Wm. Holleran et al., STRUCTURAL AND BIOCHEMICAL BASIS FOR THE UVB-INDUCED ALTERATIONS IN EPIDERMAL BARRIER FUNCTION, Photodermatology, photoimmunology & photomedicine, 13(4), 1997, pp. 117-128
Ultraviolet light (UVR) induces a myriad of cutaneous changes, includi
ng delayed disruption of the permeability barrier with higher doses. T
o investigate the basis for the WE-induced barrier alteration, we asse
ssed the epidermal lamellar body secretory system at various time poin
ts before and after barrier disruption with a single high dose of UVB
(7.5 MED) to murine epidermis. Morphological data were correlated with
changes in epidermal proliferation and lipid synthesis, indicative of
lamellar body generation. Twenty-four hours following UVB, the stratu
m corneum (SC) is normal, but a layer of abnormal, vacuolated, and lam
ellar body (LB)-deficient cells is present, immediately beneath the st
ratum granulosum (SG)ISC interface. Immediately subjacent to this band
of damaged cells, normal keratinocytes that contain intact LBs are pr
esent. By 72 h, concomitant with the appearance of a barrier abnormali
ty, extensively damaged cells persist at the SC/SG interface, and abno
rmal lamellar membrane structures appear in the lower SC. Upper stratu
m spinosum (SS) and lower SG cells appear normal, with increased numbe
rs of LBs. A barrier abnormality is still present at 96 h, in associat
ion with membrane abnormarities in the lower SC interstices, but up to
four normal-appearing, subjacent SG cell layers are present. By 120 h
, accelerated LB formation and precocious LB extrusion occur throughou
t the thickened SG; normal lamellar membranes are present in the lower
SC; and barrier recovery is almost complete. Whereas, epidermal synth
esis of the major barrier lipid species (i.e., cholesterol, fatty acid
s, and ceramides, including acylceramides) is reduced or unchanged at
24 and 48 h, it increases significantly 72 h after exposure to UVB. Th
erefore, the delayed disruption of the permeability barrier following
acute UVB exposure results from the arrival of a band of lamellar body
-incompetent (i.e., damaged) cells at the SG/SC interface. The subsequ
ent, rapid recovery of the barrier, in turn, results from compensatory
hyperplasia of subjacent, undamaged SS/SG cells, generating increased
numbers and contents of LB. These results underscore the critical rol
e of the stratum compactum in mediating barrier function, and suggest
that beneficial therapeutic effects of UV exposure may be due to enhan
ced lipid production and barrier regeneration.