Department of Environmental Medical Biology, Wonju College of Medicine, Yonsei University, Wonju, Gangwon-do, 26426, Republic of Korea.
Department of Global Medical Science, Graduate School, Yonsei University, Wonju, Gangwon-do, 26426, Republic of Korea.
BMC Complement Med Ther. 2021 Mar 3;21(1):82. doi: 10.1186/s12906-021-03259-5.
Atopic dermatitis (AD) is a chronic allergic inflammatory skin disease characterized by complex pathogenesis including skin barrier dysfunction, immune-redox disturbances, and pruritus. Prolonged topical treatment with medications such as corticosteroids, calcineurin inhibitors, and T-cell inhibitors may have some potential side-effects. To this end, many researchers have explored numerous alternative therapies using natural products and mineral compounds with antioxidant or immunomodulatory effects to minimize toxicity and adverse-effects. In the current study, we investigated the effects of mineral complex material (MCM) treatment on 2, 4-dinitrochlorobenzene (DNCB)-induced AD-like skin lesions in SKH-1 hairless mice.
Animals were divided into four groups; normal control (NC), negative control treated with DNCB only (DNCB only), positive control treated with DNCB and tacrolimus ointment (PC) and experimental group treated with DNCB and MCM patch (MCM). Skin inflammation and lesion severity were investigated through analyses of skin parameters (barrier score and strength, moisture and trans-epidermal water loss level), histopathology, immunoglobulin E, and cytokines. In addition, reactive oxygen species (ROS), nitric oxide (NO), glutathione peroxidase (GPx), and catalase (CAT) levels were measured in both serum and skin lysate.
Our results demonstrates that MCM patch improved the progression of AD-like skin lesions by significantly increasing skin barrier strength and decreasing trans-epidermal water loss. Additionally, dermal administration of MCM patch significantly reduced epidermal thickness, ROS, and NO levels in skin lysate. Furthermore, we found that MCM suppressed the levels of AD-involved (Th and Th) cytokines such as IL-2, IFN-γ, and IL-4 in blood. In addition, the levels of other Th and Th and inflammatory cytokines such as IL-1β, TNF-α, IL-6, IL-12(p70) and IL-10 were found lowest in the MCM group than in the DNCB only and PC groups. Moreover, we found total serum IgE level significantly increased after DNCB treatment, but decreased in the PC and MCM groups.
Taken together, our findings suggest that MCM application may have beneficial effects either systemic or regional on DNCB-induced AD lesional skin via regulation of the skin barrier function and immune-redox response.
特应性皮炎(AD)是一种慢性过敏性炎症性皮肤病,其发病机制复杂,包括皮肤屏障功能障碍、免疫氧化还原紊乱和瘙痒。长期局部使用皮质类固醇、钙调神经磷酸酶抑制剂和 T 细胞抑制剂等药物可能有一些潜在的副作用。为此,许多研究人员探索了许多使用具有抗氧化或免疫调节作用的天然产物和矿物质化合物的替代疗法,以最大程度地减少毒性和不良反应。在本研究中,我们研究了矿物质复合物(MCM)治疗对 2,4-二硝基氯苯(DNCB)诱导的 SKH-1 无毛小鼠 AD 样皮肤损伤的影响。
动物分为四组;正常对照组(NC)、仅用 DNCB 处理的阴性对照组(DNCB 仅)、用 DNCB 和他克莫司软膏处理的阳性对照组(PC)和用 DNCB 和 MCM 贴剂处理的实验组(MCM)。通过分析皮肤参数(屏障评分和强度、水分和经皮水分丢失水平)、组织病理学、免疫球蛋白 E 和细胞因子来研究皮肤炎症和病变严重程度。此外,还测量了血清和皮肤裂解物中的活性氧(ROS)、一氧化氮(NO)、谷胱甘肽过氧化物酶(GPx)和过氧化氢酶(CAT)水平。
我们的结果表明,MCM 贴剂通过显著增加皮肤屏障强度和降低经皮水分丢失来改善 AD 样皮肤损伤的进展。此外,皮肤内给予 MCM 贴剂可显著降低皮肤裂解物中的表皮厚度、ROS 和 NO 水平。此外,我们发现 MCM 抑制了血液中与 AD 相关的(Th 和 Th)细胞因子的水平,如 IL-2、IFN-γ 和 IL-4。此外,在 MCM 组中,其他 Th 和 Th 以及炎症细胞因子如 IL-1β、TNF-α、IL-6、IL-12(p70)和 IL-10 的水平均低于 DNCB 仅和 PC 组。此外,我们发现总血清 IgE 水平在 DNCB 处理后显著升高,但在 PC 和 MCM 组中降低。
综上所述,我们的研究结果表明,MCM 应用可能通过调节皮肤屏障功能和免疫氧化还原反应对 DNCB 诱导的 AD 病变皮肤具有有益的全身或局部作用。