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2 pp. / It is increasingly common for people to report symptoms of itching and skim problems which they attribute to bug bites even when no evidence of insects can be found. Potential causes for this phenomena are identified as well as a referral to a primary care provider for diagnosis and treatment.

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Cinnamaldehyde, a natural compound frequently present in cosmetic formulations, induces skin irritation when topically applied, but the mechanism by which cinnamaldehyde produces such skin reactions is unclear. Here, we showed that cinnamaldehyde induced ear edema in mice (1-6 μg/ear) with a maximum effect with 4 μg/ear (Emax of 0.18 ± 0.02 mm and an ED50 value of 2.0 (1.1- 3.4 μg/ear). Cinnamaldehyde can induce leukocyte infiltration detected by an increase in MPO activity and confirmed by histological analyses. The edema and cellular infiltration evoked by 4 μg/ear of cinnamaldehyde was prevented through topical application of ruthenium red, a non selective TRP antagonist or by camphor and HC030031, two TRPA1 receptor antagonists. In contrast, the edema and the leukocyte infiltration was unaffected by the TRPV1 receptor antagonist SB366791. Cinnamaldehydeinduced edema but not cellular infiltration was also prevented though topical application of the tachykinin NK1 antagonist aprepitant, indicating a neuropeptides release phenomenon in this process. Also, we observed that repeated topical applications of cinnamaldehyde (4 μg/ear) did not induced sensitization/desensitization alterations. Interestingly, the TRPV1 antagonist, capsaicin, repeated treatment abrogated its edematogenic response, confirming the desensitization process and decrease partially the cinnamaldehyde induced edema, suggesting the involvement of capsaicin-sensitive fibers and additional targets in cinnamaldehyde response. The present results demonstrated that cinnamaldehyde induces mouse skin inflammation through a mechanism involved the TRPA1 receptor activation and subsequent leukocyte infiltration. In addition, evidence supports the assumption that the tachykinin NK1 receptor is involved in these inflammatory responses. / O cinamaldeído é um composto natural frequentemente encontrado em formulações cosméticas, capaz de induzir irritação na pele quando aplicado topicamente, porém o mecanismo pelo qual o cinamaldeído produz estas reações ainda é desconhecido. Neste trabalho demonstramos que o cinamaldeído foi capaz de induzir edema de orelha em camundongos (1-6 μg/orelha) com um efeito máximo obtido com a dose de 4 μg/orelha (Emax de 0,18 ± 0,02 mm e um DE50 de 2,0 (1,1- 3,4) μg/orelha). O cinamaldeído foi capaz ainda de induzir infiltração leucocitária detectada por um aumento na atividade da MPO e confirmada por análise histológica. O edema e a infiltração leucocitária iniciados após aplicação tópica de 4 μg/orelha de cinamaldeído foi prevenido pela aplicação tópica de vermelho de rutênio, um antagonista TRP não seletivo, e por cânfora e HC030031, dois antagonistas seletivos TRPA1. Por outro lado, a aplicação de SB366791, um antagonista seletivo TRPV1, não alterou o edema nem a infiltração leucocitária. Ainda, o edema induzido pelo cinamaldeído foi prevenido pela aplicação tópica de aprepitant, um antagonista seletivo do receptor NK1 para taquicininas, sugerindo que a liberação de neuropeptídeos esteja envolvida neste processo. Também foi observado que a aplicação tópica repetida de cinamaldeído 4 μg/orelha não foi capaz de induzir processos de ensibilização/dessensibilização. No entanto, o tratamento repetidocom o antagonista TRPV1, capsaicina, aboliu o edema induzido pela própria capsaicina, confirmando a ocorrência de dessensibilização, e diminuiu parcialmente o edema induzido pelo cinamaldeído sugerindo o envolvimento de fibras sensíveis a capsaicina, além de outras vias, neste processo. Os resultados demonstram que o cinamaldeído induz um processo inflamatório na pele através de um mecanismo que envolve a ativação do receptor TRPA1 e consequente infiltração leucocitária.

Mesoporous materials constitute a promising class of nanomaterials for a number of applications due to their tunable pore structure. The synthesis of most mesoporous materials involves a surfactant liquid crystal structure to form the pores. As well as the many advantages associated with this method of synthesis, there are disadvantages such as high production costs and a substantial environmental impact which limit the possibilities for large scale production. Therefore there is a need for other synthesis routes. The aim of the work described herein was to contribute to this field by developing a synthesis route that does not rely on surfactants for pore formation. A mesoporous magnesium carbonate material was therefore formed by self-assemblage of the particles around carbon dioxide gas bubbles, which functioned as pore templates. It was also possible to vary the pore diameter between 3 and 20 nm. The biocompatibility of the formed magnesium carbonate material was evaluated in terms of in vitro cytotoxicity and hemocompatibility, in vivo skin irritation and acute systemic toxicity. The results from the in vitro cytotoxicity, in vivo skin irritation and acute systemic toxicity test using a polar extraction vehicle showed that the material was non-toxic. While signs of toxicity were observed in the acute systemic toxicity test using a non-polar solvent, this was attributed to injection of particles rather than toxic leachables. In the in vitro hemocompatibility test, no hemolytic activity was found with material concentrations of up to 1 mg/ml. It was further shown that the material had anticoagulant properties and induced moderate activation of the complement system. The anticoagulant properties were ascribed to uptake of Ca2+. Finally, the ability of the material to increase the dissolution rate of the poorly soluble drug itraconazole was analyzed.  Itraconazole was dissolved up to 23 times faster from the magnesium carbonate pores than when the free drug was used. The release rate from the delivery vehicle was dependent on the pore diameter. The work presented herein is expected to be useful for the development of alternative synthesis routes for mesoporous materials and also for encouraging the development of biomedical applications for these materials.

