Senescent fibroblasts in melasma pathophysiology
Misun Kim1, So Min Kim1, Soohyun Kwon1
1Department of Dermatology, Ajou University School of Medicine, Suwon, Korea.
Abstract:
It has been proposed that melasma is a photoageing skin disorder. The photoaged fibroblasts have been suggested as an important source of melanogenic factors which are involved in the regulation of pigmentation. To investigate whether melasma includes senescent cells, lesional and perilesional normal skin from 38 melasma patients was assessed using a cell senescence marker, p16INK4A . The results showed that lesional dermal skin had more p16INK4A -positive senescent cells than perilesional skin. The impact of senescent fibroblasts was further investigated in a pilot study using radiofrequency (RF) intervention for melasma. It showed that the RF therapy decreased the number of senescent cells with increased expression of procollagen-1, which were associated with reduced epidermal pigmentation. This leads us to the speculation that senescent fibroblasts may contribute to drive melasma and might be considered as a potential therapeutic target.
Insights
Melasma may involve senescent fibroblasts, identified by p16INK4A. Radiofrequency therapy reduced these cells and pigmentation, suggesting senescent fibroblasts as a potential melasma treatment target.
Area of Science:
- Dermatology
- Cell Biology
- Aging Research
Background:
- Melasma is proposed as a photoaging skin disorder.
- Photoaged fibroblasts may influence skin pigmentation through melanogenic factors.
Purpose of the Study:
- To investigate the presence of senescent cells in melasma.
- To explore the therapeutic potential of targeting senescent fibroblasts in melasma.
Main Methods:
- Assessed p16INK4A (a cell senescence marker) in lesional and perilesional skin from 38 melasma patients.
- Conducted a pilot study using radiofrequency (RF) intervention for melasma.
Main Results:
- Lesional dermal skin showed significantly more p16INK4A-positive senescent cells than perilesional skin.
- RF therapy decreased senescent cell count and increased procollagen-1 expression.
- Reduced epidermal pigmentation was observed following RF treatment.
Conclusions:
- Senescent fibroblasts are present in melasma and may contribute to its development.
- Targeting senescent fibroblasts, potentially via RF therapy, could be a novel therapeutic strategy for melasma.
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