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INDIVIDUAL ARTICLE: Topical Acne Therapies and Their Pathogenic Targets. 个人文章:痤疮外用疗法及其致病目标。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-10-01
Emmy M Graber
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引用次数: 0
Advances in Technology for Melanoma Diagnosis and Prognosis: An Expert Consensus Panel. 黑色素瘤诊断和预后技术的进步:专家共识小组。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8365
Joshua Burshtein, Danny Zakria, Milaan Shah, Brian Berman, Seemal R Desai, Aaron S Farberg, Gary Goldenberg, Brad Glick, Mark Nestor, Keyvan Nouri, Theodore Rosen, Mark Lebwohl, Darrell Rigel

Background: Cutaneous melanoma (CM) is associated with a higher mortality rate than most other skin cancers. The purpose of this expert consensus panel was to review the published literature on new technological advancements for the diagnosis and prognosis for CM and provide updated guidance on their usage.

Methods: A comprehensive literature search of PubMed, Scopus, and Google Scholar was completed for English-language original research articles on the topics of non-invasive diagnostic and prognostic testing for CM, including gene expression profiling (GEP) and electrical impedance spectroscopy (EIS). A panel of 10 dermatologists with significant expertise in the treatment of CM gathered to review the articles and create consensus statements. A modified Delphi process was used to approve each statement and a strength of recommendation was assigned using widely recognized Strength of Recommendation Taxonomy criteria.

Results: The literature search produced 200 articles that met the criteria. A screening of the studies resulted in 19 articles. These were distributed to all panelists for review prior to a roundtable discussion. The panel unanimously voted to adopt 7 consensus statements and recommendations, 5 of which were given a strength of "A", 1 of which was given a strength of "B," and 1 of which was given a strength of "C".

Conclusion: The 2-GEP test and EIS can aid in the precise diagnosis of clinically indeterminate lesions and the 23-GEP test can be used when histopathology is equivocal. The 31-GEP test can enhance prognostic assessment beyond AJCC8 staging and improve clinical decision-making. J Drugs Dermatol. 2024;23(9):774-781. doi:10.36849/JDD.8365R1.

背景:皮肤黑色素瘤(CM)的死亡率高于其他大多数皮肤癌。本专家共识小组的目的是回顾已发表的有关用于诊断和预后皮肤黑色素瘤的新技术进展的文献,并就其使用提供最新指导:方法:在 PubMed、Scopus 和 Google Scholar 上对有关 CM 非侵入性诊断和预后检测(包括基因表达谱分析 (GEP) 和电阻抗光谱分析 (EIS))的英文原创研究文章进行了全面的文献检索。一个由 10 位在 CM 治疗方面具有丰富专业知识的皮肤科专家组成的小组对这些文章进行了审阅,并形成了共识声明。每份声明均采用修改后的德尔菲流程进行审批,并根据广受认可的推荐强度分类标准确定推荐强度:文献检索结果有 200 篇文章符合标准。对这些研究进行筛选后得出了 19 篇文章。在圆桌讨论之前,这些文章被分发给所有小组成员审阅。专家小组一致投票通过了 7 项共识声明和建议,其中 5 项为 "A "级,1 项为 "B "级,1 项为 "C "级:结论:2-GEP 试验和 EIS 可以帮助精确诊断临床上不确定的病变,23-GEP 试验可用于组织病理学不明确的情况。31-GEP测试可加强AJCC8分期以外的预后评估,并改善临床决策。J Drugs Dermatol.2024;23(9):774-781. doi:10.36849/JDD.8365R1.
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引用次数: 0
Evaluation of Pericardial Effusions in Alopecia Patients on Low-Dose Oral Minoxidil Therapy. 对接受小剂量米诺地尔口服疗法的脱发患者心包积液的评估
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8029
Colin M Kincaid, Ajay N Sharma, Brynn Sargent, Irmina Gradus-Pizlo, Elizabeth H Dineen, Natasha A Mesinkovska

Background: Minoxidil is an anti-hypertensive vasodilator increasingly used off-label for the treatment of alopecia. It is associated with an increased risk of pericardial effusions, with recent reports even in patients on low-dose oral minoxidil (LDOM) therapy.

