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de Boer FL, van der Molen HF, Wang JH, Raun E, Pereda J, Hwu EET, Jakasa I, Dubrac S, Rustemeyer T, Kezic S. Skin Barrier- and Immune Response-Related Biomarkers of Solar UVR Exposure Comparing Indoor and Outdoor Workers. JID INNOVATIONS 2024; 4:100280. [PMID: 38756236 PMCID: PMC11097112 DOI: 10.1016/j.xjidi.2024.100280] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2023] [Revised: 03/26/2024] [Accepted: 03/31/2024] [Indexed: 05/18/2024] Open
Abstract
Outdoor workers have increased risk of developing keratinocyte cancer due to accumulated skin damage resulting from chronic and excessive exposure to UVR. This study aims to identify potential noninvasive biomarkers to assess chronic UVR exposure. We analyzed stratum corneum biomarkers collected from 2 skin locations and 2 occupational groups with contrasting solar UVR exposure: the forehead and retroauricular skin among outdoor workers and indoor workers. Using a linear mixed model adjusting for age and skin phototype, we compared biomarkers between both skin sites in indoor and outdoor workers. We measured markers of the immune response and skin barrier, including cytokines, GFs, 15-hydroxyeicosatetraenoic acid, cis- and trans-urocanic acid, and corneocyte topography, indicated by circular nano objects. Differences between the 2 skin sites were found for cis-urocanic acid, total urocanic acid, IL-1α, IL-1RA, IL-1RA/IL-1α, IL-18, 15-hydroxyeicosatetraenoic acid, CCL4, and circular nano objects. The levels of cis-urocanic acid and CCL4 also differed between indoor and outdoor workers. These findings underscore changes in both immune response and skin barrier induced by UVR. They indicate the potential utility of stratum corneum biomarkers in detecting both chronic UVR exposure in occupational setting and aiding in the development of preventive measures.
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Affiliation(s)
- Florentine L. de Boer
- Amsterdam Public Health Research Institute, Department of Public and Occupational Health, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Henk F. van der Molen
- Amsterdam Public Health Research Institute, Department of Public and Occupational Health, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Jen-Hung Wang
- Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Ellen Raun
- Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Jorge Pereda
- Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Edwin En-Te Hwu
- Department of Health Technology, Technical University of Denmark, Kongens Lyngby, Denmark
| | - Ivone Jakasa
- Laboratory for Analytical Chemistry, Department of Chemistry and Biochemistry, Faculty of Food Technology and Biotechnology, University of Zagreb, Zagreb, Croatia
| | - Sandrine Dubrac
- Epidermal Biology Laboratory, Department of Dermatology, Venereology and Allergology, Medical University of Innsbruck, Innsbruck, Austria
| | - Thomas Rustemeyer
- Dermato-Allergology and Occupational Dermatology, Amsterdam University Medical Centers, Noord-Holland, The Netherlands
| | - Sanja Kezic
- Amsterdam Public Health Research Institute, Department of Public and Occupational Health, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands
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2
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Mbithi F, Worsley PR. Adhesives for medical application - Peel strength testing and evaluation of biophysical skin response. J Mech Behav Biomed Mater 2023; 148:106168. [PMID: 37847959 DOI: 10.1016/j.jmbbm.2023.106168] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2023] [Revised: 10/03/2023] [Accepted: 10/06/2023] [Indexed: 10/19/2023]
Abstract
BACKGROUND Medical adhesives are commonly used for securing wound dressings and medical devices used for diagnostic or therapeutic purposes. Mechanical irritation of skin due to adhesive stripping and repeated application can lead to discomfort and device removal. This study aims to examine the peel strength and skin response to different medical adhesives in a cohort of healthy volunteers. METHOD Twelve healthy participants were recruited for peel strength testing of three candidate adhesive tapes, and evaluation of the skin response after adhesive removal. A modified ASTM D903 peel strength testing was performed at 180° peeling angle and a rate of 300 mm/min on the forehead, upper back and forearm skin. A longitudinal study was conducted on the forearm and back, with the adhesive samples left in-situ for up to 60 h for analysis of repeat application. The effects of two skin preparation approaches (water and alcohol cleaning) prior to adhesive application were also assessed. Skin biophysical properties were assessed at baseline and at various timepoints following adhesive removal using transepidermal water loss (TEWL), erythema and hydration. RESULTS Peel strength reduced uniformly with repeat application over prolonged periods for all the adhesive samples tested. Skin preparation with water and alcohol cleansing prior to adhesive application increased peel strength at both the back (1.1% and 2.9%), and forearm (21.3% and 20%) sites. There was statistically significant increase from baseline to post-tape application for TEWL, skin redness and hydration (p < 0.001). However, there were no statistically significant differences between adhesive types (TEWL: p = 0.38, SR: p = 0.53, HY: p = 0.46). TEWL increased the most post-adhesion across all test sites and adhesive samples with repeat application (p < 0.05). Two-way ANOVA tests revealed no statistically significant interactions between the effects of application duration and adhesive on skin redness or TEWL for both the back and forearm sites (p > 0.05), though a significant interaction was indicted for hydration at the back site (p = 0.01). CONCLUSION This study revealed that site and duration of adhesive application effected peel strength. The corresponding changes in skin properties identified that skin barrier function was disrupted with long-term application of adhesives. The back site was identified to be most reliable for adhesion testing and skin response assessment for future work.
