Barrier function of the skin and the role of fat-soluble vitamins in the correction of its disorders
- 作者: Petrova S.Y.1,2, Albanova V.I.3
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隶属关系:
- Joint-stock company Pharmaceutical enterprise “Retinoids”
- Mechnikov Research Institute of Vaccines and Sera
- Moscow Regional Research and Clinical Institute (MONIKI)
- 期: 卷 98, 编号 3 (2022)
- 页面: 24-33
- 栏目: REVIEWS
- URL: https://journals.rcsi.science/0042-4609/article/view/117596
- DOI: https://doi.org/10.25208/vdv1313
- ID: 117596
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详细
The main function of the skin is to protect the body from negative environmental influences. The physical barrier permeability is mainly represented by the stratum corneum; however, other layers of the epidermis and the dermis are its important components. The mechanical strength of the skin is provided by intercellular contacts in the epidermis and structural proteins of the dermis. The chemical-biological barrier includes lipids, acids, natural moisturizing factor and antimicrobial peptides. Mucosal immunity system creates a barrier against infection. The microflora of healthy skin counteracts its colonization by pathogens and is vital for its immune functions. Physiological processes in the skin are closely related. A violation in one of them often leads to the formation of a whole cascade of pathological reactions affecting all the links of its protection. Vitamins A, D and E are used to correct impaired barrier function of the skin. The most pronounced effect of vitamin A (retinol palmitate) is the proliferation of epidermal cells and synthesis of extracellular matrix structures of the dermis; vitamin D (cholecalciferol) — regulation of differentiation and suppression of excessive proliferation of keratinocytes; vitamin E (tocopherol acetate) — antioxidant effect. The combined use of these vitamins in the composition of Radevit®Active ointment affects all the main elements of the protection of the epidermis and dermis: strengthens the mechanical strength of the stratum corneum and dermis, stabilizes chemical and physical protection, including prevents the penetration of foreign substances and microorganisms, reduces transepidermal loss of water and electrolytes, reduces the damaging effect of UV, increases antimicrobial and antioxidant protection.
作者简介
Stanislava Petrova
Joint-stock company Pharmaceutical enterprise “Retinoids”; Mechnikov Research Institute of Vaccines and Sera
编辑信件的主要联系方式.
Email: petrovastanislava@yandex.ru
ORCID iD: 0000-0003-3034-0148
SPIN 代码: 7268-6944
Scopus 作者 ID: 57202912 387
Cand. Sci. (Med.)
俄罗斯联邦, Svobody str., 1a, 143983, Balashikha; Maly Kazenny Pereulok, 5a, 105064, MoscowVera Albanova
Moscow Regional Research and Clinical Institute (MONIKI)
Email: albanova@rambler.ru
ORCID iD: 0000-0001-8688-7578
SPIN 代码: 5548-5359
MD, Dr. Sci. (Med.); Professor
俄罗斯联邦, Shchepkina str., 61/2, bldg. 6, 129110, Moscow参考
- Хлебникова А.Н., Петрунин Д.Д., Молочков А.В. Липиды человеческого эпидермиса (фундаментальные сведения и клиническая имплементация). М: МОНИКИ; 2015. с. 4–56. [Hlebnikova AN, Petrunin DD, Molochkov AV. Lipids of the human epidermis (fundamental information and clinical implementation). Moscow: MONIKI; 2015: 4–56 (In Russ.)]
- Альбанова В.И., Пампура А.Н. Атопический дерматит. М: ГЭОТАР-Медиа; 2020. с. 5–16 [Albanova VI, Pampura AN. Atopic dermatitis. Moscow: GEOTAR-Media; 2020:5–16 (In Russ.)] doi: 10.33029/9704-5640-8-ATTI-2020-1-144
- Голдсмит Л.А., Кац С.И., Джилкрест Б.А., Паллер Э.С., Леффель Д.Дж., Вольф К. Дерматология Фицпатрика в клинической практике. М: Издательство Панфилова; 2015. Т. 1. с. 64–83 [Goldsmith LA, Katz SI, Gilchrest BA, Paller AS, Leffell DJ, Wolff K. Fitzpatrick’s Dermatology General Medicine. Moscow: Izdatel'stvo Panfilova; 2015:64–83 (In Russ.)]
