Skip to main content

Advertisement

Log in

Orally administered ethanol: transepidermal pathways and effects on the human skin barrier

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

Abstract

Ethanol intake is associated with a variety of skin diseases. The aim of the present study was (1) to identify the pathways of release of orally administered ethanol through the skin, and (2) to investigate the effects of a single oral dose of ethanol on the penetration of topically applied substances into the skin. Ethanol evaporation via the skin was measured using the new technique of ion mobility spectrometry (IMS). Transepidermal water loss (TEWL) and skin surface temperature were simultaneously measured before and after ethanol consumption. Measurements were performed on skin sites with different stratum corneum (SC) thickness, and density of follicles and sweat glands. These appendages were selectively sealed to investigate their participation in ethanol evaporation. The penetration of a topically applied UV filter substance was studied before and after ethanol consumption after removing the SC with adhesive tape. Ethanol evaporation was measured within 5 min of consumption, while the skin surface temperature remained nearly constant. The sealing of the appendages did not have a significant effect on ethanol evaporation. On the forehead, a higher TEWL value was measured than on the forearm. On both skin sites, an increase in TEWL was observed after ethanol ingestion. No influence of orally administered ethanol on the penetration of the topically applied UV filter substance was observed. The results indicate that ethanol evaporation occurs via the lipid layers without a significant effect on the penetration of the topically applied substance.

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.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Smith KE, Fenske NA (2000) Cutaneous manifestation of alcohol abuse. J Am Acad Dermatol 43:1–18

    Article  CAS  PubMed  Google Scholar 

  2. Chou SP, Grant BF, Dawson DA (1996) Medical consequences of alcohol consumption—United States, 1992. Alcohol Clin Exp Res 20(8):1423–1429

    CAS  PubMed  Google Scholar 

  3. Morales Suarez-Varela MM, Olsen J, Kaerlev L, Guenel P, Arveux P, Wingren G, Hardell L, Ahrens W, Stang A, Llopis-Gonzalez A, Merletti F, Guillen-Grima F, Johansen P (2001) Are alcohol intake and smoking associated with mycosis fungoides? A European multicentre case-control study. Eur J Cancer 37(3):392–397

    Article  CAS  PubMed  Google Scholar 

  4. Karvonen J, Poikolainen K, Reunala T, Juvakoski T (1992) Alcohol and smoking: risk factors for infectious eczematoid dermatitis? Acta Derm Venereol 72(3):208–210

    CAS  PubMed  Google Scholar 

  5. Naldi L, Peli L, Parazzini F (1999) Association of early-stage psoriasis with smoking and male alcohol consumption: evidence from an Italian case-control study. Arch Dermatol 135(12):1479–1484

    Article  CAS  PubMed  Google Scholar 

  6. Brown DJ (1985) The pharmacokinetics of alcohol excretion in human perspiration. Methods Find Exp Clinic Pharmacol 7(10):539–544

    CAS  Google Scholar 

  7. Brown DJ (1985) A method for determining the excretion of volatile substances through skin. Methods Find Exp Clinic Pharmacol 7(5):269–274

    CAS  Google Scholar 

  8. Kamei T, Tsuda T, Mibu Y, Kitagawa S, Wada H, Naitoh K, Nakashima K (1998) Novel instrumentation for determination of ethanol concentrations in human perspiration by gas chromatography and a good interrelationship between ethanol concentrations in sweat and blood. Anal Chim Acta 365:259–266

    Article  CAS  Google Scholar 

  9. Phillips M (1984) Sweat-patch testing detects inaccurate self-reports of alcohol consumption. Alcohol Clin Exp Res 8/1:51–53

    CAS  PubMed  Google Scholar 

  10. Phillips M (1984) Subjective responses to the sweat-patch test for alcohol consumption. Adv Alcohol Subst Abuse 3(4):61–67

    CAS  PubMed  Google Scholar 

  11. Hatanaka T, Katayama K, Koizumi T, Sugibayashi K, Morimoto Y (1995) Time-dependent percutaneous absorption enhancing effect of ethanol. J Control Release 33:423–428

    Article  CAS  Google Scholar 

  12. Sznitowska M (1996) The influence of ethanol on permeation behaviour of the porous pathway in the stratum corneum. Int J Pharmacol 137(1):137–140