Objective: To evaluate whether LDOM is associated with increased prevalence of pericardial effusions in patients with alopecia.

Methods: In this cross-sectional study, point-of-care ultrasound was used to screen alopecia patients at dermatology appointments. Scans were evaluated by two independent cardiologists for the presence and size of effusions. The prevalence of effusions was compared between patients on LDOM therapy and patients not on minoxidil therapy.

Results: A total of 100 patients were evaluated for pericardial effusion: 51 LDOM patients and 49 control patients. The two groups were similar in terms of age (53.7 vs 54.1; P=0.91), sex (86% vs 73% female; P=0.14), and race. Small pericardial effusions (<1 cm) were identified in 5.8% of LDOM patients and 6% of control patients (P=1), none of which were symptomatic.

Limitations: This is a small, cross-sectional study with limitations on speculation of causality in confirmed cases.

Conclusion: We did not find evidence of increased prevalence of pericardial effusions in a small group of alopecia patients on LDOM. J Drugs Dermatol. 2024;23(9):725-728. doi:10.36849/JDD.8029.

背景:米诺地尔是一种抗高血压血管扩张剂,越来越多地在标签外用于治疗脱发。它与心包积液的风险增加有关,最近甚至有报道称小剂量口服米诺地尔(LDOM)治疗的患者也会出现心包积液:评估 LDOM 是否与脱发患者心包积液发病率增加有关:在这项横断面研究中,在皮肤科就诊时使用护理点超声波筛查脱发患者。由两名独立的心脏病专家对扫描结果进行评估,以确定是否存在积液以及积液的大小。对接受 LDOM 治疗的患者和未接受米诺地尔治疗的患者的渗出率进行了比较:共有100名患者接受了心包积液评估:51名LDOM患者和49名对照组患者。两组患者在年龄(53.7 岁 vs 54.1 岁;P=0.91)、性别(86% 女性 vs 73%;P=0.14)和种族方面相似。在5.8%的LDOM患者和6%的对照组患者(P=1)中发现了小量心包积液(1厘米),其中无症状:这是一项小型横断面研究,对确诊病例的因果关系推测存在局限性:结论:我们没有发现服用 LDOM 的一小部分脱发患者心包积液发病率增加的证据。J Drugs Dermatol.2024;23(9):725-728. doi:10.36849/JDD.8029.
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引用次数: 0
Minimizing Medical Error-Related Adverse Events With Platelet-Rich Plasma: A Protocolized Approach to Safety. 使用富血小板血浆最大限度地减少与医疗差错相关的不良事件:安全协议化方法》。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8166
Rahul Nanda, Joel L Cohen

Platelet-rich concentrates (PRCs), derived from a patient's blood, are being used in various fields of medicine, including dermatology, for an increasing number of indications. Although considered a generally safe procedure for dermatologic indications, there have been reports in the last several years linking this treatment to cases of blood-borne infections including HIV and hepatitis.1 Patient safety should always be the primary focus for physicians and other health care professionals, and systems-based protocols should exist within care settings to minimize errors. Herein, we review our protocol to decrease the risk of complications related to transmission of blood-borne infections and other medical errors related to PRCs. J Drugs Dermatol. 2024;23(9)790-791. doi:10.36849/JDD.8166.

