Skip to main content
Log in

Urea-containing moisturizers influence barrier properties of normal skin

  • Original Paper
  • Published:
Archives of Dermatological Research Aims and scope Submit manuscript

Abstract

Moisturizers are used in the treatment of dry skin, both clinically and in cosmetic products. In the present study the influence of different moisturizers on the normal skin barrier properties was evaluated by measuring transepidermal water loss (TEWL) and skin capacitance. In addition, the skin reactivity to a topically applied surfactant, sodium lauryl sulphate (SLS), following the use of the moisturizers was examined. The skin reaction was assessed visually and by measuring TEWL and superficial blood flow. Treatment with two urea-containing moisturizers for 10 and 20 days decreased TEWL. The irritant reactions after exposure to SLS were also significantly decreased after prior treatment for 20 days with the urea-containing moisturizers. In a double-blind vehicle-controlled part of the study, urea was found to decrease the skin susceptibility to SLS after only three applications. However, this decrease in skin reactivity was not preceded by a reduction in TEWL. Skin capacitance increased after three applications of urea-containing moisturizers and was still increased after 10 days, but not after 20 days of this treatment. Treatment for 20 days with two moisturizers without urea did not influence either TEWL or the susceptibility to irritation from SLS, but it increased the skin capacitance significantly. The mechanism underlying these changes is not known. The lower degree of SLS-induced irritation in the skin treated previously with urea-containing moisturizers may be of clinical relevance in reducing contact dermatitis from irritant stimuli.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Agner T, Serup J (1989) Seasonal variation of skin resistance to irritants. Br J Dermatol 121:323–328

    Article  PubMed  CAS  Google Scholar 

  2. Agner T, Damm P, Skouby SO (1991) Menstrual cycle and skin reactivity. J Am Acad Dermatol 24:566–570

    Article  PubMed  CAS  Google Scholar 

  3. Allenby AC, Creasey NH, Edginton AG, Fletcher JA, Schock C (1969) Mechanism of action of accelerants on skin penetration. Br J Dermatol 81 [Suppl 4]:47–55

    Article  CAS  Google Scholar 

  4. Beastall J, Guy RH, Hadgraft J, Wilding, I (1986) The influence of urea on percutaneous absorption. Pharm Res 3:294–297

    Article  CAS  Google Scholar 

  5. Blank IH, Moloney J, Emslie AG, Simon I, Apt C (1984) The diffusion of water across the stratum corneum as a function of its water content. J Invest Dermatol 82:188–194

    Article  PubMed  CAS  Google Scholar 

  6. Davis SS (1971) Hydrophobic bonding in soap-stabilized emulsions. J Pharm Pharmacol [Suppl] 23:161S-169S

    CAS  Google Scholar 

  7. Denda M, Koyama J, Namba R, Horii I (1994) Stratum corneum lipid morphology and transepidermal water loss in normal skin and surfactant- induced scaly skin. Arch Dermatol Res 286: 41–46

    Article  PubMed  CAS  Google Scholar 

  8. Frödin T, Helander P, Molin L, Skogh M (1988) Hydration of human stratum corneum studied in vivo by optothermal infrared spectrometry, electrical capacitance measurement, and evaporimetry. Acta Derm Venereol (Stockh) 68:461–467

    Google Scholar 

  9. Fullerton A, Broby-Johansen U, Agner T (1994) Sodium lauryl sulphate penetration in an in vitro model using human skin. Contact Dermatitis 30:222–225

    Article  PubMed  CAS  Google Scholar 

  10. Grice K, Sattar H, Baker H (1973) Urea and retinoic acid in ichthyosis and their effect on transepidermal water loss and water holding capacity of stratum corneum. Acta Derm Venereol (Stock) 53:114–118

    CAS  Google Scholar 

  11. Grove GL, Kligman AM (1983) Corneocytes size as an indirect measure of epidermal proliferative activity. In: Marks R, Plewig G (eds) Stratum corneum. Springer, Berlin Heidelberg New York, pp 191–194

    Google Scholar 

  12. Hannuksela A, Kinnunen T (1992) Moisturizers prevent irritant dermatitis. Acta Derm Venereol (Stockh) 72:42–44

    CAS  Google Scholar 

  13. Hellgren L, Larsson K (1974) On the effect of urea on human epidermis. Dermatologica 149:289–293

    Article  PubMed  CAS  Google Scholar 

  14. Kim CK, Kim J-J, Chi S-C, Schim C-K (1993) Effect of fatty acids and urea on the penetration of ketoprofen through rat skin. Int J Pharm 99:109–118