L’hygiène des mains (HDM) est déterminante dans la prévention du risque infectieux associé aux soins. Les pratiques actuelles privilégient l’utilisation de produits hydro-alcooliques (PHA), généralement formulés avec de l’éthanol, de l’isopropanol et/ou du n-propanol, en présence de co-formulants pour une meilleure acceptabilité cutanée. L’efficacité antimicrobienne sur un temps court, nécessaire en raison des situations fréquentes de pratique d’HDM, est atteinte par des teneurs élevées en alcools pouvant excéder 80 % p/p. Cela soulève la question de la toxicité cutanée et respiratoire associée à l’utilisation des PHA. L’évaluation de la toxicité cutanée basée sur les données publiées et des essais in vitro d’irritation cutanée (OCDE 439) et de phototoxicité (OCDE 432) conclut à l’absence d’irritation cutanée aiguë et de phototoxicité en relation avec l’exposition cutanée à ces alcools, y compris en présence de co-formulants, tels que fournis dans les PHA. Il est ressorti de nos essais le possible manque de spécificité, déjà décrit dans la littérature, des modèles d’épidermes humains reconstitués (RhE) vis-à-vis de certaines substances, qu’il convient de garder à l’esprit dans le cadre de l’évaluation de l’irritation cutanée in vitro. Des investigations complémentaires et une évaluation par l’approche Weight of Evidence peuvent être utiles avant de conclure aux propriétés irritantes d’un item d’essai. En termes de génotoxicité, une différence entre les alcools ressort de la revue bibliographique, avec des propriétés génotoxiques décrites uniquement pour l’éthanol. Dans une certaine mesure, nos essais ont confirmé une différence de profil. L’isopropanol et le n-propanol testés dans une batterie de tests in vitro permettant d’appréhender les différents mécanismes génotoxiques (test d’Ames et test du micronoyau (MN) sur cellules humaines p53 compétentes : cellules lymphoblastoïdes TK6 et cellules pulmonaires NCI H292) ont donné des résultats négatifs, y compris lorsqu’ils étaient formulés avec des co-formulants, ou administrés sous forme de vapeurs sur les cellules NCI H292 cultivées en interface air-liquide (IAL). Pour l’éthanol, la réalisation de la même batterie de tests a conduit à des résultats équivoques uniquement dans le test du MN sur cellules TK6 avec l’éthanol seul. Un test du MN supplémentaire sur cellules TK6 en co-culture avec un RhE mimant la barrière cutanée a donné des résultats négatifs. Par ailleurs, aucune exposition systémique significative aux alcools induite par les pratiques d’HDM ne ressort des études publiées chez l’homme, avec des taux indiscernables des valeurs endogènes existantes pour l’éthanol et l’isopropanol. L’ensemble de ces données est en faveur de l’absence de risque génotoxique systémique consécutif à l’utilisation des PHA, et de l’absence de génotoxicité pulmonaire locale liée à l’exposition aux vapeurs d’alcools. En conclusion, en situation d’utilisation des PHA pour l’HDM, aucun risque pour la santé humaine en termes d’irritation cutanée aiguë, de phototoxicité et de génotoxicité ne ressort de ce travail de recherche. / Hand hygiene (HH) is a key factor in preventing healthcare-associated infections. Current practices favor the use of alcohol-based hand rubs (AbHR), generally formulated with ethanol, propan-2-ol and/or propan-1-ol, in the presence of co-formulants for a better skin acceptability. The antimicrobial efficiency within a short time, essential because of the frequent situations of HH practice, is achieved by high levels of alcohols which can exceed 80% w/w. This raises the question of dermal and respiratory toxicity associated with the use of AbHR. The assessment of dermal toxicity based on published data and in vitro skin irritation (OECD 439) and phototoxicity tests (OECD 432) conclude to non acute dermal irritation and phototoxicity risk linked to dermal exposure to these alcohols, even in the presence of co-formulants, as provided in the AbHR. We encountered in our trials the possible lack of specificity, already described in the literature, of the reconstructed human epidermis (RhE) models for some substances, which should be kept in mind in the context of the evaluation of skin irritation in vitro. Additional investigations and an assessment using the Weight of Evidence approach may be useful before concluding the irritant properties of a test item. In terms of genotoxicity, a difference between the alcohols emerges from the bibliographic review, with genotoxic properties described only for ethanol. To a certain extent, our tests confirmed a difference in profile. Propan-2-ol and propan-1-ol tested in a battery of in vitro tests to explore the various genotoxic mechanisms (Ames test and micronucleus test (MN) on p53 competent human cells: lymphoblastoid cells TK6 and pulmonary cells NCI H292) gave negative results, even in the presence of co-formulants, or administered as vapors on air-liquid interface (ALI) NCI H292 cells. For ethanol, the same battery of tests gave equivocal results only in the MN test on TK6 cells with ethanol alone. An additional MN test on TK6 cells co-cultured with a RhE mimicking the existing skin barrier gave negative results. In addition, no significant systemic exposure to alcohols induced by HH practices is apparent from published studies in humans, with indiscernible levels of existing endogenous values for ethanol and isopropanol. All of these data support the absence of an increased systemic genotoxic risk resulting from the use of AbHR and the absence of local pulmonary genotoxicity due to exposure to alcohol vapors. In conclusion, during AbHR use for HH, no risk to human health in terms of acute skin irritation, phototoxicity and genotoxicity is apparent from this research.

