Institute of Toxicology, Johannes Gutenberg-University, Obere Zahlbacherstr. 67, 55131, Mainz, Germany.
Experimental Toxicology and Ecology, GV/TB, Z470, BASF SE, Carl-Bosch-Str. 38, 67056, Ludwigshafen, Germany.
Arch Toxicol. 2018 Aug;92(8):2411-2456. doi: 10.1007/s00204-018-2232-x. Epub 2018 Jun 18.
Studies on the metabolic fate of medical drugs, skin care products, cosmetics and other chemicals intentionally or accidently applied to the human skin have become increasingly important in order to ascertain pharmacological effectiveness and to avoid toxicities. The use of freshly excised human skin for experimental investigations meets with ethical and practical limitations. Hence information on xenobiotic-metabolizing enzymes (XME) in the experimental systems available for pertinent studies compared with native human skin has become crucial. This review collects available information of which-taken with great caution because of the still very limited data-the most salient points are: in the skin of all animal species and skin-derived in vitro systems considered in this review cytochrome P450 (CYP)-dependent monooxygenase activities (largely responsible for initiating xenobiotica metabolism in the organ which provides most of the xenobiotica metabolism of the mammalian organism, the liver) are very low to undetectable. Quite likely other oxidative enzymes [e.g. flavin monooxygenase, COX (cooxidation by prostaglandin synthase)] will turn out to be much more important for the oxidative xenobiotic metabolism in the skin. Moreover, conjugating enzyme activities such as glutathione transferases and glucuronosyltransferases are much higher than the oxidative CYP activities. Since these conjugating enzymes are predominantly detoxifying, the skin appears to be predominantly protected against CYP-generated reactive metabolites. The following recommendations for the use of experimental animal species or human skin in vitro models may tentatively be derived from the information available to date: for dermal absorption and for skin irritation esterase activity is of special importance which in pig skin, some human cell lines and reconstructed skin models appears reasonably close to native human skin. With respect to genotoxicity and sensitization reactive-metabolite-reducing XME in primary human keratinocytes and several reconstructed human skin models appear reasonably close to human skin. For a more detailed delineation and discussion of the severe limitations see the Conclusions section in the end of this review.
为了确定药理学作用和避免毒性,对有意或意外应用于人体皮肤的药物、护肤品、化妆品和其他化学物质的代谢命运进行研究变得越来越重要。由于伦理和实际的限制,使用新鲜切除的人体皮肤进行实验研究受到限制。因此,与天然人体皮肤相比,有关实验系统中异源生物代谢酶(XME)的信息对于相关研究变得至关重要。这篇综述收集了现有的信息,由于数据仍然非常有限,因此需要谨慎对待,其中最突出的几点是:在本综述中考虑的所有动物物种的皮肤和皮肤衍生的体外系统中,细胞色素 P450(CYP)依赖性单加氧酶活性(主要负责启动器官中的异源生物代谢,该器官提供哺乳动物机体中大部分异源生物代谢)非常低至无法检测。很可能其他氧化酶[例如黄素单加氧酶、COX(前列腺素合酶协同氧化)]对于皮肤中的氧化异源生物代谢将变得更为重要。此外,结合酶活性,如谷胱甘肽转移酶和葡萄糖醛酸转移酶,比氧化 CYP 活性高得多。由于这些结合酶主要是解毒的,因此皮肤似乎主要受到 CYP 产生的反应性代谢物的保护。根据目前可用的信息,可以对实验动物物种或体外人皮肤模型的使用提出以下建议:对于真皮吸收和皮肤刺激,酯酶活性特别重要,在猪皮、一些人细胞系和重建的皮肤模型中,酯酶活性与天然人皮肤相当接近。对于遗传毒性和致敏性,在原代人角质形成细胞和几种重建的人皮肤模型中,具有还原反应性代谢物的 XME 与人类皮肤相当接近。有关更详细的描述和对严重限制的讨论,请参见本综述结尾处的结论部分。