EFFECTS OF TRETINOIN ON PHOTODAMAGED SKIN - A HISTOLOGIC-STUDY

被引:123
作者
BHAWAN, J [1 ]
GONZALEZSERVA, A [1 ]
NEHAL, K [1 ]
LABADIE, R [1 ]
LUFRANO, L [1 ]
THORNE, EG [1 ]
GILCHREST, BA [1 ]
机构
[1] RW JOHNSON PHARMACEUT RES INST,RARITAN,NJ
关键词
D O I
10.1001/archderm.127.5.666
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
The histologic effects of topical tretinoin therapy on photodamaged facial skin were investigated in two 24-week, double-blind randomized, vehicle-controlled studies involving 533 subjects at eight US centers. Three concentrations of tretinoin (0.05%, 0.01% and 0.001%) in a new emollient cream were studied. Pretherapy and posttherapy biopsy specimens from the periorbital (crow's foot) area were examined by conventional light microscopy and computerized image analysis. Four significant dose-dependent differences from vehicle were found in the tretinoin groups: increased epidermal thickness, increased granular layer thickness, decreased melanin content, and stratum corneum compaction. There was no significant difference between 0.001% tretinoin and the vehicle, and no obvious dermal changes were detected in any group. The four epidermal changes in tretinoin-treated skin establish the biologic activity of the new emollient cream formulation and may partially account for the clinical improvements in photodamage observed in the same group of subjects.
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页码:666 / 672
页数:7
相关论文
共 31 条
[1]   IDENTIFICATION OF A 2ND HUMAN RETINOIC ACID RECEPTOR [J].
BRAND, N ;
PETKOVICH, M ;
KRUST, A ;
CHAMBON, P ;
DETHE, H ;
MARCHIO, A ;
TIOLLAIS, P ;
DEJEAN, A .
NATURE, 1988, 332 (6167) :850-853
[2]   STUDIES IN CUTANEOUS AGING .1. THE ELASTIC FIBER NETWORK [J].
BRAVERMAN, IM ;
FONFERKO, E .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1982, 78 (05) :434-443
[3]   RETINOIC ACID - BIOCHEMISTRY AND METABOLISM [J].
CHYTIL, F .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1986, 15 (04) :741-747
[4]   IDENTIFICATION OF A RECEPTOR FOR THE MORPHOGEN RETINOIC ACID [J].
GIGUERE, V ;
ONG, ES ;
SEGUI, P ;
EVANS, RM .
NATURE, 1987, 330 (6149) :624-629
[5]   EFFECTS OF AGING AND CHRONIC SUN EXPOSURE ON MELANOCYTES IN HUMAN-SKIN [J].
GILCHREST, BA ;
BLOG, FB ;
SZABO, G .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1979, 73 (02) :141-143
[6]   ANALYSIS OF CATEGORICAL DATA BY LINEAR MODELS [J].
GRIZZLE, JE ;
STARMER, CF ;
KOCH, GG .
BIOMETRICS, 1969, 25 (03) :489-&
[7]  
GROVE GL, 1979, BIOENGINEERING SKIN, P173
[8]   TOPICAL TRETINOIN FOR PHOTOAGED SKIN [J].
KLIGMAN, AM ;
GROVE, GL ;
HIROSE, R ;
LEYDEN, JJ .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 1986, 15 (04) :836-&
[9]   EARLY DESTRUCTIVE EFFECT OF SUNLIGHT ON HUMAN SKIN [J].
KLIGMAN, AM .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1969, 210 (13) :2377-&
[10]   TOPICAL RETINOIC ACID ENHANCES THE REPAIR OF ULTRAVIOLET DAMAGED DERMAL CONNECTIVE-TISSUE [J].
KLIGMAN, LH ;
CHEN, HD ;
KLIGMAN, AM .
CONNECTIVE TISSUE RESEARCH, 1984, 12 (02) :139-&