Objective: The main function of skin is to protect the body from external aggressions. Over time, normal skin ageing is accelerated by external stresses such as smoking, pollution, chemical products and radiation. UV light, in particular UVA, causes DNA damage, apoptosis and morphological modifications, which are responsible for both premature ageing and cancer. The aim of this study was to establish a discriminatory and sufficiently reproducible cutaneous model for evaluating UVA damage, to enable testing for effectiveness of potentially protective compounds. Methods: The cutaneous model is based on Human skin explants irradiated with UVA. Deleterious effects on epidermis were observed and quantified by haematoxylin–eosin staining and by immunofluorescence of ɣ‐H2Ax, cytokeratin 5, involucrin and loricrin protein. Dermis deterioration was evaluated by transmission electronic microscopy and zymography in situ. Results: We were able to observe and quantify deleterious effects associated with UVA irradiation: epidermal and dermal disruption, appearance of Sunburn cells, increased DNA damage and induced apoptosis. The use of this model in the evaluation of protective compounds was first confirmed using sunscreens, then further validated with a panel of active ingredients which showed beneficial effects on epidermis morphology and DNA integrity after UVA exposure. Conclusion: We have developed a model and a standardized protocol, based on the use of human skin explants, which allows us to explore the protective effect of active ingredients to environmental stresses such as UVA.
Résumé: Objectifs: La fonction principale de la peau est de protéger le corps des agressions externes. Au cours du temps, le vieillissement naturel de la peau est accéléré par des stress externes comme la cigarette, la pollution, les produits chimiques et les radiations solaires. Le rayonnement ultraviolet, en particulier les UVA, cause des dommages de l'ADN, l'apoptose et des modifications morphologiques qui sont responsables du vieillissement prématuré et de cancers. Le but de cette étude est d'établir un modèle cutané reproductible et discriminatoire pour évaluer les dommages créé par les UVA et tester l'efficacité de potentiels produits protecteurs. Méthodes: Ce modèle cutané est basé sur un explant de peau humaine irradié aux UVA. Les effets délétères sur l'épiderme sont observés et quantifiés par coloration Hématoxyline‐éosine et par des immunofluorescence des protéines ɣ‐H2Ax, cytokératine 5, involucrine et loricrine. Le détérioration du derme est évaluée par microscopie électronique à transmission et par zymographie in situ. Résultats: Nous avons observé et quantifié des effets délétères associés aux irradiation UVA: détérioration de l'épiderme et du derme, apparition de cellules "coup de soleil", augmentation des dommages de l'ADN et l'induction de l'apoptose. L'utilisation du modèle pour tester des nouveaux composés a été premièrement validée avec l'utilisation d'un filtre solaire puis validée par le test d'un panel d'ingrédients actifs qui ont montré des effets bénéfiques sur la morphologie de l'épiderme et l'intégrité de l'ADN après exposition aux UVA. Conclusion: Nous avons développé un modèle et un protocole standardisé basé sur l'utilisation d'un explant de peau humaine qui permet d'explorer l'effet protecteur ingrédients actifs contre des stress environnementaux comme les UVA.
Keywords: UVA; skin explant; skin barrier; skin physiology/structure; safety testing
(a) Representative images of H&E staining acquired from sections of paraffin‐embedded human skin explants: control (foil protected), post UVA irradiation, or UVA irradiation with sunscreen (X40, scale bars 100μm, *stratum corneum, **epidermis, ***dermis). (b) Percentage of sunburn cells. ***P‐value < 0.001. Observation on 10 skin donors for control and irradiated skin, and 5 donors for irradiated with sunscreen skin.
The main function of skin is to protect the body against external aggressions. Its specific structure, organized in superposed layers, provides an effective outermost biological barrier [
Solar UV rays are divided into UVC (100–290 nm) stopped by the ozone layer, UVB (290–320 nm, 5–10% of total UV) and UVA (320–400 nm, 90–95% of total UV), penetrating the ozone layer. UVB rays are directly absorbed by the epidermis and induce DNA damage in keratinocytes, such as formation of mutagenic DNA pyrimidine dimers and DNA photoproducts [
In this context, it is necessary to develop in vitro skin models, for studying UVA damages in order to evaluate the effectiveness of active ingredients to protect the skin, thus helping to avoid testing on volunteers.
