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Nail plate hydration

Molecular classification
Other
01

Overview

Nail plate hydration refers to the water content within the nail plate, a structural composite primarily formed of hard keratins cross-linked by disulfide bonds[3][4]. The typical water content of a healthy nail plate is about 18% but can rise above 30% when exposed to moisture, at which point the nail becomes soft and opaque, or fall below 18%, causing brittleness[4]. Hydration greatly influences the mechanical (flexibility, hardness) and biophysical (permeability, electrical resistance) properties of the nail[1][2][3][4]. In drug delivery, especially for transungual (through the nail) therapies, increasing nail hydration enlarges the porous keratin network, reduces electrical resistance, and enhances drug penetration[1][2][3]. Although hydration is essential for nail health and topical drug efficacy, it does not act as a molecular target, receptor, or enzyme, but is a critical biophysical condition for both research and clinical applications.

Other names
Hydration of nail platenail hydrationwater content of nail plate
02

Mechanism of action

Hydration increases nail permeability for passive and iontophoretic drug delivery by expanding the keratin network and decreasing electrical resistance[1][2][3]

03

Biological functions

Maintains nail flexibility and mechanical integrity[4]Influences permeability of the nail plate to drugs and water[1][3]Affects ion transport and electrical resistance of the nail[1]
04

Disease associations

Brittle nail syndrome (associated with low hydration)Onychomycosis and other nail disorders (hydration status affects drug delivery efficacy)Other
05

Safety considerations

Over-hydration may soften nails excessively, leading to fragility/opacity[4]Dehydration leads to brittle nails[4]
06

Interacting drugs

Drugs delivered by topical or transungual routes, e.g., antifungals like terbinafine and ciclopirox, benefit from increased nail hydration but do not "interact" in the receptor-ligand sense[3]
07

Biomarkers

Transonychial water loss (TOWL) as an indirect marker of nail hydration[3]

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