Professional Documents
Culture Documents
518
VOL. 104 , N O . 4
A PRIL 1995
TRETIN O I N
519
was adde d to the wells. After incubation at 37C for 1 h and washing, the
wells were rinsed rapidly with substratc buffe r (10% diethanolamine, pH
9.8), and 0 .2 ml of a soluti on of substrate p-nitrophenyl phosphate (1
m g/ ml) in substrate buffer was added. T he reaction was allowed to proceed
at 37C for 15-30 min and was terminated by the add itio n of 0.1 ml ofl N
Na O H . Products wcre quantified by reading of the plate at 405 nm.
Appropri ate controls lacking antige n , antibody, enzY'ne, or substrate were
ru n simultaneously.
Glycosaminoglycan Analysis Glycosa m inoglycans were q uan tified as
described previously [30]. Weighed skins were minced, defatted in acetone:
ether (1:1), dried, and suspended in 10 ml of 0. 1 M phosphate buffer (PH
6.5) with 0.005 M ethylenediamine tctraacetic acid and 0.005 M cysteine
HCI. Digestion was with papain (50 ml containing 24 IU / ml; Sigma
C hemica l Co., St. Lo uis, MO) for 24 h at 65 C. T he digest was diluted to
40 ml with water and ce ntrifuged for 2 h at 12,000 rpm (0-4 C). A 1%
suspension of cetylpyridinium chloride was added dropwise to the supernata nt [31]. After storage overnight at 4C, the suspension was centri fuged
at 12,000 rpm for 1 h at 0-4 C. T he precipitate was dissolved ill 300 /kl of
n-propano l and 75 ILl of 1% cetylpyridinium chloride. T he glycosaminoglyca ns were further precipitated with 5 ml of absolute etll a.n o l and a few drops
of sodium acetate. T he precipitatc was washed with etllan ol and diethyl
e th er, a.ir dried , redissolve d in 1 ml of water, transferred to preweighed
tubes, and dried, after which the glycosamin oglycan weight was calculated.
Glycosaminoglycans w ere redissolved in 1 ml of water, and the uronic acid
conte nt was determined by the carbazole assay [32].
RESULTS
Histochemical Findings Confirm Tretinoin Enhancement
of Dermal Matrix Deposition Lun a's stain revealed the subepidennal zone of new collagen in all specimens at 10 weeks after
UVR, as reported in previou s studi es [3 ,4] . In tretinoin-treated
skin, the zone was con side rably deeper, m o re extensive across the
specim ens , and be tter de lin eated , with co mpressed elastosis at the
lower border (data not shown) . Mowry's stain showed increased
g lycosal11inoglycans in all specimens. Histologically, the increases
induced b y UVR alo n e appeared to regress too slowly in th e
post-UVR period to m ake histologic quantification of the effect of
tretinoin diffi cult (data not shown) .
Imn:lullofluorescencc and IInnlunobinding Studies Locate
and Qua.ntify Tretinoin-Enhallced Tropoelastin Accumulation
1111111 II II ojillorescel/ce: Sections from normal, 10-weeks UV-in-adiated, post-UVR untrea ted , and vehicle-treated skins showed similar patchy f1uorescences throughout the dermis (Fig in). After 10
520
Tretinoin Diminishes the UVR-Induced Increase in Glycosaminoglycans Quantification by the carbazole method showed
Table I.
DEI~ATOLOGY
Treatment Group
I. Untreated
II. UVR 10 weeks
111111111Jlobinding Assay
(ng/elastin/mg wet
weight)"
Desmosine
(ng/mgwet
weight)"
150 16
175 39
11.4 1. 2
10.93.8
198 29
10.1 2.3
184 29
10.4 0.6
479 62'
11.9 1.1
10 weeks
UVR. 10 weeks; vehicle
10 weeks
V. UVR 10 weeks; tretinoin
10 weeks
TV.
Hairless mice were irradiated with UVll for 10 weeks and then treated with either
0.05% tretinoin . the vehicle. or nothing. Skins were homogenjzed . def:.'tted. extracted.
and analyzed for ttopoclastin by a quantitative irnmunobinding assay [28J. Insoluble
residues were hydrolyzed in 6 N I-I C I. and desmosines we re eluted o n milli-ceLlulose
columns. dried, and analyzed by high performance liquid chromatography [29).
