JADE Student Edition 2019 JADE JSLUG 2019 | Page 80

Transepidermal water loss (TEWL): a measure of SC barrier function Transepidermal water loss which is also known as TEWL is the amount of water that escapes through the skin and into the environment. This occurs because of the differences in the water vapour pressure between the environment and the skin (Honari and Maibach, 2014). It is often used as a measure of how well the barrier of the SC functions (Barel and Clarys, 1995). Shimada et al., 2008 suggested that when TEWL is high, the barrier function is usually reduced, meaning that individuals with lower TEWL have greater barrier function (Shimada et al., 2008). The studies produced from previous literature have shown that there are mixed views about which ethnic group contains the highest and lowest TEWL values, for example, Kompaore et al., 1993 proved that TEWL was higher in Black and Asian ethnic groups. These findings were further emphasised by Sugino et al., 1993, who also found that the most significant amount of TEWL was within Black individuals and in between were Whites and Hispanics. However, this study also found that Asians had the least amount of TEWL, which contradicts Kompaore et al., 1993 Asian TEWL results. On the contrary, Berardesca et al., 1991 established that all three ethnic groups, Hispanics, Blacks, and Whites, have no variation in TEWL; these findings, therefore, dispute all the studies mentioned above. The contradictions amongst the studies consequently show the need for new studies regarding TEWL; as it can be applied in important processes such as, in product development and certain clinical settings. TEWL is also a reasonable tool in measuring skin irritation, meaning that it can play a major role in cosmetic and pharmaceutical transdermal formulations (Honari and Maibach, 2014). The differences in Corneocytes within different ethnicities Corneocytes, as mentioned, plays an essential role in 80  maintaining the barrier function of the skin (Wickett and Visscher, 2006), a study by Corcuff et al., 1991 emphasised on the size of the corneocytes between Blacks, Asians, and Caucasian individuals. The results from their study proved that Black-skinned individuals have larger corneocytes, followed by Asian and Caucasians. The values obtained were 911μm 2 for black skin, 909 μm 2 for Asian skin and 899 μm 2 for Caucasian skin, because the values are closely related to each other, it was, therefore, suggested that there is no significant difference in the size of corneocytes within all three ethnic groups (Corcuff et al., 1991). In addition, the amount of corneocyte desquamation has produced conflicting results; desquamation is a complex biological process of shedding single corneocytes; meaning shedding of the skin (Pierard et al., 2000). Warrier et al., 1996 found that Caucasians had greater desquamation in comparison to Black individuals; however, Wesley and Maibach, 2003 observed that Black ethnic group have a greater rate of corneocyte desquamation. This was suggested to play a role in the high cases of Xerosis also known as dry or ashy skin in Black skinned individuals in comparison to other ethnic groups (Warrier et al., 1996; Wesley and Maibach, 2003). Pigmentation Pigmentation plays a crucial role in bringing variation within different ethnic skin types; it is controlled by melanocytes. These cells emerge from neural crest melanoblasts and migrate to areas such as the hair follicles and the basal layer of the epidermis after the neural tube is closed (Videira et al., 2013). The melanocytes secrete an essential pigment known as melanin, which gives rise to the diversity in the skin colour of individuals of different ethnic groups (Yamaguchi and Hearing, 2009). Melanin undergoes a synthesis process carried out by membrane-bound organelles known as melanosomes. Melanosomes contain tyrosinase, which is a melanin specific enzyme that is involved in the melanin production process. During this process, dopachrome