Systemic Lipid Dysregulation in Low-Hydration Skin: A Multi-Dimensional Analysis
Abstract
1. Introduction
2. Materials and Methods
2.1. Participants
2.2. Measurement of Physiological Skin Parameters
2.3. Assessment of Skin Composition and the Dermal Aging Index
2.4. The Lipidomic Analysis of the SC
2.4.1. Lipid Collection and Preparation
2.4.2. UPLC-MS/MS Analysis
2.4.3. Data Processing
2.5. Statistical Analysis
2.6. Declaration of Generative AI Use
3. Results
3.1. Correlation Analysis of Skin Hydration and Physiological Parameters
3.2. Differences in Skin Physiological Indicators of LH and HH Groups
3.3. Comparison of LH and HH Groups in SC Lipids
3.3.1. The Identification of Differential Lipids in the LH and HH Groups
3.3.2. Analysis of Differential Lipids
3.3.3. Enrichment Analysis of Differential Lipids
4. Discussion
4.1. Multi-Dimensional Physiological Correlations of Skin Hydration
4.2. The Dysregulation of the Lipid Metabolic Network: The Core Molecular Feature of Low-Hydration Skin
4.3. Study Limitations
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Abbreviations
| SC | Stratum corneum |
| TEWL | Transepidermal water loss |
| NMFs | Natural moisturizing factors |
| CRS | Confocal Raman spectroscopy |
| MPT | Multiphoton laser tomography |
| SAAID | Skin Aging Index |
| ITA° | Individual typology angle |
| MI | Melanin index |
| EI | Erythema index |
| OPLS-DA | Orthogonal projections to latent structures–discriminant analysis |
| VIP | Variable importance in the projection |
| Acar | Acylcarnitine |
| Cer-ADS | Ceramide alpha-hydroxy fatty acid–dihydrosphingosine |
| Cer-AP | Ceramide alpha-hydroxy fatty acid–phytospingosine |
| Cer-AS | Ceramide alpha-hydroxy fatty acid–sphingosine |
| Cer-EODS | Ceramide Esterified omega-hydroxy fatty acid–dihydrosphingosine |
| Cer-NDS | Ceramide non-hydroxyfatty acid–dihydrosphingosine |
| Cer-NS | Ceramide non-hydroxyfatty acid–sphingosine |
| DGTS | Diacylglyceryl trimethylhomoserine |
| FA | Free fatty acid |
| HexCer-NS | Hexosylceramide non-hydroxyfatty acid–sphingosine |
| SM | Sphingomyelin |
| TAG | Triacylglycerol |
References
- Camilion, J.V.; Khanna, S.; Anasseri, S.; Laney, C.; Mayrovitz, H.N. Physiological, Pathological, and Circadian Factors Impacting Skin Hydration. Cureus 2022, 14, e27666. [Google Scholar] [CrossRef] [PubMed]
- Yokota, M.; Shimizu, K.; Kyotani, D.; Yahagi, S.; Hashimoto, S.; Masaki, H. The Possible Involvement of Skin Dryness on Alterations of the Dermal Matrix. Exp. Dermatol. 2014, 23, 27–31. [Google Scholar] [CrossRef]
- De Melo, M.O.; Maia Campos, P.M.B.G. Characterization of Oily Mature Skin by Biophysical and Skin Imaging Techniques. Ski. Res. Technol. 2018, 24, 386–395. [Google Scholar] [CrossRef] [PubMed]
- Kourbaj, G.; Bielfeldt, S.; Kruse, I.; Wilhelm, K. Confocal Raman Spectroscopy Is Suitable to Assess Hair Cleansing-derived Skin Dryness on Human Scalp. Ski. Res. Technol. 2022, 28, 577–581. [Google Scholar] [CrossRef]
- Koppes, S.A.; Kemperman, P.; Van Tilburg, I.; Calkoen-Kwa, F.; Engebretsen, K.A.; Puppels, G.J.; Caspers, P.J.; Kezic, S. Determination of Natural Moisturizing Factors in the Skin: Raman Microspectroscopy versus HPLC. Biomarkers 2017, 22, 502–507. [Google Scholar] [CrossRef] [PubMed]