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Affiliation(s)
- Florence Mbithi
- Skin Sensing Research Group, School of Health Sciences, University of Southampton, Southampton, UK.
| | - Peter R Worsley
- Skin Sensing Research Group, School of Health Sciences, University of Southampton, Southampton, UK.
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3
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Symanzik C, Kezic S, Jakasa I, Skudlik C, John SM, Brans R, Sonsmann FK. Effects of skin washing frequency on the epidermal barrier function and inflammatory processes of the epidermis: an experimental study. Contact Dermatitis 2022; 87:241-246. [PMID: 35357722 DOI: 10.1111/cod.14119] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 03/21/2022] [Accepted: 03/28/2022] [Indexed: 11/30/2022]
Abstract
BACKGROUND Increased hand hygiene measures during the COVID-19 pandemic have led to an increased quantum of hand eczema (HE). OBJECTIVES To examine the effects of varying washing frequencies using current mild cleansing agents - alongside with the effect of a rehydrating cream - on the epidermal barrier function and inflammatory processes of the stratum corneum (SC). METHODS Standardized skin washings on the volar aspects of the lower arms of skin healthy volunteers were performed using the Automated Cleansing Device either 5 or 11 times within 4 hours for 60 seconds each with a standard cleanser, a lipid-containing syndet, or a lipid-containing syndet followed by one-time application of a rehydrating cream. Skin bioengineering parameters (transepidermal water loss, SC hydration, erythema, and SC pH) and biochemical / immunological parameters (IL-1α, IL-1αRA, and Natural Moisturizing Factor) of SC samples collected by tape stripping were assessed. RESULTS All applied washing procedures provided comparable, mild effects on the epidermal barrier function and skin inflammation. CONCLUSIONS Occupational skin cleansers seem to have improved regarding skin barrier damaging effects. To further corroborate this, a study design, modified on the basis of our findings, applying longer washing periods for consecutive days seems desirable. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Cara Symanzik
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at Osnabrück University, Osnabrück, Germany
| | - Sanja Kezic
- Amsterdam University Medical Center (UMC), Department of Public and Occupational Health, University of Amsterdam, Amsterdam, The Netherlands
| | - Ivone Jakasa
- Laboratory for Analytical Chemistry, Department of Chemistry and Biochemistry, Faculty of Food Technology and Biotechnology, University of Zagreb, Zagreb, Croatia
| | - Christoph Skudlik
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at Osnabrück University, Osnabrück, Germany
| | - Swen Malte John
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at Osnabrück University, Osnabrück, Germany
| | - Richard Brans
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at Osnabrück University, Osnabrück, Germany
| | - Flora Karla Sonsmann
- Department of Dermatology, Environmental Medicine and Health Theory, Osnabrück University, Osnabrück, Germany.,Institute for Interdisciplinary Dermatological Prevention and Rehabilitation (iDerm) at Osnabrück University, Osnabrück, Germany
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4
