j. Soc.Cosmet. Chem.,39, 107-119 (March/April1988) A new in vitro methodfor transepidermalwater loss:A possiblemethodfor moisturizer evaluation L. M. LIEB, R. A. NASH, J. R. MATIAS, and N. ORENTREICH, St.John'sUniversity, Jamaica,NY 11439 (L.M.L., R.A.N.) and Orentreich Foundation for theAdvancement of Science, Inc., 910 Fifth Ave., New York,NY 10021 (J.R.M., N.O.) Received October19, 1987 Synopsis Transepidermal waterloss(TEWL) throughthe ventralskinof the hamsterearwasdeterminedusinga modifiedflow-throughdiffusionapparatus.Tritium-labeledwater wasallowedto permeatethroughthe dermal/epidermal layers.Water vaporwascollected in a closedsystemby adsorption ontosolidanhydrous calciumchloridein a separately attachedreceiver.The desiccant wasremoved,dissolved in water,and the radioactivity determinedby liquid scintillationcounting.The rateof TEWL wasdetermined for various durations ofexposure to thedesiccated environment, in thetemperature rangebetween 5 and40øC.TEWL rate reacheda maximumonehour after exposure,and then decreased to a steadystatewith time. TEWL increasedexponentiallywith increasingtemperaturein accordance with the Arrheniusrelationship.An activation energy valueof 13Kcal/mole wasobtained. At incubator temperature of22øC,therateofTEWL wasfoundto be 152 _+ 14 p,g/cm2/hr, whichagreeswith previously reportedvaluesobtainedby in vivo methodsof testing.The presenttechniqueis proposed asa rapidin vitromethodfor measuring TEWL and asa possible pretestfor assessing efficacy of potentialskin-moisturizing agents.Fouragentswerestudied for their effecton waterpermeability.The agentstestedweremineraloil, castoroil, sesame oil, and 25% glycerinin water.Skinmembranes treatedwith occlusive agentssuchasmineraloil, castoroil, andsesame oil showeda marked decreasein the TEWL rate, while thosemembranestreatedwith the humectant, 25% glycerinin water,showed a markedincrease in theTEWL rate.Similarresultsusingthesesameagentshave beenreportedpreviously. INTRODUCTION Blank showedthat properhydrationof the stratumcorneumis a primaryfactorin maintainingskinsoftness andflexibility(1,2). Otherconstituents of skin, suchasproteinsand lipids, play a minorrole by influencingthe water-binding capacityof the stratumcorneum.Appearance and barrierfunctionof the skin is affected,if it is not optimallyhydrated(3). Thiseffectis exhibitedin low relativehumidityenvironments, wherethe skin becomes dry, flaky, and/orchapped.When skinhydrationincreases at higherrelativehumidity, the watercontentand the permeabilityof skin increases (1,2,4-10). It is considered supple,flexible,pliable,and lesslikely to chap,fissure, and crack (1,2, 11- 14). Somecosmeticchemistsregardmoisturizationas any meansto increasewater content and maintainthis level overa periodof time (15). "A moisturizer,"as definedby Kligman(16) "is a topicallyappliedsubstance or productthatovercomes thesignsand 107 108 JOURNAL OF THE SOCIETY OF COSMETIC CHEMISTS symptomsof dry skin." In simple terms, the alleviationof the dry skin state after "moisturizers" are appliedexternallymay be partly due to the increased hydrationor water contentof the skin (1). One of the methodsusedto assess the hydratedstateof the skin is to measurethe percentdecrease of transepidermal waterloss(TEWL) on skin treatedwith a moisturizerversusuntreatedskin. TEWL is a passivediffusionalprocess wherewatervapordiffusesfrom highly hydrateddermal layersvia the stratumcorneum to the exteriorsurfacewhere it evaporates freely. Levequeet al. (17) recentlymadein vivoTEWL measurements (Servomed © evaporimetertechnique of Nilson)of dry skinpatientsandcompared thismethodto the regressionmethodof Kligman (16). A statisticallysignificanttrendwasobserved with TEWL and dry skin, althoughthe two did not correlateclosely.It is notedthat an increasein TEWL (from normallevels)during a dry skin