Showing posts with label UV. Show all posts
Showing posts with label UV. Show all posts

Tuesday, December 20, 2016

Impermeable Facts of Human Skin Penetration and Absorption

“Nanu-Nanu!”

Who would have guessed that Mork from Ork would have inspired such an interpretation of the scientific study of skin absorption?  While researching the topic, it is easy for the reader to be convinced that skin absorbs whatever it touches—just like the Mork & Mindy character and his habit of drinking liquids by sticking his finger in a glass.  While this would certainly make wine tasting parties fascinating to observe, the suggestion that skin absorbs whatever is applied to it is an irresponsible exaggeration of the facts.
Anatomical Structures of Human Skin
Skin is a fascinatingly complicated system, designed to protect against external harms (bacteria, UV radiation, etc,) regulate body heat, and manage nutrient levels and water loss.  Many a chemical is frustrated at the inability to penetrate this protective barrier—but some substances can penetrate the skin and absorb into our bodies.  Whether these chemicals cause harm depends on the amounts that penetrates and are absorbed, and how the chemical acts once it is inside the body.  Does it throw a party and set up shop, or do the bouncers of your body show the chemical the door?

Is That a Horny Layer, or are you Just Happy to See Me?

Skin is comprised of three primary regions, the outer epidermis and middle dermis and the lowest area, the hypodermis.  The epidermis consists of multiple strata (i.e. layers,) with its superficial the most crucial in prevention of skin penetration.  This outermost layer of the epidermis, the stratum corneum (flattened cells, also known as the horny layer,) serves as your body’s primary defense—and it’s dang good at its job.

The stratum corneum, thick with dead skin cells (mostly keratin) and various waxy substances, acts as a wall of protection from external moisture, chemicals, UV radiation and is your foremost guard against the bacterial world.  As these dead bits fall of, or exfoliated from the body, the lower layers of skin replenish the surface with additional keratin.

Meet the lower layers!  The stratum lucidum is the translucent, second layer of the epidermis in thicker areas, which sits atop the stratum granulosum.  The granulosum is responsible for keratin protein production.  The stratum spinosum and the lowest layer, the stratum basale, new cells are produced and pushed upwards.  Collectively, these layers form the flexible shield against your environment…and that’s the way they all became the Brady Bunch!

Let’s take a closer look (A microscopic glance!) at what substances penetrate skin, and which actually absorb into our bodies!

Penetrating and Absorbing the Facts

Not everything we touch or put on our skin is fully absorbed into our bodies.  Otherwise, we’d quite literally be drinking our own bathwater (or swell up like sponges during a swim!)  Wait, you say!  Doesn’t some water get into our skin to cause it to wrinkle?  Remember that dead skin cells fill the stratum corneum—these cells are Jiffy Popped as they soak up the water, which is what causes the “wrinkled” look.

Now, if water were to penetrate the surface layer of skin, we could end up with unpleasant fluid blisters, or as mentioned above never swim in a public pool again.  Luckily, this isn’t a risk, and after a short while, the water evaporates and our stratum corneum returns to normal.

The distinction between penetration and absorption is a crucial one where measurement of chemical risk is concerned.

>Skin Penetration represents the amount of a topically chemical that exists between the top layer (stratum corneum) and the bottom layer (stratum basale.)  During penetration, the body does not yet absorb the chemical, and it cannot affect the body systems.

>Skin Absorption occurs when the topically applied chemical breaks the skin barrier to reach the bloodstream.  Whether this chemical becomes a risk is determined by what occurs after absorption.  You body can filter (The bouncers!) out the chemical via bodily fluids, or bio-accumulation (build up) occurs.
Many variables affect the speed (or probability) of penetration and absorption.  First, the composition of the chemical to which skin is exposed.  The area of skin that is exposed (thinner-skinned areas are more susceptible to penetration and thicker skin is less) and the condition of the skin are all significant factors.
There are a number of scare statistics running about on the internet that state our bodies absorb a tremendous amount of topically applied chemicals.  A few interesting ones that I’ve come across:

>Our skin absorbs ____ number of pounds of cosmetics each year

>Our skin absorbs a high percentage of everything we apply to it each day/year/etc.