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Kezic S, McAleer MA, Jakasa I, Goorden SMI, Ghauharali-van der Vlugt K, Beers-Stet FS, Meijer J, Roelofsen J, Nieman MM, van Kuilenburg ABP, Irvine AD. Children with atopic dermatitis show increased activity of β- glucocerebrosidase and stratum corneum levels of glucosylcholesterol that are strongly related to local cytokine milieu. Br J Dermatol 2022; 186:988-996. [PMID: 34993951 PMCID: PMC9325351 DOI: 10.1111/bjd.20979] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 12/20/2021] [Accepted: 12/30/2021] [Indexed: 12/01/2022]
Abstract
Background Atopic dermatitis (AD) is characterized by immune dysregulations and an impaired skin barrier, including abnormalities in lipid organization. In the stratum corneum (SC), β‐glucocerebrosidase (GBA) mediates transformation of glucosylceramide (GlcCER) into ceramide (CER) and cholesterol into glucosylcholesterol (GlcChol). Alteration in GBA activity might contribute to skin barrier defects in AD. Objectives To investigate GBA activity in the SC of children with AD before and after topical corticosteroid therapy and to compare it with healthy controls; to determine SC levels of GlcCER‐ and CER‐containing hydroxysphingosine base (GlcCER[H] and CER[H], respectively) and GlcChol; and to relate them to disease severity, skin barrier function and the local cytokine milieu. Methods Lipid markers and cytokines of innate, T helper 1 and T helper 2 immunity were determined in SC collected from healthy children and from clinically unaffected skin of children with AD, before and after 6 weeks of therapy with topical corticosteroids. AD severity was assessed by Scoring Atopic Dermatitis and skin barrier function by transepidermal water loss (TEWL). Results Baseline GBA activity and GlcChol levels were increased in children with AD but declined after therapy. CER[H] levels and the CER[H] to GlcCER[H] ratio were increased in AD. GBA activity and GlcChol correlated with TEWL and levels of multiple cytokines, especially interleukin‐1α and interleukin‐18. GlcChol was strongly associated with disease severity. Conclusions We show increased GBA activity and levels of GlcChol in AD. Our data suggest an important role of inflammation in disturbed lipid processing. GBA activity or GlcChol might be useful biomarkers in the monitoring of therapeutic responses in AD. What is already known about this topic?Patients with atopic dermatitis (AD) have a reduced skin barrier, mainly caused by altered lipid organization. The mechanisms underlying these lipid anomalies are not fully understood but likely reflect both genetic abnormalities in AD skin and the local cutaneous inflammatory environment.
What does this study add?We show increased activity of the ceramide‐generating enzyme β‐glucocerebrosidase in AD. Activity of this enzyme was correlated with the local cytokine milieu and declined after local corticosteroid therapy. We show that glucosylcholesterol levels in the stratum corneum are increased in AD. The function of glucosylcholesterol and the physiological consequences of increased levels are not clear yet; however, its levels were strongly correlated with skin barrier function: high transepidermal water loss strongly correlated with high levels of glucosylcholesterol.
What is the translational message?Correction of cutaneous inflammation largely restores alterations in lipid metabolism in the stratum corneum of infants with AD.