statesuggests a disturbancein the horny layerstructure.However,during this statethere'salsoa tendencyof dry skin to form a thickerhornylayer, counteractingthis effect(17). This methodof measuringmoisturizing efficacyvia TEWL ratedecrease hasits limitationsandis a subjectof controversy. Other methodsthat havebeenusedto hydratethe skin include(18): 1. applyingexternalwaterdirectly to the stratumcorneum,and 2. increasingthe rate of diffusionof water from the lower epidermallayersthroughthe stratumcorneum. Accordingto Wu (19), transepidermal water lossis describedby the term calledflux and is expressed by Fick'ssecondlaw: J = D(C) dC/dX whereJ equalsflux, in Ftg/cm2/hr,C equalswaterconcentration in the stratumcorneum, •tg/cm3, X equalsthe thickness of skinmembrane,cm, andD(C) equalsdiffusivityof waterin the stratumcorneum,cm2/hr.D(C) is a constantdeveloped by Wu (19) to describethe diffusivityof waterand its relationto the barrierpropertiesof the membrane FACTORS utilized. AFFECTING TEWL The environmentaltemperature,relativehumidity, and skin sourcemust be controlled during experimentation in orderto determineTEWL. This requirementis evidentby the large variation in TEWL values,reportedpreviously:100-1500 Ftg/cm2/hr (1,4,6,9,20-26). In vivostudiesby Grice et al. (20,21) and in vitro experimentsby Matias (22) have shownthat TEWL will increaseexponentiallywith increasingtemperature.Reportsof the effect of environmentalrelative humidity on TEWL, however, are in conflict (23-26). Using differentexperimental methods,Goodmanand Wolf (23), Spruitand Malten (24), and Bettleyand Grice(25) showedthat the waterlossthroughskin decreases asrelativehumidity increases. Morerecentcontrolledin vivostudiesby Grice(26) revealeda maximumTEWL ratebetween50% and 75% relativehumidity(RH). In vitro measurements with fetal hog peridermby Wu (19) have confirmedGrice's findings(26). The integrity and sourceof skin usedin in vitrostudiesare alsocritical factors.It has been reportedthat diseased and damagedskin have increased TEWL (27-28). Dupuis (29) reported a TEWL value from foreheadskin almost twice that from skin at other anatomic sites. METHOD FOR TRANSEPIDERMAL WATER LOSS 109 Application of topical vehiclescan either increaseor decreasethe hydration of the stratum corneumdependingon how the vehiclealters water activity in the barrier. Oily, occlusivematerials,suchaspetrolatum,mineral oil, lanolin, and isopropylmyristate,significantlydecrease the rate of waterlossfrom the skin. Theseagentscanbe considered moisturizingagentssincethey are able to increase skin hydration.Humectants,agentsthat act to bind waterto skin, suchasglycerinandpropyleneglycol,can increaseskin moistureby interactingwith the atmosphericmoisturein conditionsof moderateto high humidity. When the relativehumidity of air decreases, humectants on the skin, however,will extractmoisturefrom the deeperlayers.Riegerand Deem haveshownthat humectants increase the in vitroTEWL at conditionsof low humidity (30). Humectantsalone,therefore,only functionasa moisturizerin properatmospheric conditions.It is conceivable that the moisturizingemulsionscanstill decrease TEWL, at various humidities, even with a humectantpresentin the formula. Decreasing TEWL presumably increases the poolof wateravailableto hydratethe skin. It is possibleto determinethe influenceof TEWL on moisturizereffectiveness by comparinga TEWL value on untreated skin to that value obtained from moisturizer- or occlusive agent-treatedskin (30). In vitromethodsfor TEWL measurement canbe utilized to pre-evaluatethe potential efficacyof moisturizers in humanskin. Presentin vitromethods(1,2,4,7,8, 19,30- 33) are time-consumingto usefor this purpose.Another limitation is that water lossfrom the skin canconflictwith waterlossfrom the moisturizer.The objectiveof the present researchwasto