- Синичкин Ю.П., Утц С.Р. In vivo отражательная и флуоресцентная спектроскопия кожи человека. Саратов: Издательство Саратовского университета; 2018. с. 6–100 [Sinichkin YuP, Utc SR. In vivo reflective and fluorescent spectroscopy of human skin. Saratov: Saratov University Press; 2018: Р. 108 (In Russ.)]
- Chambers ES, Vukmanovic-Stejic M. Skin barrier immunity and ageing. Immunology. 2020;160(2) 116–125. doi: 10.1111/imm.13152
- Lehmann B, Genehr T, Knuschke P, Pietzsch J, Meurer M. UVB-induced conversion of 7-dehydrocholesterol to 1alpha,25-dihydroxyvitamin D3 in an in vitro human skin equivalent model. J Invest Dermatol. 2001;117(5):1179–1185. doi: 10.1046/j.0022-202x.2001
- Мяделец О.Д., Соболевская И.С., Мяделец В.О. Гистофизиология жиросодержащих структур кожи: пособие. Витебск: ВГМУ; 2015. с. 5–201 [Myadelec OD, Sobolevskaya IS, Myadelec VO. Histophysiology of fat-containing skin structures: a manual. Vitebsk: VGMU; 2015:5–201 (In Russ.)]
- Кузнецов С.Л., Горячкина В.Л., Цомартова Д.А., Заборова В.А., Луцевич О.А. Современные представления о структуре и функциях эпидермиса. Российский журнал кожных и венерических болезней. 2013;2:26–32 [Kuznetsov SL, Goryachkina VL, Tsomartova DA, Zaborova VA, Lutsevich OA. Modern concepts on the structure and functions of the epidermis and derma. Russian journal of skin and venereal diseases. 2013;2:26–32 (In Russ.)]
- Петрунин Д.Д. Медикаментозная терапия с точки зрения влияния на морфофункциональные характеристики эпидермального барьера. Вестник дерматологии и венерологии. 2019;95(1):59–76 [Petrunin DD. Pharmacotherapy: Its impact on morphofunctional characteristics of the epidermal barrier. Vestnik dermatologii i venerologii. 2019;95(1):59–76 (In Russ.)] doi: 10.25208/0042-4609-2019-95-1-59-76
- Évora AS, Adams MJ, Johnson SA, Zhang Z. Corneocytes: relationship between structural and biomechanical properties. Skin Pharmacol Physiol. 2021;34(3):146–161. doi: 10.1159/000513054
- Мурашкин Н.Н., Амбарчян Э.Т., Епишев Р.В., Материкин А.И. Барьерные свойства кожи в норме и патологии. Педиатрия. Журнал им. Г.Н. Сперанского. 2015;6:165–169 [Murashkin NN, Ambarchyan ET, Epishev RV, Materikin AI. Skin barrier properties in norm and pathology. Pediatriya. ZHurnal imeni G.N. Speranskogo. 2015;6:165–169 (In Russ.)]