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Affiliation(s)
- Sanja Kezic
- Amsterdam UMC, University of Amsterdam, Department of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam, The Netherlands
| | - Maeve A McAleer
- Clinical Medicine, Trinity College Dublin, Dublin, Ireland.,Paediatric Dermatology, Children's Health Ireland at Crumlin, Dublin 12, Ireland
| | - Ivone Jakasa
- Laboratory for Analytical Chemistry, Department of Chemistry and Biochemistry, Faculty of Food Technology and Biotechnology, University of Zagreb, Zagreb, Croatia
| | - Susan M I Goorden
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - Karen Ghauharali-van der Vlugt
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - Femke S Beers-Stet
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - Judith Meijer
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - Jeroen Roelofsen
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - Monique M Nieman
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - André B P van Kuilenburg
- Amsterdam UMC, University of Amsterdam, Laboratory Genetic Metabolic Diseases, Department of Clinical Chemistry Amsterdam UMC, Amsterdam, The Netherlands
| | - Alan D Irvine
- Clinical Medicine, Trinity College Dublin, Dublin, Ireland.,Paediatric Dermatology, Children's Health Ireland at Crumlin, Dublin 12, Ireland
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5
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Jayabal H, Bates-Jensen BM, Abiakam NS, Worsley PR, Bader DL. The identification of biophysical parameters which reflect skin status following mechanical and chemical insults. Clin Physiol Funct Imaging 2021; 41:366-375. [PMID: 33934487 DOI: 10.1111/cpf.12707] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 04/26/2021] [Indexed: 12/25/2022]
Abstract
BACKGROUND Skin is constantly exposed to mechanical and chemical insults, in the form of prolonged loading, overhydration or exposure to irritants. An array of non-invasive biophysical tools has been adopted to monitor the changes in skin response. The present study aims to identify a set of robust parameters sensitive to mechanical and chemical challenges to skin integrity. MATERIALS AND METHODS Eleven healthy participants were recruited to evaluate the skin response following mechanical loading, tape stripping, overhydration and chemical irritation. Forearm skin responses were recorded at baseline and at three time points following the insult. Measurements included transepidermal water loss, sub-epidermal moisture, erythema and laser Doppler imaging. Thresholds were informed by basal values, and the sensitivity of parameters to detect skin changes was evaluated. RESULTS High degree of variability in skin response was observed with selected biophysical parameters, such as sub-epidermal moisture, laser Doppler imaging and erythema, even in the absence of an applied insult. Temporal skin response revealed distinct response profiles during each evoked insult. Indeed, the sensitivity of the biophysical parameters was influenced by the threshold values and time point of measurement. Some statistically significant correlations were determined between the biophysical parameters. CONCLUSION The study revealed that thresholds derived from single biophysical parameters were limited in detecting skin changes following insults. A complementary evaluation using combined parameters has the potential to provide a more sensitive assessment. Further research is required to identify robust biophysical parameters, to aid the early detection of skin damage in clinical settings.
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Affiliation(s)
- Hemalatha Jayabal
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Barbara M Bates-Jensen
- School of Nursing and David Geffen School of Medicine, University of California at Los Angeles (UCLA), Los Angeles, CA, USA
| | | | - Peter R Worsley
- School of Health Sciences, University of Southampton, Southampton, UK
| | - Dan L Bader
- School of Health Sciences, University of Southampton, Southampton, UK
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6
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Brans R, John SM, Frosch PJ. Clinical Aspects of Irritant Contact Dermatitis. Contact Dermatitis 2021. [DOI: 10.1007/978-3-030-36335-2_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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7
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Brans R, John SM, Frosch PJ. Clinical Aspects of Irritant Contact Dermatitis. Contact Dermatitis 2019. [DOI: 10.1007/978-3-319-72451-5_16-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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8
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Kelchen MN, Menon G, Ten Eyck P, Prettypaul D, Brogden NK. A Pilot Study to Evaluate the Effects of Topically Applied Cosmetic Creams on Epidermal Responses. Skin Pharmacol Physiol 2018; 31:269-282. [PMID: 30110695 DOI: 10.1159/000490531] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 05/30/2018] [Indexed: 01/13/2023]
Abstract
Application of exogenous products, such as creams, to the skin can result in subclinical changes in selected epidermal functions such as transepidermal water loss (TEWL), hydration, redness, and pH; these changes may lead to or contribute to irritation. Changes in skin surface inflammatory factors may provide further insight into this potential for irritation. The objective of this study was to evaluate the changes in epidermal properties and inflammatory mediators after 4 days of topical application of 2 different polymers formulated in cosmetic creams. Ten healthy volunteers (mean age ± SD: 20.0 ± 2.4 years) completed the study. TEWL, color, and pH were not significantly different after repeated application of these polymers. Hydration was significantly lower at sites treated with polymer A after 5 days. Significant increases in IL-1α, IL-1RA, and IL-1β were observed after cream application at sites treated with polymer A. This is the first study to apply noninvasive measurements to quantify subclinical changes in epidermal properties and inflammatory mediator expression before and after the application of a cosmetic product, which will allow for a more enhanced safety profile to be achieved.
