Abstract
Ultraviolet (UV) exposure and menopause are known as the inducers of damage to the skin structure. The combination of these two factors accelerates the skin aging process. In this study, we aimed to evaluate the influence of UV and ovariectomy (OVX) on the permeation of drugs through the skin. The role of tight junctions (TJs) and adherens junctions (AJs) in the cutaneous absorption of extremely lipophilic permeants and macromolecules was explored. The OVX nude mouse underwent bilateral ovary removal. Both UVA and UVB were employed to irradiate the skin. The physiological and biochemical changes of the skin structure were examined with focus on transepidermal water loss (TEWL), skin color, immunohistochemistry, and mRNA levels of proteins. UVB and OVX increased TEWL, resulting in stratum corneum (SC) integrity disruption and dehydration. A hyperproliferative epidermis was produced by UVB. UVA caused a pale skin color tone due to keratinocyte apoptosis in the epidermis. E-cadherin and β-catenin showed a significant loss by both UVA and UVB. OVX downregulated the expression of filaggrin and involucrin. A further reduction was observed when UV and OVX were combined. The in vitro cutaneous absorption demonstrated that UV increased the skin permeation of tretinoin by about twofold. However, skin accumulation and flux of estradiol were not modified by photoaging. OVX basically revealed a negligible effect on altering the permeation of small permeants. OVX increased tretinoin uptake by the appendages from 1.36 to 3.52 μg/cm2. A synergistic effect on tretinoin follicular uptake enhancement was observed for combined UV and OVX. However, the intervention of OVX to photoaged skin resulted in less macromolecule (dextran, molecular weight = 4 kDa) accumulation in the skin reservoir because of retarded partitioning into dry skin. The in vivo percutaneous absorption of lipophilic dye examined by confocal microscopy had indicated that the SC was still important to controlling topical delivery, although the role of epidermal junctions could not be simply ignored.
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References
Andrews SN, Jeong E, Prausnitz MR (2013) Transdermal delivery of molecules is limited by full epidermis, not just stratum corneum. Pharm Res 30:1099–1109
Antoniou C, Kosmadaki MG, Stratigos AJ, Katsambas AD (2010) Photoaging. Prevention and topical treatments. Am J Clin Dermatol 11:95–102
Calleja-Agius J, Brincat M (2012) The effect of menopause on the skin and other connective tissues. Gynecol Endocrinol 28:273–277
Calleja-Agius J, Muscat-Baron Y, Brincat MP (2007) Skin ageing. Menopause Int 13:60–64
Chen WY, Fang CL, Al-Suwayeh SA, Yang HH, Li YC, Fang JY (2013) Risk assessment of excess drug and sunscreen absorption via skin with ablative fractional laser resurfacing: optimization of the applied dose for postoperative care. Lasers Med Sci 28:1363–1374
Chiu AE, Chan JL, Kern DG, Kohler S, Rehmus WE, Kimball AB (2005) Double-blinded placebo-controlled trial of green tea extracts in the clinical and histologic appearance of photoaging skin. Dermatol Surg 31(Suppl 1):855–860
Cho S, Lowe L, Hamilton TA, Fisher GJ, Voorhees JJ, Kang S (2005) Long-term treatment of photoaged human skin with topical retinoic acid improves epidermal cell atypia and thickens the collagen band in papillary dermis. J Am Acad Dermatol 53:769–774
Çömelekoğlu Ü, Yalin S, Balli E, Berköz M (2012) Ovariectomy decreases biomechanical quality of skin via oxidative stress in rat. Turk J Med Sci 42:201–209
