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人脐带血间充质干细胞条件培养基改善敏感性皮肤症状的临床评价:前瞻性、单盲、半脸研究。

Clinical Evaluation of Conditioned Media of Human Umbilical Cord Blood Mesenchymal Stem Cells for Improvement of Symptoms of Sensitive Skin: Prospective, Single Blinded, Split-face Study.

作者信息

Ahn Hee-Jin, Kim Yoon-Jin, Myeong Sujin, Huh Gyoo, Kim Won-Serk

机构信息

Derma Science R&D Center, Primoris International CO., LTD., Gwangmyeong, Korea.

Department of Dermatology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

出版信息

Ann Dermatol. 2023 Jun;35(3):165-172. doi: 10.5021/ad.21.287.

Abstract

BACKGROUND

The exact definition of sensitive skin is not established yet. Since its high prevalence and significant influence on quality of life, it has become an important topic of research. Among various ingredients, conditioned media from umbilical cord blood-derived mesenchymal stem cells (UCB-MSC-CM) can be a promising source for the treatment of sensitive skin.

OBJECTIVE

We evaluated the efficacy and safety of UCB-MSC-CM on patients with sensitive skin.

METHODS

We designed a randomized, single blinded, prospective, split-face comparison study and enrolled thirty patients. All patients underwent nonablative fractional laser over the entire face before UCB-MSC-CM or normal saline was applied. Each facial area was randomly assigned to undergo treatment with either UCB-MSC-CM or normal saline. We performed three sessions at two-week intervals, and final results were assessed on six weeks after the last session. As an outcome measure, we evaluated a five-point global assessment scale, transepidermal water loss (TEWL), erythema index (EI) and Sensitive Scale-10. Twenty seven subjects were included in final analysis.

RESULTS

The treated side exhibited greater improvement compared to the untreated side based on a five-point global assessment scale. TEWL, EI of the treated side were significantly lower than those of the untreated side throughout study period. Sensitive Scale-10 was significantly improved after treatment.

CONCLUSION

The application of UCB-MSC-CM resulted in improved skin barrier function and reduced inflammatory responsiveness, which could provide beneficial effect on sensitive skin.

摘要

背景

敏感性皮肤的确切定义尚未确立。由于其高患病率以及对生活质量的重大影响,它已成为一个重要的研究课题。在各种成分中,脐带血来源的间充质干细胞条件培养基(UCB-MSC-CM)可能是治疗敏感性皮肤的一个有前景的来源。

目的

我们评估了UCB-MSC-CM对敏感性皮肤患者的疗效和安全性。

方法

我们设计了一项随机、单盲、前瞻性、半脸对照研究,并招募了30名患者。在应用UCB-MSC-CM或生理盐水之前,所有患者全脸接受非剥脱性点阵激光治疗。每个面部区域随机分配接受UCB-MSC-CM或生理盐水治疗。我们每隔两周进行三次治疗,并在最后一次治疗后六周评估最终结果。作为疗效指标,我们评估了五分制整体评估量表、经表皮水分流失(TEWL)、红斑指数(EI)和敏感性量表-10。27名受试者纳入最终分析。

结果

基于五分制整体评估量表,治疗侧比未治疗侧改善更明显。在整个研究期间,治疗侧的TEWL、EI显著低于未治疗侧。治疗后敏感性量表-10显著改善。

结论

UCB-MSC-CM的应用改善了皮肤屏障功能,降低了炎症反应性,这可能对敏感性皮肤有有益作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2606/10258546/3182edb6d4d0/ad-35-165-g001.jpg

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