- Crowther, J.M.; Sieg, A.; Blenkiron, P.; Marcott, C.; Matts, P.J.; Kaczvinsky, J.R.; Rawlings, A.V. Measuring the effects of topical moisturizers on changes in stratum corneum thickness, water gradients and hydration in vivo. Br. J. Dermatol. 2008, 159, 567–577. [Google Scholar] [CrossRef]
- Dinish, U.S.; Yew, Y.W.; Vinod Ram, K.; Bi, R.; Attia, A.B.E.; Teo Xinhui, V.; Rajarahm, P.; Oon, H.H.; Thng, S.T.G.; Olivo, M. Non-invasive biochemical analysis and comparison of atopic dermatitis and psoriasis skin using handheld confocal Raman spectroscopy. J. Biophotonics 2023, 16, e202300191. [Google Scholar] [CrossRef]
- Zolotas, M.; Schleusener, J.; Lademann, J.; Meinke, M.C.; Kokolakis, G.; Darvin, M.E. Atopic Dermatitis: Molecular Alterations between Lesional and Non-Lesional Skin Determined Noninvasively by In Vivo Confocal Raman Microspectroscopy. Int. J. Mol. Sci. 2023, 24, 14636. [Google Scholar] [CrossRef]
- König, K.; König, A. Multiphoton Tomography in Cosmetic Research. Cosmetics 2025, 12, 44. [Google Scholar] [CrossRef]
- Toncic, R.J.; Jakasa, I.; Hadzavdic, S.L.; Goorden, S.M.; der Vlugt, K.J.G.; Stet, F.S.; Balic, A.; Petkovic, M.; Pavicic, B.; Zuzul, K.; et al. Altered Levels of Sphingosine, Sphinganine and Their Ceramides in Atopic Dermatitis Are Related to Skin Barrier Function, Disease Severity and Local Cytokine Milieu. Int. J. Mol. Sci. 2020, 21, 1958. [Google Scholar] [CrossRef]
- Goto-Inoue, N.; Hayasaka, T.; Zaima, N.; Nakajima, K.; Holleran, W.M.; Sano, S.; Uchida, Y.; Setou, M. Imaging Mass Spectrometry Visualizes Ceramides and the Pathogenesis of Dorfman-Chanarin Syndrome Due to Ceramide Metabolic Abnormality in the Skin. PLoS One 2012, 7, e49519. [Google Scholar] [CrossRef] [PubMed]
- Fan, Y.; Wei, C.; Su, N.; Ma, Y.; Liu, W.; Sun, P.; Shan, S. Correlation Study of Facial Lipid Profile Differences and Skin Physiological Characteristics in Chinese Women Aged 19–33 Years. Intern. J. Cosmet. Sci. 2025, 47, 752–767. [Google Scholar] [CrossRef] [PubMed]
- Xie, A.; Zhang, X.; Huang, Q.; Wu, J. Utilizing Untargeted Lipidomics Technology to Elucidate Differences in Lipid Compositions Among Sensitive Dry, Sensitive Oily and Healthy Skin Types. Metabolites 2025, 15, 292. [Google Scholar] [CrossRef] [PubMed]
- Uchino, T.; Fujino, H.; Kamiya, D.; Suzuki, T.; Miyazaki, Y.; Asada, K.; Shirai, T.; Yagi, H.; Sano, Y.; Moriki, M.; et al. Association of dry skin with intercellular lipid composition of stratum corneum after erlotinib administration. Cancer Chemother. Pharmacol. 2020, 86, 233–243. [Google Scholar] [CrossRef]
- Blaak, J.; Dähnhardt, D.; Bielfeldt, S.; Theiss, C.; Simon, I.; Wilhelm, K.-P.; Dähnhardt-Pfeiffer, S.; Staib, P. Improvement of Human Epidermal Barrier Structure and Lipid Profile in Xerotic- and Atopic-Prone Skin via Application of a Plant-Oil and Urea Containing pH 4.5 Emulsion. Cosmetics 2023, 10, 95. [Google Scholar] [CrossRef]
- Su, Q.; Hu, X.; Yang, M.; He, H.; Jia, Y. Lipidomic Analysis of Facial Skin Surface Lipids in Acne in Young Women. Int. J. Cosmet. Sci. 2024, 46, 424–436. [Google Scholar] [CrossRef]
- Choi, M.R.; Shin, J.M.; Shin, Y.A.; Chang, Y.H.; Chang, M.Y.; Lim, C.A.; Sohn, K.C.; Seo, Y.J.; Kim, C.D.; Lee, J.H.; et al. Possible Role of Single Stranded DNA Binding Protein 3 on Skin Hydration by Regulating Epidermal Differentiation. Ann. Dermatol. 2018, 30, 432–440. [Google Scholar] [CrossRef]
