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Healthy skin, Healthy brain.

Kyeong-No Yoon1, Jin Ho Chung1

  • 1Department of Dermatology, Seoul National University College of Medicine, Seoul, Korea; Institute of Human-Environmental Interface Biology, Medical Research Center, Seoul National University, Seoul, Korea; Laboratory of Cutaneous Aging Research, Biomedical Research Institute, Seoul National University Hospital, Seoul, Korea.

Journal of Dermatological Science
|July 18, 2025
PubMed
Summary

Skin aging impacts brain aging via the skin-brain axis. Protecting skin health may mitigate cognitive decline and enhance brain resilience.

Keywords:
BDNFCognitive declineCortisolDopamineInflammationNeuroendocrine signalingSkin–brain axisTomato and lemon extractsUV radiationskin aging

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Area of Science:

  • Neuroendocrinology
  • Neuroimmunology
  • Dermatology

Background:

  • Skin aging affects brain aging through neuroendocrine, inflammatory, and neurochemical pathways.
  • The skin functions as a neuroendocrine organ communicating with the central nervous system (CNS).
  • The skin-brain axis describes this bidirectional communication, relevant to psychodermatology and neuroimmunology.

Purpose of the Study:

  • To review how extrinsic (e.g., UV radiation) and intrinsic aging disrupt skin homeostasis.
  • To highlight the systemic effects of skin aging on brain functions.
  • To explore interventions for preserving skin and brain health.

Main Methods:

  • Literature review of studies on skin aging, UV radiation, and brain function.
  • Analysis of mechanisms including the hypothalamic-pituitary-adrenal (HPA) axis, neurotransmitters, and brain-derived neurotrophic factor (BDNF).

Main Results:

  • Chronic UV exposure activates the cutaneous HPA axis, increases cortisol, and impairs hippocampal neurogenesis and cognition.
  • UV-induced neurotransmitter alterations affect learning, memory, and emotion.
  • Skin aging reduces skin BDNF synthesis, potentially contributing to cognitive decline.

Conclusions:

  • Skin aging is a significant factor in brain aging.
  • Interventions like sunscreens, moisturizers, and polyphenols may protect the skin-brain axis.
  • Maintaining skin health is a potential strategy for mitigating brain aging and enhancing cognitive resilience.