A sweat-borne inflammatory signal is required for persistent friction injury in aged skin
Eccrine inflammatory licensingIn aged human skin explants, removing sweat-derived interleukin-1 (IL-1) should prevent persistent injury despite matched wetness and friction; physiological add-back should restore it.
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HERETICAL: In aged, photoexposed skin, eccrine-derived IL-1 is a necessary permissive signal for ordinary wet friction to become persistent inflammatory barrier injury. Surface water and shear provide exposure conditions, but gland-derived cytokine delivery determines whether injury becomes self-propagating. Reducing secretion above the evaporative ceiling therefore preserves cooling and improves barrier recovery primarily by reducing cytokine delivery, even when surface hydration and frictional work are experimentally restored. The strong claim is that removing sweat-derived IL-1 prevents persistent injury despite unchanged wetness and mechanical exposure; merely showing that sweat aggravates an already damaged barrier would not confirm this hypothesis.
In aged human skin explants subjected to matched mild friction, compare native autologous sweat, selectively IL-1-depleted sweat, and depleted sweat with physiological IL-1 add-back.
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Match water delivery, pH, salt, temperature, evaporation, and measured frictional work. IL-1 depletion should prevent persistent inflammatory activation and accelerate functional barrier recovery; add-back should restore the deficit. In a subsequent bounded human crossover, replacing the fluid removed by secretion suppression with cytokine-depleted artificial sweat should preserve the benefit, whereas replacing it with native sweat should abolish it. Failure of selective depletion and add-back to change recovery rejects this mechanism even if sweat reduction itself remains beneficial.
Widespread regional heat signals trigger compensatory sweating elsewhere predicts instead: During matched activity and humidity transitions, compare regional temperature patterns with equal area-weighted mean skin temperature, core temperature, and total heat flux, but distribute the same thermal deviation across one versus several independently mapped sensory regions.
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Fit the threshold using a training subset and predict held-out patterns. This hypothesis predicts a reproducible break in untreated-region sweat recruitment when the number of concordant thermal inputs exceeds the fitted rejection capacity. Chemical sweat substitution at the treated site should not remove that recruitment pattern. Smooth responses explained by a conventional weighted thermal average, without a reproducible distribution threshold, reject this hypothesis.
Mismatched measurements can create the apparent benefit of reducing sweat predicts instead: Cross secretion suppression versus vehicle with conventional dry-air capsule assessment versus native-microclimate assessment. Measure the local vapor gradient and effective transfer coefficient under each instrument, and independently reconcile evaporation, retained liquid, runoff, and body heat storage. The calculated excess secretion and apparent cooling-preserving benefit should track the measurement configuration and collapse under native boundary conditions. A reproducible reduction in secretion with unchanged directly measured cooling and improved barrier recovery on minimally instrumented skin rejects this explanation.