    Article  Google Scholar 

  13. Levang AK, Zhao K, Singh J (1999) Effect of ethanol/propylene glycol on the in vitro percutaneous absorption of aspirin, biophysical changes and macroscopic barrier properties of the skin. Int J Pharm 181(2):255–263

    Article  CAS  PubMed  Google Scholar 

  14. Pershing LK, Silver BS, Krueger GG, Shah VP, Skelley JP (1992) Feasibility of measuring the bioavailability of topical betamethasone dipropionate in commercial formulations using drug content in skin and a skin blanching bioassay. Pharm Res 9(1):45–51

    Article  CAS  PubMed  Google Scholar 

  15. Krill SL, Knutson K, Higuchi WI (1992) Ethanol effects on the stratum corneum lipid phase behavior. Biochim Biophys Acta 112(2):273–280

    Google Scholar 

  16. Bommannan D, Potts RO, Guy RH (1991) Examination of the effect of ethanol on human stratum corneum in vivo using infrared spectroscopy. J Control Release 16(3):299–304

    Article  CAS  Google Scholar 

  17. Squier CA, Kremer MJ, Wertz PW (2003) Effect of ethanol on lipid metabolism and epithelial permeability barrier of skin and oral mucosa in the rat. J Oral Pathol Med 32(10):595–599

    Article  CAS  PubMed  Google Scholar 

  18. Brand RM, Charron AR, Dutton L, Gavlik TL, Mueller C, Hamel FG, Chakkalakal D, Donohue TM Jr (2004) Effects of chronic alcohol consumption on dermal penetration of pesticides in rats. J Toxicol Environ Health A 67(2):153–161

    CAS  PubMed  Google Scholar 

  19. Baumbach JI, Eiceman GA (1999) Ion mobility spectrometry—arriving on site and moving beyond a low profile. Appl Spectrosc 53:339A–355A

    Article  Google Scholar 

  20. Ya-Xian Z, Suetake T, Tagami H (1999) Number of cell layers of the stratum corneum in normal skin—relationship to the anatomical location on the body, age, sex and physical parameters. Arch Dermatol Res 291:555–559

    Article  CAS  PubMed  Google Scholar 

  21. Hwang K, Baik SH (1997) Distribution of hairs and sweat glands on the bodies of Korean adults: a morphometric study. Acta Anat 158:112–120

    CAS  PubMed  Google Scholar 

  22. Otberg N, Richter H, Schaefer H, Blume-Peytavi U, Sterry W, Lademann J (2004) Variations of hair follicle size and distribution in different body sites. J Invest Dermatol 122(1):14–19

    CAS  PubMed  Google Scholar 

  23. Weigmann H-J, Lademann J, Meffert H, Schaefer H, Sterry W (1999) Determination of the horny layer profile by tape stripping in combination with optical spectroscopy in the visible range as a prerequisite to quantify percutaneous absorption. Skin Pharmacol Appl Skin Physiol 12:34–45

    Google Scholar 

  24. Weigmann H-J, Lademann J, Schanzer S, Lindemann U, von Pelchrzim R, Schaefer H, Sterry W, Shah V (2001) Correlation of the local distribution of topically applied substances inside the stratum corneum determined by tape-stripping to differences in bioavailability. Skin Pharmacol Appl Skin Physiol 14 [Suppl 1]:98–102

    Google Scholar 

  25. Teichmann A (2004) Das Reservoir des Stratum corneum: Bestimmung des Reservoirs für topisch applizierte Substanzen und Untersuchung von Einflußmöglichkeiten auf diese Reservoirfunktion. Charite-Universitätsmedizin, Berlin

    Google Scholar 

  26. Weigmann H-J, Lindemann U, Antoniou C, Tsikrikas GN, Stratigos AI, Katsambas A, Sterry W, Lademann J (2003) UV/VIS absorbance allows rapid, accurate, and reproducible mass determination of corneocytes removed by tape stripping. Skin Pharmacol Appl Skin Physiol 16:217–227

    Article  PubMed  Google Scholar 

  27. Jacobi U, Weigmann H-J, Baumann M, Reiche A-I, Sterry W, Lademann J (2004) Lateral spreading of topically applied UV filter substances investigated by tape stripping. Skin Pharmacol Physiol 17:17–22

    Article  CAS  PubMed  Google Scholar 

  28. Hetherington HP, Telang F, Pan JW, Sammi M, Schuhlein D, Molina P, Volkow ND (1999) Spectroscopic imaging of the uptake kinetics of human brain ethanol. Magn Reson Med 42(6):1019–1026

