillae were more developed. It is thought that the density and firmness of the fibrous fatty septal structures between the dermis-frontalis muscle and the specific structures of the epidermis and dermis immediately below the crease account for the characteristic plastic forehead creases.
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Affiliation(s)
- Kento Takaya
- Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Yoshiaki Sakamoto
- Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan
| | - Shinobu Noji
- Laboratory of Cell and Tissue Biology, Keio University School of Medicine, Tokyo, Japan
| | - Nobuaki Imanishi
- Department of Anatomy, Keio University School of Medicine, Tokyo, Japan
| | - Kazuo Kishi
- Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan
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2
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Blitsman Y, Hollander E, Benafsha C, Yegodayev KM, Hadad U, Goldbart R, Traitel T, Rudich A, Elkabets M, Kost J. The Potential of PIP3 in Enhancing Wound Healing. Int J Mol Sci 2024; 25:1780. [PMID: 38339058 PMCID: PMC10855400 DOI: 10.3390/ijms25031780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Revised: 01/10/2024] [Accepted: 01/22/2024] [Indexed: 02/12/2024] Open
Abstract
Given the role of phosphatidylinositol 3,4,5-trisphosphate (PIP3) in modulating cellular processes such as proliferation, survival, and migration, we hypothesized its potential as a novel therapeutic agent for wound closure enhancement. In this study, PIP3 was examined in its free form or as a complex with cationic starch (Q-starch) as a carrier. The intracellular bioactivity and localization of free PIP3 and the Q-starch/PIP3 complexes were examined. Our results present the capability of Q-starch to form complexes with PIP3, facilitate its cellular membrane internalization, and activate intracellular paths leading to enhanced wound healing. Both free PIP3 and Q-starch/PIP3 complexes enhanced monolayer gap closure in scratch assays and induced amplified collagen production within HaCAT and BJ fibroblast cells. Western blot presented enhanced AKT activation by free or complexed PIP3 in BJ fibroblasts in which endogenous PIP3 production was pharmacologically inhibited. Furthermore, both free PIP3 and Q-starch/PIP3 complexes expedited wound closure in mice, after single or daily dermal injections into the wound margins. Free PIP3 and the Q-starch/PIP3 complexes inherently activated the AKT signaling pathway, which is responsible for crucial wound healing processes such as migration; this was also observed in wound assays in mice. PIP3 was identified as a promising molecule for enhancing wound healing, and its ability to circumvent PI3K inhibition suggests possible implications for chronic wound healing.
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Affiliation(s)
- Yossi Blitsman
- Department of Chemical Engineering, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (Y.B.); (C.B.); (R.G.); (T.T.)
| | - Etili Hollander
- Department of Chemical Engineering, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (Y.B.); (C.B.); (R.G.); (T.T.)
| | - Chen Benafsha
- Department of Chemical Engineering, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (Y.B.); (C.B.); (R.G.); (T.T.)
| | - Ksenia M. Yegodayev
- The Shraga Segal Department of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (K.M.Y.); (M.E.)
| | - Uzi Hadad
- The Ilse Katz Institute for Nanoscale Science and Technology, Marcus Campus, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel;
| | - Riki Goldbart
- Department of Chemical Engineering, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (Y.B.); (C.B.); (R.G.); (T.T.)
| | - Tamar Traitel
- Department of Chemical Engineering, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (Y.B.); (C.B.); (R.G.); (T.T.)
| | - Assaf Rudich
- Department of Clinical Biochemistry and Pharmacology, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel;
| | - Moshe Elkabets
- The Shraga Segal Department of Microbiology, Immunology and Genetics, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (K.M.Y.); (M.E.)
| | - Joseph Kost
- Department of Chemical Engineering, Ben-Gurion University of the Negev, Beer-Sheva 8410501, Israel; (Y.B.); (C.B.); (R.G.); (T.T.)
