RESUMEN
OBJECTIVE: Excessive and unpleasant odours that emanate from the skin can induce bromhidrosis and substantially impair a person's quality of life. Enzymatic pathways generating unpleasant odours are well detailed, and among them, the C-S lyase is one of the enzymes involved in the conversion of non-volatile precursors into thiol-type malodorous volatile molecules such as 3M3SH. This study aimed to investigate the variation of axillary odour intensity correlated with Staphylococcus (S.) hominis C-S lyase activity within a group of volunteers after a physical activity. METHODS: First, a group of 24 volunteers from the same ethnicity with standardized hygienic and alimentary practices participated in a supervised indoor cycling activity. Following this session, worn T-shirts were recovered to enable the olfactory evaluation of axillary odours by qualified experts. To go further, the microbiota from the axillary zone of each volunteer was sampled and the bacterial relative abundance was investigated by using 16S rRNA metasequencing. Then, S. hominis isolates were obtained by culturomics from these microbiota samples and the C-S lyase activity was measured by spectrofluorometry in protein crude extracts. RESULTS: The evaluation of the odour intensity revealed that within the panel, two groups were significantly distinct. A non-odorous group and a malodorous one with volunteers having unpleasant odours. The 16S rRNA metasequencing reveals differences in bacterial communities between the two groups with a significant increase in the relative abundance of S. hominis in the malodorous group compared with the non-odorous one. The C-S lyase activities measured on S. hominis sampled on volunteers from the two groups demonstrate that for an equivalent quantity of protein, this enzymatic activity is significantly higher for the samples originating from the malodorous group. CONCLUSION: Hence, this study demonstrates that beyond the increase of S. hominis relative abundance, the C-S lyase enzymatic activity of this bacteria is also higher in volunteers with unpleasant axillary odours.
OBJECTIF: Les odeurs excessives et désagréables qui émanent de la peau peuvent induire une bromhidrose et altérer considérablement la qualité de vie d'une personne. Les voies enzymatiques générant des odeurs désagréables sont bien détaillées, et parmi elles, la CS lyase est l'une des enzymes impliquées dans la conversion de précurseurs non volatils en molécules volatiles malodorantes de type thiols, telles que le 3M3SH. Cette étude avait pour objectif d'investiguer la variation de l'intensité de l'odeur axillaire corrélée à l'activité de la CS lyase de Staphylococcus (S.) hominis d'un groupe de volontaires après la pratique d'une activité sportive. MÉTHODES: Un groupe de 24 volontaires de la même ethnie ayant des pratiques hygiéniques et alimentaires standardisées ont participé à une séance calibrée de vélo d'intérieur. Après cette activité, les tshirts portés ont été récupérés pour permettre l'évaluation olfactive des odeurs axillaires par des experts qualifiés. Pour aller plus loin, le microbiote de la zone axillaire de chaque volontaire a été prélevé et l'abondance relative des bactéries a été étudiée par métaséquençage de l'ARNr 16S. Ensuite, des isolats de S. hominis ont été obtenus par culturomique à partir de ces échantillons de microbiote et l'activité de la CS lyase a été mesurée par spectrofluorométrie dans des extraits protéiques totaux. RÉSULTATS: L'évaluation de l'intensité des odeurs a révélé qu'au sein du panel, deux groupes se distinguaient de manière significative. Un groupe nonodorant et un groupe malodorant avec des volontaires ayant des odeurs axillaires désagréables. Le métaséquençage de l'ARNr 16S révèle des différences dans les communautés bactériennes entre les deux groupes avec une augmentation significative de l'abondance relative de S. hominis dans le groupe malodorant par rapport au groupe nonodorant. L'activité enzymatique de la CS lyase mesurée à partir d'isolats de S. hominis prélevés sur des volontaires des deux groupes démontrent que, pour une quantité équivalente de protéines, cette activité enzymatique est significativement plus élevée pour les échantillons provenant du groupe malodorant. CONCLUSION: Cette étude démontre qu'audelà de l'augmentation de l'abondance relative de S. hominis, l'activité de la CS lyase de cette bactérie est également plus élevée chez les volontaires présentant des odeurs axillaires désagréables.
