Location‐related differences in structure and function of the stratum corneum with special emphasis on those of the facial skin

Between the two different kinds of the skin covering the body, the glabrous skin is found only on the palmo‐plantar surface because of its rather simple function to protect the underlying living tissue with its remarkably thick stratum corneum (SC) from strong external force and friction. Thus, its barrier function is extremely poor. In contrast, the hair‐bearing skin covers almost all over the body surface regardless of the presence of long hair or vellus hair. In regard to its SC, many dermatologists and skin scientists think that it is too thin to show any site‐specific differences, because the SC is just present as an efficient barrier membrane to protect our body from desiccation as well as against the invasion by external injurious agents. However, there are remarkable regional differences not only in the living skin tissue but also even in such thin SC reflecting the function of each anatomical location. These differences in the SC have been mostly disclosed with the advent of non‐invasive biophysical instruments, particularly the one that enables us to measure transepidermal water loss (TEWL), the parameter of the SC barrier function, and the one that evaluates the hydration state of the skin surface, the parameter of the water‐holding capacity of the SC that brings about softness and smoothness to the skin surface. These in vivo instrumental measurements of the SC have disclosed the presence of remarkable differences in the functional properties of the SC particularly between the face and other portions of the body. The SC of the facial skin is thinner, being composed of smaller layers of corneocytes than that of the trunk and limbs. It shows unique functional characteristics to provide hydrated skin surface but relatively poor barrier function, which is similar to that observed in retinoid‐treated skin or to that of fresh scar or keloidal scars. Moreover, there even exist unexpected, site‐dependent differences in the SC of the facial skin such as the forehead, eyelid, cheek, nose and perioral regions, although each location occupies only a small area. Between these locations, the cheek shows the lowest TEWL in contrast to the perioral region that reveals the highest one. Moreover, these features are not static but change with age particularly between children and adults and maybe also between genders. Among various facial locations, the eyelid skin is distinct from others because its SC is associated with poor skin surface lipids and a thin SC cell layer composed of large corneocytes that brings about high surface hydration state but poor barrier function, whereas the vermillion borders of the lips that are covered by an exposed part of the oral mucosa exhibit remarkably poor barrier function and low hydration state. Future studies aiming at the establishment of the functional mapping in each facial region and in other body regions will shed light on more delicate site‐dependent differences, which will provide us important information in planning the strategy to start so called tailor‐made skin care for each location of the body.     

New protein ingredients for skin detergency: native wheat protein–surfactant complexes

The cutaneous tolerability of detergent formulations can be improved by means of suitable additives. Exogenous proteins, for example, are able to reduce the skin irritation potential of surfactants according to a double mechanism: they complex the surfactant molecules lowering the concentration of their free monomeric species; they link to the skin keratin forming a protective colloidal layer that shields the denaturing attack of surfactants. Protein derivatives used as additives for detergency are usually prepared by partial hydrolysis of animal scleroproteins or plant reserve proteins. The main purpose of the hydrolytic cleavage is to make them water soluble and suitable for liquid products. Native, non hydrolysed wheat proteins have been recently introduced as active ingredients for detergents. Water solubility and stability are obtained by means of complexation with surfactants which also increases their actual hydrophobicity, an important parameter affecting cosmetic properties of proteins. The anti-irritant properties of these new derivatives of detergents have been evaluated by in vitro predictive tests (swelling response of collagen membranes), by acute irritancy in vivo methods (occlusive patch tests) and by use tests (forearm washing test). Transepidermal water loss and electric capacitance have been adopted as investigation techniques to evaluate the skin integrity/damage after the in vivo tests. The performance of native wheat protein-surfactant complexes has been compared with traditional protein hydrolysates and to amphoteric surfactants as detergent additives. The results show a noticeable reduction of skin irritation in surfactant formulations with addition of native wheat proteins.     