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3
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Papaccio F, D′Arino A, Caputo S, Bellei B. Focus on the Contribution of Oxidative Stress in Skin Aging. Antioxidants (Basel) 2022; 11:1121. [PMID: 35740018 PMCID: PMC9220264 DOI: 10.3390/antiox11061121] [Citation(s) in RCA: 64] [Impact Index Per Article: 32.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 05/31/2022] [Accepted: 06/03/2022] [Indexed: 02/04/2023] Open
Abstract
Skin aging is one of the most evident signs of human aging. Modification of the skin during the life span is characterized by fine lines and wrinkling, loss of elasticity and volume, laxity, rough-textured appearance, and pallor. In contrast, photoaged skin is associated with uneven pigmentation (age spot) and is markedly wrinkled. At the cellular and molecular level, it consists of multiple interconnected processes based on biochemical reactions, genetic programs, and occurrence of external stimulation. The principal cellular perturbation in the skin driving senescence is the alteration of oxidative balance. In chronological aging, reactive oxygen species (ROS) are produced mainly through cellular oxidative metabolism during adenosine triphosphate (ATP) generation from glucose and mitochondrial dysfunction, whereas in extrinsic aging, loss of redox equilibrium is caused by environmental factors, such as ultraviolet radiation, pollution, cigarette smoking, and inadequate nutrition. During the aging process, oxidative stress is attributed to both augmented ROS production and reduced levels of enzymatic and non-enzymatic protectors. Apart from the evident appearance of structural change, throughout aging, the skin gradually loses its natural functional characteristics and regenerative potential. With aging, the skin immune system also undergoes functional senescence manifested as a reduced ability to counteract infections and augmented frequency of autoimmune and neoplastic diseases. This review proposes an update on the role of oxidative stress in the appearance of the clinical manifestation of skin aging, as well as of the molecular mechanisms that underline this natural phenomenon sometimes accelerated by external factors.
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Affiliation(s)
| | | | | | - Barbara Bellei
- Laboratory of Cutaneous Physiopathology and Integrated Center of Metabolomics Research, San Gallicano Dermatological Institute, IRCCS, 00144 Rome, Italy; (F.P.); (S.C.)
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4
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Bluemke A, Ring AP, Immeyer J, Hoff A, Eisenberg T, Gerwat W, Meyer F, Breitkreutz S, Klinger LM, Brandner JM, Sandig G, Seifert M, Segger D, Rippke F, Schweiger D. Multidirectional activity of bakuchiol against cellular mechanisms of facial aging - Experimental evidence for a holistic treatment approach. Int J Cosmet Sci 2022; 44:377-393. [PMID: 35514037 PMCID: PMC9328396 DOI: 10.1111/ics.12784] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Revised: 04/25/2022] [Accepted: 05/03/2022] [Indexed: 11/29/2022]
Abstract
Objective Skin ageing is a multifactorial process involving formation of reactive oxygen species, consecutive inflammation with reduced epidermal and dermal cell viability and resulting damage to the extracellular matrix. Effective dermocosmetic treatment modalities should ideally address these hallmarks in a holistic approach. Here, we determined the corresponding activity profile of bakuchiol, a plant‐derived meroterpene, in an array of in vitro, ex vivo and in vivo studies and compared it to retinol, currently considered as gold standard in topical antiageing cosmetics. Methods The antioxidative capacity and power of bakuchiol and retinol were analysed by measuring 2,2′‐diphenyl‐1‐picrylhydrazyl (DPPH) reduction via its absorption decay and electron spin resonance spectroscopy, respectively. Effects on prostaglandin E2 (PGE2), macrophage migration inhibitory factor (MIF), fibroblast growth factor 7 (FGF7), collagen type I and VII (COL1A1, COL7A1), fibronectin (FN) levels as well as the metabolization of water‐soluble tetrazolium 1 (WST‐1) were determined in human dermal fibroblasts. Epidermal regeneration was assessed utilizing an in vitro wound healing model. FN protein levels were analysed ex vivo after treatment with a formulation containing bakuchiol, retinol or vehicle using suction blister fluid. Skin condition improvement was determined in vivo in a split‐face comparison study after application of bakuchiol or vehicle. Results In contrast to retinol, bakuchiol demonstrated high antioxidative efficacy. Levels of PGE2 and MIF were significantly decreased by both bakuchiol and retinol. Bakuchiol but not retinol significantly increased FGF7 protein levels. WST‐1 metabolization levels were significantly augmented by bakuchiol and retinol. Bakuchiol and retinol application led to a significant augmentation of COL1A1, COL7A1 and FN protein levels. Wounds supplemented with bakuchiol but not retinol displayed a significant increase in epidermis regeneration. Clinically, areas treated with a bakuchiol‐containing formulation showed a statistically significant increase in FN protein values after a 4‐week application compared to untreated areas and areas treated with vehicle. Conclusion These data provide evidence for the multidirectional efficacy of bakuchiol against cellular hallmarks of skin ageing. Its activity profile shares some common features with retinol but demonstrates several hitherto unknown biopositive effects in our studies, namely stimulation of the critical extracellular matrix component FN, and accelerated epidermal regeneration and wound healing.