富血小板浓缩物(PRCs)来源于患者的血液,目前正被越来越多的医学领域(包括皮肤科)用于各种适应症。尽管在皮肤科适应症中使用富血小板浓缩物被认为是一种普遍安全的治疗方法,但在过去几年中,有报道称这种治疗方法与包括艾滋病和肝炎在内的血液传播感染病例有关1 。在此,我们回顾了我们为降低与血液传播感染相关的并发症风险以及与 PRCs 相关的其他医疗差错而制定的方案。J Drugs Dermatol.2024;23(9)790-791. doi:10.36849/JDD.8166.
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引用次数: 0
NECASA I: A Practical Algorithm Integrating Skincare in the Management of Acne Patients in the Nordic European Countries. NECASA I:北欧欧洲国家痤疮患者综合护肤管理实用算法。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8472
Peter Bjerring, Oxana Anckar, Anneke Andriessen, Carl Kyrklund, Alyson Layton, Anne Brigitte Thomas Nordal, Cristina Oprica

Background: Acne vulgaris is a multifactorial dermatosis primary of the face and trunk. Erythema, pruritus, and xerosis are frequent adverse effects of first-line acne treatment and, if not appropriately counseled and managed, can exacerbate, leading to regimen nonadherence and poor outcomes.

Methods: A panel of 6 dermatologists (five from the Nordic European Countries and one from the UK) employed a modified Delphi method and reached a consensus on a practical acne treatment and maintenance algorithm integrating skincare based on the best available evidence, and the panels' clinical experience, and opinions.

Results: The Nordic European Countries Acne Skincare Algorithm (NECASA) recommends integrating skincare and nonprescription acne treatment into acne regimens, addressing the relative lack of standardized guidance on their use as mono or adjunctives to acne treatment. The algorithm uses stratification by acne subtype and discusses management approaches per type of acne (comedonal, papulopustular, and nodulocystic acne), severity (mild to moderate and severe), and maintenance treatment. Skincare monotherapy may reduce acne lesions and maintain clearance in patients with mild acne. Adjunctive skincare may enhance the efficacy and improve tolerability of acne treatment, reduce pigmentary alterations, and improve skin barrier function.

Conclusions: The NECASA algorithm may serve as a roadmap for integrating skincare in managing acne patients and tailoring acne treatment to improve adherence and tolerance to treatment and patient outcomes. J Drugs Dermatol. 2024;23(9):782-788. doi:10.36849/JDD.8472.

背景:寻常痤疮是一种多因素皮肤病,主要发生在面部和躯干。红斑、瘙痒和皮肤干燥症是一线痤疮治疗中经常出现的不良反应,如果不给予适当的指导和管理,可能会加重病情,导致患者不坚持治疗,疗效不佳:由 6 位皮肤科医生(5 位来自北欧欧洲国家,1 位来自英国)组成的专家小组采用改良德尔菲法,根据现有的最佳证据、专家小组的临床经验和意见,就综合护肤的实用痤疮治疗和维护算法达成共识:结果:北欧欧洲国家痤疮护肤算法(NECASA)建议将护肤和非处方药痤疮治疗纳入痤疮治疗方案,以解决相对缺乏标准化指导的问题,即如何将护肤和非处方药痤疮治疗作为痤疮治疗的单一或辅助手段。该算法根据痤疮亚型进行分层,并讨论了每种痤疮类型(粉刺、丘疹脓疱和结节囊肿型痤疮)、严重程度(轻度至中度和重度)和维持治疗的管理方法。对轻度痤疮患者来说,单一护肤疗法可减少痤疮皮损,维持痤疮的清除。辅助护肤可提高痤疮治疗的疗效,改善耐受性,减少色素改变,改善皮肤屏障功能:结论:NECASA算法可作为将护肤融入痤疮患者管理的路线图,并可根据痤疮治疗的具体情况改善治疗的依从性和耐受性,提高患者的治疗效果。J Drugs Dermatol.2024;23(9):782-788. doi:10.36849/JDD.8472.
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引用次数: 0
Pioneers in Sensitive Skin Research: The Global Sensitive Skincare Faculty by Galderma. 敏感肌肤研究的先锋:高德美全球敏感性皮肤研究中心。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01
Cleo Whiting, Sara Abdel Azim, Adam Friedman
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引用次数: 0
A Cosmetic Regimen Formulated to Address the Multi-Modal Pathogenesis of Rosacea Demonstrates Efficacy for Treating Facial Redness and Skin's Appearance. 针对红斑痤疮多模式发病机制而配制的美容疗法显示出治疗面部红斑和皮肤外观的功效。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8460
Patricia K Farris, Francine H Gerstein, Hilary E Baldwin, Zoe Diana Draelos

Background: The treatment of rosacea is complicated as there are multiple pathogenic factors in play resulting in a myriad of clinical signs and symptoms including facial redness.