>A chemical was found in human urine, therefore we are absorbing and slowly marching towards oblivion by said chemical

>If skin didn’t absorb everything we apply to it, then why does a medication patch delivery work so well?

Such statements are exaggerations, distortions, or a little of both where skin penetration and absorption are concerned.  The composition of the chemical exposed to skin determines its possibility of entering the skin—primarily the molecule size and solubility of the chemical.

For the purpose of this paper, we’ll limit our scope to chemicals in skin care and cosmetics (you’re welcome!)

The design of cosmetic and skin care formulas is to benefit the outer layer of skin— absorption into the body would waste the effects of these products.  Antioxidants in skin care won’t do their job if they don’t stay in the layers of skin—it is challenging enough to develop a formula that enables an ingredient to penetrate the surface layer!  The majority of cosmetics are not soluble in skin (i.e. lipid, or fat-soluble) and are too large in molecule to fit through the stratum corneum.  Precisely because of these qualities, some skin care formulas require specially developed “penetration enhancers” to deliver ingredients like vitamin C or retinol.

This includes transdermal medication patches!  These types of medicine require formulation specifically for this purpose, requiring chemical engineering to create a molecule that is soluble in skin, and small enough to penetrate and absorb into the body.

Much controversy has arisen over the ingredients in skin care products that inadvertently absorb into our body and the possible risk to our health.  Does absorption equal harm?

Everything is a Risk, but Not Necessarily a Harm

Absorption into the body doesn’t equate to bodily harm.  What happens after a chemical is absorbed makes the distinction!  Our bodies design will filter out molecules and water, disposing of what doesn’t belong by excretion via bodily fluids.  Safety testing for the effect of ingredients that absorb into our bodies:

>Evaluates how (and how long) we are exposed (topical or oral application, etc)

>Composition of the ingredient, (molecule size, solubility, etc)

>How the ingredient behaves after absorption

These are crucial points for research, as a study of how an ingredient reacted when fed to a test subject is somewhat relevant in understanding what happens when you drink your body lotion—but not as relevant in studies that demonstrate topical application.  This is a very, very important point to consider when reading the latest scare report on cosmetics and skin care.  Often, such reports cite research that fed large quantities of a pure substance to arrive at their conclusions—hardly honest use of a reference!

Determining the safety of a chemical in skin absorption is about risk assessment.  The toxicity of an ingredient is in the amount absorbed and accumulated, or “the dose makes the poison.”  The nutrients and substances we depend on for our health can kill us in a large enough amount.  When a chemical penetrates our skin and is absorbed into our bodies, is may be converted into another chemical form, metabolized or accumulate.

At the dose in which a chemical becomes harmful (toxic) is the threshold, less than this amount is safe, and more becomes a danger.  Our body is designed to break down chemicals into other forms that are easily excreted via fluids.  The threshold is the over/under amount of our bodies ability to process a chemical and still keep the body healthy.

Considering this, when you read about the latest scare over a chemical detected in urine, remember what we’ve just discussed!  A chemical eliminated from the system isn’t an indicator of threat to health, but your body working as intended and filtering the substance out.  The faster this process occurs, the less (if any) impact on your health.

Flushing out the Truth

It’s far too easy to present a frightening statistic in a believable manner, which is why it’s important to question the motives of a flashy headline that proclaims death by lipstick/body lotion/etc.  It’s also easy to present distorted research on skin penetration and absorption—as it can be complicated to research to find the truth.  The facts are that very little is capable of penetrating skin, and even less is absorbed into our body.  So the next time you read a headline, judge for yourself what’s true by asking questions and consider the source!

Thursday, March 5, 2009

Miracle Cure or Societal CUrse:

THE STEM CELL DIVIDE

"cell" comes from Latin word cella or "small room"

Like creatures from a bad horror film, these cells simply refuse to die, and eventually take over and consume the host organism.

THE MONSTER INSIDE YOU?

Cancer can be thought of as a disease caused by the uncontrolled division of the human body's own cells and the ability of these cells to invade other tissues.

