Skin
inflammation plays a central role in the pathophysiology and symptoms of diverse chronic
skin diseases including
atopic dermatitis (AD). In this study, we examined if
caffeic acid phenethyl ester (CAPE), a skin-permeable bioactive compound from
propolis, was protective against skin
inflammation using in vitro cell system and in vivo
animal disease models. CAPE suppressed TNF-α-induced NF-κB activation and expression of inflammatory
cytokines in human keratinocytes (HaCaT). The potency and efficacy of CAPE were superior to those of a non-phenethyl derivative,
caffeic acid. Consistently, topical treatment of CAPE (0.5 %) attenuated 12-O-tetradecanoylphorbol-13-acetate(TPA)-induced skin
inflammation on mouse ear as CAPE reduced ear swelling and histologic
inflammation scores. CAPE suppressed increased expression of pro-inflammatory molecules such as TNF-α,
cyclooxygenase-2 and inducible
NO synthase in TPA-stimulated skin. TPA-induced phosphorylation of IκB and ERK was blocked by CAPE suggesting that protective effects of CAPE on skin
inflammation is attributed to inhibition of NF-κB activation. Most importantly, in an
oxazolone-induced chronic
dermatitis model, topical application of CAPE (0.5 and 1 %) was effective in alleviating AD-like symptoms such as increases of trans-epidermal water loss, skin thickening and serum
IgE as well as histologic
inflammation assessment. Collectively, our results propose CAPE as a promising candidate for a novel topical
drug for skin inflammatory diseases.