- Sadowski, T.; Klose, C.; Gerl, M.J.; Wójcik-Maciejewicz, A.; Herzog, R.; Simons, K.; Reich, A.; Surma, M.A. Large-Scale Human Skin Lipidomics by Quantitative, High-Throughput Shotgun Mass Spectrometry. Sci. Rep. 2017, 7, 43761. [Google Scholar] [CrossRef]
- Xiahou, Z.; Han, J. Effects of Dehydroabietic Acid on Nontarget Lipidomics and Proteomics of HepG2. Front. Pharmacol. 2022, 13, 1015240. [Google Scholar] [CrossRef]
- Molenaar, M.R.; Jeucken, A.; Wassenaar, T.A.; Van De Lest, C.H.A.; Brouwers, J.F.; Helms, J.B. LION/Web: A Web-Based Ontology Enrichment Tool for Lipidomic Data Analysis. GigaScience 2019, 8, giz061. [Google Scholar] [CrossRef]
- Molenaar, M.R.; Haaker, M.W.; Vaandrager, A.B.; Houweling, M.; Helms, J.B. Lipidomic Profiling of Rat Hepatic Stellate Cells during Activation Reveals a Two-Stage Process Accompanied by Increased Levels of Lysosomal Lipids. J. Biol. Chem. 2023, 299, 103042. [Google Scholar] [CrossRef] [PubMed]
- Akiyama, F.; Takahashi, N.; Ueda, Y.; Tada, S.; Takeuchi, N.; Ohno, Y.; Kihara, A. Correlations between Skin Condition Parameters and Ceramide Profiles in the Stratum Corneum of Healthy Individuals. Int. J. Mol. Sci. 2024, 25, 8291. [Google Scholar] [CrossRef] [PubMed]
- Murphy, B.; Grimshaw, S.; Hoptroff, M.; Paterson, S.; Arnold, D.; Cawley, A.; Adams, S.E.; Falciani, F.; Dadd, T.; Eccles, R.; et al. Alteration of Barrier Properties, Stratum Corneum Ceramides and Microbiome Composition in Response to Lotion Application on Cosmetic Dry Skin. Sci. Rep. 2022, 12, 5223. [Google Scholar] [CrossRef] [PubMed]
- Shimada, K.; Yoon, J.S.; Yoshihara, T.; Iwasaki, T.; Nishifuji, K. Increased transepidermal water loss and decreased ceramide content in lesional and non-lesional skin of dogs with atopic dermatitis. Vet. Dermatol. 2009, 20, 541–546. [Google Scholar] [CrossRef]
- Nguyen, H.; Nguyen, T.; Mantilla, A.; Emesiani, C.; Meckfessel, M. Individual Article: Over-the-Counter Moisturizers Significantly Improve Skin Hydration in Adults With Eczema/Atopy-Prone Skin. J. Drugs Dermatol. 2023, 22, SF388641s16-SF388641s20. [Google Scholar] [CrossRef]
- Gunnarsson, M.; Mojumdar, E.H.; Topgaard, D.; Sparr, E. Extraction of Natural Moisturizing Factor from the Stratum Corneum and Its Implication on Skin Molecular Mobility. J. Colloid Interface Sci. 2021, 604, 480–491. [Google Scholar] [CrossRef]
- Sugawara, T.; Kikuchi, K.; Tagami, H.; Aiba, S.; Sakai, S. Decreased lactate and potassium levels in natural moisturizing factor from the stratum corneum of mild atopic dermatitis patients are involved with the reduced hydration state. J. Dermatol. Sci. 2012, 66, 154–159. [Google Scholar] [CrossRef]
- Martin, M.; Chantemargue, B.; Trouillas, P. Skin Hydration by Natural Moisturizing Factors, a Story of H-Bond Networking. J. Phys. Chem. B 2025, 129, 844–852. [Google Scholar] [CrossRef]
- Feng, L.; Chandar, P.; Lu, N.; Vincent, C.; Bajor, J.; McGuiness, H. Characteristic differences in barrier and hygroscopic properties between normal and cosmetic dry skin. II. Depth profile of natural moisturizing factor and cohesivity. Int. J. Cosmet. Sci. 2014, 36, 231–238. [Google Scholar] [CrossRef]
