Background and Objective: To determine how much barrier-reinforcing effects of ceramides contribute to prevent the surfactant-induced cutaneous deterioration. Methods: We compared the effects of topical application of two types of pseudoceramides on cutaneous deterioration induced by sodium dodecyl sulfate (SDS) treatment for 10 days in association with alterations of barrier function. Results: Daily application of pseudoacylceramide immediately after each SDS treatment significantly prevented the marked elevation of transepidermal water loss, which was accompanied by a marked abrogation of the increased expression in intercellular adhesion molecule 1 by epidermal cells as well as by suppressed epidermal hyperplasia. In contrast, topical application of a nonacylated pseudoceramide with poor barrier-reinforcing potential showed less preventive effects on cutaneous deterioration. Conclusion: These results strongly suggest that perturbation of the skin barrier is a causative factor in surfactant-induced cutaneous changes and that reinforcing the barrier function by ceramide application is effective in preventing the surfactant-induced skin deterioration.

1.
Grunewald AM, Gloor M, Gehring W, Kleesz P: Damage to the skin by repetitive washing. Contact Dermatitis 1995;32:225–232.
2.
Shukuwa T, Kligman AM, Stoudemayer TJ: A new model for assessing the damaging effects of soaps and surfactants on human stratum corneum. Acta Derm Venereol 1997;77:29–34.
3.
von den Driesch P, Fartasch M, Huner A, Ponec M: Expression of integrin receptors and ICAM-1 on keratinocytes in vivo and in an in vitro reconstructed epidermis: Effect of sodium dodecyl sulphate. Arch Dermatol Res 1995;287:249–253.
4.
Denda M, Brown BE, Elias PM, Feingold KR: Epidermal injury stimulates prenylation in the epidermis of hairless mice. Arch Dermatol Res 1997;289:104–110.
5.
Denda M, Kitamura K, Elias PM, Feingold KR: trans-4-(Aminomethyl) cyclohexane carboxylic acid (T-AMCHA), an anti-fibrinolytic agent, accelerates barrier recovery and prevents the epidermal hyperplasia induced by epidermal injury in hairless mice and humans. J Invest Dermatol 1997;109:84–90.
6.
Kikuchi K, Kobayashi H, Hirao T, Ito A, Takahashi H, Tagami H: Improvement of mild inflammatory changes of the facial skin induced by winter environment with daily applications of a moisturizing cream: A half-side test of biophysical skin parameters, cytokine expression pattern and the formation of cornified envelope. Dermatology 2003;207:269–275.
7.
van Ruissen F, Le M, Carroll JM, van der Valk PG, Schalkwijk J: Differential effects of detergents on keratinocyte gene expression. J Invest Dermatol 1998;110:358–363.
8.
Menon GK, Feingold KR, Moser AH, Brown BE, Elias PM: De novo sterologenesis in the skin. II. Regulation by cutaneous barrier requirements. J Lipid Res 1985;26:418–427.
9.
Yang L, Mao-Qiang M, Taljebini M, Elias PM, Feingold KR: Topical stratum corneum lipids accelerate barrier repair after tape stripping, solvent treatment and some but not all types of detergent treatment. Br J Dermatol 1995;133:679–685.
10.
De Fine Olivarius F, Agner T, Menne T: Skin barrier function and dermal inflammation. An experimental study of transepidermal water loss after dermal tuberculin injection compared with SLS patch testing. Br J Dermatol 1993;129:554–557.
11.
Elias PM, Friend DS: The permeability barrier in mammalian epidermis. J Cell Biol 1975;65:180–191.
12.
Elias PM: Epidermal lipids, barrier function, and desquamation. J Invest Dermatol 1983;80(suppl):44s–49s.
13.
Gray GM, White RJ, Williams EH, Yardley HJ: Lipid composition of the superficial stratum corneum cells of pig epidermis. Br J Dermatol 1982;106:59–63.
14.
Landmann L: Epidermal permeability barrier: Transformation of lamellar granule-disks into intercellular sheets by a membrane-fusion process, a freeze-fracture study. J Invest Dermatol 1986;87:202–209.
15.
Imokawa G, Abe A, Jin K, Higaki Y, Kawashima M, Hidano A: Decreased level of ceramides in stratum corneum of atopic dermatitis: An etiologic factor in atopic dry skin? J Invest Dermatol 1991;96:523–526.
16.
