Klinik für Dermatologie und VenerologieHautklinik

Research activities of skintegral™ are dedicated to the investigation of beneficial effects of solar light, plant extracts and minerals on the skin. Plant extracts contain a variety of natural compounds with therapeutic relevance, such as free radical scavenging, anti-inflammatory and antimicrobial effects. The dermatologic usability of most of these compounds is only partly explored.

The efficacy and skin tolerability of natural compounds in topical preparations depends on the liberation and penetration of the compounds from the vehicle, a scientific field covered by dermopharmacy. Natural substances used in dermatology should not have any sensitizing or phototoxic potential. Various cell culture models and molecular biological methods are established in the laboratory. Clinically, the substances are investigated in skin tests (patch test, ultraviolet erythema test). The spectrum of methods includes skin physiological examinations such as the measurement of skin hydration, transepidermal water loss, skin perfusion and sebumetry.

UV-protective and anti-inflammatory effect of polyphenols

The anti-inflammatory effect of the ellagitannins of the bloodroot (Potentilla erecta) is comparable to the effect of hydrocortisone in vitro and in vivo. We studied a concentrated bloodroot extract, that showed vasoconstriction on the skin, similar to hydrocortisone, but without activating the glucocorticoid receptor.

The flavonoid luteolin e.g. from the dyer plant Reseda luteola is one of the most effective anti-oxidative polyphenols, which also has a DNA-protective effect.

Bitter taste receptors and the skin

In recent years, it has been discovered that certain taste receptors, the bitter taste receptors (TAS2Rs), are not only present on the tongue and upper gastrointestinal tract, but also on the bronchi of the lung. The binding of bitter substances to TA2Rs in the lung induces bronchodilation. This may be of therapeutic use in the treatment of asthma bronchiale. The research unit skintegral could show that the skin also possesses bitter taste receptors.  

Plant derived bitter agents from gentian (amarogentin) or willow bark (salicin) bind to these bitter taste receptors and induce calcium influx into keratinocytes. This leads to the synthesis of lipids and proteins that are crucial for the formation of the skin barrier (e.g. keratins, filaggrin). Bitter substances thus stimulate the skin's metabolism. In addition, they have anti-allergic effects.

Effect of botanical compounds on psoriasis keratinocytes ‚in vitro' and ‚in vivo'

Funded by the Wilhelm Doerenkamp Foundation, Chur (Switzerland)

In this project, the anti-psoriatic effect of traditionally used and novel botanical compounds was investigated. Of particular interest are active plant compounds from Centella asiatica (madecassoids and asiaticosides), Mahonia aquifolium (berberine), Curcuma amada (mango ginger) and Whrightia tinctoria (triterpenes and sterols), as they have been used in Ayurvedic and traditional Chinese medicine for thousands of years to treat skin diseases. In addition, the traditional medicinal plants from occidental monastic medicine Hypericum perforatum (St. John's wort with hyperforin) and Humulus lupulus (hops with humulone and lupulone) could be effective. After screening the botanical compounds for anti-inflammatory and anti-proliferative effects, hops and St. John's wort were found to be particularly promising botanical compounds in psoriasis models in vitro and ex vivo.

Effect of antimony and antimonite on psoriasis keratinocytes.

Supported by Christophorus Foundation, DAMUS-DONATA e.V., Dr. Hauschka Foundation, Mahle Foundation, Rudolf Steiner Fund and WELEDA AG.

Antimony (Stibium, Sb) and Antimonite (Stibnite, Sb₂S₃) are metalloids with anti-infective and immunosuppressive properties. They have been used as remedies for a long time, but in recent times they are only used restrictively to treat certain parasitoses due to their toxicity. Antimony and antimonite are also used in anthroposophic medicine in diluted nontoxic preparations. In this research project, dose-response relationships and active principles of antimony, antimonite and the antimony compound Tartarus stibiatus were investigated on psoriasis-like keratinocytes. It was shown that antimony / antimonite - but especially Tartarus stibiatus - causes a reduction in keratinocyte proliferation and a reduction in psoriatic inflammation.

