Paraskevopoulos Georgios, Opálka Lukáš, Kováčik Andrej, Paraskevopoulou Anna, Panoutsopoulou Eleni, Sagrafena Irene, Pullmannová Petra, Čáp Robert, Vávrová Kateřina
Skin Barrier Research Group, Charles University, Faculty of Pharmacy in Hradec Králové, Hradec Králové, Czech Republic.
Plastic Surgery Clinic, Sanatorium Sanus, Hradec Králové, Czech Republic.
J Lipid Res. 2025 Jan;66(1):100722. doi: 10.1016/j.jlr.2024.100722. Epub 2024 Dec 7.
Ceramides are key components of the skin's permeability barrier. In atopic dermatitis, pathological hydrolysis of ceramide precursors - glucosylceramides and sphingomyelin - into lysosphingolipids, specifically glucosylsphingosine (GS) and sphingosine-phosphorylcholine (SPC), and free fatty acids (FFAs) has been proposed to contribute to impaired skin barrier function. This study investigated whether replacing ceramides with lysosphingolipids and FFAs in skin lipid barrier models would exacerbate barrier dysfunction. When applied topically to human stratum corneum sheets, SPC and GS increased water loss, decreased electrical impedance, and slightly disordered lipid chains. In lipid models containing isolated human stratum corneum ceramides, reducing ceramides by ≥ 30% significantly increased permeability to four markers, likely due to loss of long-periodicity phase (LPP) lamellae and phase separation within the lipid matrix, as revealed by X-ray diffraction and infrared spectroscopy. However, when the missing ceramides were replaced by lysosphingolipids and FFAs, no further increase in permeability was observed. Conversely, these molecules partially mitigated the negative effects of ceramide deficiency, particularly with 5%-10% SPC, which reduced permeability even compared to control with "healthy" lipid composition. These findings suggest that while ceramide deficiency is a key factor in skin barrier dysfunction, the presence of lysosphingolipids and FFAs does not aggravate lipid structural or functional damage, but may provide partial compensation, raising further questions about the behavior of lyso(sphingo)lipids in rigid multilamellar lipid environments, such as the stratum corneum, that warrant further investigation.
神经酰胺是皮肤渗透屏障的关键组成部分。在特应性皮炎中,有人提出神经酰胺前体——葡萄糖神经酰胺和鞘磷脂——病理性水解为溶血鞘脂,特别是葡萄糖鞘氨醇(GS)和鞘氨醇磷酸胆碱(SPC)以及游离脂肪酸(FFA),会导致皮肤屏障功能受损。本研究调查了在皮肤脂质屏障模型中用溶血鞘脂和FFA替代神经酰胺是否会加剧屏障功能障碍。当局部应用于人体角质层薄片时,SPC和GS增加了水分流失,降低了电阻抗,并使脂质链略有紊乱。在含有分离的人体角质层神经酰胺的脂质模型中,将神经酰胺减少≥30%会显著增加对四种标记物的通透性,这可能是由于长周期相(LPP)片层的丧失和脂质基质内的相分离,X射线衍射和红外光谱显示了这一点。然而,当缺失的神经酰胺被溶血鞘脂和FFA替代时,未观察到通透性进一步增加。相反,这些分子部分减轻了神经酰胺缺乏的负面影响,特别是5%-10%的SPC,与具有“健康”脂质组成的对照相比,其甚至降低了通透性。这些发现表明,虽然神经酰胺缺乏是皮肤屏障功能障碍的关键因素,但溶血鞘脂和FFA的存在不会加剧脂质结构或功能损伤,反而可能提供部分补偿,这引发了关于溶血(鞘氨醇)脂在角质层等刚性多层脂质环境中的行为的进一步问题,值得进一步研究。