Skin Lipid Barrier Function describes the essential protective role of the lipid matrix within the stratum corneum, the outermost layer of the epidermis, in regulating transepidermal water loss (TEWL) and preventing the entry of irritants and pathogens. This barrier is a precisely organized structure composed primarily of ceramides, cholesterol, and fatty acids, which form a crucial seal. Optimal function is critical for maintaining skin hydration, integrity, and immune defense. Compromise of this function leads to chronic dryness, sensitivity, and increased risk of inflammation and infection.
Origin
This concept is fundamental to dermatological physiology, combining the physical component of the ‘skin lipid barrier’ with its physiological ‘function.’ The ‘brick and mortar’ model of the stratum corneum, where corneocytes are the bricks and the lipid matrix is the mortar, highlights the structural importance of this layer. Research into atopic dermatitis and xerosis solidified the clinical focus on this barrier’s integrity.
Mechanism
The barrier operates through a lamellar bilayer structure of lipids that creates a highly impermeable seal between the external environment and the deeper tissues. The precise ratio of ceramides, cholesterol, and free fatty acids is crucial for the integrity of this structure and its water-holding capacity. Hormones, particularly glucocorticoids and thyroid hormones, can influence the synthesis and organization of these lipids, demonstrating a systemic link to barrier health and resilience.
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