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What Does the Filaggrin Protein Do? Its Critical Role in the Skin Barrier

What is the filaggrin protein? Filaggrin (filament aggregating protein) is a core skin barrier protein that holds keratin filaments together in the stratum corneum to give skin its physical integrity, while also serving as the raw material for natural moisturizing factors (NMF). During the final stage of epidermal differentiation, this protein breaks off from the profilaggrin form to serve both a structural-support and a hygroscopic moisture-management function. In CIRÈLL's barrier-focused formulation approach, filaggrin biochemistry is one of the scientific foundations that product design refers back to.

Key Facts

  • The filaggrin gene (FLG) sits on chromosome region 1q21.3 and encodes the roughly 4,000-amino-acid profilaggrin protein; this giant protein is stored in keratohyalin granules in the stratum granulosum.
  • FLG gene mutations are identified as the strongest genetic risk factor for atopic dermatitis, and roughly 8-10% of individuals of European descent carry at least one of these mutations.
  • Amino acids produced through filaggrin breakdown (urocanic acid, pyrrolidone carboxylic acid, etc.) make up the NMF components responsible for 70-80% of stratum corneum moisture.
  • In skin with filaggrin insufficiency, transepidermal water loss (TEWL) can rise 2-3 times compared to healthy skin; this also significantly raises allergic sensitization risk.
  • Barrier repair formulations targeting ceramide, cholesterol, and free fatty acids can indirectly support filaggrin deficiency by compensating for NMF loss.

The Filaggrin Protein: Definition, Structure, and Epidermal Origin

The filaggrin protein takes its name from the English phrase "filament aggregating protein." This protein, which packages keratin intermediate filaments in the corneocytes that make up the stratum corneum — the outermost layer of skin — emerges at one of the epidermis's final differentiation steps. Because its function is both mechanical and biochemical, it holds a central position in skin barrier physiology.Sandilands et al., 2009

From Profilaggrin to Filaggrin: The Biosynthesis Pathway

Filaggrin isn't synthesized directly — it's produced from a large precursor polypeptide chain called profilaggrin. Profilaggrin is stored in keratohyalin granules and is broken down into smaller filaggrin units at the transition zone between the stratum granulosum and the stratum corneum through the activation of serine protease enzymes (kallikrein 5, kallikrein 7). During this process:

1Transcription: The FLG gene activates throughout differentiation, extending from the basal layer to the stratum granulosum; profilaggrin mRNA production begins.
2Storage: Profilaggrin accumulates in a dense, crystalline structure in keratohyalin granules; this density of the granules shows up as dark red staining under light microscopy.
3Proteolytic Processing: Proteases triggered by the drop in calcium gradient at the stratum granulosum–stratum corneum boundary cleave profilaggrin into repeating filaggrin units.
4Keratin Packaging: Filaggrin bundles keratin IFs together, becoming the structural scaffold of flattened, protein-dense corneocytes.
5Secondary Breakdown and NMF Production: In the upper layers of the stratum corneum, filaggrin is broken down into amino acids by caspase-14 and bleomycin hydrolase enzymes; these amino acids convert into natural moisturizing factor (NMF) components.

Filaggrin's Molecular Weight and Structural Properties

The human filaggrin monomer has a molecular weight of roughly 37 kDa. Profilaggrin, meanwhile, is a giant polypeptide of roughly 400 kDa, containing 10-12 repeats of these monomers. The protein is predominantly made up of positively charged amino acids (histidine, arginine, lysine), and this charge distribution makes it easier for it to form electrostatic interactions with negatively charged keratin filaments.Brown & McLean, 2012

Filaggrin's Dual Function in the Stratum Corneum

Filaggrin carries out two core, complementary tasks at the same time in the stratum corneum: structural support and moisture management. This dual role makes the protein one of the most versatile components of skin barrier biochemistry.Elias & Schmuth, 2009

Structural Function: Flattening and Packaging Corneocytes

The stratum corneum is described using the "brick and mortar" model: corneocytes (dead, nucleus-free keratinocytes) make up the bricks, while the lipid layers secreted from lamellar bodies make up the mortar. Filaggrin supports the internal structure of these bricks:

  • It compresses keratin IFs to flatten the cell, forming a dense, tightly packed structure.
  • It cross-links with cell membrane proteins (involucrin, loricrin), contributing to the formation of the cornified cell envelope (CCE).
  • It increases the epidermis's mechanical durability and resistance to pressure and strain.