- Gallinger, J.; Kuhn, A.; Wessel, S.; Behm, P.; Heinecke, S.; Filbry, A.; Hillemann, L.; Rippke, F. Depth-dependent hydration dynamics in human skin: Vehicle-controlled efficacy assessment of a functional 10% urea plus NMF moisturizer by near-infrared confocal spectroscopic imaging (KOSIM IR) and capacitance method complemented by volunteer perception. Skin Res. Technol. 2022, 28, 342–349. [Google Scholar] [CrossRef]
- Mayrovitz, H.N.; Wong, J.; Fasen, M. Age and Hydration Dependence of Jowl and Forearm Skin Firmness in Young and Mature Women. J. Cosmet. Dermatol. 2018, 17, 1262–1270. [Google Scholar] [CrossRef] [PubMed]
- Mayrovitz, H.N.; Aoki, K.; Deehan, E.; Ruppe, M. Epidermal and Dermal Hydration in Relation to Skin Color Parameters. Skin Res. Technol. 2024, 30, e70028. [Google Scholar] [CrossRef] [PubMed]
- Regueira, Y.; Fargo, J.D.; Tiller, D.; Brown, K.; Clements, C.; Beacham, B.; Brignone, E.; Sommers, M.S. Comparison of Skin Biomechanics and Skin Color in Puerto Rican and Non-Puerto Rican Women. P. R. Health Sci. J. 2019, 38, 170–175. [Google Scholar]
- Mijaljica, D.; Townley, J.P.; Spada, F.; Harrison, I.P. The heterogeneity and complexity of skin surface lipids in human skin health and disease. Prog. Lipid Res. 2024, 93, 101264. [Google Scholar] [CrossRef] [PubMed]
- Schreiner, V.; Gooris, G.S.; Pfeiffer, S.; Lanzendörfer, G.; Wenck, H.; Diembeck, W.; Proksch, E.; Bouwstra, J. Barrier characteristics of different human skin types investigated with X-ray diffraction, lipid analysis, and electron microscopy imaging. J. Investig. Dermatol. 2000, 114, 654–660. [Google Scholar] [CrossRef] [PubMed]
- Ma, X.; Lu, L.; Zhao, Z.; Cai, M.; Gao, N.; Han, G. Lipidomics profiling of skin surface lipids in senile pruritus. Lipids Health Dis. 2020, 19, 171. [Google Scholar] [CrossRef]
- Fujii, M. The Pathogenic and Therapeutic Implications of Ceramide Abnormalities in Atopic Dermatitis. Cells 2021, 10, 2386. [Google Scholar] [CrossRef]
- Emmert, H.; Baurecht, H.; Thielking, F.; Stölzl, D.; Rodriguez, E.; Harder, I.; Proksch, E.; Weidinger, S. Stratum corneum lipidomics analysis reveals altered ceramide profile in atopic dermatitis patients across body sites with correlated changes in skin microbiome. Exp. Dermatol. 2021, 30, 1398–1408. [Google Scholar] [CrossRef]
- Reuter, M.; Joseph, E.; Lian, G.; Lunter, D.J. Presence of Different Ceramide Species Modulates Barrier Function and Structure of Stratum Corneum Lipid Membranes: Insights from Molecular Dynamics Simulations. Mol. Pharm. 2025, 22, 4280–4292. [Google Scholar] [CrossRef]
- Engelbrecht, T.N.; Schroeter, A.; Hauß, T.; Demé, B.; Scheidt, H.A.; Huster, D.; Neubert, R.H.H. The impact of ceramides NP and AP on the nanostructure of stratum corneum lipid bilayer. Part I: Neutron diffraction and 2H NMR studies on multilamellar models based on ceramides with symmetric alkyl chain length distribution. Soft Matter 2012, 8, 2599–2607. [Google Scholar] [CrossRef]
- Uche, L.E.; Gooris, G.S.; Beddoes, C.M.; Bouwstra, J.A. New insight into phase behavior and permeability of skin lipid models based on sphingosine and phytosphingosine ceramides. Biochim. Biophys. Acta Biomembr. 2019, 1861, 1317–1328. [Google Scholar] [CrossRef] [PubMed]
- Mijaljica, D.; Townley, J.P.; Hondros, A.; Hewson, C.; Harrison, I.P.; Spada, F. Considering Phytosphingosine-Based Ceramide Formulations for Atopic Skin Care. Dermato 2024, 4, 5–22. [Google Scholar] [CrossRef]