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Affiliation(s)
- Anika Bluemke
- Research and Development, Beiersdorf AG, Hamburg, Germany
| | - Annika P Ring
- Research and Development, Beiersdorf AG, Hamburg, Germany
| | | | - Anke Hoff
- Research and Development, Beiersdorf AG, Hamburg, Germany
| | | | - Wolfram Gerwat
- Research and Development, Beiersdorf AG, Hamburg, Germany
| | | | | | - Lina M Klinger
- Research and Development, Beiersdorf AG, Hamburg, Germany
| | - Johanna M Brandner
- Department of Dermatology and Venerology, University Hospital Hamburg- Eppendorf, Germany
| | | | | | | | - Frank Rippke
- Research and Development, Beiersdorf AG, Hamburg, Germany
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5
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Yamazaki K, Li E, Miyazawa A, Kobayashi M, Sayo T, Makita S, Takahashi Y, Yasuno Y, Sakai S. Depth-resolved investigation of multiple optical properties and wrinkle morphology in eye-corner areas with multi-contrast Jones matrix optical coherence tomography. Skin Res Technol 2020; 27:435-443. [PMID: 33111404 DOI: 10.1111/srt.12960] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2020] [Accepted: 09/07/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Multi-contrast Jones matrix optical coherence tomography (JM-OCT) can provide quantitative depth-resolved local optical properties by improving the measurement algorithm. MATERIALS AND METHODS We examined the relationship between depth-resolved local optical properties of eye-corner skin measured by JM-OCT and corresponding wrinkle morphology of aged women (n = 21; age range, 71.7 ± 1.7 years). Wrinkle morphology was analyzed by measuring the surface topography of three-dimensional replicas. The same regions were measured three-dimensionally by JM-OCT, and the local optical properties at each depth were computed. RESULTS Birefringence (BR) and mean wrinkle depth correlated significantly at a depth of 88.2-138.6 µm from the skin surface, and attenuation coefficient (AC) and mean wrinkle depth correlated significantly at a depth of 12.6-18.9 µm and 189-459.9 μm from the skin surface, although a degree of polarization uniformity (DOPU) did not. Stepwise multiple regression analysis demonstrated that a significant regression equation (R2 = 0.649, P < .001) for predicting mean wrinkle depth was determined by BR at 107.1 µm depth (BR 107.1 µm ), DOPU at 170.1 µm (DOPU 170.1µm ), and AC at 252 µm (AC 252 µm ) as independent variables and that these standardized beta regression coefficients were -0.860, -0.593, and -0.440, respectively, suggesting that BR, DOPU, and AC sufficiently explained mean wrinkle depth. CONCLUSION These results suggest that BR 107.1 µm , DOPU 170.1 µm, and AC 252 µm may indicate collagen-related structure in the papillary, upper-reticular dermis, and microstructure or tissue density in reticular dermis, respectively, and may be involved in wrinkle formation.
