The effect of topical retinoids on the leukotriene-B4-induced migration of polymorphonuclear leukocytes into human skin

Arch Dermatol Res. 1991;283(3):158-61. doi: 10.1007/BF00372055.

Abstract

Systemic retinoids are effective in a variety of inflammatory dermatoses. Disorders in which polymorphonuclear leukocytes (PMN) are involved, such as psoriasis and acne, respond particularly well to various retinoids. However, side-effects restrict the use of systemic retinoids to severe manifestations. Topical application might provide the possibility of avoiding the systemic side-effects of these compounds. In this communication we report on the modulation of transepidermal migration of PMN by topical application of all-trans-retinoic acid, 13-cis-retinoic acid, arotinoid methyl sulphone and arotinoid ethyl sulphone. Test areas of healthy volunteers were pretreated with these retinoids in a cream base and with corresponding placebo creams, and intraepidermal accumulation of PMN was quantified 24 h after epicutaneous challenge with leukotriene B4 (LTB4), using elastase as a marker enzyme. Topical treatment with 13-cis-retinoic acid resulted in a marked and statistically significant inhibition of the LTB4-induced migration of PMN. All-trans-retinoic acid, arotinoid methyl sulphone and arotinoid ethyl sulphone reduced the accumulation of PMN slightly, but not statistically significantly. Topical treatment with arotinoid methyl sulphone had no effect.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial

MeSH terms

  • Administration, Topical
  • Adult
  • Cell Movement / drug effects
  • Cell Movement / physiology
  • Humans
  • Leukotriene B4 / pharmacology*
  • Male
  • Neutrophils / drug effects*
  • Neutrophils / physiology
  • Retinoids / administration & dosage
  • Retinoids / pharmacology*
  • Skin / cytology
  • Skin / drug effects*
  • Skin Physiological Phenomena

Substances

  • Retinoids
  • Leukotriene B4