Electrometric assessment of the effect of a zinc oxide paste in diaper dermatitis

Diaper dermatitis affects nearly 50% of infants as well as some bed-ridden adults particularly in the elderly people. This condition is induced by irritation and maceration, and may be further exacerbated by Candida sp. colonization and infection. A key factor in the pathogenesis is the alteration in both the barrier function and the water-holding capacity of the stratum corneum. The purpose of this study was to assess the effects of an unmedicated zinc oxide–petrolatum paste and to observe for possible shielding and restoring effects on the water-holding capacity of the stratum corneum altered by diaper dermatitis. The paste appeared to load the hollow skin microrelief. It was inferred that this effect was responsible for a reticulated shielding effect. Compared with healthy skin and untreated diaper dermatitis, the application of the anhydrous paste resulted in a trend to normalize electrometric properties of skin reflecting the combination of transepidermal water loss and the water-holding capacity of the stratum corneum.     

Stratum corneum free amino acids following barrier perturbation and repair

Modulation of the skin environment after stratum corneum (SC) perturbation has profound effects on the rate and effectiveness of barrier repair. Intermediate water exposure, e.g. moderate relative humidity, may provide the optimum water gradient for SC repair. More rapid recovery with semipermeable (SP) films in vivo was associated with increased hydration measured as moisture accumulation rate. We hypothesized that (i) damaged SC recovering under the high water exposure of full occlusion (FO) would have lower free amino acids (FAA) than sites with low hydration (no occlusion, NO) and semi‐occlusion (SP, semipermeable film, intermediate hydration) and (ii) SC under semi‐occlusion would have higher FAA than with low hydration. Volar forearm sites in 15 healthy adults were perturbed via cellophane tape stripping and treated with SP, FO and NO for five days. Barrier recovery rate, hydration, dryness and erythema were determined. Serial SC samples (n = 15) were collected on day 5 and FAA quantified using reverse‐phase HPLC and fluorescence detection. The cumulative protein removed was higher for SP than the control, NO and FO. FAA as total, individual amino acids and citrulline were consistently higher in the control than the three damaged sites. Generally, FAA was higher in NO than FO. Citrulline was higher for NO than SP and FO over the sampled SC. Levels were higher for SP than FO in certain, but not all of the FAAs. FAA was inversely correlated to barrier integrity. Skin hydration was relatively constant at the external microenvironment of the SP site, whereas the NO and FO had a reduction, i.e. a gradient, over the time. Overall, barrier recovery under conditions of a decreasing hydration gradient produced SC with higher levels of FAA than did conditions of full occlusion.     

Approche osmotique de l'hydratation du stratum corneum

Afin de reprendre l'hypothèse selon laquelle l'absorption de l'eau par le stratum corneum est un phénomène osmotique et afin de d'effectuer des études, in vitro , de la biophysique de la diffusion de l'eau par osmose, nous avons mis au point un Modèle Osmotique de Cornéocyte (MOC), qui est constitué par de la kératine isolée par une membrane semi-perméable.
Immeré dans de l'eau, le MOC voit sa masse augmenter. En effet, bien qu'insoluble, la kératine est hydrophile et en accord avec le Deuxième principe de la thermodynamique, elle fait diffuser par osmose, de l'eau vers l'intérieur du MOC.
A saturation, l'eau absorbée représente 13 fois la masse de kératine.
La diffusion s'effectue selon une cinétique classique: la masse de l'eau qui pénètre est proportionelle à la racine carrée du temps.
Les éléments constitutifs du Facteur Naturel d'Hydratation comme l'urée, l'acide lactique, l'acide pyrrolidone carboxylique, accroissent la vitesse de diffusion et la quantité totale d'eau absorbée. Un humectant comme la glycérine produit un effet semblable. L'urée est le composé qui donne les meilleures performances.
L'accroissement de la vitesse de diffusion par osmose dans le MOC en présence de composés hydratants peut s'interpréter comme un accroissement de l'hydrophilie de la kératine induite par ces composés.
Le MOC semble pouvoir permettre, outre une étude théorique sur le phénomène osmotique dans le stratum corneum , des études préliminaires in vitro des produits hydratants hydrosolubles utilisables en cosmétologie.     

