PMID- 15773538 OWN - NLM STAT- MEDLINE DCOM- 20050628 LR - 20130912 IS - 0011-4162 (Print) IS - 0011-4162 (Linking) VI - 75 IP - 2 Suppl DP - 2005 Feb TI - The mechanism of action of topical retinoids. PG - 10-3; discussion 13 AB - UV irradiation of human skin sets in motion a complex sequence of events that causes damage to the dermal matrix. When topical tretinoin is applied to human skin, any collagen deficiency existing in photoaged skin is remedied at least partially, and the skin is primed to prevent further matrix degradation induced by solar UV. Retinoids, therefore, have become essential in the treatment and prevention of photoaging. This article describes the mechanism of action of retinoids, including how they are mediated through retinoic acid receptors (RARs) and retinoid X receptors (RXRs), how they block inflammation mediators, and how production of procollagen is increased to augment the formation of types I and III collagen. Three naturally occurring retinoids are reviewed. FAU - Kang, Sewon AU - Kang S AD - University of Michigan Medical Center, Ann Arbor, USA. LA - eng PT - Comparative Study PT - Journal Article PT - Review PL - United States TA - Cutis JT - Cutis JID - 0006440 RN - 0 (Procollagen) RN - 0 (RNA, Messenger) RN - 0 (Retinoid X Receptors) RN - 0 (Retinoids) SB - IM MH - Acne Vulgaris/*drug therapy/pathology MH - Administration, Topical MH - Female MH - Humans MH - Male MH - Procollagen/biosynthesis/*drug effects MH - RNA, Messenger/analysis MH - Retinoid X Receptors/*drug effects MH - Retinoids/pharmacology/*therapeutic use MH - Sensitivity and Specificity MH - Skin Aging/drug effects/*pathology RF - 5 EDAT- 2005/03/19 09:00 MHDA- 2005/06/29 09:00 CRDT- 2005/03/19 09:00 PHST- 2005/03/19 09:00 [pubmed] PHST- 2005/06/29 09:00 [medline] PHST- 2005/03/19 09:00 [entrez] PST - ppublish SO - Cutis. 2005 Feb;75(2 Suppl):10-3; discussion 13.