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Affiliation(s)
- Kohei Yamazaki
- Biological Science Research, Kao Corporation, Odawara, Japan
| | - En Li
- Computational Optics Group, University of Tsukuba, Tsukuba, Japan
| | - Arata Miyazawa
- Computational Optics Group, University of Tsukuba, Tsukuba, Japan
| | | | - Tetsuya Sayo
- Biological Science Research, Kao Corporation, Odawara, Japan
| | - Shuichi Makita
- Computational Optics Group, University of Tsukuba, Tsukuba, Japan
| | | | - Yoshiaki Yasuno
- Computational Optics Group, University of Tsukuba, Tsukuba, Japan
| | - Shingo Sakai
- Skin Care Product Research, Kao Corporation, Odawara, Japan
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6
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Zhao Y, Feng B, Lee J, Lu N, Pierce DM. A multi-layered model of human skin elucidates mechanisms of wrinkling in the forehead. J Mech Behav Biomed Mater 2020; 105:103694. [PMID: 32090898 DOI: 10.1016/j.jmbbm.2020.103694] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2019] [Revised: 01/20/2020] [Accepted: 02/09/2020] [Indexed: 12/18/2022]
Abstract
Skin wrinkling, especially in the facial area, is a prominent sign of aging and is a growing area of research aimed at developing cosmetics and dermatological treatments. To better understand and treat undesirable skin wrinkles, it is vitally important to elucidate the underlying mechanisms of skin wrinkling, a largely mechanical process. Human skin, a multi-layer composite, has six mechanically distinct layers: from the outermost inward they are the stratum corneum, viable epidermis, dermal-epidermal-junction, papillary dermis, reticular dermis, and hypodermis. To better address the through-thickness hierarchy, and the development of wrinkling within this complicated hierarchy, we established a six-layered model of human skin realized with finite element modeling, by leveraging available morphological and biomechanical data on human skin of the forehead. Exercising our new model we aimed to quantify the effects of three potential mechanisms of wrinkle formation: (1) skin compression due to muscle contraction (dynamic wrinkles); (2) age-related volumetric tissue loss (static wrinkles); and (3) the combined effects of both mechanisms. Since hydration of the stratum corneum significantly affects its stiffness we also aimed to quantify the influence its hydration with these three potential mechanisms of wrinkle formation. Our six-layered skin model, combined with the proposed wrinkling mechanisms, successfully predicts the formation of dynamic and static wrinkles in the forehead consistent with the experimental literature. We observed three wrinkling modes in the forehead where the deepest wrinkles could reach to the reticular dermis. With further refinement our new six-layered model of human skin can be applied to study other region-specific wrinkle types such as the "crow's feet" and the nasolabial folds.
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Affiliation(s)
- Y Zhao
- Department of Mechanical Engineering, University of Connecticut, Storrs, CT, USA
| | - B Feng
- Department of Biomedical Engineering, University of Connecticut, Storrs, CT, USA
| | - J Lee
- Unilever Research and Development, Trumbull, CT, USA
| | - N Lu
- Unilever Research and Development, Trumbull, CT, USA
| | - D M Pierce
- Department of Mechanical Engineering, University of Connecticut, Storrs, CT, USA; Department of Biomedical Engineering, University of Connecticut, Storrs, CT, USA.
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7
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Eltania F, Lesmana R, Sudigdoadi S, Sudigdoadi S, Khairani AF, Goenawan H, Citrawan A, Armina Yuniarti R, Wahyudianingsih R, Gunadi JW, Supratman U. Tranexamic Acid Cream Protects Ultraviolet B-induced Photoaging in Balb/c Mice Skin by Increasing Mitochondrial Markers: Changes Lead to Improvement of Histological Appearance. Photochem Photobiol 2019; 96:863-869. [PMID: 31788813 DOI: 10.1111/php.13189] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Accepted: 11/02/2019] [Indexed: 12/12/2022]
Abstract
Tranexamic acid (TSA) is widely used as an antiaging treatment for reducing melasma and wrinkles. There are various mechanisms for wrinkle formation, and one of them is due to damage of the mitochondria. Research on mitochondria in the skin is very limited, so we are interested to see the changes that occur after application of TSA cream. We explored the effect of TSA on mitochondrial protein levels (PGC1α, Tom20, COX IV), which had affected to skin histological structure. Thirty male, 6-week-old, Balb/C mice were divided into five groups (negative control, positive control, TSA 3%, TSA 4% and TSA 5%). After 10 days of acclimatization, four groups of mice were exposed to UVB light, of which three groups were given TSA cream for 10 weeks. The skin tissue was excised for protein and histological studies. H&E staining was performed for evaluating histological changes in epidermal thickness and dermal elastosis. TSA treatment on the mice skin increased mitochondrial marker levels and epidermal thickness while decreasing dermal elastosis for all the treatment groups. Topical application of TSA significantly increased mitochondrial biogenesis which may cause alteration in epidermal thickness and reduced dermal elastosis in the histology of mice skin.
