The ultraviolet (UV) spectrum has been known to cause damage to skin in varying degrees. UVB radiation (290-320 nm) in particular, has been proven to be highly mutagenic and carcinogenic in many animal experiments compared to either UVA or UVC. The alarming rate of increase in skin cancer incidence has prompted many investigators to pursue other alternatives to sunscreens including changes in lifestyle habits and dietary consumption in order to boost our efforts in tackling this widespread disease. Previous studies employing confocal reflectance, MTT assay and histology suggest that milk phospholipids may possess protective properties against UVB-mediated damage but the molecular mechanism for this effect remains unclear. This study aims to evaluate changes in cell morphology, apoptosis and p21 expression in tissue engineered epidermis to increase our understanding of the mechanisms behind the potential protective effects of milk phospholipids against UV-induced photodamage. Human skin tissue equivalents were incubated in either 1% milk phospholipid solution or maintenance media then exposed to 120 mJ/cm2 dose of 300 nm UVB after 24 hours. The upregulation of p21 protein in response to DNA damage was measured with Western blot and immunofluorescence microscopy and markers for apoptosis and hyperplasia were examined 24 hours after irradiation. Results revealed that p21 levels and the amount of apoptotic markers such as fragmented DNA and nuclear condensation were significantly reduced in UV-exposed tissues pre-incubated with milk phospholipids compared to levels seen in both the positive control and UV-exposed skin tissue not incubated with milk phospholipids. This decrease in p21 expression may imply a reduction in DNA damage 24 hours after UV exposure or a decrease in acquired photodamage at the outset. Milk phospholipid incubation however, induced an increase in epidermal thickening with or without UV exposure, which may imply induction of a protective mechanism to enhance the barrier properties of skin.

On entend par substitut dermo-épidermique un épiderme reconstruit à la surface d'un derme équivalent composé de fibroblastes cultivés classiquement dans un biomatériau support, souvent à base de collagène poreux ou sous forme de gel. Ce support possède ses propres propriétés biomécaniques, influant sur la réponse biomécanique globale des peaux reconstruites, nous nous sommes donc intéressés à un modèle de peau reconstruite sans support, dans lequel le derme équivalent est « auto-assemblé » par les fibroblastes néosynthétisant leur propre matrice extracellulaire (MEC). Notre premier objectif a été d'optimiser et de caractériser ce modèle auto-assemblé en termes de structure, de reproductibilité et de fonctionnalité. Notre second objectif a été d'adapter aux peaux reconstruites in vitro (PR) des outils traditionnellement utilisés pour des études in vivo, pour explorer leurs propriétés biophysiques et biomécaniques. Ces outils permettent une exploration morphologique à des résolutions différentes avec l'échographie, la tomographie à cohérence optique (OCT) et la microscopie confocale à balayage et une exploration fonctionnelle des propriétés biomécaniques des PR par cutométrie. Ces données biophysiques ont ensuite été analysées par rapport aux résultats en histologie, immunohistologie et microscopie électronique à transmission. La cinétique de culture du modèle auto-assemblé sur un temps prolongé a montré la grande stabilité de l'épiderme et le remodelage continuel de la MEC avec notamment l'augmentation des fibres de collagène et d'élastine. Au temps de culture de référence sélectionné, correspondant à l'obtention de la différenciation terminale de l'épiderme, nous avons démontré la reproductibilité des épaisseurs de l'épiderme et du derme en histologie et en OCT, de la maturité de l'épiderme et de la jonction dermo-épidermique et de l'expression dermique de l'élastine colocalisée avec la fibrilline. Sur le plan fonctionnel, nous avons démontré la fonction barrière de l'épiderme via l'imperméabilité du stratum corneum et des jonctions serrées / A skin equivalent consist of a epidermis reconstructed on the top of a dermis equivalent classically composed of fibroblasts cultured into a biomaterial scaffold which is often a collagen gel or sponge. This scaffold hold its own mechanical properties, influencing the global skin equivalent biomechanical response, so we choose to develop a scaffold-free skin equivalent (SFSE), based on the ability of fibroblasts to synthezise their own extracellular matrix. Our first objective was to optimize and characterize the structure, the reproducibility and functionality of this scaffold-free model. Our second goal was to adapt biophysical and biomechanical tools classically used for in vivo evaluation to in vitro skin equivalents. Their morphology was explored with different resolutions using echography, optical coherence tomography (OCT) and laser scanning microscopy whereas biomechanical functionality was evaluate by a suction test, the cutometry. This biophysical data were compared to more classical histological, immununohistological and transmission electronic microscopy results. The long-term culture of the scaffold-free model showed the good stability of epidermis and the continuous remodelling of MEC with notably an increase of collagen and elastin fibers. We selected a reference culture time, corresponding to the complete terminal differentiation of epidermis. At this culture time, we showed the epidermis and dermis thickness reproducibity in histology and OCT, the constant epidermis and dermo-epidermal junction maturity and the dermal expression of elastin, colocalized with fibrillin. The barrier function of epidermis was also demonstrated via stratum corneum and tight junctions impermeability