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Roller Microneedle Combined with Tranexamic Acid Solution in Treating Melasma
Published on: January 19, 2024
Defective barrier function in melasma skin
Background:
Melasma is characterized by increased pigmentation and photodamaged features, which include solar elastosis. Recently, we detected the downregulation of the genes most associated with lipid metabolism using microarray analysis in melasma. These findings suggested that lesional skin may have different biophysical characteristics, and, in particular, an altered skin barrier function.
Objective:
To determine the cutaneous biophysical characteristics of melasma.
Methods:
The melanin index, erythema index, stratum corneum hydration, sebum content and transepidermal water loss (TEWL) were measured for lesional and perilesional normal skin of 16 melasma patients and then compared. In addition, a skin biopsy was performed on 11 of the 16 study subjects to measure stratum corneum thickness and to study the protein expressions of PPAR-α and ALOX15B.
Results:
Melanin index, erythema index and stratum corneum hydration were significantly higher in lesional skin than in perilesional normal skin. No significant difference was found between lesional and normal skin in terms of basal TEWL level or sebum content. However, the rate of TEWL after barrier perturbation was significantly higher for lesional skin, and the barrier recovery rate was significantly delayed. Furthermore, a trend towards thinned stratum corneum was observed for lesional skin, and this was correlated with barrier recovery rate. The expressions of PPAR-α and ALOX15B were variable in the samples.
Conclusions:
Melasma skin is characterized by impaired stratum corneum integrity and a delayed barrier recovery rate.
Insights
Melasma affects skin barrier function, leading to impaired integrity and delayed recovery. This study reveals significant differences in skin hydration and water loss in melasma lesions.
Area of Science:
- Dermatology
- Skin Physiology
- Biophysics
Background:
- Melasma presents with hyperpigmentation and photodamage, including solar elastosis.
- Microarray analysis indicated downregulated lipid metabolism genes in melasma.
- This suggests altered biophysical properties and skin barrier function in affected skin.
Purpose of the Study:
- To investigate the distinct cutaneous biophysical characteristics of melasma.
- To compare lesional skin with adjacent healthy skin in melasma patients.
Main Methods:
- Quantified melanin index, erythema index, stratum corneum hydration, and transepidermal water loss (TEWL) in 16 melasma patients.
- Assessed stratum corneum thickness and protein expression of PPAR-α and ALOX15B via skin biopsy in 11 patients.
Main Results:
- Lesional skin showed significantly higher melanin, erythema, and hydration levels.
- Basal TEWL and sebum content did not differ, but lesional skin exhibited increased TEWL post-perturbation and delayed barrier recovery.
- A trend towards thinner stratum corneum in lesional skin correlated with slower barrier recovery.
Conclusions:
- Melasma skin exhibits compromised stratum corneum integrity.
- Delayed barrier recovery is a key characteristic of melasma-affected skin.
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