Biochemical Function: Natural Moisturizing Factor (NMF) Production

Filaggrin is fully broken down in the stratum corneum's upper layers, and these breakdown products make up roughly 40% of NMF. The core data showing that the leading NMF components are filaggrin-derived can be summarized as follows:

NMF Component Filaggrin Precursor Function in the Stratum Corneum
Pyrrolidone Carboxylic Acid (PCA) Glutamine A hygroscopic agent with high water-binding capacity
Urocanic Acid (UCA) Histidine UV absorption buffer and pH regulator
Free Amino Acids The full filaggrin sequence Osmotic regulation, enzyme cofactor
Lactic Acid Serine (indirect) pH buffer, antimicrobial support
Urea Arginine (indirect) Keratolysis and moisture retention

Together, these components regulate the stratum corneum's water activity, keep enzymatic processes within their working pH range, and preserve the acidic environment (skin surface pH ≈ 4.5-5.5) needed for antimicrobial peptides to function.

what does the filaggrin protein do? its critical role in the skin barrier — cream application | CIRÈLL
A healthy skin barrier depends on using the right ingredients together.

FLG Gene Mutations and Their Clinical Consequences

The most powerful way to understand filaggrin's function is to examine what happens when that function breaks down. Loss-of-function mutations in the FLG gene are directly linked to atopic dermatitis (eczema), ichthyosis vulgaris, and allergic sensitization.Palmer et al., 2006

The Link Between Ichthyosis Vulgaris and Atopic Dermatitis

Ichthyosis vulgaris is a hereditary condition caused by a homozygous or compound heterozygous FLG mutation, presenting with palmoplantar hyperlinearity and a fish-scale appearance. Roughly 50% of FLG mutation carriers also have atopic dermatitis; this overlap forms the basis of the "outside-in" hypothesis: once the barrier is disrupted, allergens and microorganisms easily get in and trigger immune sensitization.

The Epidemiology of FLG Mutations

Individuals of European Descent

The most common FLG mutations are R501X and 2282del4; population carrier frequency is 8-10%.

Individuals of Asian Descent

3321delA and S3247X mutations are dominant; carrier frequency runs in a similar range (7-9%).

In Atopic Dermatitis Patients

At least one FLG loss-of-function mutation is detected in 30-50% of moderate-to-severe atopic dermatitis cases.

In the General Population

Not everyone who carries an FLG mutation develops the condition; environmental factors (soap, detergent, dry climate) play a triggering role.

Acquired Filaggrin Deficiency: Also Possible Without a Mutation

Filaggrin expression can also be suppressed in individuals without an FLG gene mutation. The main factors behind this are:

  • Th2 cytokines (IL-4, IL-13): These cytokines, elevated during atopic inflammation, inhibit FLG transcription factors.
  • Chronic exposure to alkaline pH: Repeated contact with soaps and detergents disrupts kallikrein activity, slowing profilaggrin processing.
  • Low-humidity environments: Dry indoor air in winter evaporates NMF components, reducing filaggrin breakdown products.
  • Sun damage and UV-B: Reduces caspase-14 expression, slowing filaggrin's conversion into NMF.
  • Aging: Filaggrin expression declines with age; this partly explains why older skin struggles to retain moisture.

Acquired filaggrin deficiency especially sets the stage for a dehydrated-skin presentation in winter and noticeably increases the need for moisturizers.

Filaggrin, Skin pH, and the Antimicrobial Barrier

Urocanic acid and lactic acid, released through filaggrin breakdown, form an important component of the buffer capacity that maintains the stratum corneum surface's acidic pH (4.5-5.5). This acidic environment matters not just for moisture management, but for the skin's overall defense mechanisms.Fluhr & Darlenski, 2018

Three Core Biological Roles of Acidic pH

The acidic skin pH provided by the filaggrin-derived acid buffer supports the following functions:

  1. Serine protease regulation: Kallikrein 5 and 7 activity is pH-sensitive; in an acidic environment, these enzymes work in a controlled manner, preventing excessive desquamation (flaking).
  2. Antimicrobial peptide potential: AMPs like beta-defensin and cathelicidin show higher antimicrobial activity at acidic pH; S. aureus colonization is suppressed.
  3. Ceramide synthesis enzyme activity: β-glucocerebrosidase and acid sphingomyelinase work optimally at acidic pH, sustaining ceramide production.