II Mean :: SEM; n = 5.
f P = 0.0025 versus untreated contro ls, Student t tcst.
(I
A
B
I I I
I I
I I I
Figure 2. Increased content oftropoelastin in extracts of tretino intreated, photodamaged skin by immunobinding assay. Autoradiogram shows seq uential dilutions of extracts. A, UVR and tretinoin-trcatcd;
B, UVR and vehicle-treated; C, UVR and untreated; D, VVR only; E,
untrea ted.
VOL. 104. N O. 4
AP RJL 1995
Table II.
521
Treatment Group
ng/cm 2
I. Untreated
II. UVR 1 0 weeks
III. UVR 10 wceks; untreated 10 weeks
IV. UVR 10 weeks; vehicl c 10 weeks
V . UVR 10 w ecks; tre tinoin 10 wceks
Com parisons/'
1 vers us lJ
r vers us III
) versus )V
I vers us V
Jl vers us III
\J vers us IV
11 versus V
JI) versus IV
111 versus V
)V versus V
64.4 2.3
119.5 19 .6
73.9 3 .3
88 .5 4.5
160.9 23.9
p
p
p
p
p
n g/ mg Wet Wcight
0.80
1 .39
1.20
1.39
2.08
<
<
<
<
<
0.025
0.05
0.0025
0.005
0 .05
NS
NS
p < 0.025
P < 0.005
P < 0.01
P
P
P
P
<
<
<
<
P
P
P
P
<
<
<
<
0.06
0.22
0.03
0.08
0.24
0.025
0.0125
0.0005
0.0025
NS
NS
0.05
0.05
0.0025
0.025
P
P
P
P
P
<
<
<
<
<
P
P
P
P
<
<
<
<
0.01
0.005
0.0025
0.0005
0.05
NS
0.025
0.01
0.0125
0.0025
Hairless mice were irradia ted with UVll for 10 weeks ;m d th en treated with e ither 0.0 5% trcli noi n . th e vchicle . or n othing fo r to weeks. Skins \vere extracted and th e am ounts
of fibroll cctin were dctcnnincd by a speci fi c enzym e-linked il11ll1UIlOSorbcllt :lssay. as d escribed in AlJntcri(J (s ami /\fl etllOds. D:ltjl arc m ean :t SEM.
I, Statistical analysis: Student t test (11 = 5). NS. Il o t sig nifi ca n t .
(I
Table III.
<
0.025
NS
NS
P < 0.025
< 0.025
NS
P < 0.005
NS
<
0.025
NS
0.286
0.329
0.314
0.303
0. 196
0.018
0.024
=
0.009
0.039
0.038
NS
NS
NS
P < 0.05
NS
NS
P < 0.0 1
NS
P < 0.0 1
P < 0.05
< 0.05
NS
NS
P < 0.05
NS
NS
P < 0.01
NS
P < 0.01
P < 0.05
,I Hairless mice we re irrad iated with UVI3 fo r 10 weeks ~lI1 d thell tre ated with either 0.05% trcti ll o in , the ve hicle. or n othin g: for to weeks. SkillS were min ced . d Cf.1ttcd. and
d igested with p :,p;ljn. G lycosaminoglycOl ns we re precipitated with 1% cetylpyridiniulli chlo ride. T he uro nic Olcid co nte lll' w as d etermined by th e carbazole assay 13 2] . Dam arc mean
:!: SEM .
1/ Statistical 'H1al ys is: Stude nt t tes t. NS. Hot sig nifi c:lIl t .
tretinoiJl-induced cban ge i.n insolubl e e la stin as m easure d b y desmosine conte n t in the lO-week post-UVR period. In con trast to
our findings , Bryce el nl [5] reported that insolubl e elastin was
increased as a result of the UVR exposures. T he most like ly reason
for this divergence lies in the di fferent protocols. T he 5- 6 months
of UVR used b y Bryce et nl to produ ce photoagillg in th e HRS /J
mice , co mp ared with our 10-week sch eduJ e, allowed more time for
tropoelastin to accumu late and become cwsslinke d into matUl'c
fibers.
