Abstract

Studies on the metabolic fate of medical drugs, skin care products, cosmetics and other chemicals intentionally or accidently applied to the human skin have become increasingly important in order to ascertain pharmacological effectiveness and to avoid toxicities. The use of freshly excised human skin for experimental investigations meets with ethical and practical limitations. Hence information on xenobiotic-metabolizing enzymes (XME) in the experimental systems available for pertinent studies compared with native human skin has become crucial. This review collects available information of which—taken with great caution because of the still very limited data—the most salient points are: in the skin of all animal species and skin-derived in vitro systems considered in this review cytochrome P450 (CYP)-dependent monooxygenase activities (largely responsible for initiating xenobiotica metabolism in the organ which provides most of the xenobiotica metabolism of the mammalian organism, the liver) are very low to undetectable. Quite likely other oxidative enzymes [e.g. flavin monooxygenase, COX (cooxidation by prostaglandin synthase)] will turn out to be much more important for the oxidative xenobiotic metabolism in the skin. Moreover, conjugating enzyme activities such as glutathione transferases and glucuronosyltransferases are much higher than the oxidative CYP activities. Since these conjugating enzymes are predominantly detoxifying, the skin appears to be predominantly protected against CYP-generated reactive metabolites. The following recommendations for the use of experimental animal species or human skin in vitro models may tentatively be derived from the information available to date: for dermal absorption and for skin irritation esterase activity is of special importance which in pig skin, some human cell lines and reconstructed skin models appears reasonably close to native human skin. With respect to genotoxicity and sensitization reactive-metabolite-reducing XME in primary human keratinocytes and several reconstructed human skin models appear reasonably close to human skin. For a more detailed delineation and discussion of the severe limitations see the Conclusions section in the end of this review.

Highlights

  • Information on xenobiotic metabolism in the skin becomes more and more important, especially since the ban of the use of animals for safety studies on cosmetics in animals

  • Alcohol dehydrogenase (ADH) alcohol dehydrogenase, Aldehyde oxidase (AO) aldehyde oxidase, COX cyclooxygenase, Flavin‐dependent monooxygenases (FMO) flavin-dependent monooxygenase, NQR NADH/NADPH quinone reductase a nmol product/mg microsomal protein/min b pg PGE2 formed/mg microsomal protein/min c Beside ethanol ADH activity shown in human skin for 2-butoxyethanol > 2-phenoxyethanol > ethylene glycol > 2-ethoxyethanol as substrates d nmol product/mg cytosolic protein/min e pmol/h/mg skin

  • 4-MU 4-methylumbelliferone, ADH alcohol dehydrogenase, ALDH aldehyde dehydrogenase, DCNB 1-chloro-2,4-dinitrobenzene, E esterase, FMO flavin-dependent monooxygenase, bd below the limit of detection, bq below the limit of quantification, NQR NADH/NADPH quinone reductase, PABA para-aminobenzoic acid a Keratinocytes = Primary keratinocytes in culture (“NHEC”, “Normal Human Epithelial Keratinocytes”) b pg prostaglandin E2 formed/min/mg microsomal protein c pmol/min/mg protein d Differentiated keratinocytes e Proliferating keratinocytes f Ex vivo epidermis g nmol/min/mg S9 protein h Epidermis i nmol/min/mg protein, activity determined in culture medium j nmol/min/mg microsomal protein k nmol/min/mg cell lysate protein l nmol/min/mg homogenate protein epidermis or whole skin of native skin (Luu-The et al 2009; Hu et al 2010)

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Summary

Introduction

Information on xenobiotic metabolism in the skin becomes more and more important, especially since the ban of the use of animals for safety studies on cosmetics in animals. Archives of Toxicology (2018) 92:2411–2456 mation of the primary nevirapine (Viramune) metabolite 12-hydroxynevirapine to the corresponding reactive benzylic sulfate and that this, in turn, leads to covalent binding to proteins (Sharma et al 2013a) and to the severe immune-mediated skin rash (Sharma et al 2013b) caused in rats and in humans as a serious side effect of the HIV combatting drug nevirapine. While many xenobiotic compounds which come into contact with the human skin undergo extensive cutaneous metabolism (as will be detailed in this review) some important consumer products as well as some topical therapeutic agents such as coumarin have been reported to be extensively absorbed through the human skin without being metabolized (Beckley-Kartey et al 1997; Yourick and Bronaugh 1997). Many cutaneous xenobiotica-metabolizing enzyme activities are close to their limit of quantitation (LOQ) or even to their limit of detection (LOD) The different methodologies employed by different research teams add to the difficulties of simple straightforward comparisons of results

Preliminary remarks
CYP protein expression
CYP catalytic activities
Guinea pig Pig
More examples and references in the text
Xanthine oxidase
Conjugating enzymes
Cell line
Individual CYPs
Keratinocytesa HaCaT
Other oxidoreductases
Findings
Attempt of recommendations derived from the collected information
Full Text
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