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Dermatological and clinical methods
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Australian Standard
Changes to the skin caused by UVA radiation - unlike the acute UVB-induced damage - are due to a cumulative effect, with damage occurring over a long period of time and therefore, difficult to reproduce and measure experimentally in vivo. Unlike the definition of the sun protection factor (SPF), there is a lack of an international standard for the in vivo definition of the effect of UVA radiation. There are various methods in use but their results are only partially comparable with each other.

So far, there is only one standardized in vitro measuring method in the world that is approved by a regulatory authority, and that is the Australian Standard 2604:93. It allows for a reproducible estimation of the reduction of UVA radiation brought about by a sunscreen preparation. An exactly defined test procedure using a photometric technique is employed. The result is a UVA protection value, expressed as a percentage. Protection products that meet this strict standard must absorb at least 90% of the UVA radiation.
Chemiluminescence method
This method, developed by Beiersdorf Skin Research, demonstrates the antioxidant effect of skincare and protection products. It is based on the principle that, when damaging free radicals, for example UVA-induced oxygen radicals, are active, they emit photons (light quanta). The number of photons emitted over a period of time is a measure of the oxidative stress of the skin. On the other hand, the reduction in photon emission through treatment with antioxidants such as α-glucosylrutin and vitamin E is a measure of the protective efficacy of these substances.

In order to induce the production of such reactive (oxygen) species in the skin in a standardized way, a defined UVA radiation dose (100 mJ/cm 2 skin) is used. If, after application of a product, such a UVA-irradiated area of skin emits fewer photons than an untreated or placebo-treated area, then the antioxidant effect of the product has been demonstrated. The photons emitted from the skin are measured with a highly sensitive light amplifier (photomultiplier) and a photon-counting system UPE (Ultraweak Photon Emission) operated in a completely darkened room.

COLIPA method (see also SPF)

Comedogenicity
The term "comedogenicity" describes the tendency of a topical preparation or ingredient to induce the formation of sebum plugs (comedones) in the openings of the sebaceous glands. These comedones can lead to inflammatory processes, which are visible in the form of acne. They occur when an increased rate of sebum production accompanies a simultaneous blockage of the sebaceous gland openings. The closed sebaceous glands become infected by propionibacteria, which produce porphyrin as a metabolite. With suitable light excitation, this displays fluorescent properties which can be measured by imaging techniques for early detection of acne caused by the use of cosmetic products.
Conversely, this method can also be used to establish the anti-comedogenic properties, i.e. the comedolytic activity, of a skincare product, for example an anti-acne preparation.

Corneometry (see Skin moisture)


D-Squames® * (see Skin scaling)
* ® by Cuderm Corps., Dallas, Texas/USA

Elasticity test (see Skin elasticity)

Evaporimetry (measurement of the transepidermal water loss)
Evaporimetry is a method of measuring the transepidermal water loss (TEWL). It is used as a parameter of the skin's barrier function, where an increase in the measured value indicates an impaired barrier function.

The transepidermal water loss is measured with a special probe that alters its electrical properties as a function of the water vapour pressure directly above the skin. As the measurement can be strongly influenced by the activity of the sweat glands, the measurements take place in a fully air conditioned room, which is maintained at a constant temperature. A beneficial effect of skin care is demonstrated by a lower measured value in treated than in untreated areas.

Follicle biopsy
The skin surface biopsy technique is a simple, reliable method for examining the stratum corneum, e.g. the individual, interconnected corneocytes, pathological changes in the stratum corneum, and the contents of the pilosebaceous follicles. To obtain material for examination, a special adhesive, cyanoacrylate, is used. After only a short time, this polymerises adhering firmly to the keratin in the stratum corneum. After application onto the skin, a clean slide is placed on top and pressure applied. After 20 - 30 seconds, the slide is slowly removed, along with 3 - 6 layers of dead stratum corneum cells. With a biopsy of sebaceous gland-rich areas of skin, follicles and associated hairs are also removed. In skin conditions such as acne vulgaris, the size of the funnel-shaped openings and the size and composition of comedones can be examined in comparison with normal skin.

Skin elasticity (elasticity test)
To measure skin elasticity, a measuring head is placed on the area of skin of interest. A partial vacuum is created with the help of a vacuum pump. The suction and release times are specified and set before starting the measurement. The depth of penetration (deformation) of the skin into the 2 millimetre wide measuring probe is measured optically by means of a mirror and a light detector. The time taken for the skin to return to its original state (recovery) after release of the vacuum is quicker or slower according to the skin condition. The measure of skin elasticity is given by the following formulas:

Ur
Elastic recovery
=
Ue
Elastic deformation of the skin

Ur
Elastic recovery
=
Uf
Total deformation of the skin

Skin moisture (corneometry)
The water content of the horny layer is important as a protective factor (barrier function) but also plays an important role in the cosmetic appearance of the skin. If it is too low, the skin becomes dry and chapped and cannot fulfil its barrier function. The amount of moisture in the horny layer is determined by corneometry. As a measuring probe, a plate capacitor is used which builds up an electrical field at its edges.