- Lefèvre-Utile A, Braun C, Haftek M, Aubin F. Five functional aspects of the epidermal barrier. Int J Mol Sci. 2021;22(21):11676. doi: 10.3390/ijms222111676
- Shiohara T, Mizukawa Y, Shimoda-Komatsu Y, Aoyama Y. Sweat is a most efficient natural moisturizer providing protective immunity at points of allergen entry. Allergol Int. 2018;67:442–447. doi: 10.1016/j.alit.2018.07.010
- Dai X, Okazaki H, Hanakawa Y, Murakami M, Tohyama M, Shirakata Yu, Sayama K. Eccrine sweat contains IL-1α, IL-1β and IL-31 and activates epidermal keratinocytes as a danger signal. PLoS ONE. 2013 8:e67666. doi: 10.1371/journal.pone.0067666
- Murota H, Yamaga K, Ono E, Murayama N, Yokozeki H, Katayama I. Why does sweat lead to the development of itch in atopic dermatitis? Exp. Dermatol. 2019;28:1416–1421. doi: 10.1111/exd.13981
- Byrd A, Belkaid Y, Segre J. The human skin microbiome. Nat. Rev. Microbiol. 2018;16:143–155. doi: 10.1038/nrmicro.2017.157
- Brandwein M, Bentwich Z, Steinberg D. Endogenous antimicrobial peptide expression in response to bacterial epidermal colonization. Front. Immunol. 2017;8:1637. doi: 10.3389/fimmu.2017.01637
- Belkaid Y, Segre JA. Dialogue between skin microbiota and immunity. Science. 2014;346:954–959. doi: 10.1126/science.1260144
- Döge N, Avetisyan A, Hadam S, Pfannes EKB, Rancan F, Blume-Peytavi U, Vogt A. Assessment of skin barrier function and biochemical changes of ex vivo human skin in response to physical and chemical barrier disruption. Eur J Pharm Biopharm. 2017;116:138–148. doi: 10.1016/j.ejpb.2016.12.012
- Козлов В.А., Савченко А.А., Кудрявцев И.В., Козлов И.Г., Кудлай Д.А., Продеус А.П. и соавт. Клиническая иммунология. Красноярск: Поликор; 2020. 386 с. [Kozlov VA, Savchenko AA, Kudryavcev IV, Kozlov IG, Kudlaj DA, Prodeus AP, et al. Clinical immunology. Krasnoyarsk: Polikor; 2020: p. 386 (In Russ.)]
- Пинегин Б.В., Иванов О.Л., Пинегин В.Б. Роль клеток иммунной системы и цитокинов в развитии псориаза. Иммунология. 2012;33(4):213–219 [Pinegin BV, Ivanov OL, Pinegin VB. The role of immune cells and cytokines in the development of psoriasis. Immunologiya. 2012;33(4):213–219 (In Russ.)]
- Streilein JW, Grammer SF, Yoshikawa T, Demidem A, Vermeer M. Functional dichotomy between Langerhans cells that present antigen to naive and to memory/effector T lymphocytes. Immunol Rev. 1990;117:159–183. doi: 10.1111/j.1600-065x.1990.tb00572.x
- Akdis CA. Does the epithelial barrier hypothesis explain the increase in allergy, autoimmunity and other chronic conditions? Nat Rev Immunol. 2021;21(11):739–751. doi: 10.1038/s41577-021-00538-7
- Петрова C.Ю., Хлгатян С.В., Бержец В.М., Васильева А.В. Аллергенсодержащие вакцины для специфической иммунотерапии. 2021;98(1):104–112 [Petrova SYu, Khlgatian SV, Berzhets VM, Vasileva AV. Allergy vaccines for specific immunotherapy. Journal of microbiology, epidemiology and immunobiology. 2021;98(1):104–112 (In Russ.)] doi: 10.36233/0372-9311-11
- Rerknimitr P, Otsuka A, Nakashima C, Kabashima K. The etiopathogenesis of atopic dermatitis: barrier disruption, immunological derangement, and pruritus. Inflamm Regen. 2017;37:1–15. doi: 10.1186/s41232-017-0044-7
- Eberting CL, Coman G, Blickenstaff N. Repairing a compromised skin barrier in dermatitis: leveraging the skin’s ability to heal itself. J Allergy Ther. 2014;5:187. doi: 10.4172/2155-6121.1000187
- Бурместер Г.Р., Пецутто А. Наглядная иммунология. М.: Лаборатория знаний; 2018. c. 55–98 [Burmester GR, Pecutto A. Visual immunology. Moscow: Laboratoriya znanii; 2018:55–98 (In Russ.)]
