Lipids in .NET framework

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In order of abundance, the composition of skin surface lipids includes triglycerides, fatty acids, squalene, wax esters, diglycerides, cholesterol esters, and cholesterol41 These lipids are an integral part of the epidermis and are involved in preventing TEWL and the entry of harmful bacteria They also help prevent the skin from absorbing water-soluble agents For decades it has been known that the absence of lipids in the diet leads to unhealthy skin (see 11) More recently, it has been shown that inherited defects in lipid metabolism, such as the deficiency of steroid sulfatase seen in Xlinked ichthyosis, will lead to abnormal skin keratinization and hydration42 It is now known that SC lipids are affected by age, genetics, seasonal variation, and diet Deficiency of these lipids predisposes the individual to dry skin This has been
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demonstrated in mice with essential fatty acid deficiency (EFAD); when fed a diet deficient in linoleic acid these mice developed increased TEWL43 Interestingly, administration of hypocholesterolemic drugs has also been associated with dry skin changes44 Skin lipids are produced in and extruded from lamellar granules as described above or are synthesized in the sebaceous glands and then excreted to the skin s surface through the hair follicle The excretion of sebum by sebaceous glands is hormonally controlled (see 10) Lipids help keep the NMF inside the cells where it is needed to keep cells hydrated and aqueous enzymes functioning Although this is less well characterized, lipids can themselves influence enzyme function
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COSMETIC DERMATOLOGY: PRINCIPLES AND PRACTICE 6
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Released by the lamellar granules, NMF is composed of amino acids and their metabolites, which are by-products formed from the breakdown of filaggrin (Box 1-2) NMF is found exclusively inside the cells of the SC and gives the SC its humectant (water-binding) qualities (Fig 1-5) NMF is composed of very water-soluble chemicals; therefore, it can absorb large amounts of water, even when humidity levels are low This allows the SC to retain a high water content even in a dry environment The NMF also provides an important aqueous environment for enzymes that
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ROLE OF LIPIDS IN TEWL
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The major lipids found in the SC that contribute to the water permeability barrier are ceramides, cholesterol, and fatty acids Since the 1940s, when the SC was first identified as the primary barrier to water loss, many hypotheses have been entertained as to exactly which lipids are important in the SC The research with the EFAD mice described above led to a focus on phospholipids because they contain linoleic acid However, it was later found that phospholipids are almost completely absent from the SC40 In 1982, ceramide 1 was discovered This lipid compound is rich in linoleic acid and is believed to play a major role in structuring SC lipids essential for barrier function45 Later, five more distinct types of ceramides were discovered and named according to the polarity of the molecule Ceramide 1 is the most nonpolar and ceramide 6 is the most polar Although the ceramides were once thought to be the key to skin moisturization, studies now suggest that no particular lipid is more important than the others It appears that the proportion of fatty acids, ceramides, and cholesterol is the most important parameter This was demonstrated in a study in which after altering the water barrier with acetone, the application of a combination of ceramides, fatty acids, and cholesterol resulted in normal barrier recovery46 Application of each of the separate entities alone resulted in delayed barrier recovery Manufacturers now include ceramides or a mixture of ceramides, cholesterol, and fatty acids in several available products as a result of these findings However, the use of these mixtures to
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SUPERFICIAL Corneocytes (bricks) Intercellular lipids (mortar)
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