Aujourd'hui, un grand nombre de nouvelles molécules peuvent être synthétisées à partir de la biomasse. Les tensioactifs dérivés de sucre sont notamment considérés comme une alternative aux tensioactifs fossiles en raison de leur biodégradabilité et de leur biocompatibilité. Cependant, les études associant la caractérisation physico-chimique et les propriétés biologiques de ce type de tensio-actifs sont limitées. Il est ainsi difficile de prédire les propriétés d'un tensioactif à partir de sa structure chimique. L'établissement d'une méthodologie permettant de relier la structure des surfactants à leurs propriétés apparait pertinent. Dans ce travail, quatre surfactants dérivés de sucre ayant chacun une chaîne C8 liée à une tête glucose ou maltose par un groupe amide ont été caractérisés par leurs propriétés tensio-actives dans différentes solutions (eau et milieu biologique). Leurs interactions avec des protéines ont également été analysées. Concernant l'évaluation des propriétés biologiques, des tests de cytotoxicité/irritation ont été effectués sur trois modèles in-vitro : 1) modèle cellulaire 20 (cellules L929 cultivées en monocouche), Il) modèle cellulaire 30 (cellules L929 cultivées dans un gel de collagène), Ill) épiderme humain reconstitué. Les résultats indiquent que les quatre surfactants synthétisés présentent de bonnes propriétés tensio-actives et trois d'entre eux sont moins cytotoxiques que des tensioactifs de référence. Plusieurs hypothèses permettant de relier la structure chimique des molécules à leurs propriétés physico-chimiques et biologiques ont été proposées. Des travaux futurs permettront d'enrichir la base de données sur les relations structure-propriétés des tensioactifs issus de la biomasse, et de l'utiliser pour synthétiser des surfactants présentant des propriétés adaptées aux applications envisagées. / Nowadays, a wide variety of new molecules can derive from biomass. Among them, the family of sugar-based surfactants, which are considered as alternatives to fossil-based surfactants, due to their relatively high biodegradability and biocompatibility, exhibit interesting properties both in terms of their self-assembly and their ability to induce biological responses. In the study, for the purpose to analyse these properties, different methodologies have been established. In this work, physico-chemistry and cellular biology methodologies are associated to analyse the properties of pre-selected molecules characterized by gradua) structure modifications. Firstly, we have screened synthesized sugar-based surfactants according to their solubility and their ability to reduce surface tension of water. Four pre-selected molecules, with a C8 chain linked to a glucose or maltose head through an amide functional group, either under the form of carbamoyl (carbohydrate scaffold bearing the carbonyl) or alkylcarboxamide (the alkyl chain bearing the carbonyl), were then dissolved in water/ cell culture media for surface tension measurements. Their behaviors in solutions were characterized by Krafft points, Critical Micellar Concentrations or self-assembling properties through different methods. To evaluate the cytotoxic/ irritant effects of these molecules on cells and tissues, 3 in-vitro models were established: I) 2D cell culture mode! (L929 cell monolayer) II) 3D ce!! culture mode! (L929 cells embedded in collagen gel) and III) Reconstituted human epidermis (differentiated human keratinocytes). Corresponding experiments were carried out on these models with increasing complexity. Results show that the synthesized sugar-based surfactants, GlulamideC8, Glu6amideC8, Glu6amideC8' and MallamideC8 can reduce the surface tension of water solution to the came level as standard surfactants (Tween 20 and Hecameg). In the meantime, GlulamideC8, Glu6amideC8' and MallamideC8 present Iess cytotoxicity effects on L929 cells both in the monolayer model and the 3D mode! than Tween 20 and Hecameg. All synthesized and standard surfactants (GlulamideC8, Glu6amideC8, Gu6amideC8', MallamideC8, Tween 20 and Hecameg) have no significant cytotoxic/ irritant effects on reconstituted human epidermis at 1000 ig/mL after 48 h of topical application. Discussions have been made according to the results of experiments to establish possible structures/ physico-chemical properties - cytotoxicity relationships of these surfactants.