Role of ceramides 2 and 5 in the structure of the stratum corneum lipid barrier

We utilized Fourier transform infrared (FTIR) spectroscopy to investigate headgroup and chain interactions in model SC lipid barriers containing equimolar amounts of deuterated hexadecanoic acid, cholesterol, and ceramide 2 (non-hydroxy sphingosine) or ceramide 5 (alpha-hydroxy sphingosine). In the ceramide 2 model the thermotropic response of the CD _ 2 and CH _ 2 stretching modes indicates that hexadecanoic acid begins to disorder at 42 degrees C while ceramide 2 remains ordered until 52 degrees C. Additionally, splitting of the CD _ 2 bending and CH _ 2 rocking modes provides evidence for separate orthorhombic hexadecanoic acid and ceramide domains. The ceramide amide I mode (1650 cm ; -1) is split into two components indicating strong intermolecular hydrogen bonding between headgroups. In the ceramide 5 model, the CH _ 2 and CD _ 2 stretching frequencies again reveal highly conformationally ordered ceramide 5 and hexadecanoic acid chains. Splitting of both the CD _ 2 bending and CH _ 2 rocking modes is observed. However, the CH _ 2 rocking frequencies indicate distorted packing of the ceramide. The collapse of these highly ordered phases, and the onset of conformational disorder, occurs at 50 degrees C for both ceramide 5 and hexadecanoic acid. The amide I and II frequencies of ceramide 5 indicate strong H-bonding, although neither mode is split. Our results demonstrate that model SC lipid systems have quite different physical properties depending on whether they contain ceramide 2 or 5. From this we infer that ceramide 2 and 5 make distinct contributions to the structural biophysics of the SC lipid barrier. Our observation of ordered lipid domains is also consistent with the recently proposed domain mosaic model of the skin barrier.     

How do the skin barrier and microbiome adapt to the extra-uterine environment after birth? Implications for the clinical practice

The multiple protective functions of the skin derive from the interactions between epithelial skin and immune cells as well as the commensal microbiota. Developed in the last trimester of intra-uterine life, the skin barrier adapts dynamically after birth. Specific differences in the structure and physiology have been disclosed between infant and adult skin. The stratum corneum of infants is thinner and structured by thicker corneocytes with a more anisotropic surface in comparison to adult skin. Lower levels of the natural moisturizing factor and its constituents, together with the increased protease activity in the epidermis result in dry baby skin and ongoing adaptation of the desquamation to the extra-uterine environment. Infant epidermis is characterized by an accelerated proliferation rate and clinically competent permeability barrier in term neonates, despite the higher baseline values of transepidermal water loss in infants. The skin surface of newborns is less acidic, which could increase susceptibility to diaper and atopic dermatitis. Immediately after birth, skin is colonized by commensal bacteria—a process dependent on the mode of delivery and of major importance for the maturation of the immune system. Skin bacterial diversity and dysbiosis have been related to different pathology such as atopic and seborrheic dermatitis. This paper focuses on the ongoing structural, functional and biochemical adaptation of the human skin barrier after birth. We discuss the interactions on the ‘skin barrier/ microbiota/ immune system’ axis and their role in the development of competent functional integrity of the epidermal barrier.     

In vivo transepidermal water loss and skin surface hydration in assessment of moisturization and soap effects

Transepidermal water loss (TEWL), skin surface water loss (SSWL) and water content of the stratum corneum are utilized to assess the hydration effects of moisturizers and soaps. The relationship among these parameters may help differentiating hydration obtained via occlusion or by water-holding in the stratum corneum. Furthermore, skin function (hydration, dehydration, barrier damage) can be studied comparing the data obtained with these techniques. In this study, the effects of glycerol, petrolatum, soaps and commercial moisturizers on the skin are investigated and discussed.     

