Evidence map›Paper›PMID 34657323›Full record

ArticlePhotodermatology, photoimmunology & photomedicine2022

Bioactive substances in the stratum corneum of the epidermis found as indicators of skin damage due to sun exposure.

Atsushi Fukunaga, Satoshi Fukushima, Hiroaki Iwata, Makiko Nakahara, Rikako Sasaki, Naoko Baba, Hiroshi Matsunaka, Yumi Murakami, Masutaka Furue, Chikako Nishigori

Open access · bronzeAbstract read
In one paragraph

Article in Photodermatology, photoimmunology & photomedicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Atsushi FukunagaDivision of Dermatology, Department of Internal Related, Graduate School of Medicine, Kobe University, Kobe, Japan.ORCID https://orcid.org/0000-0003-2026-8154
Satoshi FukushimaDepartment of Dermatology and Plastic Surgery, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.ORCID https://orcid.org/0000-0002-0622-7682
Hiroaki IwataDepartment of Dermatology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan.
Makiko NakaharaDepartment of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-4169-1309
Rikako SasakiNashinohana Dermatological Clinic, Tokyo, Japan.
Naoko BabaDepartment of Dermatology, Kanagawa Children's Medical Center, Kanagawa, Japan.
Hiroshi MatsunakaNOV Academic Research, TOKIWA Pharmaceutical Co., Ltd, Tokyo, Japan.ORCID https://orcid.org/0000-0002-9635-8132
Yumi MurakamiNOV Academic Research, TOKIWA Pharmaceutical Co., Ltd, Tokyo, Japan.ORCID https://orcid.org/0000-0003-3540-9140
Masutaka FurueDepartment of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.ORCID https://orcid.org/0000-0002-2967-1073
Chikako NishigoriDivision of Dermatology, Department of Internal Related, Graduate School of Medicine, Kobe University, Kobe, Japan.
Kobe University · JPKyushu University · JPTaiho Pharmaceutical (Japan) · JPHokkaido University · JPKanagawa Children's Medical Center · JPKumamoto University · JPUniversity Dermatology · US

Funding

Tokiwa Pharmaceutical Co., Ltd.
6 · The paper itself

Abstract

background/purposeAlthough an inflammatory response upon acute injury caused by ultraviolet radiation (UV) can be observed immediately, the influence of long-term, repetitive low-dose UV exposure on the skin cannot be precisely perceived, making early detection of chronic damage difficult. This study investigated bioactive substances in the stratum corneum as a potential early and sensitive indicator of the influence of sun exposure on the skin using receiver operating characteristic (ROC) analysis.

methodsReceiver operating characteristic analysis was performed to assess the responsiveness of cytokines [interleukin (IL)-1α, IL-1 receptor antagonist (IL-1ra), IL-10, tumor necrosis factor (TNF)-α], BCL2-associated protein X (Bax), Toll-like receptor (TLR)3, and TLR4 in the stratum corneum of healthy people exposed (dorsum of the hand) and unexposed (inner arm) to UV. Sunscreen was applied to patients with photodermatosis for 4 weeks to evaluate changes in IL-1ra/IL-1α, TNF-α, Bax, and TLR3 levels after sunscreen application, as these molecules exhibited high responsiveness to sun exposure according to ROC analysis. In addition, IL-1ra, IL-1α, and IL-10 levels were quantified by enzyme-linked immunosorbent assay, and TNF-α, Bax, TLR3, and TLR4 levels were semi-quantitatively assessed by immunocytochemistry.

resultsReceiver operating characteristic analysis identified IL-1ra/IL-1α, TNF-α, Bax, and TLR3 in the stratum corneum as highly responsive to sun exposure. Moreover, in participants, including patients with photodermatosis, IL-1ra/IL-1α, TNF-α, and Bax levels decreased significantly after sunscreen application.

conclusionThe results revealed that IL-1ra/IL-1α, TNF-α, and Bax in the stratum corneum represent sensitive indicators of the influence of sun exposure on the skin.

Indexed as

Interleukin-10Interleukin 1 Receptor Antagonist Proteinbcl-2-Associated X ProteinCytokinesEpidermisHumansSunlightSunscreening AgentsToll-Like Receptor 3Toll-Like Receptor 4Tumor Necrosis Factor-alphaUltraviolet Raysbcl-2-Associated X ProteinCytokinesInterleukin-10Interleukin 1 Receptor Antagonist ProteinSunscreening AgentsToll-Like Receptor 3Toll-Like Receptor 4Tumor Necrosis Factor-alphaBaxIL-1raIL-1αROC analysisTLR3TNF-α

Identifiers

PMID34657323
PMCPMC9298222
OpenAlexW3205388958

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.