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Affiliation(s)
- Megan N Kelchen
- Department of Pharmaceutical Sciences and Experimental Therapeutics, University of Iowa College of Pharmacy, Iowa City, Iowa, USA
| | - Gopi Menon
- Ashland Inc., Bridgewater, New Jersey, USA
| | - Patrick Ten Eyck
- University of Iowa Institute for Clinical and Translational Science, Iowa City, Iowa, USA
| | | | - Nicole K Brogden
- Department of Pharmaceutical Sciences and Experimental Therapeutics, University of Iowa College of Pharmacy, Iowa City, Iowa, USA.,Department of Dermatology, University of Iowa Carver College of Medicine, Iowa City, Iowa, USA
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9
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Reddy R, Maibach H. Tandem repeated irritation test (TRIT) studies and clinical relevance: Post 2006. Cutan Ocul Toxicol 2018; 38:309-314. [PMID: 29886752 DOI: 10.1080/15569527.2018.1486853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Background/Aims: Single or multiple applications of irritants can lead to occupational contact dermatitis, and most commonly irritant contact dermatitis (ICD). Tandem irritation, the sequential application of two irritants to a target skin area, has been studied using the Tandem Repeated Irritation Test (TRIT) to provide a more accurate representation of skin irritation. Objective: Here we present an update to Kartono's review on tandem irritation studies since 2006. Methods: We surveyed the literature available on PubMed, Embase, Google Scholar, and the UCSF Dermatology library databases since 2006. Results and discussion: The studies included discuss the tandem effects of common chemical irritants, organic solvents, occlusion as well as clinical relevance - and enlarge our ability to discern whether multiple chemical exposures are more or less likely to enhance irritation.
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Affiliation(s)
- Rasika Reddy
- Dermatology Service Veterans Affairs Medical Center , San Francisco , CA , USA
| | - Howard Maibach
- Department of Dermatology, University of California , San Francisco , CA , USA
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10
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Angelova-Fischer I, Fischer TW, Abels C, Zillikens D. Accelerated barrier recovery and enhancement of the barrier integrity and properties by topical application of a pH 4 vs. a pH 5·8 water-in-oil emulsion in aged skin. Br J Dermatol 2018; 179:471-477. [PMID: 29577247 DOI: 10.1111/bjd.16591] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2018] [Indexed: 11/29/2022]
Abstract
BACKGROUND Increased skin-surface pH is an important host-related factor for deteriorated barrier function in aged skin. OBJECTIVES We investigated whether restoration of skin pH through topical application of a water-in-oil emulsion with pH 4 improved the barrier homeostasis in aged skin, and compared the effects with an identical galenic formulation with pH 5·8. METHODS The effects of the test formulations on barrier recovery were investigated by repeated measurements of transepidermal water loss (TEWL) and skin pH 3 h, 6 h and 24 h after acetone-induced impairment of barrier function in aged skin. The long-term effects of the pH 4 and pH 5·8 emulsions were analysed by investigation of the barrier integrity and cohesion, the skin-surface pH and the skin roughness and scaliness before and after a 4-week, controlled application of the formulations. RESULTS The application of the pH 4 emulsion accelerated barrier recovery in aged skin: 3 h and 6 h after acetone-induced barrier disruption the differences in the TEWL recovery between the pH 4 treated and acetone control fields were significant. Furthermore, long-term application of the pH 4 formulation resulted in significantly decreased skin pH, enhanced barrier integrity and reduced skin-surface roughness and scaliness. At the same time points, the pH 5·8 formulation exerted only minor effects on the barrier function parameters. CONCLUSIONS Exogenous acidification through topical application of a water-in-oil emulsion with pH 4 leads to improvement of the skin barrier function and maintenance of the barrier homeostasis in aged skin.