Egras AM, Umland EM (2010) The role of transdermal estrogen sprays and estradiol topical emulsion in the management of menopause-associated vasomotor symptoms. Int J Gen Med 3:147–151
Fang JY, Yu SY, Wu PC, Huang YB, Tsai YH (2001) In vitro skin permeation of estradiol from various proniosome formulations. Int J Pharm 215:91–99
Farage MA, Miller KW, Berardesca E, Maibach HI (2009) Clinical implications of aging skin. Am J Clin Dermatol 10:73–86
Gattu S, Maibach HI (2010) Enhanced absorption through damaged skin: an overview of the in vitro human model. Skin Pharmacol Physiol 23:171–176
Has C, Spartà G, Kiritsi D, Weibel L, Moeller A, Vega-Warner V, Waters A, He Y, Anikster Y, Esser P, Straub BK, Hausser I, Bockenhauer D, Dekel B, Hildebrandt F, Bruckner-Tuderman L, Laube GF (2012) Integrin α3 mutations with kidney, lung, and skin disease. N Engl J Med 366:1508–1514
Hsieh PW, Chen WY, Aljuffali IA, Chen CC, Fang JY (2013) Co-drug strategy for promoting skin targeting and minimizing transdermal diffusion of hydroquinone and tranexamic acid. Curr Med Chem 20:4080–4092
Hung CF, Fang CL, Al-Suwayeh SA, Yang SY, Fang JY (2012) Evaluation of drug and sunscreen permeation via skin irradiated with UVA and UVB: comparisons of normal skin and chronologically aged skin. J Dermatol Sci 68:135–148
Jensen JM, Schütze S, Neumann C, Proksch E (2000) Impaired cutaneous permeability barrier function, skin hydration, and sphingomyelinase activity in keratin 10 deficient mice. J Invest Dermatol 115:708–713
Kawasaki H, Nagao K, Kubo A, Hata T, Shimizu A, Mizuno H, Yamada T, Amagai M (2012) Altered stratum corneum barrier and enhanced percutaneous immune responses in filaggrin-null mice. J Allergy Clin Immunol 129:1538–1546
Kezic S, Kammeyer A, Calkoen F, Fluhr JW, Bos JD (2009) Natural moisturing factor components in the stratum corneum as biomarkers of filaggrin genotype: evaluation of minimally invasive methods. Br J Dermatol 161:1098–1104
Kirschner N, Houdek P, Fromm M, Moll I, Brandner JM (2010) Tight junctions form a barrier in human epidermis. Eur J Cell Biol 89:839–842
Knorr F, Lademann J, Patzelt A, Sterry W, Blume-Peytavi U, Vogt A (2009) Follicular transport route—research progress and future perspectives. Eur J Pharm Biopharm 71:173–180
Levin J, Friedlander SF, Del Rosso JQ (2013) Atopic dermatitis and the stratum corneum. Part 1: the role of filaggrin in the stratum corneum barrier and atopic skin. J Clin Aesthet Dermatol 6:16–22
Lin CH, Fang YP, Al-Suwayeh SA, Yang SY, Fang JY (2013) Percutaneous absorption and antibacterial activities of lipid nanocarriers loaded with dual drugs for acne treatment. Biol Pharm Bull 36:276–286
Mansouri P, Chalangari R, Chalangari KMC, Saffarian Z (2014) Chapter 25. Skin aging and immune system. In: Massoud A, Rezaei N (eds) Immunology of aging. Springer, Berlin
Mittal M, Siddiqui MR, Tran K, Reddy SP, Malik AB (2014) Reactive oxygen species in inflammation and tissue injury. Antioxid Redox Signal 20:1126–1167
Miura T, Takada A, Ooe M (2012) Tretinoin cyclodextrin complex (RA/CyD) causes less irritation with an equal antiwrinkle effect compared with conventional tretinoin: clinical and histologic studies of photoaged skin. Aesthet Plast Surg 36:971–981
Mueck AO (2012) Postmenopausal hormone replacement therapy and cardiovascular disease: the value of transdermal estradiol and micronized progesterone. Climacteric 15(Suppl 1):11–17
Nakai K, Yoneda K, Hosokawa Y, Moriue T, Presland RB, Fallon PG, Kabashima K, Kosaka H, Kubota Y (2012) Reduced expression of epidermal growth factor receptor, E-cadherin, and occludin in the skin of flaky tail mice is due to filaggrin and loricrin deficiencies. Am J Pathol 181:969–977