developa simpleand accuratemethodthat permitsrapid evaluationof TEWL of potential moisturizersby a quantitative measurementof moisture loss throughan animalskin membrane.This methodusesa tritiated-watertracertechnique whichcaneliminateerroneous TEWL valuesthat may resultfrom the waterevaporation from a moisturizer. EXPERIMENTAL APPARATUS PROCEDURE DESIGN A modificationof a flow-throughdiffusioncell originallydesignedby Bronaugh(34) wasutilized. The membranewasfull-thickness,cartilage-stripped skin taken from the ventral ear of the male Syriangoldenhamster(Harlan-SpragueDawley, Indianapolis, IN) asdescribed by Matias(35). Tritiated water(HTO) permeatedthroughthe membraneinto the receptorcompartmentof the diffusioncell. Flux (TEWL) wasdetermined,via scintillationcounting,by the measurement of HTO that adsorbed on anhydrouscalciumchloridein the receptorcell. A TEWL rate-vs-timestudywasconducted to determinethe time to steadystateor equilibriumconditions at 32øC.The prepared cellswere then exposedto temperatureincrementswithin the rangebetween5 and 37øC,andthenTEWL measured at steadystate.A plot of the logarithmof TEWL vs the reciprocalof absolutetemperaturewas usedto determinethe energyof activation (by slopeanalysis) in accordance with the Arrheniusrelationship. An evaluationof TEWL was conductedfor skin treated with three occlusiveagents: mineraloil, castoroil, andsesameoil, andskin treatedwith a humectant(25% glycerin 110 JOURNAL OF THE SOCIETY OF COSMETIC CHEMISTS in water)by addingthe 10 IxL of the agentontothe exposed skin area(0.32 cm2) and conductinga TEWL rate-vs-timestudy. A skin-conditioningstudy was also done. Hamster ear skin wastreatedin vivowith daily applications(10 Ixl/ear)of mineral oil for two weeks.Animalswerethensacrificed andTEWL determined for the previously treated and untreated contralateral ear skins. APPARATUS PREPARATION Syriangoldenhamsterswere sacrificedby meansof an intraperitonealinjectionof sodium pentobarbital(65 mg per animal). The earswereremovedby incisionat the base with the aid of surgicalscissors. The dorsalear skin wasgently pulled awayfrom the supportingcartilage,starting at the baseand extendingdistally. The cartilagewas gently scrapedoff with a scalpelfrom the ventral side. A 10-mm diameterdermal punchwas taken from the centerof the strippedskin sample.A photographof the teflon cell usedfor in vitroTEWL studiesis shownin Figure 1. The cell wasequilibratedto constanttemperature at 32øCusingheatedwaterpumpedthroughan aluminum holdingblockfrom a 35øCwaterbath or from a temperature-controlled incubator. The 10-mm punchbiopsyof the skin wasplacedventralor hairysideup on the lip or edgeof the donorcompartment andthe top holderwasscrewed tightly into place. The insidesectionof the top wasfreeto rotatesothat the top couldbe securedwithout twistingthe skin. The exposed areaof the skinwasapproximately 0.32 cm2. With the membranetightly fitted in place,onesideof the side-armopeningwasclosed with a petrolatumplug. The donorcompartmentof the experimentalcell (sectionunderneathskin) was filled from the oppositesidewith approximately150 IxL of 100 IxCi/ml solution(2.2 X 108dpm/ml)containingtritiatedwater(HTO). This sidewas also closedwith a petrolatum plug. A yellow Eppendorfpipet tip with a 5.0-mm sectioncut off from the bottom and, subsequently, attachedinto a 10-mm length sectionof ¬" O.D., Vs"I.D., V•6"wall Tygontubingservedasthe receptor compartment. The Tygon tubing end wasattachedto the screwedtop portionof the diffusion cell (seeFigure 1). The receptorcompartment wasfilled with approximately 0.24 g of granular,anhydrouscalciumchloride,and the top coveredwith Parafilm.The cell was returnedto the heatedaluminumholdingblockor the incubator,and the desiccant was removedor exchangedaccordingto the time specified.The desiccantwasplacedin a 20-mL