- Opálka, L.; Kováčik, A.; Pullmannová, P.; Maixner, J.; Vávrová, K. Effects of omega-O-acylceramide structures and concentrations in healthy and diseased skin barrier lipid membrane models. J. Lipid Res. 2020, 61, 219–228. [Google Scholar] [CrossRef]
- Frame, C.O.; Shamaprasad, P.; Deshpande, S.; Quach, C.D.; Gui, L.; Iacovella, C.R.; Bunge, A.L.; McCabe, C. New Coarse-Grained Models for Stratum Corneum Ceramides Reveal Headgroup-Dependent Structural Organization. J. Phys. Chem. B 2025, 129, 12167–12178. [Google Scholar] [CrossRef] [PubMed]
- Amin, R.; Lechner, A.; Vogt, A.; Blume-Peytavi, U.; Kottner, J. Molecular characterization of xerosis cutis: A systematic review. PLoS ONE 2021, 16, e0261253. [Google Scholar] [CrossRef]
- Ishikawa, J.; Shimotoyodome, Y.; Ito, S.; Miyauchi, Y.; Fujimura, T.; Kitahara, T.; Hase, T. Variations in the Ceramide Profile in Different Seasons and Regions of the Body Contribute to Stratum Corneum Functions. Arch. Dermatol. Res. 2013, 305, 151–162. [Google Scholar] [CrossRef]
- Ishikawa, J.; Narita, H.; Kondo, N.; Hotta, M.; Takagi, Y.; Masukawa, Y.; Kitahara, T.; Takema, Y.; Koyano, S.; Yamazaki, S.; et al. Changes in the ceramide profile of atopic dermatitis patients. J. Investig. Dermatol. 2010, 130, 2511–2544. [Google Scholar] [CrossRef]
- Fulmer, A.W.; Kramer, G.J. Stratum corneum lipid abnormalities in surfactant-induced dry scaly skin. J. Investig. Dermatol. 1986, 86, 598–602. [Google Scholar] [CrossRef]
- Borodzicz, S.; Rudnicka, L.; Mirowska-Guzel, D.; Cudnoch-Jedrzejewska, A. The role of epidermal sphingolipids in dermatologic diseases. Lipids Health Dis. 2016, 15, 13. [Google Scholar] [CrossRef]
- Li, C.; Quintana Perez, Y.; Lamaze, C.; Blouin, C.M. Lipid Nanodomains and Receptor Signaling: From Actin-Based Organization to Membrane Mechanics. Curr. Opin. Cell Biol. 2024, 86, 102308. [Google Scholar] [CrossRef]




| Variable | LH Group | HH Group | p * |
|---|---|---|---|
| Age (years) | 40.54 ± 6.09 | 42.21 ± 6.63 | 0.5007 |
| Skin Hydration (a.u.) | 32.911 ± 4.4613 | 73.861 ± 3.9725 | <0.0001 |
| SC Thickness (μm) | 12.434 ± 2.2479 | 14.626 ± 2.2134 | <0.05 |
| SC Hydration (%) | 591.67 ± 109.08 | 668.99 ± 84.536 | 0.0852 |
| NMF Content (a.u.) | 6.1557 ± 3.4311 | 8.683 ± 4.563 | 0.0517 |
| Ceramide Content (a.u.) | 1247.1 ± 280.33 | 1632.7 ± 485.88 | <0.05 |
| Cholesterol Content (a.u.) | 0.5890 ± 0.2073 | 0.7979 ± 0.3296 | 0.1123 |
| Urea Content (a.u.) | 127.87 ± 65.864 | 139.32 ± 60.724 | 0.1417 |
| Lactic Acid Content (a.u.) | 316.4 ± 103.9 | 514.52 ± 258.25 | <0.05 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license.
Share and Cite
Fan, Y.; Wang, Z.; Ling, P. Systemic Lipid Dysregulation in Low-Hydration Skin: A Multi-Dimensional Analysis. Cosmetics 2026, 13, 4. https://doi.org/10.3390/cosmetics13010004
Fan Y, Wang Z, Ling P. Systemic Lipid Dysregulation in Low-Hydration Skin: A Multi-Dimensional Analysis. Cosmetics. 2026; 13(1):4. https://doi.org/10.3390/cosmetics13010004
Chicago/Turabian StyleFan, Yumei, Zheng Wang, and Peixue Ling. 2026. "Systemic Lipid Dysregulation in Low-Hydration Skin: A Multi-Dimensional Analysis" Cosmetics 13, no. 1: 4. https://doi.org/10.3390/cosmetics13010004
APA StyleFan, Y., Wang, Z., & Ling, P. (2026). Systemic Lipid Dysregulation in Low-Hydration Skin: A Multi-Dimensional Analysis. Cosmetics, 13(1), 4. https://doi.org/10.3390/cosmetics13010004

