Dermatología en Costa Rica

Wednesday, December 18, 2024

The skin’s ‘surprise’ power: it has its very own immune system

The skin's 'surprise' power: it has its very own immune system

The skin's 'surprise' power: it has its very own immune system

The finding could lead to the development of needle-free vaccines.

Close up view of a middle-aged Japanese woman touching the skin on her cheek.

Skin can generate antibodies, independent of the rest of the immune system.Credit: kazuma seki/Getty

The skin — once thought to be a mainly passive barrier — can produce its own antibodies that fight off infections, a pair of studies reports in Nature this week1,2. The findings could pave the way for the development of needle-free vaccines that can be applied to the skin.

Although scientists have previously seen immune responses in the skin during infections, finding similar reactions in healthy skin is "a surprise", says Daniel Kaplan, a dermatologist and immunologist at the University of Pittsburgh in Pennsylvania. "The idea of a semi-autonomous immune system in a peripheral tissue is very exciting," he says.

Dual role

The immune system has to fight off harmful pathogens without attacking the helpful microorganisms that inhabit the body. Previous research showed3 that the skin of adult mice that had been raised without microbes could be colonized by Staphylococcus epidermidis, a common and harmless bacterium found on human skin. This long-term colonization triggered the production of specific immune cells, called T cells, which helped to strengthen local immunity.

"The next and maybe main chapter in this saga is that the response to this ubiquitous skin colonist is much more potent than we had realized," says Michael Fischbach, a microbiologist at Stanford University in California, who was a co-author on both of the latest studies.

"When the immune system sees a friendly bacterium, you would think that it would just give a friendly wave and walk in the other direction, but that's not at all what happens," he says.

In experiments with mice, mucosal immunologist Inta Gribonika at the National Institute of Allergy and Infectious Diseases in Bethesda, Maryland, and her colleagues discovered that S. epidermidis triggers the activation of B cells, the immune cells necessary to produce antibodies1. The skin then made antibodies against S. epidermidis; these persisted for at least 200 days and could form without previous exposure to other microbes.

The skin was able to generate this immune response even when lymph nodes — the immune hubs that help to activate immune cells — were disabled. The presence of S. epidermidis also induced the formation of specialized immune structures in the skin that attract T and B cells, boosting the production of antibodies.

Immune memory

Vaccines work by teaching the immune system — which includes T and B cells, along with antibodies — to recognize and remember a pathogen, so the body can respond quickly if exposed again.

Building on this idea, the team explored whether they could redirect the immune response triggered by the harmless S. epidermidis to target pathogens, to develop a new type of vaccine.

In a second study2, Fischbach and his team showed that S. epidermidis triggers an antibody response resembling that seen in conventional vaccines.

By modifying S. epidermidis to display foreign proteins — such as part of the tetanus toxin — on its surface, the researchers were able to induce immune responses in the mice's bloodstream and in mucous membranes such as the lining of the nose. These responses protected the animals when they were given a lethal dose of the toxin.

Mucosal vaccines

Fischbach's work is part of a growing interest in developing vaccines that induce antibodies in mucosal areas. This type of protection could help to stop respiratory or other infections before they start and reduce the spread of disease.

Another advantage over conventional vaccines is that engineered S. epidermidis could be added to a cream and simply applied to the skin. Such a vaccine, Fischbach says, would be cheap to produce and easy to distribute. Furthermore, it would not have to be administered by health-care worker, making it especially useful in under-served regions of the world.

The idea of using the immune response from S. epidermidis in the skin to develop therapies "is really out there", says Thomas Kupper, a skin immunologist at Harvard Medical School in Boston, Massachusetts. "It is a super-creative application of these findings."

But Kupper adds that it's still unclear whether the skin's response to S. epidermidis is as strong in people as it is in mice. Fischbach notes that early data suggest healthy people have high levels of antibodies against S. epidermidis. But before this approach can be used in people, it must first be proved safe and effective in non-human primates and in humans, following the usual process for developing medicines, he says. "If this is going to be deployed in the real world, we have to show that it works."