The properties of this electrical field change in accordance with the water content of the en-vironment through which it moves. The plate capacitor is separated from the skin by an extremely thin film which prevents ion-containing skin surface water from causing a short circuit between the capacitor plates. The measurements take place in a fully air conditioned room, which is maintained at a constant temperature. This is because the measurement can be strongly influenced by the activity of the sweat glands.

Skin smoothness and skin roughness (profilometry, microtopography/skin micro-topography, see also Replica method)
If the skin is well supplied with skincare substances, the skin moisture content improves, the barrier function is supported and skin roughness (scaling) is reduced. Together these lead to a smoothing of the skin's surface that can be observed in the micrometre region (1 mm equals 1000 µm). In this manner the smoothness of the skin's surface can be used as a "skin rejuvenation" parameter, as the skin roughness in the micrometre region is related to the age of the skin. The skin's microstructure is measured - as with the pick-up of a record player - with a very fine needle that passes over the skin relief, following it exactly with up and down movements. In this manner the success of a smoothing treatment can be demonstrated to within a few micrometres.

However, the skin pulsates, and such a delicate measurement cannot take place directly on the skin's surface. For this reason, an exact replica of the skin's surface profile is made using a silicone/dental-impression mass from which the measurements are taken and described, according to German industrial standards. With the aid of an imaging technique they are repro-duced in 3D format. Thus the different surface parameters, such as roughness or moderately deep wrinkles, can be measured and compared with each other. The data for the replicas are obtained, stored and computed automatically.
By means of 3D reconstruction, wrinkle depths can be depicted: warm colours (red, yellow) show large depths of wrinkles and cold colours (green, blue) small wrinkle depths.

Skin surface lipids (sebumetry)
The amount of skin surface lipids, which mostly originate from sebum, is measured with the help of a sebumeter. The amount of sebum on the skin's surface differs according to skin region and depends either on the density of the sebaceous glands, or their level of activity. This peaks in puberty and then continually declines. A low level of skin lipids can - especially in later years - lead to increasingly dry skin. The skin surface lipids can be quantitatively measured: The sensor of the measuring apparatus is placed on the skin. An opaque film on the sensor tip soaks up the sebum. This film becomes more or less transparent, depending on the amount of sebum ("grease-proof paper effect"). This transparency is measured and expressed as a numerical value.

Skin roughness (profilometry, see Skin smoothness and skin roughness)

Skin regeneration (see Corneocyte size, measurement of ~)

Skin scaling (D-Squames® *) * ® by Cuderm Corps., Dallas, Texas/USA
The epidermis of young skin is continuously renewed by the constant production of keratino-cytes, their differentiation/cornification and desquamation every 28 days. When a disruption occurs, such as by enzyme-activity controlled desquamation, large corneocyte aggregates are formed, which appear as scaling to human eyes. These skin scales are composed of horny cells and consist mostly of keratin, in other words amino acids.
When the corneocyte aggregates are removed with a special adhesive film (D-Squames ® *), the degree of scaling can be measured and the effect of a treatment assessed. This is done by exposing the film to UV light: As some amino acids in the skin scales fluoresce, the intensity of the fluorescence on the standardized adhesive film as depicted by image analysis gives an approximate indication of the amount of skin scales present.


Corneocyte size, measurement of ~ (skin regeneration)
The corneocyte size is an indication of the epidermal turnover, i.e. the regenerative capacity of the skin. The faster the turnover, the smaller the size of the horny cells (corneocytes). In humans there is a very clear age dependence of the corneocyte area (CA): There is an approximately linear increase from birth to old age on parts of the body exposed to little or no UV radiation. After treating the skin for six to eight weeks with active preparations, the first statistically significant changes in the size of corneocytes flaking off from the skin can be detected. Agents that stimulate epidermal regeneration reduce the corneocyte size. If a preparation inhibits or calms the (primary hyperproliferative, e.g. atopic) skin, the corneocyte size will increase. Corneocytes are removed from the skin surface with an adhesive film in a standardized procedure and measured on a slide by means of a microscope-coupled imaging system. Then the results are compared with those of an untreated skin area.