The small bu t signifi ca n t increase in glycosa minog lycaJ1s after 10
weeks of UVR was expected on th e basis of histochemi cal ev aluation . However, the considerabl e d ec rease "vith tretino in treatmen t
was not anticipated . This fmding supports th e premise of C hen et nl
[18] that glycosaminoglyca ns may not be responsible for th e
wrinkle effacement reported in th ese mi ce with tretinoin [5] . T hese
au th ors found no increase in sul fate d glycosaminoglycal1 or byaluronic acid synth esis in explants of UV - irradiated, tretinoin-treate d
hairless mouse skin as compared with irradiated, vehi cle-treated
contwls. Unfortunately, the effect of 10 w e eks of irradiation alone
cou ld not be assessed beca use C hen et nl [1. 8] did not include these
or 110rmal controls in their study.
Other studies with hairl ess mi ce exanun ed eith er UVR alone or
522
dermal fibrobla sts il'l vitro in the absence of tretinoin and found
increased synthesis of both fibronectin and tropoelastin, a finding
co nfirmed in the present ill vivo study. As a second exa mpl e, an in
vivo study examined the effect of tretino in on sun-protected buttock
skin. Fisher e/. til [35] reported a tretil10in-induced increase in the
transform ing growth fuctor-J3-induced "mucin" or glycosa mil1oglycans and proteoglycans. Thus, there is sparse biochemical
information on human studi es with whi ch to co mpare the effect of
tretinoin on noncollagenous dermal matrix in the photoaged
hairless mouse .
It has been establish ed that man y of the UVR-induced changes in
the hairless mouse correlate well with those occurring in human
photoage d skin [36]. As trials of tretinoin-treated human skin
approach and exceed 2 years, it is becoming apparent that the
hairless mouse mod el is also a predictive one for the repair of
human photoaging. Recent reports have demonstrated a tretinoininduced subepidermal repair zone of new collagen [19,37], along
with reduction in the abundant glycosaminoglycans present in
photoaged skin [37]. The ultrastructural reappearan ce of type VII
coll agen anchoring fibrils has been reported after 2 years of
treatment [21]. Most recently, Griffiths e/ al [22] demonstrated
increased intracellular and extracellular type I coll agen synthesis in
the papillary de rmi s after 12 months of tretinoin treatment. In
acco rdance with its short life span, m etabolic processes occur more
rapidly in mi ce than in hum ans. It is there fore likely that with time,
mu ch of what h as been dis co vered in tretinoin-treated photoaged
mouse skin will be confirmed in human skin.
T ltis reseal. 1t was SIIppol1ed ill pat1 by a gralll frO Ill lite R ./4/. J " /IIISO II Pltarlllacel/lical R esearch IlIslill/le, Raritall, Nelli J ersey.
14/e Ilt allk MarilY IIJ. Crasb) Sally Adall' s, alld K erlllil 14/lttll1oll fo r II, e enre alld
'reallllel'lt of the allilllais; Dorotlty C all1pbell fo r lec/Illieni ltislocltelllisl'l' expe,1ise;
alld Brellda Lace). for typillg ,lte lIIallllscripl.
REFERENCES
I.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11 .
12.
Kli gman LH . Akin FJ . Kligman AM: Prevention of ul trav iolct damage to I'he
dcmlis of hairl ess mice by sunscreens. J IlI lIcst D el'l l/ fl'o' 78 : t 8 1- 189. 1982
Kl1 g m.m LH. Akin FJ. Kl ig m an AM : Sunscree ns pro m ote repa ir of ul t rilviolct
radiatio n- indu ced dermal damage.) ',, "csl Oer",nlOl 8 1:98-1 0 1, 1983
Klignl:ln LH. C hen HD . Kligman AM : Topic:1I rc tin o ic acid e nhan ces the rcp;lir
of ultraviolet damaged dermal connective tiss l1 e. CC",,, CCI Tissue Res 12: 139150, 1984
Klig man Ll-l: Effects of a ll-tran s rc tinoic acid o n the d ermis of hairJess mice. ) A m
Awn Oenlllllol 15:779-785. 1986
I3ryce GF, 130gdan NJ. I3rown CC: Retin oic acids pro m ote the repa ir of the
dermal d:unagc and the effacemenl of w rinkles in the UVB- irradia tcd hairl ess
mouse .) " /IIcsl Oe,.", nlol 9 1: 175-180. 1988
Schwartz E. C ru ickshank I' A. M ezick JA. Kligma n LH: Topica l all- trans rctinoi c
acid stimulates collage n synthesis ill I/ iIJO . J IlI lIc'S I DCrlllIltol 96:975-978, 199'1
C he n S. Ki ss I. Tramposch KM : Eff"ects of all-trans-retin oic acid on UVI3irradiated and no n- irradiated hairl ess m Ollse skin .) tllilest D en1laloI9 8:248-254 .