Study of surfactant-skin interactions by skin impedance measurements

The stratum corneum (SC) plays a very critical physiological role as skin barrier in regulating water loss through the skin and protects the body from a wide range of physical and chemical exogenous insults. Surfactant-containing formulations can induce skin damage and irritation owing to surfactant absorption and penetration. It is generally accepted that reduction in skin barrier properties occurs only after surfactants have penetrated/permeated into the skin barrier. To mitigate the harshness of surfactant-based cleansing products, penetration/permeation of surfactants should be reduced. Skin impedance measurements have been taken in vitro on porcine skin using vertical Franz diffusion cells to investigate the impact of surfactants, temperature and pH on skin barrier integrity. These skin impedance results demonstrate excellent correlation with other published methods for assessing skin damage and irritation from different surfactant chemistry, concentration, pH, time of exposure and temperature. This study demonstrates that skin impedance can be utilized as a routine approach to screen surfactant-containing formulations for their propensity to compromise the skin barrier and hence likely lead to skin irritation.     

Distinct locational differences observable in biophysical functions of the facial skin: with special emphasis on the poor functional properties of the stratum corneum of the perioral region

The face is composed of complicated anatomical components, presenting unique portions, such as the eyes, nose and mouth in a relatively narrow area. Moreover, the facial skin is densely populated by the pilosebaceous units and sweat glands, and its stratum corneum (SC) is much thinner than that of the trunk and limbs, although it is always exposed to the environment. Among various portions of the facial skin, some are more easily irritated than others by environmental stimuli, or are more often affected by certain dermatoses. However, the functional aspects of the different portions of the facial skin have not been studied in detail under a strictly controlled environment in sufficiently large numbers of subjects covering different age groups. Thus, we conducted studies in winter with various biophysical techniques, such as transepidermal water loss (TEWL), as a parameter for SC barrier function, high-frequency conductance as that for skin surface hydration state, skin surface lipids, pH, blood flow and skin surface temperature on the forehead, mid-portion of the cheek (cheek in short), nasal tip (nose in short), nasolabial fold and chin of 20 healthy Japanese females aged 22-37 years (average 25 years) in a climate chamber adjusted to 21 degrees C and 50% relative humidity. Thereafter, we studied the influence of ageing on these biophysical parameters by collecting data of TEWL, high-frequency conductance and size of superficial corneocytes on the cheek, nasolabial fold and chin of 303 healthy Japanese female volunteers of different ages. The obtained results showed that the barrier function of the SC was best on the cheek, presenting the lowest TEWL, which was significantly higher on the nasolabial fold and chin than on the cheek. TEWL showed a decrease with age. In contrast, skin hydration state was higher on the nose, but it tended to be lower on the nasolabial fold, showing a mild age-related increase. The corneocytes on the nasolabial fold and chin were smaller than those on the cheek. They revealed a clear increase in size with age. Skin surface lipids were richest on the nose, whereas the superficial pH on the nose was the lowest among the regions tested. The skin temperature was lowest on the cheek than on other areas of the face; although, together with the nose, its blood flow was higher than that of the others. These data indicate great regional differences observable in SC functions on the face. In general, the SC barrier function increases with age, probably because of a decreased epidermal turnover rate as recognized by the increase in corneocyte size. Among the various sites, the skin of the nasolabial fold and chin, whose SC consisted of the smallest corneocytes, showed poorest SC properties in barrier function, suggesting the presence of mild invisible inflammation. It is understandable that this area easily develops not only the complaint of sensitive skin to cosmetics but also dermatitis because of various external agents.     

An in vivo assessment of the biomechanical properties of human skin modifications under the influence of cosmetic products

A new device using a torsional technique has been developed to record the biomechanical properties of the skin.
After determination of the optimal experimental conditions, effects of cosmetic products on the stratum corneum biomechanical properties are described.