    Article  CAS  Google Scholar 

  15. Lieb LM, Nash RA, Matias JR, Orentreich N (1988) A new in vitro method for transepidermal water loss: a possible method for moisturizer evaluation. J Soc Cosmet Chem 39:107–119

    CAS  Google Scholar 

  16. Lippold BC, Hackemüller D (1990) The influence of skin, moisturizers on drug penetration in vivo. Int J Pharm 61:205–211

    Article  CAS  Google Scholar 

  17. Lodén M, Bengtsson A (1990) Mechanical removal of the superficial portion of the stratum corneum by a scrub cream: methods for the objective assessment of the effects. J Soc Cosmet Chem 41:111–121

    Google Scholar 

  18. Lodén M, Lindberg M (1991) The influence of a single application of different moisturizers on the skin capacitance. Acta Derm Venereol (Stockh) 71:79–82

    Google Scholar 

  19. Lodén M, Olsson H, Axéll T, Linde YW (1992) Friction, capacitance and transepidermal water loss (TEWL) in dry atopic and normal skin. Br J Dermatol 126:137–141

    Article  PubMed  Google Scholar 

  20. Nilsson GE (1977) On the measurement of evaporative water loss. Methods and clinical applications. Linköping Universität Medical Dissertations, no. 48. Linköping, Sweden

  21. Potts RO (1986) Stratum corneum hydration: experimental techniques and interpretation of results. J Soc Cosmet Chem 37: 9–33

    Google Scholar 

  22. Potts RO, Francoeur ML (1991) The influence of stratum corneum morphology on water permeability. J Invest Dermatol 96:495–499

    Article  PubMed  CAS  Google Scholar 

  23. Rieger MM, Deem DE (1974) Skin moisturizers. II. The effects of cosmetic ingredients on human stratum corneum. J Soc Cosmet Chem 25:253–262

    CAS  Google Scholar 

  24. Ryatt KS, Mobayen M, Stevenson JM, Maibach HI, Guy RH (1988) Methodology to measure the transient effect of occlusion on skin penetration and stratum corneum hydration in vivo. Br J Dermatol 119:307–312

    Article  PubMed  CAS  Google Scholar 

  25. Serup J (1992) A double-blind comparison of two creams containing urea as the active ingredient. Assessment of efficacy and side-effects by non-invasive techniques and a clinical scoring scheme. Acta Derm Venereol Suppl (Stockh) 177:34–38

    CAS  Google Scholar 

  26. Stüttgen G (1989) Penetrationsförderung lokal applizierter Wirkstoffe durch Harnstoff. Hautarzt 40 [Suppl 9]:27–31

    PubMed  Google Scholar 

  27. Swanbeck G (1968) A new treatment of ichthyosis and other hyperkeratotic conditions. Acta Derm Venereol, (Stockh) 48: 123–127

    CAS  Google Scholar 

  28. Tenland T (1982) On laser Doppler flowmetry. Methods and microvascular applications. Linköping University Medical Dissertations, no. 136. Linköping, Sweden

  29. Wahlberg JE, Swanbeck G (1973) The effect of urea and lactic acid on the percutaneous absorption of hydrocortisone. Acta Derm Venereol (Stockh) 53:207–210

    CAS  Google Scholar 

  30. Wohlrab W (1984) The influence of urea on the penetration kinetics of topically applied corticosteroids. Acta Derm Venereol (Stockh) 64:233–238

    CAS  Google Scholar 

  31. Wohlrab W (1989) Bedeutung von Harnstoff in der externen Therapia. Hautarzt 40:35–41

    PubMed  Google Scholar 

  32. Wohlrab W (1990) The influence of urea on the penetration kinetics of vitamin-A-acid into human skin. Z Hautkr 65:803–805

    PubMed  CAS  Google Scholar 

  33. Wohlrab W, Böhm W (1975) Epidermisreaktion nach Langzeiteinwirkung von Harnstoff. Dermatologica 151:149–157

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lodén, M. Urea-containing moisturizers influence barrier properties of normal skin. Arch Dermatol Res 288, 103–107 (1996). https://doi.org/10.1007/BF02505052

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02505052

Key words

Navigation