Sun protection factor (SPF)
The determination of the sun protection factor (SPF) in Europe follows the COLIPA standard of the European Cosmetic, Toiletry and Perfumery Association. It stipulates the amount of protection a sunscreen should provide from UVB radiation. UVB radiation is the main cause of sunburn. Moreover, it possesses immunosuppressive and cell damaging properties that after chronic exposure can lead to skin cancer (basaliomas, spinaliomas).Various UV filters and UV filter systems/combinations are used in order to provide optimum protection. The minimal erythema dose (MED) is the measurement of the amount of UVB radiation that is needed to induce a barely noticeable reddening (erythema). The SPF can be calculated using the following formula:

MED on protected skin MEDp
=
SPF
=
=
MED on unprotected skin MEDu

A test begins by determining the individual UV sensitivity of the test participant by exposing an unprotected skin area on the back. The radiation sources are solar simulators, most equipped with xenon lamps: their spectrum is sun-like but of a higher intensity and therefore a shorter radiation period is possible. Approximately 20 hours after exposure to varying intensities, the MEDu is determined by visual assessment of the erythemas in six skin areas.

For the actual SPF determination, test areas are marked out on the participant's back for the application of the sunscreen preparation. Every product area has a neighbouring untreated control area assigned to it. The intensity of the exposure is determined according to skin sensitivity and the expected sun protection factor. After approximately 20 hours the MEDu and MEDp are visually assessed. The resulting sun protection factor gives the average increase in the individual time periods needed to produce an erythema after the application of the sun-screen.


SPF: COLIPA method
Since 1997, the COLIPA method has been the one used throughout Europe to determine the sun protection factor (UVB protection) of sunscreens. The test method is standardized and regulated. The radiation range and the output of the sun simulator used for testing are defined exactly. The amount applied and mode of product application are also laid down precisely. The test method is independent of skin type or the age of the test subjects. These precise specifications mean that statistically significant sunscreen testing can take place with only ten volunteers. The COLIPA method is a method that yields reproducible results with a high degree of reliability.

Microtopography (see Skin smoothness and skin roughness)

Surface hydrometry
Surface hydrometry is the measuring of the water content of the surface of the horny layer.

OECD method (biodegradability)
Under the 1977 Statutory Order, the OECD confirmatory test and the OECD screening test, in combination with the MBAS (methylene blue active substance = a group-specific method to detect anionic surfactants) or BiAS (bismith active substance = a group-specific method to detect non-anionic surfactants), have been designated as the methods for testing the biodegradability of anionic and non-anionic surfactants.

The OECD screening test is known as a die-away test, in which the reduction in a preset concentration of a substrate over time is followed directly or indirectly. In the die-away test, the introduction of sewage into a river is simulated by the use of a suspension with a low density of bacteria. The 19-day test interprets the primary degradability of the substrate. A reduction of more than 80% MBAS or BiAS is considered sufficient. With the 28-day modified OECD screening test, the end-degradability of the test substance is defined. A reduction in organically bound carbon (DOC = dissolved organic carbon) of more than 70% is regarded as a criterion of ready biodegradability. The OECD confirmatory test is a continuous test method, in which a treatment plant model with a high density of bacteria is simulated.

The tested surfactant is regarded as biodegradable if there is a reduction of more than 80% MBAS or BiAS.

Patch test
This test serves to establish the topical safety of a preparation. The test substance is applied to a plaster measuring approximately one square centimetre and stuck to healthy skin for 24 hours. After removal of the test plaster, the skin area in question is evaluated after 10 minutes, 12 and 24 hours. In a repetitive insult patch test the procedure is repeated five more times at intervals of 48 hours and again 10 days later.

Photoallergy test (see also Photopatch test)
A photoallergic reaction occurs when light-sensitive substances in the skin are activated by exposure to UVA radiation. That means that the substance concerned has been transformed into a higher energy, more reactive which can cause damage to surrounding tissue. This is manifested to as either a phototoxic or photoallergic reaction.

To diagnose this condition, what is known as a photopatch test is performed: A photoallergic reaction shows only a limited dose dependence, is usually eczematous and lasts longer than a phototoxic reaction for example. It is based on an immune reaction to an allergen generated by the light-induced reaction.

Photopatch test
The photopatch test is used to detect the presence of photoallergic or phototoxic reactions. The test substances are placed in two parallel series on the skin of the back by means of test plaster and over-laid with a black light-proof film. After 24 hours one of the plaster series is removed and the skin is irradiated with UV light (the minimal erythema dose). After 24 hours both test areas are inspected. In the case of phototoxic or allergic reactions the exposed skin test fields are positive, the unexposed negative. Photoallergic reactions can also spread into neighbouring areas that have not been exposed.


Photoprovocation test
In the photoprovocation test, also known as phototesting, a skin area is inspected for a reduced erythema threshold or persistance of erythema after exposure to UVA or UVB radiation. The light-induced erythema is examined for skin lesions that are typical of photodermatoses such as polymorphic light eruptions (PLE; papules, weals, blisters). In this manner, the method is also used in general diagnostics.