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Affiliation(s)
- I Angelova-Fischer
- Department of Dermatology, University of Lübeck, Lübeck, Germany.,Department of Dermatology, Kepler University Hospital, Linz, Austria
| | - T W Fischer
- Department of Dermatology, University of Lübeck, Lübeck, Germany
| | - C Abels
- Dr August Wolff GmbH & Co. KG Arzneimittel, Sudbrackstraße 56, D-33611, Bielefeld, Germany
| | - D Zillikens
- Department of Dermatology, University of Lübeck, Lübeck, Germany
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11
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Baurecht H, Rühlemann MC, Rodríguez E, Thielking F, Harder I, Erkens AS, Stölzl D, Ellinghaus E, Hotze M, Lieb W, Wang S, Heinsen-Groth FA, Franke A, Weidinger S. Epidermal lipid composition, barrier integrity, and eczematous inflammation are associated with skin microbiome configuration. J Allergy Clin Immunol 2018; 141:1668-1676.e16. [DOI: 10.1016/j.jaci.2018.01.019] [Citation(s) in RCA: 90] [Impact Index Per Article: 15.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2017] [Revised: 12/20/2017] [Accepted: 01/03/2018] [Indexed: 02/06/2023]
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12
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Danby SG, Brown K, Wigley AM, Chittock J, Pyae PK, Flohr C, Cork MJ. The Effect of Water Hardness on Surfactant Deposition after Washing and Subsequent Skin Irritation in Atopic Dermatitis Patients and Healthy Control Subjects. J Invest Dermatol 2018; 138:68-77. [DOI: 10.1016/j.jid.2017.08.037] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2017] [Revised: 08/10/2017] [Accepted: 08/27/2017] [Indexed: 12/20/2022]
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13
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Koppes S, Ljubojevic Hadzavdic S, Jakasa I, Franceschi N, Jurakić Tončić R, Marinović B, Brans R, Gibbs S, Frings-Dresen M, Rustemeyer T, Kezic S. Stratum corneum profiles of inflammatory mediators in patch test reactions to common contact allergens and sodium lauryl sulfate. Br J Dermatol 2017; 176:1533-1540. [DOI: 10.1111/bjd.15163] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/28/2016] [Indexed: 12/19/2022]
Affiliation(s)
- S.A. Koppes
- Coronel Institute of Occupational Health; Academic Medical Center; University of Amsterdam; Meibergdreef 9 1105AZ Amsterdam the Netherlands
- Department of Dermatology-Allergology; VU University Medical Center; Amsterdam the Netherlands
| | - S. Ljubojevic Hadzavdic
- Department of Dermatology and Venereology; University Hospital Center; Zagreb and University of Zagreb School of Medicine; Zagreb Croatia
| | - I. Jakasa
- Laboratory for Analytical Chemistry; Department of Chemistry and Biochemistry; Faculty of Food Technology and Biotechnology; University of Zagreb; Zagreb Croatia
| | - N. Franceschi
- Department of Dermatology and Venereology; University Clinical Hospital Centre ‘Sestre Milosrdnice’; Zagreb Croatia
| | - R. Jurakić Tončić
- Department of Dermatology and Venereology; University Hospital Center; Zagreb and University of Zagreb School of Medicine; Zagreb Croatia
| | - B. Marinović
- Department of Dermatology and Venereology; University Hospital Center; Zagreb and University of Zagreb School of Medicine; Zagreb Croatia
| | - R. Brans
- Department of Dermatology, Environmental Medicine and Health Theory; University of Osnabrück; Osnabrück Germany
| | - S. Gibbs
- Department of Dermatology-Allergology; VU University Medical Center; Amsterdam the Netherlands
- Department of Oral Cell Biology; Academic Centre for Dentistry Amsterdam (ACTA); University of Amsterdam and Vrije Universiteit Amsterdam; Amsterdam the Netherlands
| | - M.H.W. Frings-Dresen
- Coronel Institute of Occupational Health; Academic Medical Center; University of Amsterdam; Meibergdreef 9 1105AZ Amsterdam the Netherlands
| | - T. Rustemeyer
- Department of Dermatology-Allergology; VU University Medical Center; Amsterdam the Netherlands
| | - S. Kezic
- Coronel Institute of Occupational Health; Academic Medical Center; University of Amsterdam; Meibergdreef 9 1105AZ Amsterdam the Netherlands
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14
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Falcone D, Spee P, Salk K, Peppelman M, van de Kerkhof PCM, van Erp PEJ. Measurement of skin surface biomakers by Transdermal Analyses Patch following different in vivo
models of irritation: a pilot study. Skin Res Technol 2016; 23:336-345. [DOI: 10.1111/srt.12340] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/23/2016] [Indexed: 01/01/2023]
Affiliation(s)
- D. Falcone
- Department of Dermatology; Radboud University Medical Center; Nijmegen The Netherlands
| | - P. Spee
- FibroTX LLC; Tallinn Estonia
| | - K. Salk
