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Topic Review
5-Aminolevulinic Acid in Photodynamic Therapy
5-Aminolevulinic acid (ALA) is a naturally occurring amino acid synthesized in all nucleated mammalian cells. As a porphyrin precursor, ALA is metabolized in the heme biosynthetic pathway to produce protoporphyrin IX (PpIX), a fluorophore and photosensitizing agent. ALA administered exogenously bypasses the rate-limit step in the pathway, resulting in PpIX accumulation in tumor tissues. Such tumor-selective PpIX disposition following ALA administration has been exploited for tumor fluorescence diagnosis and photodynamic therapy (PDT) with much success. Five ALA-based drugs have now received worldwide approval and are being used for managing very common human (pre)cancerous diseases such as actinic keratosis and basal cell carcinoma or guiding the surgery of bladder cancer and high-grade gliomas, making it the most successful drug discovery and development endeavor in PDT and photodiagnosis. 
  • 1.8K
  • 04 May 2023
Topic Review
Diagnosis of Pityriasis Versicolor
Pityriasis versicolor (PV), also known as tinea versicolor, is a mild, non-contagious chronic, superficial fungal skin infection caused by lipid-dependent yeast-like fungus Malassezia. It manifests as poorly to well-demarcated discoloured or light pink scaly patches, usually affecting the trunk and arms. The disease occurs worldwide but is most prevalent in humid and warm tropical regions. PV tends to be more active in summer seasons. 
  • 1.8K
  • 26 Oct 2023
Topic Review
Candida Albicans in Psoriasis
Psoriasis is a T cell-mediated skin disease resulting from epithelial and immunological cells’ interactions, which affects around 2% of the population worldwide. Its onset is influenced by genetic and environmental factors, particularly infections among which Streptococcus pyogenes is the best characterized. However, the commensal fungus Candida albicans has been also associated to triggering psoriasis. Here we discuss what it is known about the link betweeen Candida and psoriasis pathogenesis.
  • 1.7K
  • 22 Sep 2021
Topic Review
Collagen Hydrolysates for Skin Protection
Antioxidants are molecules that delay or inhibit the oxidation of other molecules. Its use significantly increased in recent years in the diet of people. Natural antioxidants are replacing the use of synthetic antioxidant ingredients due to their safety, nutritional, and therapeutic values. Hydrolyzed collagen (HC) is a popular ingredient considered to be an antioxidant. This low molecular weight protein has been widely utilized due to its excellent biocompatibility, easy biodegradability, and weak antigenicity. It is a safe cosmetic biomaterial with good moisturizing properties on the skin. The antioxidant properties of HC are conditioned to the size of the molecule: the lower the molecular weight of peptides, the greater the ability to donate an electron or hydrogen to stabilize radicals. The antioxidant capacity of HC is mostly due to the presence of hydrophobic amino acids in the peptide. The exact mechanism of peptides acting as antioxidants is not clearly known but some aromatic amino acids and histidine are reported to play an important role in the antioxidant activity. Oral ingestion of HC increases the levels of collagen-derived peptides in the blood torrent and improves the skin properties such as elasticity, skin moisture, and transepidermal water loss. 
  • 1.7K
  • 10 Dec 2021
Topic Review
Malignant Superficial Mesenchymal Tumors in Children
Malignant superficial mesenchymal tumors are a very diverse group of neoplasms with few clinical and radiological discriminatory factors. Hence, some of these cancers are rarely suspected based on clinical and radiological grounds, others may be easily misdiagnosed, and the histological analysis of a biopsy or resection is central in the diagnostic process. In children, the age at presentation is a major element of the differential diagnosis. Some tumors have a very distinct epidemiology, while others may be seen at any age. More recently, the advances in molecular biology have greatly improved the diagnosis of mesenchymal tumors and new entities are still being described. 
  • 1.7K
  • 02 Jun 2022
Topic Review
In Vitro Models for Anti-Aging Efficacy Assessment
The skin is the human body’s largest organ and serves as a crucial boundary between the body and the external environment. As a natural process, skin aging cannot be avoided, and it causes changes in the skin’s strength, structure, elasticity, and integrity. Many approaches have been developed over the years to study the skin, including in vivo and in vitro methods. Nevertheless, animal assays have ethical issues and a lack of reproducibility. Hence, in vitro skin models have been increasingly developed and used. For the assessment of the potential of the anti-aging activity of compounds of different origins, the most commonly used in vitro assays are the ones evaluating antioxidant, anti-collagenase, anti-elastase, anti-hyaluronidase, anti-tyrosinase, anti-inflammatory, antiglycation, or moisturizing activity, and the induction of skin cell proliferation/anti-senescence effects or the inhibition of matrix metalloproteinase production.