Phototoxicity test (see also Photopatch test, Photoallergy test)
Unlike photoallergic reactions, phototoxic reactions are dose-dependent, confined to the ir-radiated area and manifest themselves as sunburn-like symptoms. Thus the skin reacts under UVA radiation to a single contact with a certain substance, such as bergamot oil (berloque dermatitis) or substances found in the cow parsnip (meadow (grass) dermatitis), with a photo-toxic reaction. Testing for phototoxicity is done with the photopatch test.

Profilometry (see also Skin smoothness and skin roughness)
Profilometry is a method for determining skin roughness. A silicone impression mass is used to make an impression of a specified skin area and then measured. The values obtained reflect the skin smoothing properties of a topical preparation.

Repetitive insult patch test (RIPT) (see Patch test)

Replica method (see also Skin smoothness and skin roughness)
The replica method is a reproducible measuring technique that studies and documents the topography of the skin's surface.

Suction blister test
Suction blisters are an accepted model for testing a number of hypotheses relating to skin physiology and pharmacology. This test is also used as a standardized wound-healing model for objective assessment of the influence of active ingredients such as dexpanthenol on epithelial regeneration. In this test, intra-epidermal blisters representing precisely defined defects are produced artificially by negative pressure. In addition to the course of re-epithelialisation, the constituents of the blister cover and the fluid in the blister can be analysed. Measurement of transepidermal water loss (TEWL) is a suitable parameter for recording the degree of re-epithelialisation.

SDS test
The SDS test records and evaluates skin reactions provoked by the application of sodium lauryl sulphate (sodium dodecyl sulphate = SDS) as a standard irritant, e.g. on the fore-arm. The degree of skin irritation, e.g. before and after product use, is evaluated from the redness of the irritated area of skin, measurement of skin colour (chromametry) and measurement of transepidermal water loss.

Sebumetry (see Skin surface lipids)

Stinging test (lactic acid stinging test)
First published by Frosch and Kligman in 1977, the "lactic acid stinging test" is used to identify people with hyperirritable or "sensitive" skin, also called stingers. This test can detect neurosensory problems such as stinging, burning and itching related to the application of various skincare products, even if there is no disease or clinical symptoms of irritation present.

"Stinging" refers to the sensation experienced by sensitive people to the topical application of a 10% concentration of lactic acid that normally appears after a few minutes. After approximately 3 to 5 minutes the reaction reaches its peak and then declines over the next 15 to 20 minutes. In especially sensitive persons, a light erythema can appear.

A stinging test is carried out under standardized conditions (patch, chamber test) and in a defined environment (room temperature and humidity, time of year). The lactic acid is applied to the nasolabial area of one side of the face. The test participant must differentiate between the sensations of burning, stinging and itching. For the two weeks leading up to the test, no cleansing or skincare products may be used. In order to exclude a placebo effect, the test participant is tested one week later with a water-soaked patch as a placebo.

Stinging lactic acid conditioning test

The purpose of the test is to study the skin-protecting efficacy of medicated facial skin-care products. Test subjects with sensitive, easily irritated skin have a cream containing no active ingredients (placebo) applied to the nasolabial region of both sides of their face for one week. Then, in the 1st stinging test, 10% lactic acid is applied to the nasolabial region of both sides of the face and the skin reactions and subjective sensations (e.g. burning, stinging, itching) are observed and documented. In the second week, a placebo is applied to the nasolabial region of one side of the face, and a cream containing the test ingredient (active ingredient) to the other side. In the 2nd stinging test, a 10% lactic acid solution is again applied, and the skin reactions after pre-treatment with the active ingredient or placebo recorded.

UVA protection (see also Australian Standard)
A whole host of methods for determining the UVA protection factor have been published. However, what have been lacking to date are standard international in vivo methods. Australian Standard 2604:93 is an in vitro method and to date the only official measurement method that enables the reduction in UVA radiation achieved by sunscreens to be reproducibly estimated. This method defines a test set-up that determines the percentage UVA protection value using a photometric method. Only with 90% UVA filtration is the standard deemed met.

UVB protection (see also Sun protection factor)
The sun protection factor found on the packages of sunscreen products applies only to the protection afforded against UVB radiation. This value indicates how much longer a person can stay in the sun before a barely noticeable erythema becomes apparent when the skin is protected compared to when it is not.

In the past, the UVB sun protection factor has been measured according to various standarized methods such as the US/FDA standard and the DIN 67501 Standard. This meant that the UVB sun protection factor for one and the same sunscreen product could vary depending on the test method used. The current COLIPA standard is a standarized method for measuring the UVB sun protection factor that has been effective throughout Europe since 1997. This has the advantage that SPF values reported by different manufactures are comparable. The SPF value stated on the packaging of Eucerin ® Sun Products were measured according to the COLIPA method.

Water loss, transepidermal (see Evaporimetry)

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