The infant skin barrier: can we preserve, protect, and enhance the barrier?

Lorena S Telofski1, A Peter Morello, M Catherine Mack Correa

  • 1JOHNSON & JOHNSON Consumer Companies, Inc., 199 Grandview Road, Skillman, NJ 08558, USA.

Insights

Infant skin barrier develops rapidly after birth. Proper formulation of infant skincare products, like mild cleansers and stable emollients, is crucial to avoid disrupting this delicate barrier during maturation.

Area of Science:

  • Dermatology
  • Neonatal Care
  • Cosmetic Science

Background:

  • Infant skin exhibits distinct structural, functional, and compositional properties compared to adult skin.
  • Despite differences, healthy full-term neonates possess a competent skin barrier at birth.
  • Premature neonates and infants with conditions like atopic dermatitis present unique skin barrier challenges.

Purpose of the Study:

  • To examine the developing skin barrier in healthy full-term neonates and infants.
  • To discuss skin barrier properties in premature neonates and those with abnormal skin conditions.
  • To guide appropriate formulation of infant skincare products.

Main Methods:

  • Review of existing literature on infant skin barrier development and properties.
  • Analysis of factors influencing skin barrier integrity in neonates and infants.
  • Discussion of formulation strategies for infant cleansers and emollients.

Main Results:

  • Healthy infant skin barrier matures over the first years of life.
  • Skincare products should maintain skin surface pH and avoid barrier perturbation.
  • Mild cleansers can be formulated using specific surfactants or hydrophobically-modified polymers (HMPs).
  • Mineral oil offers stability as an emollient compared to some vegetable oils.

Conclusions:

  • Appropriate formulation of infant skincare is essential for maintaining a healthy skin barrier.
  • Further research is needed to understand the long-term benefits of emollients in healthy infants.
  • Careful selection of ingredients in cleansers and emollients supports infant skin health.

Related Concept Videos

Surface Membrane Barriers01:18

Surface Membrane Barriers

The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
Defense Mechanism Against Infection01:26

Defense Mechanism Against Infection

Natural flora, body system defenses, and inflammation are natural barriers of the body against infectious agents regardless of previous exposure. Normal floras of the human body refer to the microbial population that colonizes the skin and mucous membranes.
In addition, many body organ systems have unique defenses against infection. The skin is an intact, multilayered surface preventing invasion by microorganisms unless impaired. Mucous membranes lining the mouth, nose, and eyelids are barriers...
Renewal of Skin Epidermal Stem Cells01:12

Renewal of Skin Epidermal Stem Cells

The skin is divided into epidermis, dermis, and hypodermis, the skin's outermost, middle, and inner layers. The human epidermal layer regularly undergoes renewal, where old, dead cells are replaced by new cells. Epidermal stem cells or EpiSCs divide and differentiate to restore the lost cells. For the renewal process, some EpiSCs continuously self-renew. In contrast, few others differentiate into transit-amplifying cells, which later form prickle or spinous cells, followed by granular cells,...
Physiological Barriers01:25

Physiological Barriers

Physiological barriers are semi-permeable cellular structures restricting drug diffusion into intracellular compartments and tissues. There are six types of physiological barriers: blood endothelial, cell membrane, blood-brain, blood-cerebrospinal fluid (CSF), blood-placenta, and blood-testis barriers.
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
The Skin Microbiota01:27

The Skin Microbiota

The human skin serves as a complex ecosystem inhabited by a diverse community of microorganisms, including bacteria, fungi, and viruses. This microbiome plays a critical role in maintaining skin health and defending against pathogenic invaders. The composition of microbial communities varies significantly across different regions of the body, influenced primarily by the local levels of moisture and sebum.Regional Variation in Skin MicrobiotaCutibacterium acnes predominantly colonizes sebaceous...
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...