Anti‐irritants I: dose–response in acute irritation

The term ‘anti‐irritant’ (AI) was coined in 1965 by Goldemberg to describe a diverse group of topical product ingredients, which were able to reduce the irritation potential of other more irritating ingredients in the same product. ‘AIs’ are being added to cosmetic formulations in order, allegedly, to benefit tolerability of the products and allow claims such as ‘soothing’ and ‘healing’ ingredients. Limited documentation in favour of the efficacy of AIs is published. We studied the dose‐related effect of 4 alleged AIs (nifedipine, (–)‐α‐bisabolol, canola oil and glycerol) on experimentally induced acute irritation in healthy volunteers. Each AI was used in 3 concentrations. Acute irritation was induced by occlusive tests with 1% sodium lauryl sulfate and 20% nonanoic acid in N‐propanol. The irritant reactions were treated twice daily with AI‐containing formulations from the time of removal of the patches. Evaluation of skin irritation and efficacy of treatments were performed daily for 4 days using clinical scoring, evaporimetry (transepidermal water loss), hydration measurement and colourimetry. Only glycerol showed dose–response and effects potentially better than no treatment. There was no significant effect and no difference between the three other AIs.

[1]  A. Tamhane,et al.  Single‐Step Procedures for Pairwise and More General Comparisons among All Treatments , 2008 .

[2]  R. Prescott,et al.  Repeated Measures Data , 2006 .

[3]  R. Prescott,et al.  Normal mixed models , 2006 .

[4]  C. Bindslev‐Jensen,et al.  The hairless guinea‐pig as a model for treatment of cumulative irritation in humans , 2006, Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging.

[5]  C. Bindslev‐Jensen,et al.  COMPARISON OF THE RESPONSE TO TOPICAL IRRITANTS IN HAIRLESS GUINEA PIGS AND HUMAN VOLUNTEERS , 2005 .

[6]  Y. Tsai,et al.  The Influence of Anti‐irritants on Captopril Hydrophilic Gel , 2004, Drug development and industrial pharmacy.

[7]  Vera Rogiers,et al.  EEMCO Guidance for the Assessment of Transepidermal Water Loss in Cosmetic Sciences , 2001, Skin Pharmacology and Physiology.

[8]  E. Berardesca,et al.  Glycerol accelerates recovery of barrier function in vivo. , 1999, Acta dermato-venereologica.

[9]  J. Wille,et al.  Several Different Ion Channel Modulators Abrogate Contact Hypersensitivity in Mice , 1999, Skin Pharmacology and Physiology.

[10]  J. Fluhr,et al.  Opposing Effects of Glycerol on the Protective Function of the Horny Layer against Irritants and on the Penetration of Hexyl Nicotinate , 1998, Dermatology.

[11]  M. Kenward,et al.  Small sample inference for fixed effects from restricted maximum likelihood. , 1997, Biometrics.

[12]  J. Serup,et al.  Guidelines on sodium lauryl sulfate (SLS) exposure tests , 1997, Contact dermatitis.

[13]  M. Lóden Barrier recovery and influence of irritant stimuli in skin treated with a moisturizing cream , 1997, Contact dermatitis.

[14]  N. Katoh,et al.  Calcium channel blockers suppress the contact hypersensitivity reaction (CHR) by inhibiting antigen transport and presentation by epidermal Langerhans cells in mice , 1997, Clinical and experimental immunology.

[15]  E. Berardesca,et al.  EEMCO guidance for the assessment of stratum corneum hydration: electrical methods , 1997, Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging.

[16]  K. Wilhelm,et al.  Guidelines for measurement skin colour and erythema A report from the Standardization Group of the European Society of Contact Dermatitis * , 1996, Contact dermatitis.

[17]  A. Andersson,et al.  Effect of topically applied lipids on surfactant‐irritated skin , 1996, The British journal of dermatology.

[18]  L. Wheeler,et al.  The antiinflammatory activity of topically applied novel calcium-channel antagonists , 1995, Inflammation.

[19]  G. Jemec,et al.  The influence of water, glycerin, paraffin oil and ethanol on skin mechanics. , 1993, Acta dermato-venereologica.

[20]  M. Weir,et al.  EVIDENCE THAT THE ANTIPROLIFERATIVE EFFECT OF VERAPAMIL ON AFFERENT AND EFFERENT IMMUNE RESPONSES IS INDEPENDENT OF CALCIUM CHANNEL INHIBITION , 1992, Transplantation.

[21]  T. Agner,et al.  Guidelines for transepidermal water loss (TEWL) measurement , 1990, Contact dermatitis.

[22]  H. Maibach,et al.  Potential for irritation increases from the wrist to the cubital fossa , 1989, The British journal of dermatology.

[23]  R. Carlson,et al.  Inhibition of phospholipase A2 (PLA2) activity by nifedipine and nisoldipine is independent of their calcium-channel-blocking activity , 1987, Inflammation.

[24]  E. Fairhurst,et al.  Hydration of the stratum corneum , 1986, International journal of cosmetic science.

[25]  M. Martini,et al.  Anti‐irritant potential of cosmetic raw materials and formulations , 1983, International journal of cosmetic science.

[26]  O. Isaac,et al.  Pharmakologische Untersuchungen von Kamillen–Inhaltsstoffen – II. Neue Untersuchungen zur antiphlogistischen Wirkung des (–)–α–Bisabolols und der Bisabololoxide , 1979 .

[27]  R. L. Anderson,et al.  Hydration of stratum corneum , 1973, Biopolymers.

[28]  V. Jakovlev,et al.  [On the inflammation inhibitory effect of (-)-alpha-bisabolol, an essential component of chamomilla oil]. , 1969, Arzneimittel-Forschung.

[29]  C. Bindslev‐Jensen,et al.  The hairless guinea-pig as a model for treatment of cumulative irritation in humans. , 2006, Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging.

[30]  A. Rawlings,et al.  The effect of glycerol and humidity on desmosome degradation in stratum corneum , 2004, Archives of Dermatological Research.

[31]  Stefan Wolf Schermer Ist eine Kombination von Harnstoff und Glycerin in Externagrundlagen sinnvoll , 1997 .

[32]  M. Gloor,et al.  Barrier creams : commercially available barrier creams versus urea- ang glycerol-containing oil-in-water emulsions , 1995 .

[33]  C. Froebe,et al.  Prevention of model stratum corneum lipid phase transitions in vitro by cosmetic additives : differential scanning calorimetry, optical microscopy, and water evaporation studies , 1993 .

[34]  V. Srivastava,et al.  Calcium channel blockers in acute inflammation. , 1988, Indian journal of experimental biology.

[35]  M. Vanhaeverbeek,et al.  Nifedipine-induced hyporeactivity in delayed hypersensitivity skin tests. , 1987, International journal of immunopharmacology.

[36]  Jean-Luc Leveque,et al.  In vivo measurement of the stratum corneum elasticity , 1985 .

[37]  D. Bissett,et al.  Skin conditioning with glycerol , 1984 .