This three-way relationship — filaggrin → acidic pH → ceramide synthesis — shows that the skin barrier is biochemically interconnected. Our detailed guide on ceramide and the skin barrier covers the practical dimensions of this relationship.

Microbiome Changes in Filaggrin Deficiency

In individuals with an FLG mutation, rising skin surface pH (>6.0) makes it easier for Staphylococcus aureus to colonize. This pathogen releases V8 protease and toxins that themselves suppress filaggrin expression, creating a vicious cycle. Preserving a healthy skin microbiota is a strategy that indirectly supports filaggrin function too.

Cosmetic Approaches That Support Filaggrin and the Skin Barrier

Filaggrin can't be directly replaced with topical products, because large proteins taken from outside the cell can't enter the epidermis. But the consequences of filaggrin deficiency can be compensated for with the right ingredient combinations, and signals that increase filaggrin expression can be supported.Cork et al., 2009

Ingredients That Mimic Filaggrin Breakdown Products

Ingredient Link to Filaggrin Cosmetic Application
Sodium PCA Pyrrolidone carboxylic acid salts — an NMF component Added to formulations as a hygroscopic moisturizer
Urea (5-10%) A filaggrin breakdown product; an NMF component Moisture retention and mild keratolysis; used in xerosis treatment
Lactic Acid A product of serine metabolism; an NMF component pH balancing and an AHA effect
Amino Acid Complexes Free amino acids in the filaggrin sequence Hygroscopic support, film formation
Ceramide + Cholesterol + Free Fatty Acid The lipid matrix — repairs the lipid organization disrupted by filaggrin deficiency The foundation of barrier repair formulations

The CIRÈLL Biomimetic TriBarrier System and Filaggrin

The CIRÈLL Biomimetic TriBarrier System aims to simultaneously support the stratum corneum's three-layer defense — the lipid lamellar structure, the NMF pool, and the acidic pH buffer. This system brings together ceramide, cholesterol, and free fatty acids at physiological ratios (1:1:1 molar ratio) while also containing NMF components (sodium PCA, amino acids). This strategy, which closes the NMF gap caused by filaggrin deficiency through both hygroscopic ingredients and lipid repair, aligns with the "barrier-centric" dermocosmetic understanding in scientific literature. Our skin barrier guide covers the full mechanism of this approach.

Actives Suggested to Increase Filaggrin Expression

In vitro and clinical studies point to certain active ingredients that may increase filaggrin mRNA and protein expression:

  • Niacinamide (4-5%): Has been shown to increase FLG and loricrin expression in keratinocyte cultures.
  • Vitamin D analogs: There's evidence that 1,25-dihydroxyvitamin D3 upregulates FLG transcription.
  • Madecassoside (Centella asiatica): Can indirectly preserve filaggrin expression by suppressing inflammatory cytokines; this mechanism is covered in detail in the madecassoside guide.
  • Panthenol (provitamin B5): Indirectly supports FLG expression by promoting keratinocyte proliferation and differentiation; formulation strategies can be reviewed in the panthenol guide.

Environmental and Care Factors That Increase Filaggrin Deficiency

No matter how solid the genetic foundation is, poor skin care habits negatively affect filaggrin expression and the NMF pool. This section covers common mistakes made in daily routines and their science-based solutions.

Damaging Habits

  • Hot water and long showers: Washes NMF components off the surface; urocanic acid and PCA in particular dissolve easily in water.
  • Using alkaline soap (pH >7): Raises stratum corneum pH, disrupts kallikrein activity, and increases desquamation.
  • Excessive chemical exfoliation: Intensive, frequent use of AHA/BHA reduces stratum corneum thickness; the NMF pool thins. See our guide on AHA BHA and the skin barrier.
  • Retinoid overuse: High-dose retinoic acid can paradoxically suppress FLG expression; balancing barrier support is essential. Our guide on retinol and the skin barrier explains this balance.
  • Dry, low-humidity environments: When humidity drops below 40%, filaggrin breakdown products evaporate into the air; NMF concentration drops.

