Kikuchi Katsuko, Kobayashi Hiromi, Hirao Tetsuji, Ito Akira, Takahashi Haruhito, Tagami Hachiro
Department of Dermatology, Tohoku University School of Medicine, Sendai, Japan.
Dermatology. 2003;207(3):269-75. doi: 10.1159/000073089.
Based on our previous findings that, reflecting mild inflammation, the exposed facial skin shows much poorer functional properties of the stratum corneum (SC) in the dry and cold winter than those evaluated in the same individuals in the warm and humid summer time, we conducted a half-side test on the face to determine how the facial skin changes induced by a winter environment are improved by daily applications of a moisturizing cream as assessed by non-invasive biophysical and cytological methods.
One side of the face of 16 young females was treated with a moisturizing cream twice daily for 6 weeks, with the other side serving as the non-treated control. Before treatment, 3 and 6 weeks after the start of the treatment, high-frequency conductance as a parameter of the skin surface hydration, transepidermal water loss (TEWL), a parameter of the water barrier function of the skin, and the skin surface lipid level were measured on the cheeks. Obtaining the SC from the skin surface by adhesive tape, interleukin (IL) 1alpha and IL-1 receptor antagonist (IL-1ra) in the SC and cornified envelope (CE) maturation were determined.
At first, baseline measurements conducted before treatment showed rather high TEWL values suggestive of an impaired skin barrier. During the treatment with the moisturizing cream, significantly higher conductance values and lower TEWL values were found on the moisturizer-treated side, accompanied by a decreasing IL-1ra/IL-1alpha ratio and immature CEs.
These results suggested that the daily application of a moisturizing cream is effective in improving mild subclinical inflammation that is induced on the facial skin by the winter environment.
基于我们之前的研究发现,即暴露在外的面部皮肤反映出轻度炎症,在干燥寒冷的冬季,角质层(SC)的功能特性比在温暖潮湿的夏季对同一受试者评估时要差得多。我们对面部进行了半脸测试,以确定通过非侵入性生物物理和细胞学方法评估,每日涂抹保湿霜如何改善冬季环境引起的面部皮肤变化。
16名年轻女性的一侧面部每天涂抹两次保湿霜,持续6周,另一侧作为未处理的对照。在治疗前、治疗开始后3周和6周,测量脸颊上作为皮肤表面水合作用参数的高频电导、作为皮肤水屏障功能参数的经表皮水分流失(TEWL)以及皮肤表面脂质水平。通过胶带从皮肤表面获取SC,测定SC中的白细胞介素(IL)1α和IL-1受体拮抗剂(IL-1ra)以及角质包膜(CE)成熟度。
首先,治疗前进行的基线测量显示TEWL值相当高,提示皮肤屏障受损。在使用保湿霜治疗期间,在涂抹保湿霜的一侧发现电导值显著更高,TEWL值更低,同时IL-1ra/IL-1α比值降低且CE不成熟。
这些结果表明,每日涂抹保湿霜可有效改善冬季环境在面部皮肤上诱发的轻度亚临床炎症。