- FibroTX LLC; Tallinn Estonia
| | - M. Peppelman
- Department of Dermatology; Radboud University Medical Center; Nijmegen The Netherlands
| | | | - P. E. J. van Erp
- Department of Dermatology; Radboud University Medical Center; Nijmegen The Netherlands
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15
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Disease Severity and Quality of Life Measurements in Contact Dermatitis: A Systematic Review 2005–2015. Dermatitis 2016; 27:362-371. [DOI: 10.1097/der.0000000000000235] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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16
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Angelova-Fischer I, Hoek AK, Dapic I, Jakasa I, Kezic S, Fischer TW, Zillikens D. Barrier function and natural moisturizing factor levels after cumulative exposure to a fruit-derived organic acid and a detergent: different outcomes in atopic and healthy skin and relevance for occupational contact dermatitis in the food industry. Contact Dermatitis 2015; 73:358-63. [DOI: 10.1111/cod.12464] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2015] [Revised: 07/21/2015] [Accepted: 07/25/2015] [Indexed: 12/22/2022]
Affiliation(s)
- Irena Angelova-Fischer
- Department of Dermatology; University of Lübeck; 23538 Lübeck Germany
- Comprehensive Center for Inflammation Medicine, University Hospital Schleswig-Holstein; 23538 Lübeck Germany
| | - Anne-Karin Hoek
- Department of Dermatology; University of Lübeck; 23538 Lübeck Germany
| | - Irena Dapic
- Laboratory for Analytical Chemistry, Department of Chemistry and Biochemistry; Faculty of Food Technology and Biotechnology, University of Zagreb; 10000 Zagreb Croatia
| | - Ivone Jakasa
- Laboratory for Analytical Chemistry, Department of Chemistry and Biochemistry; Faculty of Food Technology and Biotechnology, University of Zagreb; 10000 Zagreb Croatia
| | - Sanja Kezic
- Coronel Institute of Occupational Health, Academic Medical Centre; 1100 AZ Amsterdam The Netherlands
| | - Tobias W. Fischer
- Department of Dermatology; University of Lübeck; 23538 Lübeck Germany
| | - Detlef Zillikens
- Department of Dermatology; University of Lübeck; 23538 Lübeck Germany
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Hatje LK, Richter C, Blume-Peytavi U, Kottner J. Blistering time as a parameter for the strength of dermoepidermal adhesion: a systematic review and meta-analysis. Br J Dermatol 2014; 172:323-30. [PMID: 25065915 DOI: 10.1111/bjd.13298] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/21/2014] [Indexed: 01/02/2023]
Abstract
Skin ageing is associated with a flattening of the dermoepidermal junction and a less effective anchoring system, predisposing to bulla formation, trauma and shear-type injuries. An artificial and controlled technique for standardized dermoepidermal separation is the suction blister method, whereby the strength of dermoepidermal adhesion is characterized by blistering time. To identify and quantify influencing factors on blistering time in healthy humans. A search in the Medline and Embase databases (1946 to June 2014) and in reference lists was conducted. In total, results of 146 suction blister experiments in 3418 individuals reported in 59 publications were analysed. The median blister diameter was 6 mm (IQR 5-6) and the median suction pressure was -210 mmHg (IQR -200 to -300), resulting in a median blistering time of 75 min (IQR 48-120). In the multivariate model, skin temperature and age were the strongest predictors for suction blistering time (P < 0·001, R(2) adjusted = 0·707). This strong association between temperature and suction blistering indicates that the dermoepidermal junction loses its strength with increasing skin temperature. This finding supports the practice of skin and tissue cooling to prevent injuries. The increased vulnerability of the skin seems to exist irrespectively of applied mechanical loads. We conclude that blistering time is an important and clinically relevant (outcome) parameter measuring the structural and mechanical integrity of deeper cutaneous layers.
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Affiliation(s)
- L K Hatje
- Charité-Universitätsmedizin, Department of Dermatology and Allergy, Clinical Research Center for Hair and Skin Science, Charitéplatz 1, 10117, Berlin, Germany
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Schliemann S, Schmidt C, Elsner P. Tandem Repeated Application of Organic Solvents and Sodium Lauryl Sulphate Enhances Cumulative Skin Irritation. Skin Pharmacol Physiol 2014; 27:158-63. [DOI: 10.1159/000353919] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2013] [Accepted: 06/19/2013] [Indexed: 11/19/2022]
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