Objective: The primary objective was to evaluate the efficacy and tolerability of a non-prescription anti-redness regimen in patients with rosacea.

Methods: Thirty subjects with rosacea-induced facial erythema were enrolled in this single site, monadic study. The test regimen consisted of a treatment serum, redness-reducing moisturizer, and sunscreen. The test products are formulated with ingredients curated to address the multifactorial pathogenesis of facial redness. Investigator and subject self-assessment for efficacy and tolerability were performed at baseline, weeks 4 and 8. Non-invasive assessments for facial redness and skin hydration were conducted at all time points.

Results: Investigator grading showed significant improvement in facial redness of 21% at week 4 and 32% at week 8. Skin's appearance improved as early as 4 weeks while at 8 weeks there was statistically significant improvement in fine lines 15%, radiance/brightness 37%, tactile roughness 44%, visual roughness 41%, and 26% in overall appearance. Non-invasive assessments showed statistically significant improvement in skin hydration of 28% at week 4 and facial redness of 21% by week 8. No tolerability issues were identified by the investigator.

Conclusion: Patients with rosacea often turn to over-the-counter products to reduce facial redness and improve skin's appearance. In this study, a cosmetic skincare regimen designed to reduce facial redness demonstrated efficacy and tolerability in subjects with rosacea. J Drugs Dermatol. 2024;23(9):757-763. doi:10.36849/JDD.8460.

背景:酒糟鼻的治疗很复杂,因为有多种致病因素在起作用,导致包括面部发红在内的各种临床症状和体征:主要目的是评估非处方抗红斑痤疮疗法对红斑痤疮患者的疗效和耐受性:30名红斑痤疮引起的面部红斑患者参加了这项单点、单病程研究。测试方案包括治疗精华液、去红保湿霜和防晒霜。测试产品的配方成分专门针对面部红斑的多因素致病机理。研究人员和受试者在基线、第 4 周和第 8 周对疗效和耐受性进行了自我评估。在所有时间点都对面部红血丝和皮肤水合情况进行了非侵入性评估:研究人员的评分显示,第 4 周和第 8 周的面部红血丝改善率分别为 21% 和 32%。皮肤外观早在 4 周时就得到了改善,而在 8 周时,细纹改善了 15%,光泽度/亮度改善了 37%,触感粗糙度改善了 44%,视觉粗糙度改善了 41%,整体外观改善了 26%。非侵入性评估显示,第 4 周皮肤水合度有 28% 的明显改善,第 8 周面部泛红有 21% 的明显改善。研究人员没有发现任何耐受性问题:红斑痤疮患者通常会求助于非处方产品来减轻面部发红和改善皮肤外观。在这项研究中,一种旨在减轻面部发红的美容护肤品对酒渣鼻患者具有疗效和耐受性。J Drugs Dermatol.2024;23(9):757-763. doi:10.36849/JDD.8460.
{"title":"A Cosmetic Regimen Formulated to Address the Multi-Modal Pathogenesis of Rosacea Demonstrates Efficacy for Treating Facial Redness and Skin's Appearance.","authors":"Patricia K Farris, Francine H Gerstein, Hilary E Baldwin, Zoe Diana Draelos","doi":"10.36849/JDD.8460","DOIUrl":"https://doi.org/10.36849/JDD.8460","url":null,"abstract":"<p><strong>Background: </strong>The treatment of rosacea is complicated as there are multiple pathogenic factors in play resulting in a myriad of clinical signs and symptoms including facial redness.</p><p><strong>Objective: </strong>The primary objective was to evaluate the efficacy and tolerability of a non-prescription anti-redness regimen in patients with rosacea.</p><p><strong>Methods: </strong>Thirty subjects with rosacea-induced facial erythema were enrolled in this single site, monadic study. The test regimen consisted of a treatment serum, redness-reducing moisturizer, and sunscreen. The test products are formulated with ingredients curated to address the multifactorial pathogenesis of facial redness. Investigator and subject self-assessment for efficacy and tolerability were performed at baseline, weeks 4 and 8. Non-invasive assessments for facial redness and skin hydration were conducted at all time points.</p><p><strong>Results: </strong>Investigator grading showed significant improvement in facial redness of 21% at week 4 and 32% at week 8. Skin's appearance improved as early as 4 weeks while at 8 weeks there was statistically significant improvement in fine lines 15%, radiance/brightness 37%, tactile roughness 44%, visual roughness 41%, and 26% in overall appearance. Non-invasive assessments showed statistically significant improvement in skin hydration of 28% at week 4 and facial redness of 21% by week 8. No tolerability issues were identified by the investigator.</p><p><strong>Conclusion: </strong>Patients with rosacea often turn to over-the-counter products to reduce facial redness and improve skin's appearance. In this study, a cosmetic skincare regimen designed to reduce facial redness demonstrated efficacy and tolerability in subjects with rosacea. J Drugs Dermatol. 2024;23(9):757-763. doi:10.36849/JDD.8460.</p>","PeriodicalId":15566,"journal":{"name":"Journal of Drugs in Dermatology","volume":"23 9","pages":"757-763"},"PeriodicalIF":1.5,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
INDIVIDUAL ARTICLE: Real-World Patient Cases Using Triple Lipid-Containing Cream for Cutaneous Healing Post Laser or Microneedling Radiofrequency Treatment. 个人文章:使用含三重脂质的面霜促进激光或微针射频治疗后皮肤愈合的真实病例。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01
Michael Gold, Anneke Andriessen, Daniela Greiner-Krüger, Edward Lain, Seunghee Lee, Heewon Suh, Cara McDonald, Steven Nisticò, Zaki Taher, Minfang Wang, Patricia Brieva

