The DOI matches its Crossref record; 34 of the 34 references it cites were found in a registry or an index.
Dandruff: a condition characterized by decreased levels of intercellular lipids in scalp stratum corneum and impaired barrier function
Abstract
Dandruff is a major problem, yet little is known about the underlying mechanism and subsequent biochemical changes occurring in the scalp skin that lead to its manifestation. The characteristic flaking and scaling of the scalp experienced by dandruff sufferers suggests, similar to the changes classically seen in xerosis, that the desquamation process is impaired. We initiated studies to quantify the biochemical nature of the stratum corneum in the scalp of healthy individuals and dandruff sufferers. Total amounts and relative ratios of stratum corneum lipids species were analysed in scalp stratum corneum samples collected during studies conducted in the UK and Thailand in order to examine ethnic differences. In both populations, dandruff was associated with a dramatic decrease in free lipid levels, with significant decreases in ceramides, fatty acids, and cholesterol. Detailed sub-analysis of the major ceramide species within the total ceramide fraction revealed a decrease in ceramide 1 and increased proportions of ceramide 6i and 6ii. In a separate study, we demonstrated that dandruff sufferers show both an elevated blood flow and an increased reported incidence of itch in response to histamine topically applied to the scalp compared with no-dandruff controls. Taken together these two studies indicate that the quality and resilience of the epidermal water barrier is impaired in the scalp of dandruff sufferers. We propose that the perturbed barrier leaves dandruff sufferers more prone to the adverse effects of microbial and fungal toxins, and environmental pollutants, thus perpetuating their impaired barrier.
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“Consistent with the structural findings, dandruff patients have been found to be more reactive (higher itch perception or flaking) than controls to topical applications of histamine or oleic acid to the scalp [48,69,70].”
From Seborrheic Dermatitis and Dandruff: A Comprehensive Review (2015) · cites this paper as [69]
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Cites
The short-form McGill pain questionnaire
Melzack, R. (1987) · Pain · doi:10.1016/0304-3959(87)91074-8 · Cited by 4,368
Specific C-Receptors for Itch in Human Skin
Schmelz, M., Schmidt, R., Bickel, A., Handwerker, H. O., & Torebjörk, H. E. (1997) · Journal of Neuroscience · doi:10.1523/jneurosci.17-20-08003.1997 · Cited by 912
Structural and Lipid Biochemical Correlates of the Epidermal Permeability Barrier
Elias, P. M., & Menon, G. K. (1991) · Advances in lipid research · doi:10.1016/b978-0-12-024924-4.50005-5 · Cited by 677
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Ceramide composition of the psoriatic scale
Motta, S., Monti, M., Sesana, S., Caputo, R., Carelli, S., & Ghidoni, R. (1993) · Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease · doi:10.1016/0925-4439(93)90135-n · Cited by 435
Stratum corneum lipids: the effect of ageing and the seasons
Rogers, J., Harding, C., Mayo, A., Banks, J., & Rawlings, A. (1996) · Archives of Dermatological Research · doi:10.1007/bf02505294 · Cited by 415
Self-citationStress-Induced Changes in Skin Barrier Function in Healthy Women
Altemus, M. M., Rao, B. K., Dhabhar, F. S., Ding, W., & Granstein, R. D. (2001) · Journal of Investigative Dermatology · doi:10.1046/j.1523-1747.2001.01373.x · Cited by 347
THE AETIOLOGY OF DANDRUFF AND THE MODE OF ACTION OF THERAPEUTIC AGENTS
SHUSTER, S. (1984) · British Journal of Dermatology · doi:10.1111/j.1365-2133.1984.tb04050.x · Cited by 308
Stratum corneum lipid abnormalities in atopic dermatitis
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Quantification of Cutaneous Sensory Nerves and Their Substance P Content in Psoriasis
Naukkarinen, A., Nickoloff, B. J., & Farber, E. M. (1989) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep13071340 · Cited by 194
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Gudulkar, S., Madhavi, M. S. L., Shukla, R. K., Mathur, S., & Punyani, S. (2026) · International Journal of Research in Dermatology · doi:10.18203/issn.2455-4529.intjresdermatol20261932
Kim, M., Kim, B. R., Park, J. Y., Shin, J. M., Shin, J. W., Na, J., & Huh, C. (2026) · Dermatologic Therapy · doi:10.1155/dth/4887762
Metadata
- Authors
- Harding, C. R., Moore, A. E., Rogers, S. J., Meldrum, H., Scott, A. E., & McGlone, F. P.
- Affiliations
- Unilever (United Kingdom) (GB)
- Corresponding author
- Harding, C. R.
- ORCID
- McGlone, F. P.
- Venue
- Archives of Dermatological Research
- Published
- 2002-06-07
- Volume
- 294
- Issue
- 5
- Pages
- 221-230
- ISSN
- 0003-9187 (ISSN-L)
- 0340-3696
- 1432-069X
- OpenAlex
- W2165529368
- Cited by
- 103
- References
- 34
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 7 · 2023: 3 · 2022: 2 · 2021: 6 · 2020: 9 · 2019: 3 · 2018: 3 · 2017: 10 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 6 · 2012: 7
- FWCI
- 2.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Archives of Dermatological Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Nail Diseases and Treatments
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advancements in Transdermal Drug Delivery
- Keywords
- dandruff, intercellular lipids, ceramide, free lipids, cholesterol, fatty acids, skin barrier function, desquamation, ethnic differences, histamine-induced itch, blood flow, scalp skin
- MeSH terms
- Administration, Cutaneous, Adult, Cholesterol, Epidermis, Ethnicity, Fatty Acids, Fatty Acids, Nonesterified, Female, United Kingdom, Histamine, Humans, Male, Permeability, Pruritus, Scalp, Scalp Dermatoses, Dermatitis, Seborrheic, Thailand, Case-Control Studies, Lipid Metabolism
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