Some cutaneous models make it possible to study UVA effects and to test dermatological products. The simplest one is a two‐dimensional (2D) keratinocytes or fibroblasts cell culture, but which lacks the complexity of three‐dimensional (3D) skin structure and environment [
A more satisfactory model is reconstructed epidermis or reconstructed skin. These models are generated by culturing human skin cells to create a stratified epithelium. For reconstructed skin, the keratinocyte differentiating process and its environment are preserved thanks to the integration of a matrix representing dermis. This model is reproducible and can be used in toxicology screening [
In another current model, human skin explants are obtained following abdominoplasty surgery and maintained alive for several days under specific culture conditions [
The aim of our work was to elaborate, based on human skin explant, an evaluation model and protocol to test the effectiveness of protection afforded by new products against UVA, under conditions that attempt to mimic, via repeated UVA irradiation, the in vivo effects of chronical exposure to the sun. We demonstrate deleterious effects on the model similar to clinical observations [
Human skin explants (Nativeskin®) were obtained from GENOSKIN (Toulouse). Experiments in this study were conducted using explants from a population of 10 skin donors, all women, aged between 27 and 66 years, with a phototype 2 on Fitzpatrick scale and originating from abdominoplasty as indicated by the supplier. After the surgery, the skin is conserved 24 hours at 4°C and transformed into a living explant via punch biopsy for incorporation into a solid support and a nutrient matrix (NativeSkin®). The human skin explant is maintained in culture at 37°C, 5% CO
To determine an optimal UVA dose, we used morphological modification and apparition of DNA damage as indicators and adapted to technical constraints. Thus, the protocol turned out to require treating the skins with the test compounds 48 h before (pre‐treatment) and after irradiation (post‐treatment) and to distribute repeated irradiations during the 7 days of explant life. Consequently, the maximum number of irradiation steps was limited to 3 days. To define the dose, we tested the range from 20 to 80 J cm
Thus, the protocol was established as an UVA irradiation at 60 J cm
The sunscreen (homemade formulation, SPF30) was applied on the surface of the explant (2 mg cm
Test compounds, provided by Syntivia S.A.S, were composed of vitamin B6 (Pyridoxamine) and various acid synthons (Table):
Composition of active ingredients
Principal component Synthon Code Pyridoxamine Caffeic acid SV27 Pyridoxamine Ferulic acid SV31 Pyridoxamine Coumaric acid SV37 Pyridoxamine Lipoic acid SV229 Pyridoxamine 3,4‐Dimethoxycinnamic acid SV313
Test compounds were dissolved in DMSO (Dimethylsulfoxide, Sigma) at a concentration of 0.9 M. These solutions were then diluted to 0.9 mM with a Carbopol gel at 0.5% (ULTREZ 10®, Lubrizol, Ohio, USA). The solutions (10 µL) were applied before (24 h), during (3 days) and after (24 h) exposure and were changed every day (before and after irradiation). Before and after each application of the product, the skin is rinsed. The control skins were treated with Carbopol gel (ULTREZ 10®) at 0.5% and 0.1% DMSO. Compounds were tested on 1 donor.
Human skin biopsies were fixed in 4% neutral‐buffered formalin (Sigma‐aldrich) at room temperature (RT) 24 h after the last irradiation. Skin explants were dehydrated, paraffin‐embedded and cross sections of 5 µm thick were prepared using a Microtome. Haematoxylin and eosin (HE) staining was performed to identify skin components. Transmitted‐light images of the staining were acquired with an optical microscope (Leica, Germany, DMi1) and a Leica MC170HD camera, using Leica Application Suite (LAS®) for image capture. SBC were counted and compared to the total number of nuclei in each image. The percentage of positive SBC was determined from five images for each of the 10 donors for control and irradiated skin (n = 50), and from five donors for sunscreen‐protected irradiated skin (n = 25).