- Ковалева Ю.С., Ведлер А.А., Кожевникова П.Е. Роль керамидов в сохранении эпидермального барьера. Клиническая дерматология и венерология. 2019;18(4):513-518 [Kovaleva YuS, Vedler AA, Kozhevnikova PE. The role of ceramides in preserving the epidermal barrier. Klinicheskaya Dermatologiya i Venerologiya. 2019;18(4):513-518 (In Russ.)] doi: 10.17116/klinderma201918041513
- Альбанова В.И. Роль наружных ретиноидов в устранении признаков старения кожи. Вестник дерматологии и венерологии. 2021;97(4):60–70 [Albanova VI. The role of local retinoids in eliminating signs of skin aging. Vestnik Dermatologii i Venerologii. 2021;97(4):60–70 (In Russ.)] doi: 10.25208/vdv1220
- Stalder JF, Tennstedt D, Deleuran M, Fabbrocini G, de Lucas R, Haftek M, et al. Fragility of epidermis and its consequence in dermatology. J Eur Acad Dermatol Venereol. 2014;28(4):1–18. doi: 10.1111/jdv.12509
- Силина Л.В., Харахордина Ю.Е., Есипова Е.А., Карпова А.В. Оценка клинической эффективности поливитаминного репаративного препарата для местного применения в комплексной терапии экземы. Клиническая дерматология и венерология. 2021; 20(1):62–70 [Silina LV, Kharakhordina YuE, Esipova EA, Karpova AV. Clinical efficacy evaluation of a multivitamin combined reparative drug for local use in the complex therapy of eczema. Klinicheskaya Dermatologiya i Venerologiya. 2021;20(1):62–70 (In Russ.)] doi: 10.17116/klinderma20212001162
- Карпова А.В. Оценка эффективности комплексной терапии волосяного лишая (фолликулярного поверхностного кератоза) с учетом этиопатогенеза заболевания. Вестник постдипломного медицинского образования. 2017;4:6–9 [Karpova AV. Effectiveness of complex therapy of keratosis follicularis (superfi cial follicular keratosis) subject to the etiopathogenesis of the disease. Post-qualifying medical education herald. 2017;4:6–9 (In Russ.)]
- Касихина Е.И., Колбина М.С. Ретинол в коррекции возрастных изменений кожи: обзор клинической эффективности и безопасности. Клиническая дерматология и венерология. 2014;12(6):115–119 [Kasikhina EI, Kolbina MS. The use of retinol to correct age-related skin changes: a review of clinical effectiveness and safety. Klinicheskaya Dermatologiya i Venerologiya. 2014;12(6):115–9 (In Russ.)]
- Kam RK, Deng Y, Chen Y, Zhao H. Retinoic acid synthesis and functions in early embryonic development. Cell Biosci. 2012;2(1):11. doi: 10.1186/2045-3701-2-11
- Еникеев А.Д., Комельков А.В., Аксельрод М.Е., Чевкина Е.М. Неканоническая активность ретиноевой кислоты как возможный механизм формирования резистентности злокачественных клеток к ретиноидной терапии. Российский биотерапевтический журнал. 2019;10:43–50 [Enikeev AD, Komelkov AV, Akselrod ME, Tchevkina EM. Non-canonical activity of retinoic acid as a possible mechanism of retinoid resistance in cancer therapy. Rossijskij bioterapevtičeskij žurnal. 2019;10:43–50 (In Russ.)] doi: 10.17650/1726-9784-2019-18-4-43-50
- Ноздрин В.И., Лаврик О.И., Банин В.В., Белоусова Т.А., Трунова Г.В. Радевит®Актив — поливитаминная мазь для смягчения, питания и заживления кожи. Ретиноиды. Альманах. 2014;33:63–9 [Nozdrin VI, Lavrik OI, Banin VV, Belousova TA, Trunova GV. Radevit ®Active — multivitamin ointment for softening, nourishing and healing the skin. Retinoids. Al'manah. 2014;33:63-69 (In Russ.)]
