Ef. Bernstein et al., CHRONIC SUN EXPOSURE ALTERS BOTH THE CONTENT AND DISTRIBUTION OF DERMAL GLYCOSAMINOGLYCANS, British journal of dermatology, 135(2), 1996, pp. 255-262
Chronic sun exposure leads to structural and functional alterations in
exposed skin, Photoageing is a process distinct from the changes taki
ng place due to chronological ageing, Unique alterations in the dermal
extracellular matrix occur as a result of photoageing and are respons
ible for many of these physiological changes taking place in sun-damag
ed skin, Accompanying the deposition of abnormal elastic tissue, or so
lar elastosis, are significant alterations in dermal glycosaminoglycan
s (GAGs), Accumulation of GAGs as a result of photoageing, as demonstr
ated in both humans and animal models of photoageing, seems almost par
adoxical in view of the large amounts of GAGs present in the skin of n
ewborns, making their skin well hydrated and supple, in sharp contrast
to the weathered appearance of photoaged skin, We investigate the rel
ative GAG content of photoaged skin using immunoperoxidase stains spec
ific for hyaluronic acid and chondroitin sulphate, and determine the l
ocation of these GAGs using confocal laser scanning microscopy. Our re
sults demonstrate significant increases in GAG staining in sun-damaged
vs. sun-protected skin from the same individuals, as measured by comp
uter-based image analysis, Furthermore, confocal laser scanning micros
copy reveals that the increased dermal GAGs in sun-damaged skin are de
posited on the elastotic material of the superficial dermis of photoda
maged skin, and not between collagen and elastic fibres as in normal s
kin. The abnormal location of GAGs on these fibres may explain the app
arent paradoxical weathered appearance of photodamaged skin despite in
creased GAGs.