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good moisturization is key for optimal stratum cor- orthorhombic lattice in ceramide & cholesterol
neum (SC) functioning and for the relief of dry mixtures [15]. The orthorhombic packing together
skin. Dry skin treatments can therefore be traced with the presence of the LPP defines ultimate lipid
back to 3000BC [2]. Nevertheless, despite even barrier functionality. However, a transition to a
21st century cosmetic science the consumer less tightly packed hexagonal phase is reported to
research would suggest that we are still not com- occur towards the surface of the SC [16]. Lipids in
pletely meeting consumer needs for this condition. a hexagonal lateral packing state possess weaker
Several years ago one of the current authors [5] water permeability barrier characteristics than
summarized, from a current understanding of the those in an orthorhombic phase. This orthorhom-
compositional changes in dry skin, the aspects of bic to hexagonal phase transition can be induced
SC lipid biochemistry that need to be corrected. by sebum lipids and especially by shorter chain
One of these routes related to the use of long length fatty acids resulting in greater hexagonal
chain fatty acids. As long chain fatty acids are lipid phases in the upper layers of the SC [17]. The
reduced in SLS-induced dry skin and these lipids importance of the lateral packing of intercellular
are important for inducing an orthorhombic lat- lipids has become of interest over the last decade
eral packing state, the tightest possible barrier (see especially as higher levels of hexagonally packed
below), it was proposed that these need to be sup- lipids are found in the SC of subjects with atopic
plied to the skin to effectively correct barrier func- dermatitis compared with normal subjects [18].
tion. Nevertheless, these are expensive ingredients. Nonetheless, the orthomobically packed state is
Clearly the treatment of dry skin is complex and still present.
is probably one of the reasons why we still do not Recently, Joke Bouwstra and her teams have
fully meet consumer expectation. The work pre- been elucidating the effects of hydrophilic and
sented in this article focuses on the effects of isos- lipophillic moisturizing ingredients on the SC
tearyl esters on SC water permeability barrier [19–22]. Using cryo-scanning electron micros-
function as a new inexpensive technology which is copy they have been following the swelling char-
believed to be operating via its effects on influenc- acteristics of these different moisturizers on the
ing lipid phase behaviour. SC and from the effects of the lipophillic moistur-
Electron microscopy originally identified the izers examined, isostearyl isostearate (ISIS)
unusual lamellar packing of SC lipids [6] which behaved very much like petrolatum compared
was further refined in X-Ray diffraction studies with isopropyl isostearate (IPIS) and glyceryl mo-
[7]. Several models of the lipid packing states noisostearate (GMIS) [19]. However, addition of
have been proposed such as the stacked mono- ISIS & IPIS but not GMIS was later shown to
layer model [8], the domain mosaic model [9], increase the thermotropic stability of the ortho-
the single gel phase model [10], the armature rhombic lateral packing when added to equimo-
reinforcement model [11] and the ‘sandwich’ lipid lar ceramide: cholesterol: fatty acid mixtures
model proposed by Bouwstra et al. [12] This latter [21]. Conversely, all three lipids influenced the
model was proposed to take into account both lamellar packing states of the SC lipids to varying
the periodicity frequencies in lamellar packing degrees. Subtle changes in the peak height distri-
that had been observed, the long periodicity butions of the ‘‘2nd and 3rd order peak height
phase (LPP) and short periodicity phase (SPP), distributions of sprayed lipid/moisturizer mixtures
together with the presence of a fluid phase. The as examined by small angle X-ray diffraction
presence of the LPP is critical for permeability [22]. The SPP was not detectable. Moreover,
barrier function. analysis of immersed SC samples with the respec-
It has been known for a long time that the tive moisturizers revealed that only in the ISIS-
expected SC lipid lamellar phase is missing from treated SC was the 1st order peak of the LPP
the outer layers of the SC, even in healthy skin stronger. Clearly these changes in the lipid pack-
when examining tape strippings by electron ing states should have dramatic effects on SC
microscopy [13, 14] but other structural changes water permeability barrier function. However,
are now known to occur. The most tightly packed very surprisingly this was not observed in vivo as
lipid barrier is known as the orthorhombically measured by transepidermal water loss (TEWL)
packed state [7, 12]. The presence of long chain [20]. As greater amounts of the hexagonally
fatty acids is needed to induce the formation of the packed lipids are present in the outermost layers
of the SC compared with its inner layers and to WVTRðg m2 h1 Þ ¼ water loss (g)ðW0 W3 Þ=
demonstrate the benefits of purported orthorhom-
area of membraneðm2 Þ time (h)
bic lipid inducing agents, we decided to use a dif-
ferent approach by using the plastic occlusion
stress test (POST) [23]. In POST, the SC is
Clinical Studies
hydrated under a plastic chamber (or any occlu-
sive device) ideally for 24 h to give the best dis- Subjects
criminative power. When the occlusion is Studies were approved by the Croda Safety and
removed, the excess water evaporates which has Regulatory group. All studies complied with the
been called skin surface water loss (SSWL). POST Guidelines for Medical Experiments in non-patient
gives information on SC hydration, integrity of human volunteers published by the Association of
barrier function especially in the outer layers of the British Pharmaceutical Industry (ABPI) and
the SC and SC water-holding capacity. In its sim- the World Medical Association’s Declaration of
plest use the area under the curve for SSWL is Helsinki (2000) concerning biomedical research
computed for a defined time on returning to involving human subjects. Each subject received
basal TEWL levels. Naturally, if the barrier is written informed consent and a copy of the ingre-
more robust less water will evaporate from the dient list. The subjects were instructed not to use
skin surface during the SSWL evaporative phase. any cosmetic products on their forearms for
Thus, emollients that are capable of inducing the 2 weeks prior to and for the entire study duration.