- Ноздрин В.И., Конь И.Я., Гузев К.С., Волков Ю.Т. Фармакологическая активность ретинола пальмитата. Ретиноиды. Альманах. 2014;33:12–8 [Nozdrin VI, Kon IYa, Guzev KS, Volkov YuT. Pharmacological activity of retinol palmitate. Retinoids. Al'manah. 2014; 33:12–8 (In Russ.)]
- Babamiri K, Nassab R. Cosmeceuticals: the evidence behind the retinoids. Aesthet Surg J. 2010;30(1):74-7. doi: 10.1177/1090820X09360704
- Shao Y, He T, Fisher GJ, Voorhees JJ, Quan T. Molecular basis of retinol anti-ageing properties in naturally aged human skin in vivo. Int J Cosmet Sci. 2017;39(1):56–55. doi: 10.1111/ics.12348
- Кинаш М.И., Боярчук О.Р. Жирорастворимые витамины и иммунодефицитные состояния: механизмы влияния и возможности использования. Вопросы питания. 2020:89(3);22–32 [Kinash MI, Boyarchuk OR. Fat-soluble vitamins and immunodeficiency: mechanisms of influence and opportunities for use. Problems of nutrition. 2020:89(3);22–32 (In Russ.)] doi: 10.24411/0042-8833-2020-10026
- Tang XH, Gudas LJ. Retinoids, retinoic acid receptors, and cancer. Annu Rev Pathol. 2011;6:345–364. doi: 10.1146/annurev-pathol-011110-130303
- Agak GW, Qin M, Nobe J, Kim MH, Krutzik SR, Tristan GR, et al. Propionibacterium acnes induces an IL-17 response in acne vulgaris that is regulated by vitamin A and vitamin D. J Invest Dermatol. 2014;134(2):366–373. doi: 10.1038/jid.2013.334
- Kong R, Cui Y, Fisher GJ, Wang X, Chen Y, Schneider LM, et al. A comparative study of the effects of retinol and retinoic acid on histological, molecular, and clinical properties of human skin. J Cosmet Dermatol. 2016;15(1):49–57. doi: 10.1111/jocd.12193
- Wadhwa B, Relhan V, Goel K, Kochhar AM, Garg VK. Vitamin D and skin diseases: A review. Indian J Dermatol Venereol Leprol. 2015;81(4):344–355. doi: 10.4103/0378-6323.159928
- Trémezaygues L, Reichrath J. Vitamin D analogs in the treatment of psoriasis: Where are we standing and where will we be going? Dermatoendocrinol. 2011;3(3):180–186. doi: 10.4161/derm.3.3.17534
- Дедов И.И., Мельниченко Г.А., Пигарова Е.А., Дзеранова Л.К., Рожинская Л.Я., Трошина Е.А. Дефицит витамина D у взрослых: диагностика, лечение и профилактика. Учебное пособие: Клинические рекомендации Российской ассоциации эндокринологов. Тверь: ООО «Издательство «Триада»; 2020. С. 4–48 [Dedov II, Melnichenko GA, Pigarova EA, Dzeranova LC, Rozhinskaya LA, Troshina EA. Vitamin D deficiency in adults: diagnosis, treatment and prevention. Textbook: Clinical recommendations of the Russian Association of Endocrinologists. Tver: OOO “Izdatel'stvo “Triada”; 2020: 4–48 (In Russ.)]