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Affiliation(s)
- Fransiska Eltania
- Department of Pharmacology, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia.,Graduate Programme of Antiaging and Aesthetics Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia
| | - Ronny Lesmana
- Physiology Division, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia.,Division of Biological Activity, Central Laboratory, Universitas Padjajaran, Bandung, Indonesia.,Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjajaran, Bandung, Indonesia
| | - Sunaryati Sudigdoadi
- Graduate Programme of Antiaging and Aesthetics Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.,Microbiology Division, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia
| | - Sudigdoadi Sudigdoadi
- Graduate Programme of Antiaging and Aesthetics Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia
| | - Astrid Feinisa Khairani
- Graduate Programme of Antiaging and Aesthetics Medicine, Faculty of Medicine, Universitas Padjadjaran, Bandung, Indonesia.,Division of Cell Biology, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia
| | - Hanna Goenawan
- Physiology Division, Department of Biomedical Sciences, Faculty of Medicine, Universitas Padjajaran, Bandung, Indonesia.,Division of Biological Activity, Central Laboratory, Universitas Padjajaran, Bandung, Indonesia
| | - Andrew Citrawan
- Luminos Aestethic Clinic, Telogorejo Hospital, Semarang, Indonesia
| | | | - Roro Wahyudianingsih
- Department of Pathology Anatomy, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia
| | - Julia Windi Gunadi
- Department of Physiology, Faculty of Medicine, Maranatha Christian University, Bandung, Indonesia
| | - Unang Supratman
- Center of Excellence in Higher Education for Pharmaceutical Care Innovation, Universitas Padjajaran, Bandung, Indonesia.,Department of Chemistry, Faculty of Mathematics and Natural Sciences, Universitas Padjadjaran, Jatinangor, Indonesia
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8
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Zhao Y, Feng B, Lee J, Lu N, Pierce DM. A multi-layered computational model for wrinkling of human skin predicts aging effects. J Mech Behav Biomed Mater 2019; 103:103552. [PMID: 32090947 DOI: 10.1016/j.jmbbm.2019.103552] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2019] [Revised: 11/16/2019] [Accepted: 11/21/2019] [Indexed: 01/31/2023]
Abstract
The development and progression of wrinkles from young to aged human skin relates to both structural and mechanical changes induced by aging. Here we aim to better understand the interaction of skin's layered morphology with dynamic wrinkles predicted in young and aged skin. First, we compare the predictions of wrinkling from 3-D finite element models of human skin including two to six distinct and anatomically motivated layers. Second, we perform parametric analyses using our six-layered model to determine how age-related changes in the architecture of human skin affect dynamic surface wrinkling. Specifically, we consider the following aging-related changes in the morphology of skin: flattening of the dermal-epidermal junction (DEJ) interface; thinning of both the viable epidermis (VE) and the reticular dermis (RD); and thickening of the papillary dermis (PD). We use skin compression to model dynamic, expressional wrinkles due to muscle contraction, and volumetric tissue loss to model effects of aging in wrinkling simulations. Our results highlight the role of skin's multi-layered structure in the modeling of wrinkling formation. Our six-layered model, consisting of all of the mechanical layers, predicts deep wrinkles with better fidelity than models including fewer layers. From our parametric study, applying our six-layered model, we conclude that: (1) the relative thicknesses of the layers in the epidermis or dermis significantly influences surface wrinkling in skin; and, (2) flattening of the DEJ with aging enhances surface wrinkling. Thinning of VE increases the relative stiffness of the epidermis and thus enhances dynamic wrinkling, while thickening of PD or thinning of RD has the same effect by reducing the equivalent stiffness of the substrate. Consequently, strategies to minimize wrinkling could maintain the undulating morphology of the DEJ, thereby delaying dynamic wrinkling and delaying the propagation of buckling into the deeper dermis or hypodermis. Additional strategies to minimize wrinkling could target preventing the VE and RD from thinning or preventing the PD from thickening.
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Affiliation(s)
- Y Zhao
- Department of Mechanical Engineering, University of Connecticut, Storrs, CT, USA
| | - B Feng
- Department of Biomedical Engineering, University of Connecticut, Storrs, CT, USA
| | - J Lee
- Unilever Research and Development, Trumbull, CT, USA
| | - N Lu
- Unilever Research and Development, Trumbull, CT, USA
| | - D M Pierce
- Department of Mechanical Engineering, University of Connecticut, Storrs, CT, USA; Department of Biomedical Engineering, University of Connecticut, Storrs, CT, USA.
