Advertisement
Discussion| Volume 30, ISSUE 3, P345-348, May 2012

New treatments for restoring impaired epidermal barrier permeability: Skin barrier repair creams

  • Zoe Diana Draelos
    Correspondence
    Corresponding author. 2444 N Main St, High Point, NC 27262. Tel.: +1 336 841 2040; fax: +1 336 841 2044.
    Affiliations
    Department of Dermatology, Duke University School of Medicine, 2444 North Main Street, High Point, NC 27262, USA
    Search for articles by this author

      Abstract

      Skin health depends on an intact barrier composed of protein-rich corneocytes surrounded by the lamellar intercellular lipids. This barrier provides waterproof protection for the body, preventing infection, regulating electrolyte balance, maintaining body temperature, and providing a mechanism for sensation. Damage to the skin barrier results in skin disease that can be treated by a variety of externally applied substances, such as ceramides, hyaluronic acid, licorice extracts, dimethicone, petrolatum, and paraffin wax. These substances are found in moisturizers that are sold as cosmetics and in prescriptions as 510(k) devices. This contribution examines the formulation and effect of skin barrier creams.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinics in Dermatology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Novotný J.
        • Hrabálek A.
        • Vávrová K.
        Synthesis and structure-activity relationships of skin ceramides.
        Curr Med Chem. 2010; 17: 2301-2324
        • Garidel P.
        • Fölting B.
        • Schaller I.
        • Kerth A.
        The microstructure of the stratum corneum lipid barrier: mid-infrared spectroscopic studies of hydrated ceramide: palmitic acid: cholesterol model systems.
        Biophys Chem. 2010; 150: 144-156
        • Madaan A.
        Epiceram for the treatment of atopic dermatitis.
        Drugs Today (Barc). 2008; 44: 751-755
        • Sugarman J.L.
        • Parish L.C.
        Efficacy of a lipid-based barrier repair formulation in moderate-to-severe pediatric atopic dermatitis.
        J Drugs Dermatol. 2009; 81: 106-111
        • Ivanov C.
        • Michova M.
        • Russeva R.
        • Batashki I.
        Clinical application of bionect (hyaluronic acid sodium salt) in wound care by cesarean section and episiotomy.
        Akush Ginekol (Sofiia). 2007; 46: 20-26
        • Amado A.
        • Taylor J.S.
        • Murray D.A.
        • Reynolds J.S.
        Contact dermatitis to pentylene glycol in a prescription cream for atopic dermatitis: a case report.
        Arch Dermatol. 2008; 144: 810-812
        • Abramovits W.
        • Perlmutter A.
        • Mimy X.
        Cream.
        Skinmed. 2006; 52: 9-30
        • Cosmetic Ingredient Review Expert Panel
        Final report on the safety assessment of glycyrrhetinic acid, potassium glycyrrhetinate, disodium succinoyl glycyrrhetinate, glyceryl glycyrrhetinate, glycyrrhetinyl stearate, stearyl glycyrrhetinate, glycyrrhizic acid, ammonium glycyrrhizate, dipotassium glycyrrhizate, disodium glycyrrhizate, trisodium glycyrrhizate, methyl glycyrrhizate, and potassium glycyrrhizinate.
        Int J Toxicol. 2007; 267: 9-112
        • Eberlein B.
        • Eicke C.
        • Reinhardt H.W.
        • Ring J.
        Adjuvant treatment of atopic eczema: Assessment of an Emollient Containing N-Palmitoylethanolamine (ATOPA Study).
        J Eur Acad Dermatol Venereol. 2008; 227: 3-82
        • Veraldi S.
        • De Micheli P.
        • Schianchi R.
        • Lunardon L.
        Treatment of pruritus in mild-to-moderate atopic dermatitis with a topical non-steroidal agent.
        J Drugs Dermatol. 2009; 85: 37-39
        • Boguniewicz M.
        • Zeichner J.A.
        • Eichenfield L.F.
        • et al.
        MAS063DP is effective monotherapy for mild to moderate atopic dermatitis in infants and children: a multicenter, randomized, vehicle-controlled study.
        J Pediatr. 2008; 1528: 54-59
        • Buraczewska I.
        • Berne B.
        • Lindberg M.
        • Törmä H.
        • Loden M.
        Changes in skin barrier function following long-term treatment with moisturizers, a random controlled trial.
        Br J Dermatol. 2007; 1564: 92-98
        • Becker L.C.
        • Bergfeld W.F.
        • Belsito D.V.
        • et al.
        Final report of the safety assessment of allantoin and its related complexes.
        Int J Toxicol. 2010; 298: 4S-97S
        • Morrison D.S.
        Petrolatum: a useful classic.
        Cosmet Toilet. 1996; 111: 59-69
        • Ruiz M.A.
        • Hernandez A.
        • Llacer J.M.
        • Gallardo V.
        Silicone chemistry.
        Cosmet Toilet. 1998; 113: 57-62
        • Slade H.B.
        • Fowler J.
        • Draelos Z.D.
        • Reece B.T.
        • Cargill D.I.
        Clinical efficacy evaluation of a novel barrier protection cream.
        Cutis. 2008; 822: 1-8
        • Slade H.B.
        • Fowler J.
        • Reece B.T.
        • Cargill D.I.
        Clinical safety evaluation of a novel barrier protection cream.
        Cutis. 2008; 821: 6-20
        • Coulomb B.
        • Friteau L.
        • Dubertret L.
        Biafine applied on human epidermal wounds is chemotactic for macrophages and increases the IL-1/IL-6 ratio.
        Skin Pharmacol. 1997; 102: 81-87
        • Cohen J.L.
        • Jorizzo J.L.
        • Kircik L.H.
        Use of a topical emulsion for wound healing.
        J Support Oncol. 2007; 51: 1-9