The lipids in the uppermost layer of the skin, the stratum corneum (SC), play an important role in the skin barrier function. The three main SC lipid classes are ceramides (CER), cholesterol and... Show moreThe lipids in the uppermost layer of the skin, the stratum corneum (SC), play an important role in the skin barrier function. The three main SC lipid classes are ceramides (CER), cholesterol and free fatty acids. In inflammatory skin diseases, such as atopic dermatitis and psoriasis, the SC lipid composition is altered compared to the healthy SC composition. The studies presented in this thesis focused on the effect of the CER subclass composition on the lipid organization, molecular arrangement and barrier function of the skin. First, the CER compositional changes were examined in the SC of seborrheic dermatitis patients, an inflammatory skin disease. A particular emphasis was paid to the ratio of two important CER subclasses, sphingosine CER (CER NS) and phytosphingosine CER (CER NP), and its correlation to the skin barrier. In the subsequent chapters lipid model systems with a simple CER subclass composition were used to study the influence of the CER NS: CER NP molar ratio on the barrier function and lipid organization. Show less
The lysosomal β-glucosidase named glucocerebrosidase (GCase) is a retaining β-glucosidase that hydrolyzes the glycosphingolipid glucosylceramide (GlcCer) to ceramide and glucose at acid pH.... Show moreThe lysosomal β-glucosidase named glucocerebrosidase (GCase) is a retaining β-glucosidase that hydrolyzes the glycosphingolipid glucosylceramide (GlcCer) to ceramide and glucose at acid pH. Inherited deficiency of GCase causes Gaucher disease (GD), a relatively common lysosomal storage disorder. GCase fulfills another crucial function beyond lysosomes. The enzyme generates ceramides from GlcCer molecules in the outer part of the skin, the stratum corneum. This is essential for skin barrier properties compatible with terrestrial life. GCase is catalytically versatile and can hydrolyze as well as catalyze transglycosylation.In this thesis a novel sensitive in situ method for the detection of active GCase in skin sections is described. Followed by a study of skin sections of patiens with atopic dermatitis revealing that the localization and activity of GCase and acid sphingomyelinase (ASM) was abnormal in skin of AD patients, particularly at lesional skin sites.It is demonstrated that GCase not only cleaves 4-methylumbelliferyl-β-D-glucose, but also 4-methylumbelliferyl-β-D-xylose. It is reported for the first time that GCase is able to transxylosylate cholesterol to render xylosyl-β-cholesterol (XylChol). The formed XylChol can act as a subsequent acceptor for further transxylosylation, rendering di-xylosyl-cholesterol. And finally the discovery of of GlcChol as novel component of human epidermis is reported. Show less
Danso, M.; Boiten, W.; Drongelen, V. van; Meijling, K.G.; Gooris, G.; Ghalbzouri, A. el; ... ; Bouwstra, J. 2017
Vernix caseosa (VC) is the cheesy, white cream that covers the skin of the human fetus and the newborn. VC is a protective cream, which consists of water containing dead cells that are embedded in... Show moreVernix caseosa (VC) is the cheesy, white cream that covers the skin of the human fetus and the newborn. VC is a protective cream, which consists of water containing dead cells that are embedded in lipids. This natural cream is suggested to feature multiple biological functions such as facilitating the skin formation during pregnancy and hydrating the skin of the newborn. The aim of this thesis was the rational design of synthetic creams which mimic VC__s structure and its unique properties. Synthetic creams were made of highly hydrated synthetic particles embedded in wool wax and skin lipids. These creams were shown to mimic excellently the structure and composition of natural VC, while the water content and release properties could be controlled. The developed creams showed their great potential for disrupted and underdeveloped skin concerning several aspects: the skin barrier recovery rate was drastically reduced, crust formation was prevented and thickening of the epidermis was less frequently observed. These promising results give rise to future clinical studies in order to prove the benefits of the newly developed creams to treat healthy, dry and diseased human skin. Show less
