An optimized inexpensive emollient mixture improves barrier repair in murine skin

Background/Objective: Maintenance of epidermal permeability barrier homeostasis is the most crucial cutaneous function, as it allows life in a terrestrial environment. Defective epidermal permeability barrier results not only in excessive water loss, but also in the induction of cutaneous inflammati...

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Main Authors: George Man, Carolyn Cheung, Debra Crumrine, Melanie Hupe, Zelee Hill, Mao-Qiang Man, Peter M. Elias
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-06-01
Series:Dermatologica Sinica
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1027811715000361
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author George Man
Carolyn Cheung
Debra Crumrine
Melanie Hupe
Zelee Hill
Mao-Qiang Man
Peter M. Elias
author_facet George Man
Carolyn Cheung
Debra Crumrine
Melanie Hupe
Zelee Hill
Mao-Qiang Man
Peter M. Elias
author_sort George Man
collection DOAJ
description Background/Objective: Maintenance of epidermal permeability barrier homeostasis is the most crucial cutaneous function, as it allows life in a terrestrial environment. Defective epidermal permeability barrier results not only in excessive water loss, but also in the induction of cutaneous inflammation and an increased risk of infections. Together, these abnormalities could help explain the increased risk of death in premature and low birth weight infants whose skin is functionally compromised. Improvement of permeability barrier function by topical barrier repair therapies could become a valuable approach not only to reduce neonatal mortality, but also to prevent/treat dermatoses, accompanied by barrier abnormalities at all ages, and to prevent microbial pathogen colonization/invasion. Yet, most current barrier enhancing products are not optimal, and too expensive to allow their use in the developing countries. Methods: we optimized the ratio of several inexpensive ingredients, previously shown to be effective individually for barrier homeostasis. The effects of this mixture on epidermal functions barrier function, skin surface pH and stratum corneum hydration, on murine skin were assessed using respective probe connected to an MPA5 skin physiology monitor. Epidermal differentiation and antimicrobial peptide expression were assessed by immnuohistochemical staining. Changes in lamellar body formation and secretion were evaluated with an electron microscope. Results: Although barrier function, skin surface pH and stratum corneum hydration remained unchanged under basal conditions, our results show that pretreatment of normal murine skin with this optimized mixture improves permeability barrier homeostasis, indicating by an acceleration of barrier recovery, and enhances expression of antimicrobial peptides. The barrier-enhancing effects and antimicrobial activities of this optimized mixture could be attributed at least in part to a parallel stimulation of epidermal differentiation. Conclusion: Since the individual ingredients in this mixture are inexpensive, this optimized mixture shows promise as a means of reducing neonatal mortality in low-income settings, but it also could be more widely used to prevent skin disorders associated with permeability and antimicrobial barrier abnormalities.
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spelling doaj.art-84e256650cfa43a0804790fc10e4cafe2022-12-21T23:43:32ZengWolters Kluwer Medknow PublicationsDermatologica Sinica1027-81172015-06-013329610210.1016/j.dsi.2015.03.010An optimized inexpensive emollient mixture improves barrier repair in murine skinGeorge Man0Carolyn Cheung1Debra Crumrine2Melanie Hupe3Zelee Hill4Mao-Qiang Man5Peter M. Elias6Dermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USADermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USADermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USADermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USAInstitute for Global Health, Faculty of Population Health Sciences, University College London, London, UKDermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USADermatology Service, Veterans Affairs Medical Center, and Department of Dermatology, University of California, San Francisco, CA, USABackground/Objective: Maintenance of epidermal permeability barrier homeostasis is the most crucial cutaneous function, as it allows life in a terrestrial environment. Defective epidermal permeability barrier results not only in excessive water loss, but also in the induction of cutaneous inflammation and an increased risk of infections. Together, these abnormalities could help explain the increased risk of death in premature and low birth weight infants whose skin is functionally compromised. Improvement of permeability barrier function by topical barrier repair therapies could become a valuable approach not only to reduce neonatal mortality, but also to prevent/treat dermatoses, accompanied by barrier abnormalities at all ages, and to prevent microbial pathogen colonization/invasion. Yet, most current barrier enhancing products are not optimal, and too expensive to allow their use in the developing countries. Methods: we optimized the ratio of several inexpensive ingredients, previously shown to be effective individually for barrier homeostasis. The effects of this mixture on epidermal functions barrier function, skin surface pH and stratum corneum hydration, on murine skin were assessed using respective probe connected to an MPA5 skin physiology monitor. Epidermal differentiation and antimicrobial peptide expression were assessed by immnuohistochemical staining. Changes in lamellar body formation and secretion were evaluated with an electron microscope. Results: Although barrier function, skin surface pH and stratum corneum hydration remained unchanged under basal conditions, our results show that pretreatment of normal murine skin with this optimized mixture improves permeability barrier homeostasis, indicating by an acceleration of barrier recovery, and enhances expression of antimicrobial peptides. The barrier-enhancing effects and antimicrobial activities of this optimized mixture could be attributed at least in part to a parallel stimulation of epidermal differentiation. Conclusion: Since the individual ingredients in this mixture are inexpensive, this optimized mixture shows promise as a means of reducing neonatal mortality in low-income settings, but it also could be more widely used to prevent skin disorders associated with permeability and antimicrobial barrier abnormalities.http://www.sciencedirect.com/science/article/pii/S1027811715000361antimicrobial peptidesemollientepidermal permeability barrierprematureskin pH
spellingShingle George Man
Carolyn Cheung
Debra Crumrine
Melanie Hupe
Zelee Hill
Mao-Qiang Man
Peter M. Elias
An optimized inexpensive emollient mixture improves barrier repair in murine skin
Dermatologica Sinica
antimicrobial peptides
emollient
epidermal permeability barrier
premature
skin pH
title An optimized inexpensive emollient mixture improves barrier repair in murine skin
title_full An optimized inexpensive emollient mixture improves barrier repair in murine skin
title_fullStr An optimized inexpensive emollient mixture improves barrier repair in murine skin
title_full_unstemmed An optimized inexpensive emollient mixture improves barrier repair in murine skin
title_short An optimized inexpensive emollient mixture improves barrier repair in murine skin
title_sort optimized inexpensive emollient mixture improves barrier repair in murine skin
topic antimicrobial peptides
emollient
epidermal permeability barrier
premature
skin pH
url http://www.sciencedirect.com/science/article/pii/S1027811715000361
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