Human skin functions not only as a barrier to retain the internal components and to protect internal organs from external stimulation or invasion, but also as a sensory organ to maintain homeostasis. In addition, it plays important roles in processes such as thermoregulation, antibody formation, vitamin D formation, lipid secretion, respiration, pigmentation and perception. [1][2][3][4][5][6] Stress disturbs the homeostasis, and may induce various disorders. For example, various kinds of physiological and psychological stress influence the hypothalamic-pituitaryadrenocortical axis, the hypothalamic-pituitary-gonadal axis, sympatho-adrenomedullary system and sympathetic nervous system, leading to changes in a number of organs. Stress has been implicated in hypertension, arteriosclerosis, diabetes mellitus, and other diseases in clinical and epidemiological studies.7) Skin function should also be influenced by stress, because it is primarily regulated by the autonomic nervous system and the endocrine system. This idea is supported by clinical reports showing that some skin disorders, including psoriasis and atopic dermatitis, are exacerbated by anxiety.
8)In addition, recent cutaneous biological studies have revealed that immobilization stress and/or overcrowding stress induced a decrease in lipogenesis in sebaceous glands, delay of skin barrier recovery and disruption of the skin barrier in rats, Syrian hamsters, and/or BALB/c mice.9-11) Barrier function and water retention are important cutaneous functions to maintain homeostasis. However, the relationship between stressful stimuli and skin dysfunction has not been established yet.Psychological stress activates the sympathetic nervous system, resulting in increases in the levels of glucocorticoids, catecholamines and angiotensin II in the circulating blood. Excess of glucocorticoid and angiotensin II can elevate blood pressure and excess of catecholamine increases cardiac output and peripheral resistance. Thus, stress induces acute hypertonic and chronic circulatory disorders. Hypertension causes hematogeneous disorder in the microvasculature. Therefore, concomitant reduced blood supply may contribute to peripheral ischemia. It is also suggested that mental stress induces transient endothelial dysfunction in humans. 12) Indeed, it is well recognized that psychological stress elevates blood pressure and that long-term stress causes dysfunction of the skin and various organs, such as ovary, kidney, thymus and adrenal glands.Recently, the laser Doppler perfusion-imaging technique has made it possible to map accurately changes of blood perfusion over a large area with good time resolution, and this method has been used to measure microcirculatory changes of the skin, mucosa, kidney and eye. 13,14) It has also been used for detecting abnormal blood flow in pathologically changed skin.
15)In this study, we have examined the relationship between blood perfusion and skin dysfunction mediated by catecholamines in animals exposed to a crowded environment. This approach ha...