ARTICLE: Efficacy of Ceramide-Containing Formulations on UV-Induced Skin Surface Barrier Alterations

J Drugs Dermatol. 2021 Apr 1;20(4):s29-s35. doi: 10.36849/JDD.2021.589E.

Abstract

The human skin, particularly the stratum corneum, serves as a protective barrier against exogenous factors, including ultraviolet radiation (UVR) and pathogen invasions. The impact of UVR on skin cancer and photoaging has been extensively studied. However, the direct impact of UVR on skin barrier integrity under clinical settings remains poorly explored. Due to their benefits in reducing inflammation and promoting skin barrier repair, ceramide-containing formulations can provide added photoprotection benefits. In this study, the efficacy of a ceramide-containing sunscreen and moisturizer were evaluated in preventing UV-induced skin surface barrier changes. Expert grading, instrumental, and tape-stripping assessments demonstrated that UVR induced erythema and hyperpigmentation and caused changes in skin cells surface morphological organization and maturation. Treatment with a ceramide-containing sunscreen and moisturizing cream routine reduced erythema and hyperpigmentation, improved skin hydration, and maintained normal superficial skin cells morphology and turnover after UVR. Our results indicate that barrier-enforcing lipids formulations can provide additional benefits in patient’s daily routine by strengthening the barrier and improving skin health overall against chronic sun exposure. J Drugs Dermatol. 20(4 Suppl):s29-35. doi:10.36849/JDD.S589E.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Adult
  • Ceramides / administration & dosage*
  • Emollients / administration & dosage
  • Emollients / chemistry
  • Erythema / diagnosis
  • Erythema / etiology
  • Erythema / pathology
  • Erythema / prevention & control*
  • Female
  • Healthy Volunteers
  • Humans
  • Hyperpigmentation / diagnosis
  • Hyperpigmentation / etiology
  • Hyperpigmentation / pathology
  • Hyperpigmentation / prevention & control*
  • Male
  • Middle Aged
  • Photography
  • Skin / diagnostic imaging
  • Skin / drug effects
  • Skin / radiation effects
  • Skin Aging / drug effects
  • Skin Aging / radiation effects
  • Sunscreening Agents / administration & dosage
  • Sunscreening Agents / chemistry
  • Treatment Outcome
  • Ultraviolet Rays / adverse effects*
  • Water Loss, Insensible / drug effects
  • Water Loss, Insensible / radiation effects
  • Young Adult

Substances

  • Ceramides
  • Emollients
  • Sunscreening Agents