scintillationvial and dissolvedin 2 ml of purified water. A 500-uL aliquot samplewas then placed into a new vial, dissolvedin 10 mL scintillation cocktail (Aquasol-2,New EnglandNuclear, BostonMA), and countedfor tritium contentfor oneminutein a ModelSL400Intertechnique scintillationcounter. A knownvolumeof HTO wasdissolvedin water and the countsper minute (cpm) determinedby scintillationcounting.This wasdesignated asthe reference standard.A background countwasdeterminedfor a volumeof waterandsubsequently subtracted from the count for the reference standard. Both the reference and the blank standard had the sameconcentration of dissolved calciumchlorideas the sample.This wasto eliminateerroneous valuesdue to quenching.The cpm wasdeterminedfor the known volumeof HTO anddividedby densityto determinethe cpm/weight.An HTO count value was determinedfor sampleand divided by the referencevalue, the time, and membraneareato determinethe TEWL in Ixg/cm2/hr.Six replicates wereprepared. METHOD FOR TRANSEPIDERMAL WATER LOSS 111 A. Receptorcompartment B. Donor compartment C. Parafilm seal D. Receptor compartment; filledwith calcium chloride. E. "Screw-in" attachment; functions to secureskin and hold receptorcell. F. Skin membrane;placeduponsmallwell of water which functionsas donorcompartment. Figure I. In vitroTEWL apparatus,representing a modificationof Bronaugh's flow-throughdiffusioncell. 112 JOURNAL OF THE SOCIETY OF COSMETIC CHEMISTS RESULTS AND DISCUSSION METHODOLOGY Calciumchloridewaschosenasit is the mostconvenientdesiccantavailablefor study. Five individualmeasurements weremadeof the amountof anhydrous calciumchloride placedin the receptorcompartment of the cell. The averageweightrecordedwas0.24 + 0.016 g. Cartilage-stripped hamsterearmembraneis a newsourcefor obtaininga freshsampleof full-thicknessskin membrane.Percutaneous absorptiontheorystatesthat the flux is inverselyproportionalto skin thickness(10). In actuality,we are referringto the thicknessof the stratum corneum,asthis is the rate-determiningskin layer. Measuredskin thickness was 0. 181 --- 0.003 mm. Since little or no variation in skin thickness was observed,it wasassumedto be a constantwhen measuringTEWL. TIME STUDY Two blank and six experimentalcellswere preparedand placedinto the heatedaluminum holding block at varioustemperatures.The receptorcompartmentcontaining the desiccantwas exchangedfor a fresh sample at the following time intervals: 0,0.5,1,2,3,4,5,6,7,8, and 20 hours.The TEWL flux wasdeterminedby calculating the cumulativecountsat the particulartime interval. A plot of the rate of TEWL-vs-time is shownin Figure 2. It wasobservedthat at 0.5 hourandonehour,the rateincreased rapidlyfrom340 Ixg/cm2/hr to 460 Ixg/cm2/hr, and then the TEWL decreased after two hours. Equilibrium was reachedbetweenthe third and sixth hour. The apparatusoperatedin the presence of a dry atmosphere (less than 25 percentrelativehumidity), determinedby a cobaltchloridepapertechnique 500 400 500 0 1 2 3 4 5 6 7 8 Time (hours) Figure 2. TEWL rate vs time. Bars refer to standarderror of measurement. 20 METHOD FOR TRANSEPIDERMAL WATER LOSS 113 adaptedfrom Solomon(36). Sincethe apparatusoperatesin the presence of a dry atmosphere,this transittime periodresultsin an initial evaporation of waterfrom the membrane.Initially, the membraneis fully hydrated,swollen,and is morepermeable.This providesan "increased push"effectto passwaterthroughthe membranetowardsthe anhydrous desiccant.This transittime periodis designated the "burst"effect.At steady state, the amount of water adsorbedonto the desiccantis in equilibrium with the amount abovethe membrane.Also, the membraneis approachinga drier state and is lesspermeable. EquilibriumTEWL rateaftersix hourswasapproximately 300 Ixg/cm2/hr at 32øC. Table I summarizes previouslyreportedTEWL