Paraffined skin sections were deparaffinised and hydrated. The antigen retrieval was performed in citrate pH6 at 90°C for 40 minutes. Sections were blocked with PBS (phosphate‐buffered saline) containing 2% bovine serum albumin, 30 minutes and incubated with primary antibodies anti‐ɣ‐H2Ax (Cell signalling, Leiden, Netherlands), or anti‐loricrin (Abcam, Cambridge, UK), or anti‐involucrin (Abcam) and anti‐cytokeratin 5 (Abcam) overnight at 4°C. A secondary antibody, Alexa Fluor 594 anti‐rabbit or anti‐mouse (Invitrogen Life Technologies, Carlsbad, USA), was then added for detection. Nuclei were stained with 4,6‐diamidino‐2‐Phenylindole (DAPI, Sigma‐Aldrich), and slides were observed with a fluorescence microscope (Leica, DM5000B). The percentage of positive cells was determined by image analysis (Image J) from 10 images for each of the 10 donors for controls and irradiated skin (n = 100) and from five donors for sunscreen‐protected irradiated skin (n = 50).
Human skin sections were deparaffinised and rehydrated with PBS. Tissue sections were permeabilized with proteinase K (20 µg ml
We observed by transmission electron microscopy (TEM) a control skin and an irradiated skin, on one donor. Skins were fixed with a 2% glutaraldehyde solution and 0.1 M of phosphate buffer overnight at 4°C. Samples were rinsed with phosphate buffer and post‐fixed with a solution of 250 mM of sucrose and 0.05 M of phosphate buffer for 1 h in the dark at RT. Skins were dehydrated by increasing concentration of ethanol. The tissue was then included in an EMbeb 812 resin® (Electron microscopy sciences, Hatfield, UK). Finally, the sample was cut into a 70 nm thick section and mounted on a Collodion 100 coated copper grid prior to staining with 3% uranyl acetate in 50% ethanol and Reynold's lead citrate. Samples were imaged with a Hitachi HT7700 transmission electron microscope at an 80‐kV acceleration voltage.
The explants of three donors were frozen and cross sections of 5 µm thick were prepared using a cryostat (Leica CM1950). The sections were rehydrated in PBS, and the probe Protease Enzcheck® (Thermofisher, Waltham, Massachusetts, USA) at 200 µg mL
Data represent the mean ± standard deviation. Significant differences between averages were analysed with Student's t‐test at a P‐value of 5% (
We first examined the effect of UVA exposure on the integrity and organization of skin explants under the conditions of the described protocol. Following three days of UVA irradiation at 60 J cm
It is known that UVA causes DNA strand breaks [
Moreover, it is known that the appearance of sunburn cells implies the beginning of the apoptosis process. To confirm the occurrence of this biological mechanism, a TUNEL assay was performed (Fig. a), and the percentage of stained positive nuclei determined (Fig. b). On irradiated skin, many nuclei (19%) in the intermediary epidermis layers were positive with TUNEL staining, revealing apoptotic cells. For protected skin, the percentage was similar to controls (2.2% and 1.4%, respectively).
The accumulation of micro‐injuries induced by UVA at the level of DNA and proteins can modify the proliferative capacity and the differentiation of keratinocytes and thus explain the morphological changes [
We analysed the staining of involucrin, which is involved in the terminal and intermediate differentiation of the epidermis. It is localized in the cytoplasm of the keratinocytes from spinous to granular layers in the control and protected skin. The intensity of the labelling forms a gradient with increased fluorescence in the upper layers. The overall intensity of involucrin staining is decreased and heterogeneously present in some areas in the samples exposed to UVA. With sunscreen treatment, the location of involucrin is comparable to control skin.
To observe the effect of UVA on terminal differentiation, we analysed the location of loricrin in the stratum corneum. The staining is discontinuous in all samples examined.
In conclusion, we could observe that our conditions of UVA irradiation seem to alter the proteins of intermediate layers of the epidermis (involucrin) but not proteins in the upper or deeper layers.
At the molecular level, photoageing is characterized by an accumulation of disorganized elastin called solar elastosis and an alteration of the extracellular matrix with the degradation of collagen I by the activation of MMPs [
In UVA irradiated skin, at ×500 magnification, papillary dermal fibres appear fragmented and small at the level of dermo‐epidermal junction. The density of the fibres is lower than in the control explant. In the reticular dermis, the fibres are dispersed and non‐cohesive. At ×1500 magnification, the transversal section of the fibres (white arrowhead) shows many small filaments that are peeling off the main fibre (feathering). This TEM analysis shows that the ultrastructural aspect and organization of the papillary dermis fibres are modified after the standardized UVA irradiation of our protocol. No quantification of the effects was attempted at this stage.
