Comparison of Histological Measures of Skin Photoaging

Background: Dermal elastosis is considered the histological ‘gold standard’ for evaluation of skin photoaging, but the relation of the level of dermal elastosis to other histological indicators of photoaging is not clear. Objective: To investigate how various proposed histological measures of photoa...

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Veröffentlicht in:Dermatology (Basel) 2011-01, Vol.223 (2), p.140-151
Hauptverfasser: Hughes, M.C., Bredoux, C., Salas, F., Lombard, D., Strutton, G.M., Fourtanier, A., Green, A.C.
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container_issue 2
container_start_page 140
container_title Dermatology (Basel)
container_volume 223
creator Hughes, M.C.
Bredoux, C.
Salas, F.
Lombard, D.
Strutton, G.M.
Fourtanier, A.
Green, A.C.
description Background: Dermal elastosis is considered the histological ‘gold standard’ for evaluation of skin photoaging, but the relation of the level of dermal elastosis to other histological indicators of photoaging is not clear. Objective: To investigate how various proposed histological measures of photoaging compare with the level of dermal elastosis. Methods: Prospective, community-based study in Southeast Queensland, Australia, among 89 participants aged 40–82 years. Quantitative histology was used to evaluate 8 biomarkers of photoaged skin, and associations between grades of dermal elastosis and each of the other 7 biomarkers were analysed using ordinal logistic regression models with proportional odds assumption, using histological grades of elastosis as the outcome. Results: Older age, male sex and high outdoor exposure levels were confirmed as predictors ofhigh levels of dermal elastosis. After adjustment for age and sex, the only significant positive association with increasing elastosis grades was the proportion of p53-positive cells. Epidermal thickness, interdigitation index proportion of surface covered with melanin (% Fontana-Masson staining) and glycosaminoglycan content were not associated with elastosis in either crude or adjusted models. Conclusions: Amonga range of suggested biomarkers of photoaged skin, only p53-positive cells appear to be strongly associated with the level of dermal elastosis.
doi_str_mv 10.1159/000332425
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Objective: To investigate how various proposed histological measures of photoaging compare with the level of dermal elastosis. Methods: Prospective, community-based study in Southeast Queensland, Australia, among 89 participants aged 40–82 years. Quantitative histology was used to evaluate 8 biomarkers of photoaged skin, and associations between grades of dermal elastosis and each of the other 7 biomarkers were analysed using ordinal logistic regression models with proportional odds assumption, using histological grades of elastosis as the outcome. Results: Older age, male sex and high outdoor exposure levels were confirmed as predictors ofhigh levels of dermal elastosis. After adjustment for age and sex, the only significant positive association with increasing elastosis grades was the proportion of p53-positive cells. Epidermal thickness, interdigitation index proportion of surface covered with melanin (% Fontana-Masson staining) and glycosaminoglycan content were not associated with elastosis in either crude or adjusted models. 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Objective: To investigate how various proposed histological measures of photoaging compare with the level of dermal elastosis. Methods: Prospective, community-based study in Southeast Queensland, Australia, among 89 participants aged 40–82 years. Quantitative histology was used to evaluate 8 biomarkers of photoaged skin, and associations between grades of dermal elastosis and each of the other 7 biomarkers were analysed using ordinal logistic regression models with proportional odds assumption, using histological grades of elastosis as the outcome. Results: Older age, male sex and high outdoor exposure levels were confirmed as predictors ofhigh levels of dermal elastosis. After adjustment for age and sex, the only significant positive association with increasing elastosis grades was the proportion of p53-positive cells. Epidermal thickness, interdigitation index proportion of surface covered with melanin (% Fontana-Masson staining) and glycosaminoglycan content were not associated with elastosis in either crude or adjusted models. Conclusions: Amonga range of suggested biomarkers of photoaged skin, only p53-positive cells appear to be strongly associated with the level of dermal elastosis.</abstract><cop>Basel, Switzerland</cop><pub>Karger</pub><pmid>21997520</pmid><doi>10.1159/000332425</doi><tpages>12</tpages></addata></record>
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subjects Adult
Age Factors
Aged
Aged, 80 and over
Aging
Biological and medical sciences
Biomarkers
Dermatology
Dermis - chemistry
Dermis - pathology
Elastic Tissue - pathology
Epidermis - chemistry
Epidermis - pathology
Female
Glycosaminoglycans
Histology
Humans
Immunohistochemistry
Logistic Models
Male
Medical sciences
Melanins
Middle Aged
Original Paper
Queensland
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Sex Factors
Skin
Skin Aging - pathology
Sunlight - adverse effects
Tumor Suppressor Protein p53
Ultraviolet radiation
title Comparison of Histological Measures of Skin Photoaging
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