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Zinc is an important metal for the maintenance of healthy skin and wound healing. Washing with detergents e.g. shower gels may deplete the zinc stores in the skin.
The purpose of our study is to see whether repeated washing with zinc containing shower gel of superficial wounds will result in increased healing.
Zinc is a trace element abundantly present in skin with a concentration gradient from the upper stratum corneum layer to the basal layer. This fact probably reflects the necessity for zinc as co-factor in numerous enzymes involved in skin homeostasis and wound healing. Theoretically, showering with surfactants increases the loss of zinc by the shedding of the zinc-rich corneocytes. Thus there is a concern that this forced exfoliation will result in suboptimal zinc levels for the maintenance of physiological processes involved in epidermal homeostasis and repair. A logical development would thus be to supplement shower gel with zinc to compensate for this loss.
In 30 healthy volunteers one epidermal wound (10 mm in diameter) is induced by suction and heat on each buttock. The wounds are washed with shower gel containing zinc, placebo shower gel or water (reference). The treatments are allocated by randomization ensuring that 20 wounds are washed with shower gel containing zinc, 20 wounds are washed with placebo shower gel and 20 wounds are washed with water.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Shower gel with zinc | Experimental | Zinc gel is applied daily (50 µl/cm2) to wound and surrounding noninjured skin. |
|
| Plain shower gel | Placebo Comparator | Plain shower gel is applied daily (50 µl/cm2) to wound and surrounding noninjured skin. |
|
| Distilled water | Sham Comparator | Distilled Water is applied daily (50 µl/cm2) to wound and surrounding noninjured skin. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Shower gel with zinc | Other | Standard shower gel (Sanex) supplemented with zinc sulfate. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Epidermal regeneration | Epidermal regeneration will be assessed blindly by histomorphometry in hematoxylin-eosin-stained paraffin sections of the wounds and by optical coherence tomography. | Day 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Bacterial growth | Swabs are taken from wounds and adjacent, treated skin. | Day 4 |
| Skin barrier function | Skin barrier function is measured by transepidermal water loss by an instrument from Cortex. |
| Measure | Description | Time Frame |
|---|---|---|
| Serum zinc | Day 0 | |
| Zinc deposition onto skin | Stratum corneum will be removed by adhesive tape (tape-stripping) for zinc analysis. | Day 4 |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Digestive Disease Center and Copenhagen Wound Healing Center, University of Copenhagen | Recruiting | Copenhagen | DK-2400 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17244314 | Background | Lansdown AB, Mirastschijski U, Stubbs N, Scanlon E, Agren MS. Zinc in wound healing: theoretical, experimental, and clinical aspects. Wound Repair Regen. 2007 Jan-Feb;15(1):2-16. doi: 10.1111/j.1524-475X.2006.00179.x. | |
| 1417023 | Background | Woodley DT, Kim YH. A double-blind comparison of adhesive bandages with the use of uniform suction blister wounds. Arch Dermatol. 1992 Oct;128(10):1354-7. |
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| Type | Date | Date Unknown |
|---|---|---|
| Release | Jul 14, 2017 | |
| Unrelease | Yes | |
| Release | Jul 7, 2020 | |
| Reset | Jul 22, 2020 | |
| Release | Mar 3, 2021 | |
| Reset | Mar 29, 2021 |
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| Release Date | Unrelease Date | Unrelease Date Unknown | Reset Date | MCP Release Number |
|---|---|---|---|---|
| Jul 14, 2017 | Yes | |||
| Jul 7, 2020 |
| ID | Term |
|---|---|
| D015032 | Zinc |
| ID | Term |
|---|---|
| D019216 | Metals, Heavy |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D028561 | Transition Elements |
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| Plain shower gel | Other | Standard shower gel (Sanex). |
|
| Distilled water | Other | Sterile distilled Water. |
|
| Day 4 |
| Keratinocyte proliferation | Immunohistochemical detection of Ki67 in paraffin sections of the wounds using mouse monoclonal antibody (MIB-1). | Day 4 |
| Matrix metalloproteinase (MMP)-1 expression | Immunohistochemical detection of MMP-1 in paraffin sections of the wounds using mouse monoclonal antibody. | Day 4 |
| Pain | Pain is assessed on a VAS scale (0-100 mm) by the participant. | Days 0, 1, 2, 3 and 4 |
| 11589731 | Background | Agren MS, Mirastschijski U, Karlsmark T, Saarialho-Kere UK. Topical synthetic inhibitor of matrix metalloproteinases delays epidermal regeneration of human wounds. Exp Dermatol. 2001 Oct;10(5):337-48. doi: 10.1034/j.1600-0625.2001.100506.x. |
| 12932229 | Background | Malminen M, Koivukangas V, Peltonen J, Karvonen SL, Oikarinen A, Peltonen S. Immunohistological distribution of the tight junction components ZO-1 and occludin in regenerating human epidermis. Br J Dermatol. 2003 Aug;149(2):255-60. doi: 10.1046/j.1365-2133.2003.05438.x. |
| 1990212 | Background | Agren MS, Chvapil M, Franzen L. Enhancement of re-epithelialization with topical zinc oxide in porcine partial-thickness wounds. J Surg Res. 1991 Feb;50(2):101-5. doi: 10.1016/0022-4804(91)90230-j. |
| 22865469 | Background | Ferraq Y, Black DR, Theunis J, Mordon S. Superficial wounding model for epidermal barrier repair studies: comparison of Erbium:YAG laser and the suction blister method. Lasers Surg Med. 2012 Sep;44(7):525-32. doi: 10.1002/lsm.22054. Epub 2012 Aug 1. |
| Jul 22, 2020 |
| Mar 3, 2021 | Mar 29, 2021 |
| D008670 |
| Metals |