Lipids play an essential role in skin barrier health. With age, there is a natural reduction of physiological lipids such as fatty acids, ceramides, and cholesterol. The triple lipid restore cream is a moisturizer that contains an optimized lipid ratio for aging skin. The cream contains a 2:4:2 ratio of ceramides, cholesterol, and fatty acids that have been shown to best support aging skin. The triple lipid restore cream has been used in combination with energy-based procedures, to provide patients with comprehensive integrated skincare regimens. With limited clinical data and guidelines available in regenerative medicine, real-world cases serve as an invaluable guide for patients and dermatologists in navigating rejuvenation treatment plans. J Drugs Dermatol. 2024;23:9(Suppl 1):s3-14.

脂质对皮肤屏障的健康起着至关重要的作用。随着年龄的增长,脂肪酸、神经酰胺和胆固醇等生理性脂质会自然减少。三重脂质修复乳霜是一种保湿霜,含有针对老化皮肤的最佳脂质比例。这款面霜中神经酰胺、胆固醇和脂肪酸的比例为 2:4:2,已被证明最适合老化皮肤。三重脂质修复霜已与能量疗法结合使用,为患者提供全面的综合护肤方案。由于再生医学的临床数据和指南有限,真实病例为患者和皮肤科医生制定年轻化治疗计划提供了宝贵的指导。J Drugs Dermatol.2024;23:9(Suppl 1):s3-14.
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引用次数: 0
Effect of Topical Human Platelet Extract (HPE) for Facial Skin Rejuvenation: A Histological Study of Collagen and Elastin. 局部使用人血小板提取物(HPE)对面部皮肤年轻化的效果:胶原蛋白和弹性蛋白的组织学研究。
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8162
Saranya P Wyles, Sydney L Proffer, Patricia Farris, Lindsey Randall, Matthew L Hillestad, Mary P Lupo, Atta Behfar

Background: Regenerative aesthetics has garnered significant attention. In this toolkit, exosomes are small extracellular vesicles derived from various sources such as platelets.