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9
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Chung CL, Lawrence I, Hoffman M, Elgindi D, Nadhan K, Potnis M, Jin A, Sershon C, Binnebose R, Lorenzini A, Sell C. Topical rapamycin reduces markers of senescence and aging in human skin: an exploratory, prospective, randomized trial. GeroScience 2019; 41:861-869. [PMID: 31761958 PMCID: PMC6925069 DOI: 10.1007/s11357-019-00113-y] [Citation(s) in RCA: 112] [Impact Index Per Article: 22.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2019] [Accepted: 10/09/2019] [Indexed: 01/07/2023] Open
Abstract
Aging is a major risk factor for the majority of human diseases, and the development of interventions to reduce the intrinsic rate of aging is expected to reduce the risk for age-related diseases including cardiovascular disease, cancer, and dementia. In the skin, aging manifests itself in photodamage and dermal atrophy, with underlying tissue reduction and impaired barrier function. To determine whether rapamycin, an FDA-approved drug targeting the mechanistic target of rapamycin (mTOR) complex, can reduce senescence and markers of aging in human skin, an exploratory, placebo-controlled, interventional trial was conducted in a clinical dermatology setting. Participants were greater than 40 years of age with evidence of age-related photoaging and dermal volume loss and no major morbidities. Thirty-six participants were enrolled in the study, and nineteen discontinued or were lost to follow-up. A significant (P = 0.008) reduction in p16INK4A protein levels and an increase in collagen VII protein levels (P = 0.0077) were observed among participants at the end of the study. Clinical improvement in skin appearance was noted in multiple participants, and immunohistochemical analysis revealed improvement in histological appearance of skin tissue. Topical rapamycin reduced the expression of the p16INK4A protein consistent with a reduction in cellular senescence. This change was accompanied by relative improvement in clinical appearance of the skin and histological markers of aging and by an increase in collagen VII, which is critical to the integrity of the basement membrane. These results indicate that rapamycin treatment is a potential anti-aging therapy with efficacy in humans.Trial registration ClinicalTrials.gov Identifier: NCT03103893.
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Affiliation(s)
- Christina Lee Chung
- Department of Dermatology, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Ibiyonu Lawrence
- Department of Medicine, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Melissa Hoffman
- Department of Dermatology, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Dareen Elgindi
- Department of Dermatology, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Kumar Nadhan
- Department of Dermatology, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Manali Potnis
- Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, 245 N 15th Street, Philadelphia, PA, 19102, USA
| | - Annie Jin
- Department of Dermatology, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Catlin Sershon
- Department of Dermatology, Drexel University College of Medicine, Philadelphia, PA, USA
| | - Rhonda Binnebose
- Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, 245 N 15th Street, Philadelphia, PA, 19102, USA
| | - Antonello Lorenzini
- Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy
| | - Christian Sell
- Department of Pathology and Laboratory Medicine, Drexel University College of Medicine, 245 N 15th Street, Philadelphia, PA, 19102, USA. .,Department of Biochemistry, Drexel University College of Medicine, Philadelphia, PA, USA.
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10
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El-Domyati M, Abdel-Wahab H, Hossam A. Combining microneedling with other minimally invasive procedures for facial rejuvenation: a split-face comparative study. Int J Dermatol 2018; 57:1324-1334. [PMID: 30105816 DOI: 10.1111/ijd.14172] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2018] [Accepted: 07/16/2018] [Indexed: 11/30/2022]
Abstract
BACKGROUND The introduction of minimally invasive procedures has increased acceptance due to their efficacy, safety, and relatively long-lasting and natural results. At least two different and unrelated modalities are employed to consider a combination treatment. OBJECTIVES This study aims to evaluate and compare the use and effectiveness of combined microneedling with platelet-rich plasma (PRP) or trichloroacetic acid (TCA) peeling for facial rejuvenation. PATIENTS/METHODS Twenty-four volunteers with photoaging were randomly divided into three equal groups according to performed procedure on each side of the face (microneedling by dermaroller alone or combined with PRP or TCA 15% peeling). They had received one session every 2 weeks for six sessions of treatment. Photography and punch biopsies were performed before and after 3 months of treatment for clinical, histometrical, and histological evaluation. RESULTS Combined treatment of dermaroller and PRP or dermaroller and TCA showed significant improvement when compared with dermaroller alone. Significant increase in epidermal thickness was apparent in studied groups, especially after combined treatment with TCA. Organized collagen bundles with newly formed collagen formation and markedly decreased abnormal elastic fibers were noticed in the three studied groups. However, improvement of dermal structures was better demonstrated after combined treatment of Dermaroller and PRP than Dermaroller and TCA 15%. CONCLUSIONS Most volunteers showed significant clinical improvement after treatment supported by the histometrical and histochemical evaluation; however, the combined use of dermaroller with PRP is apparently more beneficial for facial rejuvenation.
