A. Rawlings et al., THE EFFECT OF GLYCEROL AND HUMIDITY ON DESMOSOME DEGRADATION IN STRATUM-CORNEUM, Archives of dermatological research, 287(5), 1995, pp. 457-464
Moisturizers are known to have occlusive, emollient and humectant prop
erties, all of which help to alleviate the symptoms of skin xerosis. A
lthough the biological mode of action of moisturizers is poorly unders
tood, the recent observation that skin xerosis is associated with inco
mplete desmosome digestion suggests that moisturizers improve the desq
uamation process in such conditions, To examine the possibility that c
ertain moisturizers act by facilitating desmosomal digestion, we inves
tigated the ability of glycerol, a common humectant, to influence this
process in stratum corneum in vitro. Examining desmosome morphology i
n isolated stratum corneum by electron microscopy, it was observed tha
t the desmosomes were in more advanced stages of degradation in glycer
ol-treated tissue compared with control tissue. This enhanced desmosom
al degradation in glycerol-treated tissue was confirmed by significant
decreases in the levels of immunoreactive desmoglein 1, a marker of d
esmosome integrity, Desmosomal degradation was also shown to be a humi
dity-dependent event, being significantly reduced at low relative humi
dity. The effect of glycerol on desmosome digestion was emphasized fur
ther in two in vitro model systems. Firstly, glycerol increased the ra
te of corneocyte loss from the superficial surface of human skin biops
ies in a simple desquamation assay. Secondly, measurement of the mecha
nical strength of sheets of stratum corneum, using an extensiometer, i
ndicated a dramatic reduction in the intercorneocyte forces following
glycerol treatment. These studies demonstrated the ability of glycerol
to facilitate desmosome digestion in vitro. Extrapolating from these
results, we believe that one of the major actions of moisturizers in v
ivo is to aid the digestion of desmosomes which are abnormally retaine
d in the superficial layers of xerotic stratum corneum.