It is strange to think that a tiny piece of matter. so small that it cannot be seen by our naked eye, could change the entire world. And yet, the promise or 'empty-promises' of the human stem cell therapy is as vast as anything the scientific community has yet seen.

Stem cells have two unique properties:
1.First, they can give rise to other more specialized cells of the human body, particularly in the case of embryonic cells.
2.Second, they are self-renewing, with the ability to grow in laboratory culture for long periods without losing their ability to give rise to other cell types.

Human stem cell research is very young, arguably started recently in 1998. Only 11 plus years, but it is a pivotal field of study.

The uncontrolled growth of cells is caused by damage to a cell's unique blueprint, its nucleic DNA.
Damage to the DNA can led to a change, or mutation, in the DNA itself.

Genetic damage can have many causes. it may result from a casual and nonthreatening source, such as exposure or over-exposure to the sun's Ultra Violet (UV) radiation while tanning on the beach or outdoor. It can also be caused by a terrifying events, like exposure to radiation from nuclear waste. Alas, many non-nuclear countries are considering nuclear power as their power source .

At its most insidious, this damage can come from carcinogens, physical agents in what we eat or drink, daily, or from harmful viruses whose reproductive strategy is to insert their DNA into the human genome.

DNA is actually a salt, not acid, though the "A" stands for "acid".

A great many mutations must take place before a normal cell is transformed into a malignant one. All of our human body's cells have self-contained instructions to repair DNA. each cell has its own process to destroy itself in case of severe genetic damage.

In fact, it is this inherent in our genetic code that inspired the NASA to have a 'self-destruct charge' on its rockets in case the launch goes horribly off-course:self-destruction.

This form of programmed cell death is called apoptosis.

Apoptosis is carried out in an ordered process that is part of an organism's normal development cycle.

For example, when a human embryo develops, the fingers do not grow outward from the palm. Instead, apoptosis takes place and cells slough off in strips between where the fingers will emerge from the pad-like "hand". hence the four fingers and one thumb. Thumbs up for apoptosis.

Fighting Cancer With Knowledge & Hope
 WHY DO CANCER TREATMENTS SOMETIMES FAIL? (PAGES 188-190)
(a) Drug resistance or the growth of cancer in the face of ongoing or recently completed treatments represents the main barrier to cure for many cancers
 (b) The root cause of a cancer relapse lies in the fact that cancer is not an accumulation of exactly the same cells but rather a mixture of cells with differing properties.
(c) Drug resistance may be present in an untreated cancer or emerge in responseto therapy
(e)   Several types of cancer have been found to contain a very small population of cancer stem cells, which are believed to be responsible for continually replenishing the pool of cells in a tumour. It turns out that an additional property of these cancer stem cells is their natural resistance to chemotherapy and other cancer treatment.
Be empowered!
CA Care
http://theinnozablog.blogspot.sg/2012/05/lymphoma-cancer.html
Be Empowered! Today


