Conflicts of interest None.
Defective barrier function in melasma skin
Article first published online: 12 NOV 2011
© 2011 The Authors. Journal of the European Academy of Dermatology and Venereology © 2011 European Academy of Dermatology and Venereology
Journal of the European Academy of Dermatology and Venereology
Volume 26, Issue 12, pages 1533–1537, December 2012
How to Cite
Lee, D.J., Lee, J., Ha, J., Park, K.-C., Ortonne, J.-P. and Kang, H.Y. (2012), Defective barrier function in melasma skin. Journal of the European Academy of Dermatology and Venereology, 26: 1533–1537. doi: 10.1111/j.1468-3083.2011.04337.x
Funding sources This work was supported by grants of the Korean Health Technology R&D project, Ministry for Health, Welfare & Family Affairs, Republic of Korea (A100179) and the Korean Science and Engineering Foundation (KOSEF) Grant funded by the Korean government (MOST) (R13-2003-019).
- Issue published online: 14 NOV 2012
- Article first published online: 12 NOV 2011
- Received: 31 July 2011; Accepted: 24 October 2011
Background Melasma is characterized by increased pigmentation and photodamaged features, which include solar elastosis. Recently, we detected the downregulation of the genes most associated with lipid metabolism using microarray analysis in melasma. These findings suggested that lesional skin may have different biophysical characteristics, and, in particular, an altered skin barrier function.
Objective To determine the cutaneous biophysical characteristics of melasma.
Methods The melanin index, erythema index, stratum corneum hydration, sebum content and transepidermal water loss (TEWL) were measured for lesional and perilesional normal skin of 16 melasma patients and then compared. In addition, a skin biopsy was performed on 11 of the 16 study subjects to measure stratum corneum thickness and to study the protein expressions of PPAR-α and ALOX15B.
Results Melanin index, erythema index and stratum corneum hydration were significantly higher in lesional skin than in perilesional normal skin. No significant difference was found between lesional and normal skin in terms of basal TEWL level or sebum content. However, the rate of TEWL after barrier perturbation was significantly higher for lesional skin, and the barrier recovery rate was significantly delayed. Furthermore, a trend towards thinned stratum corneum was observed for lesional skin, and this was correlated with barrier recovery rate. The expressions of PPAR-α and ALOX15B were variable in the samples.
Conclusions Melasma skin is characterized by impaired stratum corneum integrity and a delayed barrier recovery rate.