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Affiliation(s)
- Moetaz El-Domyati
- Department of Dermatology, Faculty of Medicine, Minia University, Al-Minya, Egypt
| | - Hossam Abdel-Wahab
- Department of Dermatology, Faculty of Medicine, Minia University, Al-Minya, Egypt
| | - Aliaa Hossam
- Department of Dermatology, Faculty of Medicine, Minia University, Al-Minya, Egypt
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11
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Xu H, Fonseca M, Wolner Z, Chung E, Wu X, Geller S, Dusza SW, DeRosa AP, Marghoob AA, Busam KJ, Halpern AC, Marchetti MA. Reference values for skin microanatomy: A systematic review and meta-analysis of ex vivo studies. J Am Acad Dermatol 2017; 77:1133-1144.e4. [PMID: 28716435 DOI: 10.1016/j.jaad.2017.06.009] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 06/02/2017] [Accepted: 06/05/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Few studies have characterized reference values of normal human skin microanatomy parameters. OBJECTIVE To quantify histologic measurements of epidermal thickness, melanocyte density, hair follicle density, and eccrine gland density as a function of age and anatomic site. METHOD We searched the PubMed, Embase, Web of Science, and Cochrane databases for articles published through May 25, 2017. Two reviewers independently screened 2016 articles; 327 relevant articles and 151 additional articles found via forward or reference citations underwent full-text review by 1 of 4 reviewers for relevance, data extraction, and critical appraisal. Weighted averages, meta-analysis, and meta-regression were used in statistical analysis. RESULTS A total of 56 articles were included; when all anatomic locations were used, the overall estimates for epidermal thickness, melanocyte density, hair follicle density, and eccrine gland density were 99.75 μm (95% confidence interval [CI], 83.25-116.25), 955.05 cells/mm2 (95% CI. 880.89-1029.21), 1.40 hairs/mm2 (95% CI. 0.91-1.89), and 1.28 glands/mm2 (95% CI. 0.91-1.64), respectively. LIMITATIONS There was significant data heterogeneity across studies, possibly because of differences in histological techniques and absence of standardized microanatomy definitions. CONCLUSIONS We established summary estimates for normal human skin microanatomy parameters.
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Affiliation(s)
- Haoming Xu
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Maira Fonseca
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Zachary Wolner
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Esther Chung
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Xinyuan Wu
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Shamir Geller
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Stephen W Dusza
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Antonio P DeRosa
- Medical Library, Information Systems, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Ashfaq A Marghoob
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Klaus J Busam
- Dermatopathology Service, Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Allan C Halpern
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Michael A Marchetti
- Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
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12
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Machaliński B, Brodkiewicz A, Szumilas K, Rogińska D, Kawa MP, Stecewicz I, Trybek G, Marchlewicz M, Wiszniewska B. Morphologic Changes in the Dermis After the Single Administration of Autologous Fibroblastic Cells: A Preliminary Study. Transplant Proc 2017; 48:2833-2839. [PMID: 27788826 DOI: 10.1016/j.transproceed.2016.05.016] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/29/2016] [Revised: 04/27/2016] [Accepted: 05/11/2016] [Indexed: 11/17/2022]
Abstract
BACKGROUND Aging is a multifactorial process defined by an accumulation of damage in all tissues and organs, including the skin, throughout the lifespan of an individual. The reduction of both cellular and extracellular matrix components of the dermis during the aging process is followed by the alteration of the morphology of the skin tissue. This study was conducted to assess skin morphology in men before and 3 months after the intradermal injection of autologous fibroblastic cells. METHODS Tissue biopsies were surgically obtained before and 3 months after the treatment with autogenously harvested fibroblasts expanded in vitro, as well as after injection of phosphate-buffered saline. The thickness of collagen fiber bundles and number of fibroblasts in the dermis were analyzed in morphometric studies. The morphologic evaluation, using different methods of staining has been performed to analyze of extracellular matrix proteins, including collagen and reticular fibers, fibrillin-1-rich microfibrils, elastic fibers, and hyaluronic acid. RESULTS After administration of the cells, we found a noticeable increase in the number of fibroblasts within the dermis, a significant enlargement in diameter of the collagen fiber bundles, and an improvement in the density of reticular fibers, fibrillin-1-rich microfibrils, and elastic fibers compared with the initial, steady-state condition. CONCLUSIONS The administration of autogenous fibroblasts could be an effective and safe adjunctive therapy to conventional health care treatment to prevent and reduce the age-related accumulation of dermal tissue damage.