hexagonal to orthorhombic phase transition in
the outer layers of the SC will produce a lower SSWL measurements
SC SSWL. Equally, to demonstrate that the esters SSWL measurements were made using a modified
used were not traditional occlusive agents we procedure of Beradesca and Maibach [23]. Each
determined their water vapour transmission rate study was performed on both male and female
(WVTR) using in vitro standard methods [24]. Caucasian subjects and one Asian male subject.
Test areas were marked using a template for
12 mm Finn chambers (Bio-diagnostics, Worces-
Materials and methods
ter, U.K.) after which the panellists were acclima-
tized for 20 min in a humidity and temperature
In vitro methods
controlled room (50%RH ± 5% and 20C ± 1C).
WVTR measurements Following acclimatization, basal measurements of
WVTR was measured using a similar approach to TEWL were taken for all test sites using the Aqua
Rawlings et al. [24]. Testing was carried out in a Flux (Biox Ltd, London, U.K.). Neat ingredients
controlled humidity room, 50%RH ± 5% and (petrolatum, GMIS, IPIS, ISIS) were applied at
20C ± 1C. A uniform film (5 · 6 cm) of test either 0.25 mg cm)2, 0.5 mg cm)2, 1.0 mg cm)2
ingredient was drawn down onto a section or 2.0 mg cm)2 using a pipette (Finnpipette P.C.R
(8 · 6 cm) of Vitro-Skin (IMS Inc., Portland ME, 0.5–25 lL, Thermo Labsystems, Vantaa, Finland)
U.S.A.) using a draw down bar (Sheen bird type and massaged into the defined area using a finger
applicator) with a 200 micron gap size and cott. We assumed that a similar amount of residue
impression bed (Sheen Instruments Ltd., Surrey, was present on the finger cott for all emollients.
England). To insure a uniform film thickness Twenty four hours following neat oil application
between test ingredients, each section of Vitro-Skin an occlusive patch was applied to each of the test
was weighed before and after application of the sites, including the untreated control site, for
film, average film deposition weight was 24 h. The patch was then removed and any visible
5.48 mg cm)2 ± 0.21. The Vitro-Skin was then surface water dapped away using a clean dry tis-
attached to a WVTR chamber containing 5 mL of sue. TEWL measurements were taken every 2 s
water and allowed to equilibrate for 1 h prior to following maximum TEWL. Routinely this was for
testing. The WVTR was then determined gravimet- 300 s although the first experiment was conducted
rically using a five point balance (AB135-S Met- over 30 min. Taking the baseline values of each
tler-Toledo Ltd., Leicester, England) by weighing at panellist into account the area under the curve
the beginning of the experiment (Wo) and after (AUC) was calculated between the points of maxi-
3 h (W3). mal TEWL to 300 s i.e. only the SSWL, the
100
90
ISIS
80 IPIS
GMIS Figure 2 Time course comparison
TEWL (g m–2 h–1)
has been achieved through application of cera- cosmetic dry skin, but as examined by electron
mides [26, 27], pseudoceramides [28, 29] and microscopy clearly, abnormally packed lipids are
phospholipids [30] or their mixtures [31]. These present in the outer layers of the SC [13, 14]. It is
long chain lipids in cosmetic emulsions are more also known that in subjects with dry skin who
likely to remain on the surface of the SC and form have no LPP phase that they also have lowered
their own lamellar-ordered lipid state dictated by CER EOS and CER EOH levels [38].
their own chemistry rather than penetrate into Nevertheless, the packing of the lipids in the
the SC [32]. outer layers of the SC in subjects with even clini-
The importance of the lateral packing of inter- cally normal appearing skin appears to lack lamel-
cellular lipids has become of interest over the last lar order as judged from electron microscopy of
decade especially as the content of hexagonally tape strippings of the SC [13, 14] whereas other
packed lipids is higher in the SC of subjects with studies have shown an increased presence of hex-
atopic dermatitis compared with normal skin. agonally packed SC lipids in the surface layers of
Nonetheless, the orthorhombic phase is still pres- the SC in normal subjects [17, 18]. Most recently,
ent. Atopic subjects also have a reduced LPP phase Damien and Boncheva [39] have demonstrated
as a result of their lowered levels of CER EOS lino- that a direct correlation exists between orthorhom-
leate [33–37]. Nothing as yet is known of the lat- bical lipid phases and a lower TEWL in healthy
eral packing states of SC lipids in subjects with forearm skin. Presumably, less LPP also occurs in
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