  • 1.7K
  • 28 Apr 2023
Topic Review
Desmosomal Genes
Desmosomes are mirroring, transmembrane protein chains that connect the intermediate filament networks of neighbouring cells. Each chain continuously (dis)assembles due to the turnover of five desmosomal protein types: desmoplakin, plakoglobin, plakophilins, desmocollins and desmogleins. The expression of two genes is critical to the formation of all desmosomes: namely DSP, encoding two differently spliced desmoplakin proteins (DPI and DPII) and JUP, encoding plakoglobin (PG). Meanwhile, plakophilins, desmocollins and desmogleins are expressed in a tissue-specific manner and are therefore encoded by multiple genes.
  • 1.7K
  • 20 Oct 2022
Topic Review
Monoclonal Antibodies in the Management of Psoriasis
Psoriasis is a chronic autoimmune and inflammatory skin disease associated with physical and psychological burdens characterized by erythematic plaques with adherent shiny scales. 
  • 1.7K
  • 08 Apr 2022
Topic Review
Scleroderma (morphea) en Coup de Sabre
Scleroderma (morphea) en coup de sabre is a localized subtype restricted to the frontoparietal region of the head. Localized scleroderma/morphea en coup de sabre (LScs) is a rare form of localized scleroderma that typically affects predominantly children and women. It manifests by presence of linear atrophy and/or hardening of the skin, subcutis, occasionally involving muscles and bones. The early phase lesions appear as an erythematous or violaceous linear indurated mild atrophic plaque and subsequently lesions progress to hypopigmented or depigmented sclerotic deep furrow. It usually starts at the level of the upper eyebrow ridge and reaches the scalp, where a cicatricial alopecia focus appears. There are known descriptions of patients with localized scleroderma en coup de sabre, in whom lesions spread below the eyebrows involving the eyelids, eyelashes, or the skin on the nose. The disease may manifest with ophthalmologic (deformation of eyelids, uveitis, episcleritis) and neurological (convulsions, migraine, trigeminal neuralgia, vascular malformations) symptoms. In some cases neurological symptoms preceded the appearance of skin lesions. Parry Romberg syndrome (also known as progressive facial hemiatrophy), which is a distinct entity within craniofacial linear subtype involving subcutaneous tissue and bones, coexists in 20–40% of patients with en coup de sabre lesions.
  • 1.7K
  • 21 Oct 2021
Topic Review
Nanotechnology-Based Topical Delivery of Natural Products for AD
Atopic dermatitis (AD) is a chronic eczematous inflammatory disease that may arise from environmental, genetic, and immunological factors. Despite the efficacy of current treatment options such as corticosteroids, such approaches are mainly focused on symptom relief and may present certain undesirable side effects. Isolated natural compounds, oils, mixtures, and/or extracts have gained scientific attention because of their high efficiency and moderate to low toxicity.
  • 1.7K
  • 07 Jul 2023
Topic Review
Human Skin Microbiome
The skin is the common coat of the body and is the largest organ of the human organism. Its role is to provide an optimal environment for deeper tissues, by separating them from the external environment, and at the same time ensuring contact with it by exchanging substances and receiving stimuli.
  • 1.7K
  • 22 Sep 2021
Topic Review
The Pathogenesis of Alopecia Areata
Alopecia areata is a multifactorial autoimmune-based disease with a complex pathogenesis. As in all autoimmune diseases, genetic predisposition is key. The collapse of the immune privilege of the hair follicle leading to scalp loss is a major pathogenic event in alopecia areata. The microbiota considered a bacterial ecosystem located in a specific area of the human body could somehow influence the pathogenesis of alopecia areata, as it occurs in other autoimmune diseases. Moreover, the Next Generation Sequencing of the 16S rRNA bacterial gene and the metagenomic methodology have provided an excellent characterization of the microbiota.
  • 1.7K
  • 04 Nov 2022
Topic Review
Microbiome Research in Alopecia Areata
The continuous research advances in the microbiome field is changing clinicians’ points of view about the involvement of the microbiome in human health and disease, including autoimmune diseases such as alopecia areata (AA). Both gut and cutaneous dysbiosis have been considered to play roles in alopecia areata. A new approach is currently possible owing also to the use of omic techniques for studying the role of the microbiome in the disease by the deep understanding of microorganisms involved in the dysbiosis as well as of the pathways involved. These findings suggest the possibility to adopt a topical approach using either cosmetics or medical devices, to modulate or control, for example, the growth of overexpressed species using specific bacteriocins or postbiotics or with pH control. This will favour at the same time the growth of beneficial bacteria which, in turn, can impact positively both the structure of the scalp ecosystem on the host’s response to internal and external offenders.