Many studies have shown that UV induces the activation of MMPs, dermal protease, by the AP‐1 pathway. UVA rays penetrating to the dermis are involved in this process.
We wanted to know if these enzymes are activated in this model. On the other hand, the use of a skin explant limits the techniques for analysing enzymatic activities compared to cell culture. Its 3D conformation reduces the accessibility of the substrate within the tissue that must be alive to maintain enzymatic activity. We therefore used the in situ zymography method on cryosection. The disadvantage of this technique is that it does not specifically target MMPs but global skin proteases (elastases, collagenases, etc.).
The explants were collected 24 h after exposure to UVA and frozen. Cryosections were made and the probe, revealing the enzymatic activity, was disposed on the sections. The probe becomes fluorescent if it is cleaved by proteases. The stronger the enzymatic activity, the more intense the fluorescence detected. The study was carried out on three donors. The explants protected by sunscreen protection were used as a reference (Fig. b).
In the explant control, fluorescence is detected in the epidermis and dermis. In the dermis, fluorescence is localized more particularly at the level of the matrix fibres. In irradiated skin, an increase of the fluorescence is visible in the epidermis and dermis. The explant with sun protection has the same phenotype as the control explant. This experiment shows us that during repeated irradiation with UVA the general activity of the proteases of the dermis is increased.
To validate the use of this model and our standardized protocol, we evaluated the protective effect of molecules of the pyridoxamine family from our chemical library. Previously, these compounds have shown results for genes encoding antioxidant enzymes. These compounds are amides composed of pyridoxamine reacted with different acids. These compounds do not absorb in UVA (data not shown).
We first determined the effective dose of product to be used in the assay by evaluating the effect of increasing concentration of the SV27 molecule, a promising agent validated by other experimental approaches. We found that a concentration of 0.9mM of SV27 protected both the morphology and DNA damages of keratinocytes, thus presenting itself as our benchmark.
We next compared SV27 with a panel of other compounds (SV31, SV37, SV229, SV313) at the concentration of 0.9mM on one donor.
On irradiated skin treated with SV31, epidermis morphology was protected from deleterious UVA effects. With SV27 and SV37, protection was partial since a few pyknotic nuclei still appeared (20.83% and 13.39%, respectively) compared to irradiated skin (42.3%). When skin samples were treated with SV229 or SV313, perforations appear and lots of pyknotic nuclei (47.6% and 58.8%, respectively) in the epidermis compared to control (1.4%) (Fig. a).
To study protection from DNA damage, we observed and analysed the percentage of ɣ‐H2Ax positive cells (Fig. b). The number of positive nuclei between controls (2.7%) and SV31 treated irradiated skin (4.4%) was comparable, but significantly different compared to irradiated skin (20.7%). A slight increase of positive cells was observed with SV27 (8.6%) or SV37 (6.5%) treatments. But for SV229 and SV313, there was no significant protective effect.
Protecting skin from solar irradiation has long been a challenge, given its responsibility in skin cancer and extrinsic ageing which accelerates chronological ageing. UVA irradiation, rather than UVB, because of its greater penetration depth into the skin, and more importantly because they are the dominant proportion of sunlight, make them a dangerous factor whose deleterious effects have long been underestimated until recently. But today the deleterious effects of UVA are known and demonstrated [
Since 2013, the European Union has banned animal testing [
In our research to provide a solution for photodamage, particularly of UVA origin, human skin explants, rather than volunteers or even the best skin equivalents, offer study conditions as close as possible to in vivo situations, preserving skin structure and metabolism. The explant provides access to information from the stratum corneum to the hypodermis. On the other hand, the 3D complexity and tissue density of the model limits biological analysis techniques and the duration of observation and possible treatment is limited to 7 days. This limited lifetime makes it only possible to monitor the evolution of the model after damage and to study natural repair mechanisms in the short term.