Influencing the interaction of psoriasis keratinocytes and fatty liver cells by liver remedies of the integrative medicine (PSORI-HEP study)

Funded by the Sanddorf Foundation and Software AG Foundation

Psoriasis is a non-contagious, partly genetically determined, chronic inflammatory skin disease associated with several comorbidities. One of the most common is the metabolic syndrome that include obesity, diabetes mellitus, elevated liver enzymes and Non Alcoholic Fatty Liver Disease (NAFLD). The research project will investigate the association of psoriasis with NAFLD using several experimental models. The main question is whether treatment of fatty liver cells with liver therapeutics or complex gastrointestinal-liver-bile remedies from the anthroposophical, phytotherapeutic or natural medicine can improve the expression of psoriasis inflammation.

The integrative approach of the research area is expressed through interdisciplinary research projects with natural science disciplines such as allergology from the profile group, biology and pharmacy, but also through the inclusion of alternative research and therapy approaches such as phytotherapy and anthroposophic medicine.

In particular, there are collaborations with:

• Prof. Dr. rer. nat. Stefan Martin und Dr. rer. nat. Philipp Esser, Allergy Research Group (ARG), University Medical Center, Freiburg
• Prof. Dr. med  Tobias Böttler; Dr. Giuseppe Rusignuolo, Department of Medicine II, University Medical Center, Freiburg
• Dr. rer. nat. Karl Quirin und Anja Cawelius, Naturextrakte GmbH, Rehlingen
• Prof. Dr. med.  Roman Huber, Center for Complementary Medicine, University Medical Center, Freiburg
• PD Dr. Dr. rer. nat. Franck A. Ditengou , Bio Imaging Core Light Microscopy (BiMiC), University Medical Center Freiburg
• Prof. Dr. rer. nat. Kateřina Vávrová, Faculty of Pharmacy Hradec Kralove, Charles University, CZE
• Dr. rer. nat. Martin Holzer Department of Pharmaceutical Technology and Biopharmacy, University Freiburg
• Prof. Dr. rer. nat. Ralf Weißenkirchen, Institute of Molecular Pathobiochemistry, RWTH University Hospital Aachen
• Prof. Dr. med Martin Wabitsch, Division of Paediatric Endocrinology and Diabetes, University Medical Centre, Ulm
• Dr. rer. nat. Kay Schwabe, Beauty Science Intelligent GmbH, Langenhagen
• Prof. Dr. Dr.-Ing. Jürgen Lademann und Prof. Dr. rer. nat. Martina Meinke, Center of Experimental and Applied Cutaneaous Physiology, Charité Berlin

For Prof. Dr. med. Christoph Schempp in PubMed

For apl. Prof. Dr. rer. nat.  Ute Wölfle in PubMed

• 2011     

  Poster prize for the poster "UVB-induced DNA damage, generation of reactive oxygen species and inflammation is effectively attenuated by the flavonoid luteolin in vitro and in vivo" for Ute Wölfle at the annual meeting of the Society for Dermopharmacy

• 2017     

  Promega Prize for Dr. Ute Wölfle for science journalism "Hauptsache Biologie" together with the journalist Hans Joachim Kugler for the publication in the Badische Zeitung "Bitter helps you to think".

• 2018  

  Innovation Award of the Society for Phytotherapy for Prof. Schempp and PD Dr. Wölfle for their scientific work on the bitter substance receptors of the skin and the development of a medical skin care product based on this work

• 2023  

  Human Advanced In Vitro Model Initiative (HUMAIN) Award from the organization PCRM (Physicians Committee for Responsible Medicine) and the company InSphero for 3D in vitro technology for apl. Prof. Dr. Ute Wölfle

Prof. Dr. med Christoph Schempp and apl. Prof. Dr. Ute Wölfle holds the European patent „Bitter taste receptor agonists for topical use“ (Aktenzeichen ZEE20130919)