1992
Kim HJ , Bogdan NJ. D 'Agostaro LS. Gold L1 , Bryce GF: Effe ct of topical rctinoic
acid on the Icvels of collagcn mRN A d urin g repair of UVB-induced de rmal
damage in the h airl ess m Ou se and th e possibl e ro le of TGF-/3 as a mediator.
) 1""eSI Oem,nlol 98 :359-363. 1992
l3i ssett DL. H annon Dr>, O rr TV: An anim"lmo dcl o f solar aged skin. Histo logic.
physical and visible changes in chro nic:111 y UV- irr:1dia tcd hairl ess mouse skjn.
P/lOllIc/""" I'l,olobiol 46:367-378, 1987
Fourca nie r A. I3crrc bi C. C harles N. Mcda isko . N OQlc t JI': I"AlIc nce of UV
li ght o n natu ral ski n :1ging in hairl ess mi ce. Co.wH,tir Dt:rwato/l :289-300, 1986
Sanls WM. Smith J G: T h e histoche mistry of chro ni ca ll y sun damaged skin .
) "IIIesl Oe,.,,,olol 37:447-452. '1964
Kli gma n AM : Earl y destructive CfCCLS o f ~ unli g ht o n hum:111 skin . JAMA
2 10:2377-2380, 1969
'13.
M enter JM, Pearl WS. Yadven MW. Willis I: UV-indu ccd elevation of , kin
glycosaminoglyciln levels. I: Rapid meas urement of sk.in glycosarninoglycans
by titration w ith acridine o ran ge. P/"'loc/,c", I'l,olobiol 38:481-486, '1983
14 . Schwanz E: Connective tissue alterations in the skin of ul traviole t irradiated
hairl css mice.) "/IIcsl Ocmlnlol 9 1: 158-161 , 1988
15. C hen VL, Fleischmajer R., Schwartz E. Palaia M, Timpl R : Immunochemistry of
elastotic material in sun damaged ski_n .] flwcs( DemUl(ol 87:334 -337. 1986
16. Smith J G . Davidson EA. Taylor R.W : Human cutaneous Illucopolysaccharides:
the e ffects of age and chro nic sun damage . In : Montagna W (cd .). A dlJnllCCS ill
Biology of Skirr. Vol, 6, Aging. 1965, pp 2 11-2 '18
17. C hatterjee I~, B enZinge r MJ. Ritter JL, Bissett DL: C hro nic ultraviole t B
radiation- i.nduccd biochclnica l chan ges in thc skin of hairless 1nice. PllOtocilcm
P/rolobiol 51 :91-97. 1990
l 8 . C hen S, Beehler B, Sugimoto G, Trarnposch KM: Ellects of aU-trans retino ic acid
o n glycosaminoglyca n synthesis in photodamaged h airless m o use skin . J I,ll/cst
O emonlol 101 :237-239 , 1993
19. Kligman AM. Grove GL, Hirose I~. Leyden JJ: Topical tretinoin for photoaged
skin.) A ", Acml Oe,."onlol 15 :836-83 9. 1986
20 . Ellis C N, Weiss JS , Hamil ton TA. H eadington J T, Zelickson AS , Voorhees JJ:
Su stained improve m ent with prolonged topical tretiJloin (retinoic acid) for
photoaged skin .) Alii Acnd O el1lonl,,1 23:629-637, 1990
21 . Woodley DT, Zelickson AJ.Briggaman RA, H amilton TA, WeissJA, Ellis C N.