The other characteristics of human skin explant are the variability of donor tissue, that may impact the reproducibility of results. Moreover, because this model mimics real‐life situations, it is influenced by extrinsic stress, age and diseases of the donors and hence by unknown parameters. Despite these limitations, skin explants seem to be a good representative model of physiological human skin and final consumers of cosmetic products [
In this study, we propose a standardized model protocol which consists of controlled UVA treatment conditions for human skin explants specifically chosen to originate from abdominoplasty and with a phototype 2. We chose specific parameters for analysis (DNA damage, epidermal and dermal morphology, SBC counts), which we can be quantified or imaged and compared with benchmarks.
As explants come from abdominoplasty, they are thus less exposed to extrinsic ageing (UV, pollution, etc.) linked to the donor lifestyle. We postulated that the effects observed with our model protocol are therefore caused only by our standardized in vitro irradiation treatment.
The first effect visualized is DNA damages, DNA condensation, appearing as SBC and pyknotic nuclei, corresponding to the first step in the apoptotic process [
We studied also the impact of irradiation on the organization of the epidermis, by detecting proteins representative of epidermal differentiation, and the dermis. The alteration of proteins in the epidermis after UVA irradiation is poorly described in the literature. Whereas UVB irradiation studies appear to be contradictory with respect to involucrin and keratin modification [[
Dermal degradation, by activation of the AP‐1 pathway which activates specific collagenase, MMP1, and inhibits collagen synthesis, is one of the characteristics of UVA's impact [
Strategies to fight photoageing are based on prevention, sun avoidance, protective clothing and sunscreens. Consequently, it is interesting to develop models to define the protective effects of sunscreens or other skincare products against UVA radiation. Our model of UVA photodamage was tested and validated by applying a protective‐sunscreen treatment during irradiation. Our results proved its effectiveness, along with the pertinence of the model in evaluating UVA protection.
The second way to fight photoageing is the use of specific preventive anti‐ageing products. After UVA irradiation, biological defects observed in human skin explants show some characteristics of this extrinsic ageing phenomenon [[
We evaluated five compounds in the pyridoxamine family which do not absorb in the UVA wavelength. It is known that pyridoxamine (vitamin B6) plays a crucial role as an essential cofactor in several metabolic transformations of amino acids. It is described as a scavenger candidate against glycation of proteins involved in skin ageing [[
The results of our studies demonstrate good sensitivity and discriminatory power of our model protocol, able to test the effects of different molecular structures in an exclusively ex vivo test. The observed differences in UVA protective power between these five substances are probably due to compounds penetration, varying ROS scavenging/antioxidant and chelating properties which will require more specific tests to substantiate in 3D skin. For further, it will be interesting to test the reproducibility of the results on several donors. Moreover, the study is incomplete because we have studied only 3 parameters (morphology, SBC and DNA damage) to compounds discrimination. Today, a study of the dermis morphology is necessary to visualize the effect in depth of the active ingredients. It would also be convincing to continue the study by observing parameters: epidermis and dermis protein expression, cells oxidation and skin inflammation.
Skin explants represent an increasingly valuable model, thanks to their 3D conformation, by making it possible to study genetic and molecular consequences resulting from the influence of exogenously added factors such as external damage and topical treatments [
For the study of dermatological processes and their treatments, implementing 3D skin models into routine applications for drug development, developing effective standardized methods for their analyses and obtaining reliable readouts are crucial.
This statement is borne out by the relatively small inter‐individual variations observed in the data from the ten donor samples on morphology, DNA and protein damage, which were found within a narrow range under the conditions of treatment with the described protocol. While the study protocol described in the present paper does not claim or aspire to replace official sun protection standards, it is proposed as a tool to screen and discriminate novel candidates for UVA protection, allowing comparison between different classes of substances, studying mechanisms and developing further refinements.
The authors would like to thank Bernard Ducommun for this interest to this work. The authors thank Karl Lintner, Marine Norlund, Hilary Brooks and Gail Taillefer for their critical reading and Celine Damez for her help in producing compounds. We thank the centre of electron microscopy applied to biology of Toulouse Rangueil and ITAV imaging of the TRI‐Genotoul facilities. Sophie Abadie was supported by an ANRT CIFRE fellowship. The present study was financially supported by the CNRS and the University of Toulouse and by grants from the Occitanie region.
The authors declare that they have no conflict of interest.
By S. Abadie; P. Bedos and J. Rouquette
Reported by Author; Author; Author