REVIEW PAPER
Human Skin Reflects Air Pollution – a Review
of the Mechanisms and Clinical Manifestations
of Environment-Derived Skin Pathologies
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1
Department of Dermatology, 1st Military Clinical Hospital with the Outpatient Clinic in Lublin,
20-049 Lublin, Racławickie 23 str. Poland
2
Department of Didactics and Medical Simulation, Medical University of Lublin,
20-093 Lublin, Chodźki 4 str., Poland
Submission date: 2020-06-28
Final revision date: 2020-11-11
Acceptance date: 2020-11-16
Online publication date: 2021-06-01
Publication date: 2021-07-07
Pol. J. Environ. Stud. 2021;30(4):3433-3444
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ABSTRACT
Development of urbanization, transport, and industry contributes to a constant increase in airborne
pollution levels worldwide. There are more than 2000 different chemical substances emitted into the
air. Among air pollutants, particulate matters PMs, volatile organic compounds (VOCs), CO2, CO, NO2,
SO2, ground-level ozone O3, metals, and persistent organic pollutants POPs have been found to exert
harmful effects on human skin. The exposure to the increasing levels of air pollution may worsen skin
problems and severe diseases in millions of people worldwide, leading to the growth of health care
costs. Under permanent exposure to air pollutants, the redox homeostasis in skin cells is impaired.
Airborne pollutants penetrating the skin activate a protein - aryl hydrocarbon receptor (AhR) and
trigger a cascade of reactions in which high levels of reactive oxygen species (ROS) are generated.
The redox imbalance modulates lipids peroxidation, oxidation of proteins, and DNA damage. Airborne
stressors can be manifested as clinical dermatological problems, i.e. skin aging, imbalance in skin
microbiota, increase in inflammatory reactions (allergy, acne, atopic dermatitis, eczema), or even cancer.
Therapeutic strategies to counteract skin damage should be targeted at reducing free radical formation
and scavenging free radicals in the skin cells. Moreover, the restoration of the skin barrier function
and an increase in antioxidant reserves and reducing chronic inflammation are of great importance.
A forward-looking area of research is then to fill the gaps about the effect of air pollutants on the skin,
including skin carcinogenesis.