Objective: To characterize the cosmetic effect and tolerability of topical human platelet-derived extract (HPE), Intense Serum (Rion Aesthetics, Inc., Rochester, MN), on facial skin rejuvenation after 12 weeks of twice daily use without any confounding aesthetic procedures.

Materials and methods: This prospective, single-arm, non-randomized, evaluator-blinded clinical study evaluated subjects at baseline and 12 weeks using participant questionnaires and photo-documentation with Canfield VISIA-CR 3D PRIMOS. The histological evaluation included Masson's Trichrome for collagen and Verhoeff-Van Gieson staining for elastin. Electron microscopy characterized collagen bundle thickness.

Results: Fifty-six participants (mean age: 54 years old) were enrolled. Following topical HPE use, 87.3% of subjects reported improvement in facial skin aging including sustained pigment reduction and improvement in luminosity and color evenness at 12 weeks (P≤0.001). Histology revealed a significant increase in collagen fibril thickness at 12 weeks (P≤0.0001). No serious adverse effects.

Conclusion: This study demonstrates improvement in facial skin health after topical HPE use, supported by collagen and elastin formation in the dermis. The product is well-tolerated, and participants were satisfied with the overall cosmetic outcome. J Drugs Dermatol. 2024;23(9):735-740. doi:10.36849/JDD.8162.

背景:再生美学备受关注。在这一工具包中,外泌体是从血小板等各种来源提取的小细胞外囊泡:目的:在不影响任何美容程序的情况下,研究外用人血小板衍生提取物(HPE)Intense Serum(Rion Aesthetics, Inc.,Rochester, MN)对面部皮肤年轻化的美容效果和耐受性:这项前瞻性、单臂、非随机、评估者盲法的临床研究使用坎菲尔德 VISIA-CR 3D PRIMOS 对受试者进行了基线和 12 周的评估,并进行了问卷调查和照片记录。组织学评估包括胶原蛋白的 Masson 三色染色和弹性蛋白的 Verhoeff-Van Gieson 染色。电子显微镜观察胶原束厚度:56 名参与者(平均年龄:54 岁)参加了评估。局部使用 HPE 后,87.3% 的受试者表示面部皮肤老化情况有所改善,包括 12 周后色素持续减少、光泽度和颜色均匀度有所改善(P≤0.001)。组织学检查显示,12 周后胶原纤维厚度明显增加(P≤0.0001)。无严重不良反应:这项研究表明,局部使用 HPE 后,面部皮肤健康状况有所改善,真皮层中胶原蛋白和弹性蛋白的形成为其提供了支持。该产品的耐受性良好,参与者对整体美容效果感到满意。J Drugs Dermatol.2024;23(9):735-740. doi:10.36849/JDD.8162.
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引用次数: 0
Novel Strategy for Strengthening Dermatoporotic Skin by Managing Cellular Senescence. 通过管理细胞衰老强化皮肤病皮肤的新策略
IF 1.5 4区 医学 Q3 DERMATOLOGY Pub Date : 2024-09-01 DOI: 10.36849/JDD.8388
Alan D Widgerow, Mary Ziegler, John A Garruto, Lucien Ionescu, Faiza Shafiq, Mathew Meckfessel, Edward Ted Lain, Glynis Ablon, Julie Harper, Anne Lynn Chang, Camille Howard-Verovic

Background: Dermatoporosis (DP) is a condition associated with thinning skin layers and resultant fragility. Much of the thinning is related to fibroblast dysfunction, production of destructive inflammatory cytokines, breakdown of the extracellular matrix (ECM), and weakening of the dermo-epidermal junction. A major contributor to this change in the ECM milieu, previously under-considered, is cellular senescence, particularly involving the papillary dermal fibroblasts.

