Effect of Age and Anatomical Site on Density of Sensory Innervation in Human Epidermis

BACKGROUND Aging leads to decline of multiple cutaneous physiological functions including decreased sweating, immune responsiveness, thermoregulation, DNA repair, and sensory and tactile perception. Interestingly, sensory perception, like that for pain or spatial acuity, varies in different body par...

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Veröffentlicht in:Archives of dermatology (1960) 2002-11, Vol.138 (11), p.1445-1450
Hauptverfasser: Besné, Isabelle, Descombes, Caroline, Breton, Lionel
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container_title Archives of dermatology (1960)
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creator Besné, Isabelle
Descombes, Caroline
Breton, Lionel
description BACKGROUND Aging leads to decline of multiple cutaneous physiological functions including decreased sweating, immune responsiveness, thermoregulation, DNA repair, and sensory and tactile perception. Interestingly, sensory perception, like that for pain or spatial acuity, varies in different body parts. OBJECTIVE To evaluate epidermal innervation according to age and anatomical site. METHODS Eighty-two biopsy samples from surgical procedures involving 82 patients of different ages (20-93 years) were analyzed. Four anatomical sites were examined: 2 from facial areas (upper eyelid and preauricular area) and 2 from truncal areas (abdomen and mammary area). Epidermal innervation was detected using a marker of neural cells, the protein gene product 9.5. The basement membrane was stained with type IV collagen antibodies. The epidermal area occupied by nerve endings was then calculated using image analysis. RESULTS A trend displaying age-associated decreased epidermal innervation of facial skin was found. Epidermal innervation of abdominal skin did not change with age, and an age-associated increased innervation was observed in mammary skin. Also, the number of epidermal nerves in facial areas tested (palpebral and preauricular areas) was significantly higher than their number in the abdomen and mammary area. Eyelid epidermis showed the highest ratio of nerve fiber surface to epidermal surface. CONCLUSIONS Epidermal nerve density variations could explain the different sensitivity threshold in different parts of the body. Decreased spatial discrimination with aging may be associated with decreased epidermal nerve density.Arch Dermatol. 2002;138:1445-1450-->
doi_str_mv 10.1001/archderm.138.11.1445
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Interestingly, sensory perception, like that for pain or spatial acuity, varies in different body parts. OBJECTIVE To evaluate epidermal innervation according to age and anatomical site. METHODS Eighty-two biopsy samples from surgical procedures involving 82 patients of different ages (20-93 years) were analyzed. Four anatomical sites were examined: 2 from facial areas (upper eyelid and preauricular area) and 2 from truncal areas (abdomen and mammary area). Epidermal innervation was detected using a marker of neural cells, the protein gene product 9.5. The basement membrane was stained with type IV collagen antibodies. The epidermal area occupied by nerve endings was then calculated using image analysis. RESULTS A trend displaying age-associated decreased epidermal innervation of facial skin was found. Epidermal innervation of abdominal skin did not change with age, and an age-associated increased innervation was observed in mammary skin. Also, the number of epidermal nerves in facial areas tested (palpebral and preauricular areas) was significantly higher than their number in the abdomen and mammary area. Eyelid epidermis showed the highest ratio of nerve fiber surface to epidermal surface. CONCLUSIONS Epidermal nerve density variations could explain the different sensitivity threshold in different parts of the body. Decreased spatial discrimination with aging may be associated with decreased epidermal nerve density.Arch Dermatol. 2002;138:1445-1450--&gt;</description><identifier>ISSN: 0003-987X</identifier><identifier>ISSN: 2168-6068</identifier><identifier>EISSN: 1538-3652</identifier><identifier>EISSN: 2168-6084</identifier><identifier>DOI: 10.1001/archderm.138.11.1445</identifier><identifier>PMID: 12437450</identifier><language>eng</language><publisher>United States: American Medical Association</publisher><subject>Adult ; Age Factors ; Aged ; Aged, 80 and over ; Culture Techniques ; Epidermis - innervation ; Epidermis - ultrastructure ; Female ; Humans ; Male ; Microscopy, Confocal ; Middle Aged ; Nerve Endings ; Nerve Fibers - ultrastructure ; Probability ; Risk Factors ; Sensation - physiology ; Sensitivity and Specificity ; Skin Aging - pathology ; Statistics, Nonparametric</subject><ispartof>Archives of dermatology (1960), 2002-11, Vol.138 (11), p.1445-1450</ispartof><rights>Copyright American Medical Association Nov 2002</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a348t-76695bbf5c46e76961e276e7d24381421d3179b17750bb2bc59b03db24127f3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamadermatology/articlepdf/10.1001/archderm.138.11.1445$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamadermatology/fullarticle/10.1001/archderm.138.11.1445$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,776,780,3327,27901,27902,76232,76235</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12437450$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Besné, Isabelle</creatorcontrib><creatorcontrib>Descombes, Caroline</creatorcontrib><creatorcontrib>Breton, Lionel</creatorcontrib><title>Effect of Age and Anatomical Site on Density of Sensory Innervation in Human Epidermis</title><title>Archives of dermatology (1960)</title><addtitle>Arch Dermatol</addtitle><description>BACKGROUND Aging leads to decline of multiple cutaneous physiological functions including decreased sweating, immune responsiveness, thermoregulation, DNA repair, and sensory and tactile perception. Interestingly, sensory perception, like that for pain or spatial acuity, varies in different body parts. OBJECTIVE To evaluate epidermal innervation according to age and anatomical site. METHODS Eighty-two biopsy samples from surgical procedures involving 82 patients of different ages (20-93 years) were analyzed. Four anatomical sites were examined: 2 from facial areas (upper eyelid and preauricular area) and 2 from truncal areas (abdomen and mammary area). Epidermal innervation was detected using a marker of neural cells, the protein gene product 9.5. The basement membrane was stained with type IV collagen antibodies. The epidermal area occupied by nerve endings was then calculated using image analysis. RESULTS A trend displaying age-associated decreased epidermal innervation of facial skin was found. Epidermal innervation of abdominal skin did not change with age, and an age-associated increased innervation was observed in mammary skin. Also, the number of epidermal nerves in facial areas tested (palpebral and preauricular areas) was significantly higher than their number in the abdomen and mammary area. Eyelid epidermis showed the highest ratio of nerve fiber surface to epidermal surface. CONCLUSIONS Epidermal nerve density variations could explain the different sensitivity threshold in different parts of the body. 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Also, the number of epidermal nerves in facial areas tested (palpebral and preauricular areas) was significantly higher than their number in the abdomen and mammary area. Eyelid epidermis showed the highest ratio of nerve fiber surface to epidermal surface. CONCLUSIONS Epidermal nerve density variations could explain the different sensitivity threshold in different parts of the body. Decreased spatial discrimination with aging may be associated with decreased epidermal nerve density.Arch Dermatol. 2002;138:1445-1450--&gt;</abstract><cop>United States</cop><pub>American Medical Association</pub><pmid>12437450</pmid><doi>10.1001/archderm.138.11.1445</doi><tpages>6</tpages></addata></record>
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source MEDLINE; American Medical Association Journals
subjects Adult
Age Factors
Aged
Aged, 80 and over
Culture Techniques
Epidermis - innervation
Epidermis - ultrastructure
Female
Humans
Male
Microscopy, Confocal
Middle Aged
Nerve Endings
Nerve Fibers - ultrastructure
Probability
Risk Factors
Sensation - physiology
Sensitivity and Specificity
Skin Aging - pathology
Statistics, Nonparametric
title Effect of Age and Anatomical Site on Density of Sensory Innervation in Human Epidermis
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