RESUMEN
Atopic dermatitis is a chronic relapsing inflammatory skin disease affecting 15-20% children and 2-10% adults worldwide. Topical treatments include corticosteroids and calcineurin inhibitors, despite frequently observed adverse events such as skin atrophy, itching and burning sensations. Good alternatives that can prolong disease relief in between flare-ups are therefore needed. We conducted a randomized, single-blind, placebo-controlled, multicenter clinical trial in a Caucasian cohort of 90 children and 144 adults with mild-to-moderate atopic dermatitis that applied tested products twice daily for 60 days. A natural active from Ophiopogon japonicus, that improves atopic dermatitis symptoms in vivo, was successful in reducing the SCORing of Atopic Dermatitis (SCORAD), including erythema, pruritus and body surface area in both cohorts. The active also improved patient's quality of life and significantly reduced the number of patients relapsing compared to placebo. We conclude that this treatment could be an effective solution to help control the disease in between flare-ups.
Asunto(s)
Dermatitis Atópica/tratamiento farmacológico , Fármacos Dermatológicos/uso terapéutico , Fructanos/uso terapéutico , Ophiopogon , Extractos Vegetales/uso terapéutico , Adolescente , Adulto , Anciano , Preescolar , Dermatitis Atópica/diagnóstico , Dermatitis Atópica/etnología , Fármacos Dermatológicos/efectos adversos , Fármacos Dermatológicos/aislamiento & purificación , Femenino , Francia , Fructanos/efectos adversos , Fructanos/aislamiento & purificación , Humanos , Lactante , Masculino , Persona de Mediana Edad , Ophiopogon/química , Extractos Vegetales/efectos adversos , Extractos Vegetales/aislamiento & purificación , Polonia , Calidad de Vida , Recurrencia , Inducción de Remisión , Índice de Severidad de la Enfermedad , Método Simple Ciego , Factores de Tiempo , Resultado del Tratamiento , Población Blanca , Adulto JovenRESUMEN
Atopic dermatitis (AD) is the most common skin inflammatory disease, affecting up to 3% of adults and 20% of children. Skin barrier impairment is thought to be the primary factor in this disease. Currently, there is no method proposed to monitor non-invasively the different molecular disorders involved in the upper layer of AD skin. Raman microspectroscopy has proved to be a powerful tool to characterize some AD molecular descriptors such as lipid content, global hydration level, filaggrin and its derivatives. Our investigations aimed to extend the use of in vivo Raman microspectroscopy as a rapid and non-invasive diagnostic technique for lipid conformation and organization, protein secondary structure and bound water content analysis in atopic skin. Our approach was based on the analysis of Raman data collected on the stratum corneum (SC) of 11 healthy and 10 mild-to-moderate atopic patients. Atopic skin revealed a modification of lipid organization and conformation in addition to the decrease of the lipid-to-protein ratio. This study also highlighted a reduction of the bound water and an increase in protein organized secondary structure in atopic skin. All these descriptors worsen the barrier function, state and appearance of the skin in AD. This precise and relevant information will allow an in vivo follow-up of the pathology and a better evaluation of the pharmacological activity of therapeutic molecules for the treatment of AD.
Asunto(s)
Dermatitis Atópica/metabolismo , Epidermis/química , Lípidos/análisis , Proteínas/análisis , Agua/análisis , Adolescente , Adulto , Dermatitis Atópica/fisiopatología , Femenino , Proteínas Filagrina , Humanos , Microscopía Intravital , Lípidos/química , Persona de Mediana Edad , Conformación Molecular , Estructura Molecular , Microscopía Óptica no Lineal , Proteínas/química , Fenómenos Fisiológicos de la Piel , Espectrometría Raman , Adulto JovenRESUMEN
Dermatologists need to combine different clinically relevant characteristics for a better understanding of skin health. These characteristics are usually measured by different techniques, and some of them are highly time consuming. Therefore, a predicting model based on Raman spectroscopy and partial least square (PLS) regression was developed as a rapid multiparametric method. The Raman spectra collected from the five uppermost micrometers of 11 healthy volunteers were fitted to different skin characteristics measured by independent appropriate methods (transepidermal water loss, hydration, pH, relative amount of ceramides, fatty acids, and cholesterol). For each parameter, the obtained PLS model presented correlation coefficients higher than R2=0.9. This model enables us to obtain all the aforementioned parameters directly from the unique Raman signature. In addition to that, in-depth Raman analyses down to 20 µm showed different balances between partially bound water and unbound water with depth. In parallel, the increase of depth was followed by an unfolding process of the proteins. The combinations of all these information led to a multiparametric investigation, which better characterizes the skin status. Raman signal can thus be used as a quick response code (QR code). This could help dermatologic diagnosis of physiological variations and presents a possible extension to pathological characterization.