Niessen CM (2007) Tight junctions/adherens junctions: basic structure and function. J Invest Dermatol 127:2525–2532
Parchami A, Fatahian Dehkordi RA (2010) Effect of ovariectomy and chronic sex steroid administration on rabbit skin. Glob Vet 4:610–615
Pillai S, Oresajo C, Hayward J (2005) Ultraviolet radiation and skin aging: roles of reactive oxygen species, inflammation and protease activation, and strategies for prevention of inflammation-induced matrix degradation—a review. Int J Cosmet Sci 27:17–34
Proksch E, Folster-Holst R, Jensen JM (2006) Skin barrier function, epidermal proliferation and differentiation in eczema. J Dermatol Sci 43:159–169
Proksch E, Brandner JM, Jensen JM (2008) The skin: an indispensable barrier. Exp Dermatol 17:1063–1072
Ray S, Foote HP, Lechler T (2013) β-Catenin protects the epidermis from mechanical stresses. J Cell Biol 202:45–52
Roberts WE (2006) Dermatologic problems of older women. Dermatol Clin 24:271–280
Röck K, Meusch M, Fuchs N, Tigges J, Zipper P, Fritsche E, Krutmann J, Homey B, Reifenberger J, Fischer JW (2012) Estradiol protects dermal hyaluronan/versican matrix during photoaging by release of epidermal growth factor from keratinocytes. J Biol Chem 287:20056–20069
Šitum M, Buljan M, Čavka V, Bulat V, Krolo I, Mihić LL (2010) Skin changes in the elderly people—how strong is the influence of the UV radiation on skin aging? Coll Antropol 34(Suppl 2):9–13
Teichmann A, Jacobi U, Ossadnik M, Richter H, Koch S, Sterry W, Lademann J (2005) Differential stripping: determination of the amount of topically applied substances penetrated into the hair follicles. J Invest Dermatol 125:264–269
Tsukahara K, Nakagawa H, Moriwaki S, Kakuo S, Ohuchi A, Takema Y, Imokawa G (2004) Ovariectomy is sufficient to accelerate spontaneous skin ageing and to stimulate ultraviolet irradiation-induced photoaging of murine skin. Br J Dermatol 151:984–994
Tsukahara K, Moriwaki S, Hotta M, Fujimura T, Sugiyama-Nakagiri Y, Sugawara S, Kitahara T, Takema Y (2005) The effect of sunscreen on skin elastase activity induced by ultraviolet-A irradiation. Biol Pharm Bull 28:2302–2307
Tsukahara K, Kakuo S, Moriwaki S, Hotta M, Ohuchi A, Kitahara T, Harada N (2008) The characteristics of aromatase deficient hairless mice indicate important roles of extragonadal estrogen in the skin. J Steroid Biochem Mol Biol 108:82–90
Tunggal J, Helfrich I, Schmitz A, Schwarz H, Günzel D, Fromm M, Kemler R, Krieg T, Niessen CM (2005) E-cadherin is essential for in vivo epidermal barrier function by regulating tight junctions. EMBO J 24:1146–1156
Yamamoto T, Kurasawa M, Hattori T, Maeda T, Nakano H, Sasaki H (2008) Relationship between expression of tight junction-related molecules and perturbed epidermal barrier function in UVB-irradiated hairless mice. Arch Dermatol Res 300:61–68
Yuki T, Hachiya A, Kusaka A, Sriwiriyanont P, Visscher MO, Morita K, Muto M, Miyachi Y, Sugiyama Y, Inoue S (2011) Characterization of tight junctions and their disruption by UVB in human epidermis and cultured keratinocytes. J Invest Dermatol 131:744–752
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The authors are grateful to the financial support from Chang Gung Memorial Hospital (grant number: CMRPF1C0171).
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Hung, CF., Chen, WY., Aljuffali, I.A. et al. Skin aging modulates percutaneous drug absorption: the impact of ultraviolet irradiation and ovariectomy. AGE 37, 21 (2015). https://doi.org/10.1007/s11357-015-9757-1
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DOI: https://doi.org/10.1007/s11357-015-9757-1