Division of Dermatology, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand,
Department of Chemistry, Faculty of Science, Chulalongkorn University, Bangkok, Thailand.
Skin Pharmacol Physiol. 2022;35(1):23-30. doi: 10.1159/000517965. Epub 2021 Jun 23.
Seborrhea or oily skin has been one of the most common complaints affecting both men and women physically and psychologically. Chitosan is a biopolymer obtained from the alkaline deacetylation of chitin. Due to its positively charged nature, chitosan can effectively bind to lipids. Therefore, chitosan nanoparticle (CN) formulation may benefit in the reduction of skin sebum.
The aim of this study was to evaluate the efficacy and safety of CN formulation in the reduction of skin sebum.
The study was a randomized, double-blinded, placebo-controlled trial in 24 participants aged 18-40 years with clinical seborrhea. Participants were randomly assigned to apply the CN and gum (CN-G) or placebo (gum alone) twice daily for 4 weeks. Sebum level, corneometry, transepidermal water loss (TEWL), and clinical seborrhea grading were evaluated at baseline and week 2 and 4.
In the T-zone, sebum levels in the CN-G group were significantly lower than the placebo group at week 4 (p = 0.043), while for the U-zone, sebum levels were not different between groups. There were no statistical differences in corneometry and TEWL at any visit. Although the clinical seborrhea grading in CN-G was lower, it was not significantly different from the placebo. A few cases reported mild and self-limiting scaling and acneiform eruption.
The CN-G gel could significantly reduce sebum levels on seborrhea patients with acceptable safety profiles.
皮脂溢出或油性皮肤是一种常见的问题,影响着男性和女性的身体和心理健康。壳聚糖是一种从甲壳质的碱性脱乙酰化得到的生物聚合物。由于其带正电荷的性质,壳聚糖可以有效地与脂质结合。因此,壳聚糖纳米粒子(CN)制剂可能有助于减少皮肤皮脂。
本研究旨在评估 CN 制剂减少皮肤皮脂的功效和安全性。
这是一项 24 名年龄在 18-40 岁之间有临床皮脂溢的参与者参与的随机、双盲、安慰剂对照试验。参与者被随机分配每天两次涂抹 CN 和胶(CN-G)或安慰剂(单独胶),持续 4 周。在基线和第 2 周和第 4 周评估皮脂水平、皮肤角质层水分含量、经表皮水分流失(TEWL)和临床皮脂溢分级。
在 T 区,CN-G 组在第 4 周时皮脂水平明显低于安慰剂组(p = 0.043),而 U 区两组之间皮脂水平无差异。在任何一次就诊时,皮肤角质层水分含量和 TEWL 均无统计学差异。虽然 CN-G 的临床皮脂溢分级较低,但与安慰剂相比无显著差异。少数病例报告有轻度和自限性的脱屑和痤疮样疹。
CN-G 凝胶可显著降低皮脂溢患者的皮脂水平,安全性良好。