Protective Habits

1Prefer Lukewarm Water: A shower under 30°C, lasting no more than 5 minutes, minimizes NMF loss.
2A pH-Balanced Cleanser: Cleansers formulated at pH 4.5-5.5 are compatible with the stratum corneum's acid mantle.
3Moisturize Immediately (on Damp Skin): A moisturizer applied within the first 3 minutes after showering forms a barrier before surface water and NMF fully evaporate.
4Balance Ambient Humidity: Use a humidifier, especially in winter, to keep humidity at 45-55%.
5Barrier Repair Products: Formulations containing ceramide, cholesterol, and free fatty acid support the lipid organization disrupted in filaggrin deficiency. See our barrier repair guide.

What Do These Skin Signals Mean?

Filaggrin deficiency usually shows itself through a cluster of signs appearing together; recognizing these signs helps you choose the right barrier-focused approach.

🐟 Flaking and Rough Texture

When the stratum corneum's desquamation balance is disrupted — filaggrin-deficiency-linked pH rise increases kallikrein activity — the surface visibly separates into flakes. This is the characteristic appearance of ichthyosis vulgaris.

💧 Persistent Tightness and Dryness

The NMF pool is fed by filaggrin breakdown; insufficient filaggrin means insufficient PCA, urocanic acid, and free amino acids. The result: a stratum corneum that can't hold onto water and constantly feels tight.

🔴 Easily Irritated Skin

When barrier integrity breaks down, allergens, irritants, and microorganisms get into the epidermis; immune cells are triggered; erythema and itching develop. FLG mutation carriers have 3-5 times the risk of atopic dermatitis.

🌡️ Winter Flare-Ups

Cold, dry air conditions rapidly evaporate NMF components; filaggrin expression also varies seasonally. This is why signs of barrier deficiency noticeably increase during winter months.

what does the filaggrin protein do? its critical role in the skin barrier — healthy skin | CIRÈLL
When barrier-focused care becomes routine, the skin's appearance improves noticeably.

Conclusion

The filaggrin protein is an indispensable skin barrier protein that manages both the stratum corneum's structural scaffold and its moisturizing capacity at the same time. This two-stage biology — from packaging keratin filaments to converting into NMF components — directly determines the skin's ability to hold water, its acidic pH, its antimicrobial defense, and its resistance to allergens. While FLG gene mutations are the most well-documented genetic risk factor for atopic dermatitis, acquired filaggrin deficiency — from alkaline soaps, hot water, dry environments — can cause serious barrier dysfunction even in individuals without an FLG mutation.

While topical products can't replace the filaggrin protein itself, the functional consequences of filaggrin deficiency can be largely compensated for with the right formulation strategy — physiological ceramide-cholesterol-free-fatty-acid ratios, NMF component analogs, and pH-compatible cleansers. CIRÈLL's Biomimetic TriBarrier System was developed with a formulation philosophy that puts this scientific foundation into practice; this approach is covered in detail across our guides on all the lipid barrier components, including the relationship between cholesterol and the skin barrier.

what does the filaggrin protein do? its critical role in the skin barrier — skin care routine | CIRÈLL
Applied in the right order and technique, products boost each other's active-ingredient effectiveness.

Frequently Asked Questions

What is the filaggrin protein, and why does it matter for skin?

Filaggrin (filament aggregating protein) is a core skin barrier protein that packages keratin intermediate filaments in the stratum corneum, the skin's outermost protective layer, to support cell structure, and breaks down to produce natural moisturizing factor (NMF) components. When it's absent or insufficient, the stratum corneum loses both its mechanical integrity and its water-retention capacity; this sets the stage for conditions like dry skin, irritation, and atopic dermatitis.

How does the filaggrin protein work in the stratum corneum?

Filaggrin is stored in stratum granulosum cells in the large precursor form profilaggrin. As cells transition into the stratum corneum, serine proteases (kallikrein 5 and 7) cut profilaggrin into filaggrin monomers. These monomers bind keratin filaments together, flattening the cell. In the stratum corneum's upper layers, caspase-14 and bleomycin hydrolase enzymes break filaggrin down into amino acids; these amino acids convert into PCA, urocanic acid, and lactic acid, forming NMF and increasing the skin's moisture-retention capacity.

How common is an FLG gene mutation?

FLG gene mutations are widespread globally, though frequency varies by ethnic background. The most common mutations in individuals of European descent, R501X and 2282del4, have a carrier frequency of roughly 8-10%. This rate rises to 30-50% in moderate-to-severe atopic dermatitis cases. Not every individual who carries the mutation develops the condition; environmental factors and other genes determine penetrance.