valuesbaseduponthe variousin vitro techniques currentlyemployedfor measurement. Blank (1,2) utilized full-thicknessskin membranefrom the human abdomenin his studiesand reportedTEWL valuesof between130 and 270 Ixg/cm2/hr (23øC,23% RH). Our valueof 152 Ixg/cm2/hr(22øC, 20-25% RH) for the hamsterskin is in excellentagreementwith Blank'svaluefor humanskin. TEMPERATURE STUDY A plot of TEWL rate-vs-temperature is shownin Figure 3. An exponentialincreasein TEWL wasobserved,which impliesthat watervaporpermeates by a diffusionalpro- cess.The TEWL ratebetween5 and 12øC,however,showedlittle change. Table I Summary of Transepidermal WaterLoss(TEWL) RateDataforVariousIn VitroSkinModels Refer- Investi- gator Blank Mali Mali Reiger, Year ence 1952 (1,2) 1956 1956 1974 (8) (8) (30) Membrane used Method TEWL Temper- rate ature (•g/cm2/hr) øC Relative humidity in % 100-200 23 40-50 thickness skin 130- 270 23 20-30 from abdomen 400-800 35 57 500-600 21 Human, full- Gravimetric Human,epider- Gravimetric, mis from trunk desiccator Human, epider- Gravimetric, mis from sole desiccator Human, stratum Gravimetric 0 21 0 21 0-20 251 130 21 21 4O 85 21 3000 250- 300 corneum from Deem abdomen Wu Blank 1983 1984 (19) (33) Fetal hog periderm Human, stratum Saturated salt comeurn et al. Saturated salt solutions work 1987 Hamster ear, full-thickness skin 3O 600-1200 30 0-80 250-300 32 20-25 152 22 20-25 solutions and tritiated This 5O water Tritiated water 114 JOURNAL OF THE SOCIETYOF COSMETICCHEMISTS 500 400 lOO 0 I 5 10 15 20 25 :50 :55 40 Temperature øC. Figure 3. TEWL rate vs temperatureat steady-state conditions(after 3 hours).Barsreferto standarderror of measurement. If the reciprocal temperatures in degrees Kelvinareplottedvs the naturallogarithmof the TEWL rate in the temperature rangesbetween12 and 37øC,linearityis observed (Figure4). It is difficultto explainthe lackof linearityat 5øC.The waterpermeation may have been disruptedat this near-freezingtemperature.The energyof activation was calculatedby slopeanalysis.Our calculatedvalue of 13.1 Kcal/molecompares favorablywith an activationenergyvalue of 15 Kcal/mole previouslyreportedby Scheupleinfor human skin (9). MOISTURIZER STUDY Four experimentalcellsand two blank cellswerepreparedfor eachmoisturizingagent tested.Ten •L of eachagentwasappliedto the top of the membranesurface,prior to attachmentof the receptorcell filled with desiccantand placementof the unit into the 32øCheatingblock.Plotsof TEWL-vs-timevaluesfor membranes treatedwith various potential moisturizersare shownin Figures5 and 6. The figuresshowindividual TEWL valuesvs time overa 24-hourtime periodfor the untreatedsampleand skin treated with agents. The untreatedsampleshowsa result similar to that reportedin Figure 2. Transepidermalwater lossreachessteady-stateconditionsafter three hours, exceptfor that sampletreatedwith 25% glycerin. When comparedto the untreatedsample,castoroil is the only agentthat exhibiteda "burst"effect.Skin treatedwith sesame oil, mineraloil, and 25% glycerinin waterall appearto inhibit this effect. Satoand Nagai (37) comparedthe effectsof different METHOD FOR TRANSEPIDERMAL WATER LOSS 115 m O-• 5.0 mmm •mmm m• 4.0 ecipr0cl of Kelvin Temperature X10 z Figure 4. Naturallogarithmof TEWL vs reciprocal of absolutetemperaturex 1000. emollientmaterialson TEWL usinga silasticmembrane.Therewasa goodcorrelation between the TEWL rate for this in vitro model and the TEWL rate for an in vivo human skin model. They foundthat the decrease of TEWL rate that resultedfrom emollient applicationwasinverselyproportionalto the polarityof the materialapplied.In other words,the morepolarthe materialappliedto the membrane,the greaterthe TEWL rate. Mineral oil is the leastpolar substance that we testedand it inhibited TEWL the most.At steadystate,the effectof castor-oil-treated skin on TEWL (Figure6) was similarto that of sesame-oil-treated skin (Figure5). Glycerin,whichactsto bindwaterto the skin,produced an interestingeffect.During the first two hoursglycerinactedasan occlusive agent,sinceTEWL valueswereclose to that of mineral-oil-treated skin. After fourhours,however,the glycerin-tissue compositewasobserved to become saturated with water.At thesix-hourtimepoint,TEWL rateswere almostdoublethoseof untreatedskin. This is comparable to the results obtainedby Reigerand Deem(30) who foundan increase in the TEWL rate upon applicationof 25% glycerinin water. Reiger and Deem showedthat hurnectants,in general, increaseTEWL rate at low relative humidities. 116 JOURNAL OF THE SOCIETY OF COSMETIC CHEMISTS ß Untreated o Mineral A Sesame Oil Oil [] Glycerin 500 400 $oo 200 100 0 i 2 5 4 5 6 7 24 Time (hours) Figure 5. TEWL ratesvs time valuesfor untreatedskinandskintreatedwith mineraloil, sesame oil, and 25% glycerinin water. Barsreferto standarderrorof measurement. A two-weekconditioningstudywascarriedout with mineraloil, the mosteffectiveof the occlusive agentstested.This testprovideduswith someinsightinto the mechanism of mineral oil as a moisturizer.Resultsof this study are reportedin Table II. No significantdifferences were foundbetweentreatedand untreatedear skin samples.It was concludedthat for mineraloil to act to decrease TEWL rate in this procedure,it must be able to bind to the skin. The protectiveeffectsof mineral oil were experimentally removedduring samplepreparation.Thus we concludethat mineral oil actsto decrease TEWL by impartinga physicalbarrierto the transportof water from the membrane.Conditioningthe skinwith mineraloil appeared to be an ineffectivetreatment modality. CONCLUSIONS Previouslydevelopedin vitrotechniquesfor measuringTEWL are tediousand timeconsuming.Most of thesein vitromethodsemploya gravimetrictechniquefor measurement. SteadystateTEWL ratescannotbe achievedin lessthan 24 hours.Blank'sin vitromethod(30) of usingtritium-labeledwater to measurewater losswas combined METHOD FOR TRANSEPIDERMAL ß WATER LOSS 117 Untreated •- t vCastor Oil E-= 500 .a 4oo- ..... •._. 300 •- o o._j 200 100 o 1 2 3 4 5 6 7 24 Time (hours) Figure 6. TEWL ratesvs time valuesfor untreatedskin and skin treatedwith castoroil. Barsrefer to standard error of measurement. with adsorption of waterontoa desiccant. The newmethodprovedto beveryefficient. TEWL equilibriumcouldbe achieved within threehoursanda full studycanbe completed within eight hours. Cartilage-stripped hamsterear skin wassuccessfully usedasan in vitromembranefor TEWL measurement. The barrierproperties of thehamsterearskincompared favorably to thoseof humanskin. TEWL ratevaluesagreedwith valuespreviously reportedfor human skin obtained under similar environmentalconditions(1,2). The membrane exhibitedan exponential increase in TEWL with increased temperature.A calculated energyof activationfor waterpermeation of 13 Kcal/molewasin generalagreement with the valuereportedpreviouslyby Scheuplein for humanskin (9). Table II Transepidermal Water LossValuesfor Mineral Oil ConditioningEar After VariousTime Periods Time Periods: 1 hr 3 hr 6 hr 24 hr 268 2O6 Treated Ear Mean TEWL I-tg/cm2/hr 391 269 Untreated Ear Mean TEWL }zg/cm2/hr 437 p > 0.3 315 p> 0.3 226 p > 0.3 2O2 p> 0.3 118 JOURNAL OF THE SOCIETY OF COSMETIC CHEMISTS The presentin vitrotechniquepotentiallycanalsobe usedto evaluatethe relativeeffectivenessof skin agents. This method has a real advantagein that the tritium-tracer techniquecaneliminateerroneous TEWL valuesthat may resultfromwaterevaporation froma moisturizer.In general,it wouldappearthat TEWL is influencedby the polarity of the agentappliedto the skin. The mostnonpolarof the four agentstested,namely mineral oil, showedthe lowestTEWL rate. 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