Correlation between Serum Heat Shock Protein–27 (HSP–27) Levels with Facial Skin Aging

Authors

  • Mufidah Khalishah Moeza Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia
  • Khairina Nasution Universitas Sumatera Utara, Medan, Indonesia
  • Imam Budi Putra Universitas Sumatera Utara, Medan, Indonesia

DOI:

https://doi.org/10.66344/jpad.v36i3.3494

Keywords:

HSP–27 serum, facial skin aging, intrinsic, extrinsic

Abstract

Background  Facial skin aging is influenced by intrinsic and extrinsic factors, particularly ultraviolet (UV) radiation, which increases oxidative stress and cellular damage. Heat Shock Protein-27 (HSP-27) helps protect cells from oxidative damage. However, studies examining the relationship between serum HSP-27 levels and facial skin aging remain limited in this population.

 Objective This study aimed to analyze the relationship between serum HSP-27 levels and facial skin aging.

 Methods Eighty subjects were included, consisting of 40 subjects aged 20-40 years with facial skin aging and 40 control subjects aged 18-25 years without signs of facial skin aging. Subjects were selected using consecutive sampling. Facial skin aging was assessed using the Dermoscopic Photoaging Scale (DPAS), while serum HSP-27 levels were measured using the Enzyme-Linked Immunosorbent Assay (ELISA).

Results Mean serum HSP-27 levels were lower in the facial skin aging group than in the control group (17.26±2.79 ng/mL vs. 52.72±24.50 ng/mL). The Mann-Whitney test showed a significant difference between groups (P<.001).

Conclusion Serum HSP-27 levels were significantly associated with facial skin aging, with lower levels observed in subjects with facial skin aging. HSP-27 may serve as a supporting biomarker and warrants further investigation with larger samples and robust study designs.

 

Author Biographies

  • Mufidah Khalishah Moeza, Faculty of Medicine, Universitas Sumatera Utara, Medan, Indonesia

    Department of Dermatology and Venereology, Faculty of Medicine  
    Program in Clinical Medicine Sciences

  • Khairina Nasution, Universitas Sumatera Utara, Medan, Indonesia

    Department of Dermatology and Venereology, Faculty of Medicine

  • Imam Budi Putra, Universitas Sumatera Utara, Medan, Indonesia

    Department of Dermatology and Venereology, Faculty of Medicine

References

1. Khalid KA, Nawi AFM, Zulkifli N, Barkat MA, Hadi H. Aging and Wound Healing of the Skin: A Review of Clinical and Pathophysiological Hallmarks. Life. 2022;12(12):2142.

2. Rosyada R, Jusuf NK. Hubungan Nutrisi Dan Penuaan Kulit. Media Derm Venereol Indones. 2024;51(4):171-6.

3. Miranda RB de, Weimer P, Rossi RC. Effects of hydrolyzed collagen supplementation on skin aging: a systematic review and meta-analysis. Int J Dermatol. 2021;60(12):1449-61.

4. Wikassa T, Damayanti, Irwadi I, Setyaningrum T, Rahmadewi, Indramaya DM, et al. Skin Aging Profile in Tertiary Hospital: a Descriptive Study. Berk ilmu Kesehat Kulit dan Kelamin. 2022;34(1):36-45.

5. Fauziyyah RNP, Komariah M, Herliani YK. Sunlight Exposure and Protection Behavior as Prevention of Skin Cancer in Nursing Students. Indones J Cancer. 2023;17(1):1-8.

6. Dewiastuti M, Hasanah IF. Pengaruh faktor-faktor risiko penuaan dini di kulit pada remaja wanita usia 18–21 tahun. J Profesi Med. 2016;10(1):21-5.

7. Jusuf NK, Putra IB, Muslim M. Evaluation of dermoscopic photoaging score among multiethnic in Medan, Indonesia. Bali Med J (Bali MedJ). 2022;11(3):1919-23.

8. Jusuf NK, Bachtiar A, Jusuf NK, Hadisahputra S, Soebono H. Effect of Broccoli Flower Extract (Brassica oleracea L. var.italica Plenck) on Inhibition of Photoaging Viewed from Matrix Metalloproteinase-1 Expression in Human Skin Fibroblast. J Biol Agric Healthc [Internet]. 2014;4(26):54-60. Available from: https://www.researchgate.net/publication/280034909

9. LS B, EA R, Sun M. Baumann’s Cosmetic Dermatology. New York: McGrew Hill Professional; 2022.

10. Huang AH, Chien AL. Photoaging: a Review of Current Literature. Curr Dermatol Rep. 2020;9(1):22–9.

11. Isik B, Gurel MS, Erdemir AT, Kesmezacar O. Development of skin aging scale by using dermoscopy. Ski Res Technol. 2013;19(2):69-74.