What's the relationship between filaggrin deficiency and transepidermal water loss (TEWL)?

Filaggrin deficiency raises TEWL through two separate mechanisms. First, a shrinking NMF pool lowers the stratum corneum's water-retention capacity; second, disrupted packaging of keratin filaments weakens the stratum corneum's physical integrity, reducing the lipid lamellar structure's gap-sealing efficiency. Clinical studies show that TEWL values in individuals carrying an FLG mutation can be 2-3 times higher than healthy controls.

Can filaggrin deficiency be treated with topical products?

The filaggrin protein itself can't be delivered to living cells through topical application because of its molecular size (~37 kDa monomer). But the consequences of filaggrin deficiency can be largely compensated for topically: barrier repair formulations containing ceramide-cholesterol-free-fatty-acid support lipid organization, while sodium PCA, urea, lactic acid, and amino acid complexes take over the moisture management that NMF is missing. Additionally, some actives like niacinamide have been shown in in vitro studies to increase FLG mRNA expression.

Which cosmetic ingredients mimic filaggrin breakdown products?

The main substances filaggrin produces as it converts into NMF components, and their cosmetic analogs, are: sodium PCA (the sodium salt of pyrrolidone carboxylic acid) for moisture retention; urocanic acid analogs for pH buffering; urea (5-10%) as both an NMF component and for keratolysis; lactic acid for pH balancing; and various free amino acid complexes for osmotic regulation in formulations. These ingredients mimic filaggrin's functional output, providing relief for dry and barrier-compromised skin.

Is filaggrin deficiency the same thing as dry skin?

Filaggrin deficiency is one of the significant causes of dry skin, but it isn't synonymous with dry skin. Dry skin (xerosis) can arise from many different causes, like insufficient lipid, a low-humidity environment, or aging. Filaggrin deficiency is the best-documented genetic-biochemical mechanism among these and is seen especially in individuals with an FLG mutation or acquired FLG suppression. Dry skin doesn't always involve a filaggrin problem; but in filaggrin deficiency, dryness is nearly unavoidable.

How does filaggrin deficiency show up in children?

In children, filaggrin deficiency linked to an FLG mutation most often shows up as atopic dermatitis (eczema). Initial signs generally appear from month 6 onward as itchy, red, scaly lesions on the cheeks and at the elbow and knee creases. Palmar hyperlinearity (excessive lining) and perifollicular flaking — characteristic findings of ichthyosis vulgaris — can also be detected alongside it. A dermatology and allergy specialist assessment is recommended when this presentation is present.

Why are filaggrin and the skin barrier more affected in winter?

Two factors combine in winter: low outdoor humidity (relative humidity drops to 20-30%) and dry indoor heated air. Under these conditions, NMF components produced through filaggrin breakdown — particularly PCA and urocanic acid — evaporate quickly from the stratum corneum surface. At the same time, cold can slow keratinocyte proliferation and differentiation, also limiting profilaggrin production. The result: a drier, more irritation-prone, more easily flaking skin surface in winter.

Is filaggrin deficiency linked to sensitive skin?

Yes, filaggrin deficiency is one of the most important underlying biological mechanisms behind sensitive skin. When barrier integrity breaks down, irritants (fragrance, alcohol, alkaline detergents) and allergens freely enter the epidermis; neurogenic inflammation and immune activation become easier. This is why individuals with filaggrin deficiency react to products even at lower concentrations and are more sensitive to environmental stress.

What effect do soap and facial cleansers have on filaggrin?

Alkaline-pH soaps (pH 8-10) clash with the stratum corneum's acid mantle. This alkaline exposure raises stratum corneum pH; since caspase-14 activity, which breaks down filaggrin, is pH-sensitive, NMF production can be disrupted. Surfactants also directly remove both the lipid matrix and surface NMF components. This is why cleansers formulated at pH 4.5-5.5 are far more compatible with filaggrin function.

What's the relationship between filaggrin and ceramide?

Filaggrin and ceramide are two complementary core components of the skin barrier. The acidic stratum corneum pH (4.5-5.5) that filaggrin contributes to is necessary for β-glucocerebrosidase and acid sphingomyelinase — the enzymes responsible for ceramide synthesis — to work optimally. In other words, there's a domino effect: filaggrin deficiency → rising pH → declining ceramide synthesis enzyme activity → reduced ceramide. This relationship scientifically explains why ceramide and NMF supporters need to be used together in barrier repair formulations.