Voo rhees JJ: T reatment of photoaged skin with topical trctinoin increases
deTlnal-epidermal anch or ing f,brils. A preliminary report. )AMA 263:30573059. 1990
22. Griffith s CEM. Russman AN. Majmudar G , Singer R S, Hamilton TA, Voorhees
JJ : Restoration of collagcn form:ltion in photod:lmaged human skin by
trctinoin (retinoic acid). N E llgl) Mcd 329:530-535, 1993
23. Lunden A. B erne B, Mi chaelsson G: To pica l retinoic acid treatment of photo aged
skin: its efi'ccts on h yalurol1 an distributio n in epidermis and on hyaluro n:ln and
rctino ic acid in suction b lister Auid. ACln D erlll Vell ereol (Slocklt) 72:423-427,
1992
24 . Varani J . Nickoloff" BJ, Dixit VM. Mi tra RJ, Voorhees )J : AII-tra"s retinoie acid
stimulates growth of ad ult human keratillocytes culturcd in growth facto rdeflciellt mcdium , inhibits produ ction of thrombospondin and fibron ectin. :lnd
redu ces adhcsion . ) "/llesl Oer",nlol 93:449-454, 1989
25. Varani J. Mitra R S, Gibbs D. Plum SH. Dixit VM. Mitra RJr, Wang T, Siebert
KJ . Nickoloff BJ . Voorhees JJ : All trans retin oic acid stimulates growth and
extraccllular matri x prod uction in growth-inhibited cultured human skin
f,brobla sts.) [lilies, Oemon,,,1 94:717-723, 1990
26. Varoni J . Astrom A. Griffiths CEM . Voorhees JJ: Induction of proliferation of
growth inhibited ke ratinocytes : lIld fibrobla sts in mo no laycr culturc by sodium
lau ry l sulfate: comparison with all-tnms rctino ic acid.] IUl/cs t O e,."w(oI 97:91792 1. 1991
27. Kli gman LH: Luna' s techniqu c-" bea utiful st:lin [or clastin . A m) De,.",atoptl tllOl
3:199-20 1. 198 1
28 . J ahn R. Schiebler W, Grce ng:lrd P: A quantit:ltive dot-inununo binding assay for
pro te ins usin g nitrocellulosc me mbrane fi lters. Proc N atl Awd Sci USA 81:
1684 - 1687 . 1984
29. Schwartz E, C rui ckshank FA , Lebwohl M : Determination of desl1losincs in
clasti_n - rclatcd skin disorders by isocratic high pcrform:lll ce liquid chromatography. Ex/, Mol Poll, ol 52:63-68. 1990
30. Sch wartz E. M ezickJA . Gelldil'ne lli co GJ. Kligman LH: The {II viiI{) prevc11 tio n of
corti costeroid-indu ced skin atrophy by trcti_u oin in th e hairless m ouse is
accornpanicd by m od ulatio n o f collagc lI. glycosa min oglyc:lI1s . and fibrOl1cctin .
) IlI vcsl 0 ",."",10/10 2:241-246. 1994
3 '1. ltoss SC. Osbo rn TG. Dorner ltW' Z ucker J : Glycosa rninoglycan content in the
skin of the tight-skin mouse. A rtlrrilis Rite"", 26:653-657 . 1983
32 . Bitter T, Muir HM : A m odified uronic acid carba zole reaction. A ,wl BiochclII
4:330-334.1962
33. Margc1iu 0 , Fourtaniel' A, T hcvClllll T. M edaisko C , Breton M, Picard J :
Alteration s of pro tco glycans in ultra vio let irradi :lted skin. PlwwchclII Pir%lJiol
58:211 -218, 1993
34. Kligma n LH , M ezick J A, Capeto la RJ. T horn e EG: Lifetirne topi cal application
of trctin oin to h ai rl ess rnice . Arlo Oem, Vell ereol (Slockl,) 72:4 18-422, 1992
35. Fisher GJ , Tavakko l A, Griffi ths CEM, Elder J T, Z hang Q-Y. Finkel L,
DanielpDur 0, Glick AB. Highley H. Ellings w orth l, Voorhees JJ : Differential
m odula tion ofttan sfo nning gro wth f.1ctor- 131 expressio n and mucin dcp ositio n
by retino ic ;Icid and sodium ~a lJryJ sul f:'ltc jn hUJnan skin . J IImesJ Derma/oJ
98: 102-108. '1992
36 . .K1igman LH : Thc hairless m Ollse ~lI1d ph o tO:lging : yearl y review . PIIlI/Oc/'CW
Pltol,r/JioI54:1109 - 111 8 ,1991
37 . KJi g man AM , Gra ham GF: H isto l ogi c~11 cha_l1gcs in fac ial skin aftc r dajly
application of trcti no in for 5 to 6 years.) O erlll Trenllll e,,1 4: 11 3-117 . 1993