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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

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Allergic Contact Dermatitis Owing to Personal Care Product Use Among Men Dermatitis


Abstract

Personal care product usage is becoming increasingly prevalent among men due to evolving attitudes surrounding appearance, aging, and masculinity. Given the specific characteristics of male skin compared with female skin and varying product use between males and females, the occurrence of allergic contact dermatitis (ACD) due to men's personal care products needs to be better characterized. The purpose of this review was to identify specific product types and ingredients causing ACD in males. PubMed search was conducted from conception to present day using keywords pertaining to male personal care product use. Case reports, case series, and case-control studies reporting a diagnosis of ACD due to a personal care product ingredient were analyzed. Products resulting in ACD included aftershave, cologne, deodorant, hair dye, hair gel, hair loss preparation, hand cleanser, lip balm, moisturizer, shampoo, and sunscreen. Although >90 allergens resulting in ACD were identified, the 5 most common allergens included para-phenylenediamine, minoxidil, musk ambrette, methylisothiazolinone, and cocamidopropyl betaine. Following this review, clinicians should be better able to recognize men's personal care products that commonly result in ACD, as well as specific allergens present across multiple product types. Doing so will lead to improved diagnosis and treatment of ACD due to personal care product usage in men and, in doing so, guide both clinical practice and future investigation in this area.

TAKE-HOME MESSAGE



Dermatitis
Allergic Contact Dermatitis Associated With Men's Personal Care Products: A Review of Allergens
Dermatitis 2024 Nov 06;[EPub Ahead of Print], C Carver, K Lal


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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

Please excuse the shortness of this message, as it has been sent from
a mobile device.

Monday, December 16, 2024

0.8 mm el grosor para sobrevida a 20 años en Melanoma...

Thicker Melanoma Tumor Size Tied to Higher Risk of 20-Year Melanoma-Related Death

Findings for primary tumors of 0.8 to 1.0 mm versus those <0.8 mm

HealthDay

Friday, December 06, 2024

Benzeno en productos, caminar con cuidado


The New York Times (12/5, Sheikh, Mandell) reports "benzene seems to have cropped up everywhere in recent years," including in hand sanitizers, antifungal foot sprays, "deodorants, dry shampoos and sunscreens." Benzene "can end up in personal care products when the chemicals in them aren't purified enough, or when certain active ingredients in products react with each other or break down." There is not "data yet to suggest that low levels of exposure to benzene from personal care products carries significant health risks." A number of "experts have cautioned that many of the most alarming findings about benzene have come from a single testing lab that has been criticized for straying from standard testing methods." The company behind the lab, Valisure, is suggested "to benefit financially from increased regulation and product testing spurred by its findings." According to the Times, "experts emphasized that there's no need to panic about benzene in personal care products, but several suggested making sure you store these items properly to avoid them breaking down."



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Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

Please excuse the shortness of this message, as it has been sent from
a mobile device.

Tuesday, December 03, 2024

Melanoma y children and young adults

Characteristics Differ for Melanomas in Children, Teens, Young Adults

TUESDAY, Nov. 26, 2024 (HealthDay News) -- Tumor characteristics differ significantly among pediatric and adolescent and young adult (AYA) patients with melanoma, with decreasing incidence rates seen among young patients with cutaneous melanoma, according to a study published online Nov. 15 in the Journal of the American Academy of Dermatology.

Bianca E. Ituarte, from the University of Nebraska Medical Center in Omaha, and colleagues examined the incidence trends and melanoma presentations based on age, sex, race, and ethnicity using a large cohort of diagnoses from 1997 to 2020 in a retrospective cohort study completed using the National Childhood Cancer Registry for pediatric and AYA patients.

The researchers found that for pediatric and AYA patients, the incidence rates were 1.74 and 62.05 per 1 million person-years, respectively. Overall, 62.3 percent of the cohort was female. Non-Hispanic White patients accounted for 87.5 percent of all diagnoses, with the incidence rates of melanoma significantly higher compared with all other racial and ethnic groups in pediatric and AYA patients. The most common of the specified histologic subtypes was superficial spreading. In pediatric patients, the most common location was the lower extremity compared with the trunk in AYA. In both pediatric and AYA groups, there were significant differences in the distributions of primary tumor location by sex and by race and ethnicity.

"While a melanoma diagnosis in this age group is rare, our data provide incidence rates by age, gender, race and ethnicity, and clinical presentation patterns that can help the clinician understand individuals who may be at risk," the authors write.

One author disclosed ties to Castle Biosciences.

Abstract/Full Text (subscription or payment may be required)

Sent from my iPhone

Benjamin Hidalgo-Matlock
Skin Care Physicians of Costa Rica

Clinica Victoria en San Pedro: 4000-1054
Momentum Escazu: 2101-9574

Please excuse the shortness of this message, as it has been sent from
a mobile device.