How can someone using retinol or AHA prevent filaggrin deficiency?

Active ingredients like retinol and AHA/BHA can reduce stratum corneum thickness and thin the NMF pool, making it harder for filaggrin breakdown products to build up. The way to prevent filaggrin deficiency while using these actives is applying a barrier repair product containing ceramide-cholesterol-free-fatty-acid on the nights you use the active, or on the days in between. Active percentage and frequency should be increased gradually; the skin barrier should be given time to recover. A pH-balanced cleanser should always be preferred for face washing.

When should you see a doctor for filaggrin deficiency?

You should see a dermatology or allergy specialist in the following situations: (1) Widespread dryness, flaking, or eczema lesions that don't improve within 4-6 weeks despite topical care products; (2) Increasingly widening, itchy, red, weeping skin rashes; (3) Recurring lesions on the face, neck, and crease areas in children; (4) Skin signs appearing alongside upper respiratory allergies or asthma (the atopic march); (5) Intense itching that disrupts sleep. These presentations may require genetic testing, a skin patch test, and a specialist-supervised treatment plan.

What should the ideal skin care routine look like for filaggrin support?

An optimal care routine that supports filaggrin function should include the following steps: (1) Facial cleansing with a gel or cream cleanser formulated at pH 4.5-5.5 and lukewarm water; (2) Right afterward, applying a toner or essence (hyaluronic acid, amino acids) to damp skin; (3) A serum or lotion containing NMF component analogs (sodium PCA, urea, lactic acid); (4) A barrier cream or moisturizer containing ceramide-cholesterol-free-fatty-acid; (5) Broad-spectrum sunscreen during the day. Adding niacinamide to the night routine can be considered for filaggrin expression support.

What's the difference between filaggrin deficiency and atopic dermatitis?

While filaggrin deficiency is the strongest genetic risk factor for atopic dermatitis, these two concepts can't be used interchangeably. Filaggrin deficiency is a condition where the filaggrin protein isn't produced sufficiently, due to an FLG gene mutation or acquired suppression; it's a biochemical property of the skin barrier. Atopic dermatitis, meanwhile, is a clinical presentation involving itching, inflammation, and barrier disruption; it can also develop without an FLG mutation, through other mechanisms like a Th2-dominant immune response. Not every case of filaggrin deficiency turns into atopic dermatitis; but FLG mutation carriers have 3-5 times the risk.

Does the filaggrin protein decline with age?

Yes, filaggrin expression and NMF concentration in the stratum corneum decline noticeably with age. In individuals over 60, NMF amount can be found to be roughly 30-50% lower compared to young adults. In addition, caspase-14 activity also decreases with age, slowing filaggrin's conversion into NMF components. Some of the dryness and thinning seen in aging skin can be directly attributed to these filaggrin losses; this is why formulations containing NMF analogs become more important for older skin.

Mine Ekber

Mine Ekber

CIRÈLL Formulation & Content Team

A content editor who works with the CIRÈLL R&D team on skin barrier physiology. The scientific claims on this page are based on peer-reviewed sources verified through PubMed/NCBI; the source list is below.

Scientific Sources

  1. Sandilands A, Sutherland C, Irvine AD, McLean WH. Filaggrin in the frontline: role in skin barrier function and disease. J Cell Sci, 2009.
  2. Brown SJ, McLean WH. One remarkable molecule: filaggrin. J Invest Dermatol, 2012.
  3. Elias PM, Schmuth M. Abnormal skin barrier in the etiopathogenesis of atopic dermatitis. Curr Allergy Asthma Rep, 2009.
  4. Palmer CN, Irvine AD, Terron-Kwiatkowski A, et al. Common loss-of-function variants of the epidermal barrier protein filaggrin are a major predisposing factor for atopic dermatitis. Nat Genet, 2006.
  5. Fluhr JW, Darlenski R. Skin Surface pH in Newborns: Origin and Consequences. Curr Probl Dermatol, 2018.
  6. Cork MJ, Danby SG, Vasilopoulos Y, et al. Epidermal barrier dysfunction in atopic dermatitis. J Invest Dermatol, 2009.

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