- Захарова И.Н., Мальцев С.В., Заплатников А.Л., Климов Л.Я., Пампура А.Н., Курьянинова В.А. и соавт. Влияние витамина D на иммунный ответ организма. Педиатрия. Consilium Medicum. 2020;2:29–37 [Zakharova IN, Maltsev SV, Zaplatnikov AL, Klimov LYa, Pampura AN, Kuryaninova VA, et al. Influence of vitamin D on the immune response of the organism. Pediatrics. Consilium Medicum. 2020;2:29–37 (In Russ.)] doi: 10.26442/26586630.2020.2.200238
- Reichrath J, Schuler C, Seifert M, Zouboulis С, Tilgen W. The vitamin D endocrine system of human sebocytes. Experimental Dermatology. 2008;15(8):643–648. doi: 10.1111/j.1600-0625.2006.00439b.x
- Slominski AT, Kim TK, Shehabi HZ, Semak I, Tang EK, Nguyen MN, et al. In vivo evidence for a novel pathway of vitamin D metabolism initiated by P450scc and modified by CYP27B1. FASEB J. 2012;26(9):3901–3915. doi: 10.1096/fj.12-208975
- Scheenstra MR, van Harten RM, Veldhuizen EJA, Haagsman HP, Coorens M. Cathelicidins Modulate TLR-activation and inflammation. Front. Immunol. 2020;11:1137. doi: 10.3389/fimmu.2020.01137
- Thorsteinn L. Drug stability for pharmaceutical scientists. Amsterdam: Academic Press; 2014: Р. 56. doi: 10.1016/C2012-0-07703-4
- Stanizzi A, Bottoni M, Tartaglione C, Bolletta E, Benedetto G. Associated use of silicone-vitamin E gauzes and α-tocopherol acetate oil in healing of skin graft donor sites. International Wound Journal 2017;14(5):1–5. doi: 10.1111/iwj.12707
- Malavolta М, Mocchegiani E. Molecular basis of nutrition and aging. Amsterdam: Academic Press; 2016: pp. 637–47. doi: 10.1016/C2014-0-00388-7
- Wagner R, Piñón Hofbauer J, Wally V, Kofler B, Schmuth M, De Rosa L, et al. Epigenetic and metabolic regulation of epidermal homeostasis. Experimental Dermatology. 2021;30(3): doi: 30. 10.1111/exd.14305
- Гузев К.С., Жучков С.А., Никитин В.Г. Исследование некоторых фармакокинетических показателей лекарственного средства Радевит®Актив. Научные ведомости. 2010;22(93):23–8 [Guzev KS, Zhuchkov SA, Nikitin VG. Investigation of some pharmacokinetic parameters of the drug Radevit®Aktiv. Nauchnye vedomosti. 2010;22(93):23–28 (In Russ.)]
- Силина Л.В., Харахордина Ю.Е., Есипова Е.А., Карпова А.В. Клинические перспективы использования в коморбидной терапии ладонно-подошвенных кератодермий «Ретинола пальмитата», мазей «Радевит Актив» и «Уродерм». Вестник постдипломного медицинского образования. 2020;1:21–28 [Silina LV, Kharakhordina YuE, Esipova EA, Karpova AV. Clinical prospects for the use of palm-plantar keratodermia "Retinol palmitate", "Radevit Aktiv" and "Uroderm" in comorbid therapy. Post-qualifying medical education herald. 2020;1:21–8 (In Russ.)]
- Клинические рекомендации. Ихтиоз. Общероссийская общественная организация «Российское общество дерматовенерологов и косметологов». 2020. [Klinicheskie rekomendacii. Ihtioz. RODVK. 2020 (In Russ.)] https://cnikvi.ru/docs/clinic_recs/klinicheskie-rekomendatsii-2019-2020/files/Ихтиоз%2008.10.2020.docx (26 June 2022)
- Альбанова В.И., Петрова С.Ю. Атопический дерматит. М: ГЭОТАР-Медиа; 2022. с. 113–17 [Albanova VI, Petrova SYu. Atopic dermatitis. Moscow: GEOTAR-Media; 2022:113–117 (In Russ.)] doi: 10.33029/9704-6852-4-ATD-2022-1-168
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