Five Functional Aspects of the Epidermal Barrier.

Alain Lefèvre-Utile1,2, Camille Braun3,4, Marek Haftek5

  • 1Sce de Pédiatrie Générale et Urgence pédiatrique, Hôpital Jean Verdier, Assistance Publique Hôpitaux de Paris, 93140 Bondy, France.

Summary

The epidermis, the outermost layer of the skin, functions at five distinct levels: physical, chemical, microbial, neuronal, and immune. Each level contributes to protecting the body from external threats and maintaining skin integrity. The physical level includes the stratum corneum and keratinocytes, while the chemical level involves antimicrobial peptides and lipids. The microbial level refers to the skin's microbiome, the neuronal level includes nerve fibers, and the immune level involves immune cells and signaling molecules. Together, these levels form a complex system that supports skin health. The authors propose that understanding these levels could improve skin health management and lead to better diagnostic and therapeutic strategies.

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