THE AUTHOR:Dr. Richard C. Frank, MD,an oncologist, is the Director of Cancer Research, Whittingham Cancer Center, Norwalk Hospital, Norwalk, CT, and Medical Director, Mid-Fairfield Hospice, Wilton, CT.USA
WHAT THE BOOK IS ABOUT:  As expected, the whole book is devoted mainly to describing the virtues of conventional treatment of the various types of cancers via surgery, radiation, chemotherapy, targeted therapies and hormone therapies. However in the chapter on “How Cancer Grows and Cancer Treatments at Work”,Dr. Frank gives an explanation as to why chemotherapy may not work for you. We summarize the main points below:-
CANCER CAN GROW UNPREDICTABLY (pages 124-126)
a)      Although cancer appears to develop in an organized fashion when viewed from the outside, if we were to go inside a tumour with a little magnifying glass and monitor the movement of cells and the integrity of DNA; we would see a much more chaotic situation.
b)      As a cancer develops and grows, the DNA that guides it along is prone to change…. as a cancer grows, its genetic makeup becomes diversified, which leads to a diversity of cell types within it…. cancer is not a collection of identical cells.
c)       The tendency of a cancer to generate cells with different capabilities explains many of the dreadful aspects of cancer that patients find so hard to grapple with:
  • Why it can spread from one location to another,
  • Why it stops responding to a treatment that was working,
  • Why it can return when it was in remission
The reason is that every cancer, whether it arises in the lung, breast, prostate, bone marrow, or elsewhere, contains different populations of cells that have distinct properties.
d)      A cancerous tumour does not contain billions of identical clones. Cancer could never develop in this way because it must avoid the immune system’s attack on it, live in areas of low oxygen tension, and compete with the rest of the body for vital nutrients.
e)      Inside any tumour are cells that are living and cells that have died. There are cancer cells capable of reproducing many others, called cancer stem cells, and cells completely devoid of this capacity. Cancer’s diversity is generated early. By the time it is diagnosed, some cells may already be capable of metastasizing and others may be able to withstand a particular cancer treatment. This is the basis of cancer’s resistance to treatment i.e. chemotherapy (see section “Why Do Cancer Treatments Sometimes Fail?”).
f)       When new cancer cells are generated inside a tumour, some will be hearty enough to survive and others will not be. If some cells survive the treatment, then it is mainly because their DNA contains the necessary alterations that help them resist the chemotherapy drug; this population of cells will then expand, and the compositions of the cancer will again change. (page 126)
g)      …. when a cancer returns after being declared in complete remission, it is because a few cells were different enough to stay alive after a treatment killed nearly all the other cells; this difference could have been present from the start of treatment or it could have developed as a response to it. Whichever occurred, it is cancer’s ability to diversify and adapt its DNA that enables it to survive. (page 126)
WHY DO CANCER TREATMENTS SOMETIMES FAIL? (PAGES 188-190)
(a) Drug resistance or the growth of cancer in the face of ongoing or recently completed treatments represents the main barrier to cure for many cancers…. (page 188). In many instances, oncologists cannot specify why a person’s cancer develops treatment resistance…. treatment resistance is probably the most complicated area of oncology. (page 189).
(b) The root cause of a cancer relapse lies in the fact that cancer is not an accumulation of exactly the same cells but rather a mixture of cells with differing properties. Some may have sensitivity to certain drugs and be killed by them, whereas others are resistant to those drugs. The resistant population will survive treatment and in time be detected as a cancer relapse. (page 189)
(c) Drug resistance may be present in an untreated cancer or emerge in response to therapy…. the innate adaptability of cancer cells and how they can sometimes outwit an effective therapy by altering their DNA or other molecules. This property explains the acquisition of resistance during a cancer’s growth. (pages 189-190)
(d)   Chemotherapy may lose its effectiveness when cancer cells activate a protein that pumps the drugs out as soon as they enter the cells; targeted therapies may lose their ability to control their targets when those receptors and signalling proteins mutate and morph into different shapes; hormone therapies may stop controlling cancer growth when estrogen or androgen receptors undergo a shape change or get massively overproduced, overwhelming the drugs meant to neutralize them. (page 190)
(e)   Several types of cancer have been found to contain a very small population of cancer stem cells, which are believed to be responsible for continually replenishing the pool of cells in a tumour. It turns out that an additional property of these cancer stem cells is their natural resistance to chemotherapy and other cancer treatment.
(f)     Some chemotherapy drugs (as well as radiation therapy) may contribute to (or directly cause) the development of new cancers many years after treatment (page 174). And it has been known for decades that chemotherapy alone cannot eradicate the advanced stages of the most common cancers (page 175).
TARGETED THERAPIES: (PAGES 175-180)
The current hot trend is to offer targeted drugs like Erbitux (for colorectal, head and neck cancers), Rituxan (for lymphoma), Herceptin (for breast cancer), Tarceva(for lung cancer), Sutent (for kidney cancer) and etc. Once in the bloodstream, they act like heat-seeking missiles, locating cancer cells wherever they lurk and gripping onto them via one specific receptor target (among thousands of receptors) that projects from the outer surface of the cells. The result is that the receptors stop transmitting growth signals inside the cells (page 177).
(a) Are targeted therapies “magic bullets”?
According to Dr Frank …..” although targeted therapies were developed with the hope that they would be magic bullets that would neatly eradicate cancer through selective targeting of one critical molecule, in general they have fallen short of this lofty goal. No cancer is considered curable by treatment through a targeted therapy alone… (page 180) The reason for the muted success of targeted therapies is that most cancers are caused not by one genetic derangement but by several; no one target functions as an Achilles heel. “(page 180)
(b) Do targeted therapies cause side effects?
“Like any other drug taken for any purpose, unintended effects may occur with these medications. Generally speaking, targeted therapies are easier to tolerate – less hair-loss, smaller declines in blood counts, less nausea… still, substantial side effects may occur with some targeted therapies, and they tend to increase the toxicities of chemotherapy when used in combination.” (page 182)
Finally, angiogenesis inhibitors (like Avastin, Sutent, Nexavar, Thalomid) constrict blood vessels not only inside tumours but also in other parts of the body. As a result, they often cause some degree of high blood pressure and are associated with an increased risk for kidney damage, bleeding, stroke and coronary artery blockage. (page 183)
In conclusion, we quote two very relevant statements by Dr. Frank:-
i.      Efforts to blast away metastatic cancers with mega doses of chemotherapy have fallen short because they do not root it out but rather cause more harm than good: the cancer is still present and the patient is sicker than ever. (page 143)
ii.      Even though billions of dollars are invested in cancer research every year, most new drugs in the research pipeline will extend life rather than the silver bullets that pierce the heart of cancer. (page 145)
THE FOLLOWING ARE SOME WORDS OF ADVICE BY DR FRANK ON NUTRITIONLpages 102-110.
Although the whole book is about conventional cancer medicine, Dr Frank did make some notable comments/advice on diet and cancer (not the”eat anything you like” type). We summarise the main points as follows:-
a)      …the contribution of diet…to the development of cancer is so large that if behaviours could be changed, many cancers could be avoided altogether… (and many oncologists will be without jobs).  Almost 30 years and a great deal of research later, the link between poor nutritional habits…and the development of cancer have been solidified…