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Affiliation(s)
- B Machaliński
- Department of General Pathology, Pomeranian Medical University, Szczecin, Poland.
| | - A Brodkiewicz
- Department of Pediatrics, Nephrology with Dializotherapy and Management of Acute Poisoning, Pomeranian Medical University, Szczecin, Poland
| | - K Szumilas
- Department of General Pathology, Pomeranian Medical University, Szczecin, Poland
| | - D Rogińska
- Department of General Pathology, Pomeranian Medical University, Szczecin, Poland
| | - M P Kawa
- Department of General Pathology, Pomeranian Medical University, Szczecin, Poland
| | - I Stecewicz
- Department of General Pathology, Pomeranian Medical University, Szczecin, Poland
| | - G Trybek
- Department of Histology and Embryology, Pomeranian Medical University, Szczecin, Poland
| | - M Marchlewicz
- Department of Aesthetic Dermatology, Pomeranian Medical University, Szczecin, Poland
| | - B Wiszniewska
- Department of Histology and Embryology, Pomeranian Medical University, Szczecin, Poland
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13
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Wollina U, Goldman A. [Esthetic dermatology for the elderly]. Hautarzt 2015; 67:148-52. [PMID: 26452352 DOI: 10.1007/s00105-015-3700-3] [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] [Indexed: 11/30/2022]
Abstract
Esthetic dermatology discovers older age. Methods and techniques which are useful in younger people need modifications to meet the special needs of the elderly. These aspects are discussed with a focus on the aging face. Esthetic dermatology is most successful when using principles of regenerative medicine.
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Affiliation(s)
- U Wollina
- Klinik für Dermatologie und Allergologie, Krankenhaus Dresden-Friedrichstadt, Städtisches Klinikum, Akademisches Lehrkrankenhaus der TU Dresden, Friedrichstr. 41, 01067, Dresden, Deutschland.
| | - A Goldman
- Clinica Goldman, Porto Alegre, RS, Brasilien
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14
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Kwak JY, Park S, Seok JK, Liu KH, Boo YC. Ascorbyl coumarates as multifunctional cosmeceutical agents that inhibit melanogenesis and enhance collagen synthesis. Arch Dermatol Res 2015; 307:635-43. [DOI: 10.1007/s00403-015-1583-x] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2015] [Revised: 05/21/2015] [Accepted: 06/05/2015] [Indexed: 11/30/2022]
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15
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El-Domyati M, Attia SK, El-Sawy AE, Moftah NH, Nasif GA, Medhat W, Marwan B. The use of Botulinum toxin-a injection for facial wrinkles: a histological and immunohistochemical evaluation. J Cosmet Dermatol 2015; 14:140-4. [PMID: 25916463 DOI: 10.1111/jocd.12144] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/22/2014] [Indexed: 01/04/2023]
Abstract
Botulinum toxin (BTX)-A has been used for years in the reduction of facial wrinkles; however, histological and immunohistochemical changes after its use were not previously investigated. To evaluate histological and immunohistochemical changes after BTX-A injection for facial wrinkles, sixteen volunteers, with wrinkles on the upper third of the face, were subjected to single injection of BTX-A. Skin biopsy specimens were obtained from peri-orbital wrinkle site (crow's feet area) before and after 3 months of BTX-A injection. Using histological and immunohistochemical evaluation coupled with computerized morphometric analysis, measurement of epidermal thickness, wrinkle depth and width as well as quantitative evaluation of collagen types I and III and elastin was performed for skin biopsies. After BTX-A injections, there were significant increase in wrinkle width and granular layer thickness (P < 0.001), while the other histometrical measures as well as the immunohistochemical expression of collagen types I and III and elastin showed no significant difference (P > 0.05). However, collagen fibers showed better organization and orientation after BTX-A injection. The histological changes observed after BTX-A injection for facial wrinkles may help in better understanding of its mechanism of action.
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Affiliation(s)
- Moetaz El-Domyati
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
| | - Sameh K Attia
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
| | - Ashraf E El-Sawy
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
| | - Noha H Moftah
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
| | - Ghada A Nasif
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
| | - Walid Medhat
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
| | - Belkais Marwan
- Department of Dermatology, STD's and Andrology, Al-Minya University, Al-Minya, Egypt
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