Makihara Hiroko, Kaiga Kazusa, Satake Toshihiko, Muto Mayu, Tsunoda Yui, Mitsui Hideaki, Ohashi Kenichi, Akase Tomoko
Department of Biological Science and Nursing, Graduate School of Medicine, Yokohama City University, Yokohama 236-0004, Japan.
Department of Biochemistry, School of Medicine, Tokyo Women's Medical University, Shinjuku-ku, Tokyo 162-8666, Japan.
J Clin Med. 2025 Jul 23;14(15):5220. doi: 10.3390/jcm14155220.
Obesity is associated with various skin complications, yet its impact on dermal elastic fibers-key components maintaining skin elasticity-remains unclear, particularly in cases of mild obesity prevalent in East Asian populations. The aim of this study was to investigate whether mild obesity is associated with the early structural deterioration of dermal elastic fibers and alterations in elastin-related gene expression in Japanese individuals. Abdominal skin samples from 31 Japanese women (the mean body mass index [BMI] 23.9 ± 3.2 kg/m, mean age 49.5 ± 4.8) undergoing breast reconstruction surgery were analyzed. Gene expression levels of elastin-regenerative and -degradative molecules were assessed by quantitative polymerase chain reaction in the epidermis, dermis, and subcutaneous fat. Dermal elastic fiber content was evaluated histologically using Elastica van Gieson staining. No statistically significant correlations between the BMI and elastin-degrading gene expression (, , , and ) were observed. expression in the dermis showed a significant positive correlation with the BMI (ρ = 0.517, = 0.003), potentially reflecting a compensatory response. Histological analysis revealed a significant inverse correlation between dermal elastic fiber content and the BMI (r = -0.572, = 0.001), independent of age or smoking history. Even mild obesity is associated with the early degradation of dermal elastic fibers despite limited transcriptional alterations. These findings underscore the need for early skin care interventions to mitigate obesity-related skin fragility, especially in populations with predominantly mild obesity.
肥胖与多种皮肤并发症相关,但其对维持皮肤弹性的关键成分——真皮弹性纤维的影响仍不清楚,尤其是在东亚人群中普遍存在的轻度肥胖病例中。本研究的目的是调查轻度肥胖是否与日本个体真皮弹性纤维的早期结构退化以及弹性蛋白相关基因表达的改变有关。对31名接受乳房重建手术的日本女性(平均体重指数[BMI]为23.9±3.2kg/m,平均年龄49.5±4.8岁)的腹部皮肤样本进行了分析。通过定量聚合酶链反应评估表皮、真皮和皮下脂肪中弹性蛋白再生和降解分子的基因表达水平。使用弹性纤维染色法对真皮弹性纤维含量进行组织学评估。未观察到BMI与弹性蛋白降解基因表达(、、、和)之间存在统计学显著相关性。真皮中的表达与BMI呈显著正相关(ρ=0.517,=0.003),这可能反映了一种代偿反应。组织学分析显示真皮弹性纤维含量与BMI呈显著负相关(r=-0.572,=0.001),且不受年龄或吸烟史的影响。即使是轻度肥胖也与真皮弹性纤维的早期降解有关,尽管转录改变有限。这些发现强调了早期皮肤护理干预对于减轻肥胖相关皮肤脆弱性的必要性,尤其是在以轻度肥胖为主的人群中。
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