12. Muslim M, Jusuf NK, Putra IB. The effect of 3% passion fruit purple variant (Passiflora edulis Sims var. Edulis) seed extract cream on facial skin aging. J Pak Assoc Dermatol. 2023;33(2):566-73.

13. Yusharyahya SN. Mekanisme Penuaan Kulit sebagai Dasar Pencegahan dan Pengobatan Kulit Menua. eJournal Kedokt Indones. 2021;9(2):150-9.

14. Njemini R, Lambert M, Demanet C, Mets T. The effect of aging and inflammation on heat shock protein 27 in human monocytes and lymphocytes. Exp Gerontol. 2006;41(3):312-9.

15. Mohiuddin AK. Skin Aging & Modern Age Anti-aging Strategies. Glob J Med Res B Pharma, Drug Discov Toxicol Med. 2019;19(2):15-60.

16. Wang ZY, Li A, Huang X, Bai GL, Jiang YX, Li RL, et al. HSP27 Protects Skin From Ultraviolet B -Induced Photodamage by Regulating Autophagy and Reactive Oxygen Species Production. Front Cell Dev Biol. 2022;10(April):1–12.

17. CG C, AM G, A S. On the role of Hsp27 in regulating apoptosis. Apoptosis. 2003;8(1):61-70.

18. Liu Y, Huang X, Wang P, Pan Y. The effects of HSP27 against UVB-induced photoaging in rat skin. Biochem Biophys Res Commun. 2019;512(3):435-40.

19. Karim PL, Aryani IA. Bioscientia Medicina : Journal of Biomedicine & Translational Research Anatomy and Histologic of Intrinsic Aging Skin. Biosci Med J Biomed Transl Res. 2021;5(11):1065-77.

20. Tobin DJ. Introduction to skin aging. J Tissue Viability. 2017;26(1):37-46.

21. Mesa AC, Flórez-Muñoz S V., Sanclemente G. Mechanisms of skin aging. IATREIA. 2017;30(2):160-70.

22. Pratiwi F, Murtiastutik D, Rosita C, Prakoeswa S. Efek Pemberian Topikal Produk Metabolit Amniotic Membrane Stem Cell(PM-AMSC) pada Penuaan Kulit. Berk Ilmu Kesehat Kulit dan Kelamin – Period Dermatology Venereol. 2018;30(2):95-101.

23. Krutmann J, Schikowski T, Morita A, Berneburg M. Environmentally-Induced (Extrinsic) Skin Aging: Exposomal Factors and Underlying Mechanisms. J Invest Dermatol. 2021;141(4): 1096-1103

24. Beyond AF. Photoaging: additional factors involved in the process of skin aging. Clin Cosmet Investig Dermatol. 2018;11:437-43.

25. Kerns M, Chien AL, Kang S. Skin Aging. In: Goldsmith L, Katz S, Gilchrest BA, Paller A, Leffell D, Wolff K, eds. Fitzpatrick’s Dermatology. 9th ed. McGraw-Hill; 2019:1779–91.

26. Anwar SS, Smith SD, Pongprutthipan M, Kim JY, Yuan C, van Steensel M. Preageing of the skin among Asian populations. JEADV Clin Pract. 2022;1(2):88-95.

27. Sur R, Lyte PA, Southall MD. Hsp27 Regulates Pro-Inflammatory Mediator Release in Keratinocytes by Modulating NF-κB Signaling. J Invest Dermatol. 2008;128(5):1116-22.

28. Zouboulis CC, Ganceviciene R, Liakou AI, Theodoridis A, Elewa R, Makrantonaki E. Aesthetic aspects of skin aging, prevention, and local treatment. Clin Dermatol. 2019;37(4):365-72.

Downloads

Published

30.09.2026

Issue

Section

Original Articles

How to Cite

1.
Correlation between Serum Heat Shock Protein–27 (HSP–27) Levels with Facial Skin Aging. J Pak Assoc Dermatol [Internet]. 2026 Sep. 30 [cited 2026 Oct. 1];36(3):363-9. Available from: https://www.jpad.com.pk/index.php/jpad/article/view/3494