Berardesca E, Barbareschi M, Veraldi S, Pimpinelli N: Evaluation of efficacy of a skin lipid mixture in patients with irritant contact dermatitis, allergic contact dermatitis or atopic dermatitis: A multicenter study. Contact Dermatitis 2001;45:280–285.
17.
Kucharekova M, Schalkwijk J, van de Kerkhof PC, van der Valk PG: Effect of a lipid-rich emollient containing ceramide 3 in experimentally induced skin barrier dysfunction. Contact Dermatitis 2002;46:331–338.
18.
Okuda M, Yoshiike T, Ogawa H: Detergent-induced epidermal barrier dysfunction and its prevention. J Dermatol Sci 2002;30:173–179.
19.
De Paepe K, Roseeuw D, Rogiers V: Repair of acetone- and sodium lauryl sulphate-damaged human skin barrier function using topically applied emulsions containing barrier lipids. J Eur Acad Dermatol Venereol 2002;16:587–594.
20.
Vavrova K, Zbytovska J, Palat K, Holas T, Klimentova J, Hrabalek A, Dolezal P: Ceramide analogue 14S24 [(S)-2-tetracosanoylamino-3-hydroxypropionic acid tetradecyl ester] is effective in skin barrier repair in vitro. Eur J Pharm Sci 2004;21:581–587.
21.
Imokawa G, Yada Y, Higuchi K, Okuda M, Ohashi Y, Kawamata A: Pseudo-acylceramide with linoleic acid produces selective recovery of diminished cutaneous barrier function in essential fatty acid-deficient rats and has an inhibitory effect on epidermal hyperplasia. J Clin Invest 1994;94:89–96.
22.
Imokawa G, Akasaki S, Kawamata A, Yano S, Takaishi N: Water-retaining function in the stratum corneum and its recovery properties by synthetic pseudo-ceramides. J Soc Cosmet Chem 1989;40:273–285.
23.
Bligh EG, Dyer WJ: A rapid method of total lipid extraction and purification. Can J Med Sci 1959;37:911–917.
24.
Holleran WM, Takagi Y, Menon GK, Legler G, Feingold KR, Elias PM: Processing of epidermal glucosylceramide is required for optimal mammalian cutaneous permeability barrier function. J Clin Invest 1993;91:1656–1664.
25.
Ponec MA, Weerheim A, Kempenaar J, Mommass A-M, Nugteren DA: Lipid composition of cultured human keratinocytes in relation to their differentiation. J Lipid Res 1988;29:949–961.
26.
Treadwell MD, Mossman BT, Barchowsky A: Increased neutrophil adherence to endothelial cells exposed to asbestos. Toxicol Appl Pharmacol 1996;139:62–70.
27.
Agusti C, Takeyama K, Cardell LO, Ueki I, Lausier J, Lou YP, Nadel JA: Goblet cell degranulation after antigen challenge in sensitized guinea pigs: Role of neutrophils. Am J Respir Crit Care Med 1998;158:1253–1258.
28.
Imokawa G, Takagi Y, Higuchi K, Kondo H, Yada Y: Sphingosylphosphorylcholine is a potent inducer of intercellular adhesion molecule-1 expression in human keratinocytes. J Invest Dermatol 1999;112:91–96.
29.
Fartasch M, Schnetz E, Diepgen TL: Characterization of detergent-induced barrier alterations – Effect of barrier cream on irritation. J Invest Dermatol Symp Proc 1998;3:121–127.
30.
van der Valk PG, Nater JP, Bleumink E: The influence of low concentrations of irritants on skin barrier function as determined by water vapour loss. Derm Beruf Umwelt 1985;33:89–91.
31.
Schliemann-Willers S, Wigger-Alberti W, Kleesz P, Grieshaber R, Elsner P: Natural vegetable fats in the prevention of irritant contact dermatitis. Contact Dermatitis 2002;46:6–12.
32.
Komuves LG, Hanley K, Lefebvre AM, Man MQ, Ng DC, Bikle DD, Williams ML, Elias PM, Auwerx J, Feingold KR: Stimulation of PPARa promotes epidermal keratinocyte differentiation in vivo. J Invest Dermatol 2000;115:353–360.
33.
Welzel J, Metker C, Wolff HH, Wilhelm KP: SLS-irritated human skin shows no correlation between degree of proliferation and TEWL increase. Arch Dermatol Res 1998;290:615–620.
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