  • 1.7K
  • 08 Jun 2022
Topic Review
Blue Light on Acne Vulgaris
Acne is a dermatosis that affects almost 90% of the adolescent population worldwide and its treatment is performed with retinoids, antimicrobials, acids, and topical or systemic antibiotics. Side effects such as skin irritation in addition to microbial resistance to antibiotics are the main side effects found. Phototherapy with blue light is being used as an alternative treatment.
  • 1.7K
  • 11 Nov 2021
Topic Review
AHR and NRF2 in Atopic Dermatitis
Skin is constantly exposed to environmental insults, including toxic chemicals and oxidative stress. These insults often provoke perturbation of epidermal homeostasis and lead to characteristic skin diseases. AHR (aryl hydrocarbon receptor) and NRF2 (nuclear factor erythroid 2-related factor 2) are transcription factors that induce a battery of cytoprotective genes encoding detoxication and antioxidant enzymes in response to environmental insults. In addition to their basic functions as key regulators of xenobiotic and oxidant detoxification, it has been revealed that AHR and NRF2 also play critical roles in the maintenance of skin homeostasis. In fact, specific disruption of AHR function in the skin has been found to be associated with the pathogenesis of various skin diseases, most prevalently atopic dermatitis (AD).
  • 1.6K
  • 19 Apr 2022
Topic Review
Chitosan/Graphene Oxide Composite Films
The healing of wounds is still one of the challenging clinical problems for which an efficient and fast treatment is needed. Therefore, recent studies have created a new generation of wound dressings which can accelerate the wound healing process with minimum side effects. Chitosan, a natural biopolymer, is an attractive candidate for preparing biocompatible dressings. The biodegradability, non-toxicity and antibacterial activity of chitosan have made it a promising biopolymer for treating wounds. Graphene oxide has also been considered by researchers as a non-toxic, inexpensive, and biocompatible material for wound healing applications. This review discusses the potential use of chitosan/graphene oxide composite films and their application in wound dressing and drug delivery systems. 
  • 1.6K
  • 02 Sep 2021
Topic Review
Flavonoids in Skin Senescence Prevention
Skin aging is associated with the accumulation of senescent cells and is related to many pathological changes, including decreased protection against pathogens, increased susceptibility to irritation, delayed wound healing, and increased cancer susceptibility. Senescent cells secrete a specific set of pro-inflammatory mediators, referred to as a senescence-associated secretory phenotype (SASP), which can cause profound changes in tissue structure and function. Thus, drugs that selectively eliminate senescent cells (senolytics) or neutralize SASP (senostatics) represent an attractive therapeutic strategy for age-associated skin deterioration. There is growing evidence that plant-derived compounds (flavonoids) can slow down or even prevent aging-associated deterioration of skin appearance and function by targeting cellular pathways crucial for regulating cellular senescence and SASP. This review summarizes the senostatic and senolytic potential of flavonoids in the context of preventing skin aging.
  • 1.6K
  • 22 Sep 2021
Topic Review
Moisturizing Additives for Atopic Dermatitis
Atopic dermatitis, the most common form of eczema, is a chronic, relapsing inflammatory skin condition that occurs with dry skin, persistent itching, and scaly lesions. This debilitating condition significantly compromises the patient’s quality of life due to the intractable itching and other associated factors such as disfigurement, sleeping disturbances, and social stigmatization from the visible lesions. The treatment mainstay of atopic dermatitis involves applying topical glucocorticosteroids and calcineurin inhibitors, combined with regular use of moisturizers.
  • 1.6K
  • 05 Aug 2022
Topic Review
Skin Models for Perspiration Simulation
Skin models offer an in vitro alternative to human trials without their high costs, variability, and ethical issues. Perspiration models, in particular, have gained relevance lately due to the rise of sweat analysis and wearable technology.
  • 1.6K
  • 26 Apr 2021
Topic Review
Pathogenesis, Immunology and Management of Dermatophytosis
Dermatophytic infections of the skin and appendages are common skin diseases. The pathogenesis involves complex interplay of agent (dermatophytes), host (inherent host defense and host immune response) and the environment. Infection management has become an important public health issue, due to increased incidence of recurrent, recalcitrant or extensive infections. Recent years have seen a significant rise in incidence of chronic infections which have been difficult to treat.
  • 1.6K
  • 06 Jan 2022
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