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Abstract Skin depends on a unique profile of lipids that are necessary for the correct structure and function of the epidermal barrier, management of cellular communications and regulation of cutaneous homeostasis. Alterations in the cutaneous lipid profile can have severe consequences for skin health and such changes have been implicated in many inflammatory skin conditions. Using a targeted lipidomics platform we have investigated the prevalence of bioactive lipids in human skin, and reported an array of eicosanoids, octadecanoids, docosanoids, endocannabinoids, acyl ethanolamines and ceramides. We have conducted clinical studies and used human skin organ culture models and isolated cells in order to explore the differential contributions of lipid families to skin conditions. We have also explored lipid responses to various stimuli, and have examined temporal changes in lipid profiles aiming to understand their contribution to acute cutaneous inflammation and its resolution. Systemic supplementation with omega-3 polyunsaturated fatty acids (PUFA) has also revealed the differing cutaneous activities of these protective fatty acids, and demonstrated how they mediate their activities through perturbation of the profiles of existing species as well as formation of new lipids. Overall, we have shown that targeted lipidomics can elucidate the network of cutaneous bioactive lipids, support the development of biomarkers and diagnostics, and identify therapeutic targets for inflammatory skin disease. |