    Article  CAS  PubMed  Google Scholar 

  29. Norberg A, Jones AW, Hahn RG, Gabrielsson JL (2003) Role of variability in explaining ethanol pharmacokinetics: research and forensic applications. Clin Pharmacokinet 42(1):1–31

    Google Scholar 

  30. Hughes JH, Henry RE, Daly MJ (1984) Influence of ethanol and ambient temperature on skin blood flow. Ann Emerg Med 13(8):597–600

    CAS  PubMed  Google Scholar 

  31. Kalant H, Le AD (1983) Effects of ethanol on thermoregulation. Pharmacol Ther 23(3):313–364

    Article  CAS  PubMed  Google Scholar 

  32. Malpas SC, Robinson BJ, Maling TJ (1990) Mechanism of ethanol-induced vasodilation. J Appl Physiol 68(2):731–734

    CAS  PubMed  Google Scholar 

  33. Hook-Nikanne J, Kariniemi AL, Renkonen OV, Mustakallio K, Salaspuro M (1995) Could bacterial acetaldehyde production explain the deleterious effect of alcohol on skin diseases? Acta Derm Venereol 75(4):330

    CAS  PubMed  Google Scholar 

  34. Cheung C, Smith CK, Hoog JO, Hotchkiss SA (1999) Expression and localization of human alcohol and aldehyde dehydrogenase enzymes in skin. Biochem Biophys Res Commun 261(1):100–107

    Article  CAS  PubMed  Google Scholar 

  35. Cheung C, Davies NG, Hoog JO, Hotchkiss SA, Smith Pease CK (2003) Species variations in cutaneous alcohol dehydrogenases and aldehyde dehydrogenases may impact on toxicological assessments of alcohols and aldehydes. Toxicology 184(2–3):97–112

    Article  CAS  PubMed  Google Scholar 

  36. Kalia YN, Alberti I, Sekkat N, Curdy C, Naik A, Guy RH (2000) Normalization of stratum corneum barrier function and transepidermal water loss in vivo. Pharm Res 17(9):1148–1150

    Article  CAS  PubMed  Google Scholar 

  37. Schwindt DA, Wilhelm KP, Maibach HI (1998) Water diffusion characteristics of human stratum corneum at different anatomical sites in vivo. J Invest Dermatol 111(3):385–389

    Article  CAS  PubMed  Google Scholar 

  38. Bouwstra JA, Gooris GS, Dubbelaar FER, Ponec M (2002) Phase behavior of stratum corneum lipid mixtures based on human ceramides: the role of natural and synthetic ceramide 1. J Invest Dermatol 118(4):606–617

    Article  CAS  PubMed  Google Scholar 

  39. Weerheim A, Ponec M (2001) Determination of stratum corneum lipid profile by tape stripping in combination with high-performance thin-layer chromatography. Arch Dermatol Res 293(4):191–199

    Article  CAS  PubMed  Google Scholar 

  40. Rougier A, Lotte C, Corcuff P, Maibach HI (1988) Relationship between skin permeability and corneocyte size according to anatomic site, age, and sex in man. J Soc Cosmet Chem 39:15–26

    Google Scholar 

  41. Fluhr JW, Dickel H, Kuss O, Weyher I, Diepgen TL, Berardesca E (2002) Impact of anatomical location on barrier recovery, surface pH and stratum corneum hydration after acute barrier disruption. Br J Dermatol 146(5):770–776

    Article  CAS  PubMed  Google Scholar 

  42. Schaefer H, Redelmeier TE (1996) Skin barrier. Principles of percutaneous absorption, 1st edn. Karger, Basel

    Google Scholar 

  43. Nopper AJ, Horii KA, Sookdeo-Drost S, Wang TH, Mancini AJ, Lane AT (1996) Topical ointment therapy benefits premature infants. J Pediatr 128(5 Pt 1):660–669

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

We thank the Institut für Umwelttechnologien GmbH (Berlin, Germany) for providing the IMS technique and Mrs. Schanzer, Mrs. Desaga and Mrs. Chiou (all Charité) for technical assistance.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ute Jacobi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jacobi, U., Bartoll, J., Sterry, W. et al. Orally administered ethanol: transepidermal pathways and effects on the human skin barrier. Arch Dermatol Res 296, 332–338 (2005). https://doi.org/10.1007/s00403-004-0526-8

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00403-004-0526-8

Keywords

Navigation