b)      A large and ever-growing number of studies indicate…..cancers are highly influenced by one’s pattern for living: a diet high in red meat and animal fats and low in fruits and vegetables…contributes an unhealthy pattern for living that often leads to major illness.
c)       Diet can promote or inhibit the formation of cancer…through:-
(i)      The presence of carcinogens in food (which can be natural constituents or man-made additives);
(ii)     The generation of carcinogens by cooking…when foods are smoked, fried, or grilled, polycyclic hydrocarbons are produced;
(iii)    The increased exposure of the body to carcinogens by a diet low in fiber, which slows down bowel movement;
(iv)    ”over-nutrition” or excess body weight.
d)      Excess body fat promotes the development of cancer because it leads to two important changes in the body’s chemistryLpage 109)
(i)      The development of the insulin resistance syndrome or metabolic syndrome; and
(ii)     The increased production of estrogen.
e)      More fat, more estrogen, more breast cancer.  The ovaries are the main source of estrogen production in menstruating women.  When ovarian function ceases upon menopause, estrogen is still produced in the female body, although in lesser amounts.  In post-menopausal women, fat becomes the main estrogen factory, with higher body weights correlating with higher estrogen levels…and estrogen stimulates the growth of the breast and uterus. Just as the normal cells in these tissues multiply in response to estrogen, so do (most) cancers derived from them.(page 109)
f)       The connection between fat and breast cancer is in part caused by the fact that fat contains an enzyme called aromatase that increases estrogen production.  So even after menopause, when the ovaries have ceased producing estrogen, the hormone still gets made in the body.  That’s why a class of medicines called aromatase inhibitors (AIs)…. blocks aromatase from working and thereby drastically reduces the levels of estrogen in the bloodstream.  Examples of AIs are femara (Letrozole), anastrazole (Arimidex)(page 110)
Note: This book was published in April 2009. Isbn no: 978-0-300-1510-2