2022
DOI: 10.3390/life12050725
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The Trinity of Skin: Skin Homeostasis as a Neuro–Endocrine–Immune Organ

Abstract: For a long time, skin was thought to be no more than the barrier of our body. However, in the last few decades, studies into the idea of skin as an independent functional organ have gradually deepened our understanding of skin and its functions. In this review, we gathered evidence that presented skin as a “trinity” of neuro–endocrine–immune function. From a neuro perspective, skin communicates through nerves and receptors, releasing neurotrophins and neuropeptides; from an endocrine perspective, skin is able … Show more

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Cited by 23 publications
(27 citation statements)
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“…It is really a matter of concern that the skin is not only a target organ of multiple hormones but also an endocrine organ for the secretion of multiple hormones, with equivalent functions of the hypothalamic−pituitary−adrenal Frontiers in Pharmacology frontiersin.org (HPA) axis (Slominski and Mihm, 1996;Slominski and Wortsman, 2000;Lin et al, 2017). The skin neuroendocrine-immune system interacts bidirectionally with the central nervous system, endocrine system, and immune system to maintain the body's homeostasis (Slominski and Wortsman, 2000;Jin et al, 2022). Upon perception of external or endogenous stimuli, the HPA axis of the skin and endocrine system will be activated (Alexopoulos and Chrousos, 2016;Slominski et al, 2007), which is followed by the release of a corticotropin-releasing hormone (CRH) of the hypothalamus and the skin (Skobowiat and Slominski, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…It is really a matter of concern that the skin is not only a target organ of multiple hormones but also an endocrine organ for the secretion of multiple hormones, with equivalent functions of the hypothalamic−pituitary−adrenal Frontiers in Pharmacology frontiersin.org (HPA) axis (Slominski and Mihm, 1996;Slominski and Wortsman, 2000;Lin et al, 2017). The skin neuroendocrine-immune system interacts bidirectionally with the central nervous system, endocrine system, and immune system to maintain the body's homeostasis (Slominski and Wortsman, 2000;Jin et al, 2022). Upon perception of external or endogenous stimuli, the HPA axis of the skin and endocrine system will be activated (Alexopoulos and Chrousos, 2016;Slominski et al, 2007), which is followed by the release of a corticotropin-releasing hormone (CRH) of the hypothalamus and the skin (Skobowiat and Slominski, 2015).…”
Section: Discussionmentioning
confidence: 99%
“…In addition to the anatomic basis of cutaneous system, 5–8 emerging proof has made it clear that skin can produce the same biomolecules (eg neurotrophins, neuropeptides, hormones and cytokines) like the other part of body and interact with the system via them, 9–11 identifying the skin as a “neuro–endocrine–immune” organ. 12 …”
Section: Skin Architecture and Physiological Functionsmentioning
confidence: 99%
“…It is the way the body maintains a balance within its internal environment [4]. For example, the human body has many systems that work together to maintain homeostasis, such as the nervous system, the endocrine system, and the immune system [5]. These systems regulate various physiological processes such as body temperature, blood pressure, and levels of various chemicals in the body [6].…”
Section: Introductionmentioning
confidence: 99%