Methods: A series of experiments were undertaken to explore the impact of a combination of known actives on senescent cell status. Human keratinocytes and fibroblasts were cultured, and cytotoxicity tests were performed to determine the ideal concentration to avoid cell toxicity. Microdoses of Centella asiatica (0.005%) and mandelic acid (0.05%) were found to be ideal in avoiding any cytotoxicity. However, the challenge was then to assess the efficacy of these actives in this microdosed form. After exposing the cells to the compounds, RNA was isolated and sequenced. Moreover, a well-described ex vivo model using photodamaged skin was subjected to immunofluorescence to identify senescent cells (via p16INK4a), particularly in the papillary dermis, using the microdose formulation compared to untreated skin. In addition, JAG/NOTCH expression in the epidermal basal cells was evaluated to further understand the cellular senescence signaling mechanism.

Results: Microdosing these two well-known agents had surprisingly significant synergistic effects in vitro, decreasing senescence-associated secretory phenotype (SASP) cytokines and the associated inflammation involved in the process. The ex vivo model revealed a significant (P<0.05) decrease in senescent cells in the papillary dermis and a significant increase (P<0.001) of JAG/NOTCH expression in the basal cells of the epidermis.

Conclusion: Using microdoses of two known agents, a novel approach produced an unexpected effect of reversal of dermal senescent cells and promoting an anti-inflammatory milieu. A gene expression analysis of the individual and combined actives validated these observations, followed by full formulation testing in an ex vivo model. The approach of limiting cellular senescence in dermal fibroblasts for managing DP is novel and provides an exciting new direction to address dermatoporosis. Clinical studies will follow. J Drugs Dermatol. 2024;23(9):748-756. doi:10.36849/JDD.8388.

背景:皮肤松弛症(DP)是一种与皮肤层变薄并导致脆弱有关的疾病。皮肤变薄在很大程度上与成纤维细胞功能障碍、破坏性炎症细胞因子的产生、细胞外基质(ECM)的破坏以及真皮-表皮交界处的削弱有关。细胞衰老是导致 ECM 环境发生这种变化的一个主要因素,但以前对其考虑不足,特别是涉及真皮乳头状成纤维细胞的衰老:我们进行了一系列实验,以探索已知活性物质组合对衰老细胞状态的影响。实验培养了人类角质细胞和成纤维细胞,并进行了细胞毒性测试,以确定避免细胞中毒的理想浓度。结果发现,积雪草(0.005%)和扁桃酸(0.05%)的微剂量在避免任何细胞毒性方面效果理想。不过,接下来的挑战是评估这些活性成分在这种微剂量形式下的功效。将细胞暴露于化合物后,对 RNA 进行了分离和测序。此外,我们还使用光损伤皮肤建立了一个描述详尽的体外模型,通过免疫荧光来识别衰老细胞(通过 p16INK4a),特别是在乳头状真皮层,使用微剂量制剂与未经处理的皮肤进行比较。此外,还评估了表皮基底细胞中 JAG/NOTCH 的表达情况,以进一步了解细胞衰老信号机制:结果:这两种知名药物的微剂量在体外具有令人惊讶的协同效应,可减少衰老相关分泌表型(SASP)细胞因子和衰老过程中的相关炎症。体内外模型显示,乳头状真皮中的衰老细胞显著减少(P<0.05),表皮基底细胞中的 JAG/NOTCH 表达显著增加(P<0.001):结论:使用两种已知制剂的微剂量,一种新方法产生了意想不到的效果,即逆转了真皮衰老细胞并促进了抗炎环境。对单个活性成分和组合活性成分的基因表达分析验证了这些观察结果,随后在体内外模型中进行了全面的配方测试。通过限制真皮成纤维细胞中的细胞衰老来管理皮肤病是一种新方法,它为解决皮肤病提供了一个令人兴奋的新方向。临床研究将随后进行。J Drugs Dermatol.2024;23(9):748-756. doi:10.36849/JDD.8388.
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引用次数: 0
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Journal of Drugs in Dermatology
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