School of Pharmaceutical Sciences, Wuhan University, Wuhan, China.
College of Medicine, Jianghan University, Wuhan, China.
Exp Dermatol. 2021 Feb;30(2):237-248. doi: 10.1111/exd.14242. Epub 2021 Jan 6.
Atopic dermatitis (AD) is a multifactorial chronic inflammatory skin disease characterized by skin barrier dysfunction, eczematous lesions, pruritus, and abnormal immune responses. In this study, we assessed the therapeutic effect of topical applied conjugated linoleic acid (CLA) on a murine AD model that was developed by repetitive applications of 2, 4-dinitrofluorobenzene (DNFB). 2% or 5% CLA could markedly ameliorate AD-like skin lesions, scratching behaviour and skin inflammation as evidenced by the reduced inflammatory blood cells, IgE and Th2-related cytokine levels, and the infiltration of mast cells and inflammatory cells to the dermal tissues. Moreover, topical application with CLA modulated skin barrier repair including maintaining a balanced skin pH and increasing skin hydration, partially mediated by upregulating skin barrier-related protein, filaggrin (FLG). In addition, topical CLA significantly dose-dependently inhibited pro-inflammatory cytokines including interleukin (IL)-6, IL-1β, tumour necrosis factor (TNF)-α and pro-inflammatory enzyme expressions of inducible nitric oxide synthase (iNOS) and cyclooxygenase-2 (COX-2) in inflamed mice skin. Its anti-inflammatory effect was associated with the inhibition of DNFB-stimulated IκBα and NF-κB p65 phosphorylation in mouse skin. Taken together, our results suggest that locally applied CLA exerts potentially protective effects against AD lesional skin at least in part, due to regulation of skin barrier function and inflammatory response.
特应性皮炎(AD)是一种多因素的慢性炎症性皮肤疾病,其特征为皮肤屏障功能障碍、湿疹样皮损、瘙痒和异常免疫反应。在本研究中,我们评估了局部应用共轭亚油酸(CLA)对二硝基氟苯(DNFB)重复应用诱导的 AD 模型小鼠的治疗效果。2%或 5% CLA 可明显改善 AD 样皮肤损伤、搔抓行为和皮肤炎症,表现为炎症细胞、IgE 和 Th2 相关细胞因子水平降低,肥大细胞和炎症细胞向真皮组织浸润减少。此外,CLA 通过上调皮肤屏障相关蛋白丝聚合蛋白(FLG)来调节皮肤屏障修复,包括维持皮肤 pH 值平衡和增加皮肤水分。此外,CLA 可显著剂量依赖性地抑制促炎细胞因子(包括白细胞介素(IL)-6、IL-1β、肿瘤坏死因子(TNF)-α)和诱导型一氧化氮合酶(iNOS)和环氧化酶-2(COX-2)等促炎酶的表达。其抗炎作用与抑制 DNFB 刺激的小鼠皮肤中 IκBα 和 NF-κB p65 磷酸化有关。综上所述,我们的结果表明,局部应用 CLA 至少部分通过调节皮肤屏障功能和炎症反应,对 AD 皮损皮肤具有潜在的保护作用。