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Regular bathing in the Blue Lagoon has beneficial effects on psoriasis. Previously, we showed that exopolysaccharides (EPS-Ca) secreted by Cyanobacterium aponinum, a dominating organism in the Blue Lagoon, increased IL-10 secretion by human dendritic cells (DCs). In addition, co-culturing allogeneic CD4+ T cells with DCs matured in the presence of EPS-Ca increased differentiation of T cells into T regulatory cells at the cost of the disease inducing Th17 cells. In the present study, EPS-Ca increased the proportion of DCs expressing CD141, a surface molecule linked to regulatory DCs, and the CD141+ cells secreted more IL-10 than the CD141- cells. EPS-Ca decreased T cell secretion of IL-17, IL-13 and IL-10 and the proportion of T cells expressing the activation marker CD69 that has also been linked to lymphocyte retention. In addition, EPS-Ca reduced keratinocyte secretion of CCL20 and CXCL10, chemokines implicated in recruitment of inflammatory cells. EPS-Ca decreased DC expression of Dectin-1/CLEC7A and SYK, keratinocyte expression of CLEC7A, SYK and CAMP (the gene for LL37), and T cell expression of phosphorylated Zap70. These results indicate that EPS-Ca may induce a regulatory phenotype of DCs, T cells that are less active/inflammatory and less prone to being retained in the skin, and keratinocytes that induce less recruitment of inflammatory cells to the skin and that these effects may be mediated by the effects of EPS-Ca on CLEC7A and SYK. Overall the results indicate that EPS-Ca may be involved in the beneficial effects psoriasis patients experience when bathing in the Blue Lagoon.

The Blue Lagoon is a geothermal aquifer with a diverse ecosystem located within the Reykjanes UNESCO Global Geopark on Iceland's Reykjanes Peninsula. Blue Lagoon Ltd., which exploits the aquifer, isolated a strain of coccoid cyanobacteria Cyanobacterium aponinum (C. aponinum) from the geothermal fluid of the Blue Lagoon more than two decades ago. Since then Blue Lagoon Ltd. has cultivated it in a photobioreactor, for use as an active ingredient in its skin care products. Until recently, the cultivation of C. aponinum was achieved by feeding it on 99.99% (4N) bottled carbon dioxide (CO2). In this investigation, C. aponinum was cultivated using unmodified, non-condensable geothermal gas (geogas) emitted from a nearby geothermal powerplant as the feed-gas instead of the 4N-gas. The geogas contains roughly 90% vol CO2 and 2% vol hydrogen sulfide (H2S). A comparison of both CO2 sources was made. It was observed that the use of geogas did enhance the conversion efficiency. A 13 weeks' average CO2 conversion efficiency of C. aponinum was 43% and 31% when fed on geogas and 4N-gas, respectively. Despite the high H2S concentration in the geogas, sulfur accumulation in the cultivated biomass was similar for both gas sources. Our results provide a model of a CO2 sequestration by photosynthetic conversion of otherwise unused geothermal emission gas into biomass.

Silica, precipitated out of geothermal fluid discharged from a geothermal powerplant in Svartsengi on the Reykjanes peninsula in Iceland, was used as a chromatographic adsorbent to extract blue colored protein, C-phycocyanin, from coccoid blue-green algae. The only supplement used was salt obtained by evaporating the geothermal fluid. Analysis of the silica, using scanning electron microscopy, X-ray diffractometry and Brunauer–Emmett–Teller (BET) adsorption confirmed it has a high specific surface area and is amorphous. Upon adsorption and subsequent elution the purity of the extracted protein, measured as the ratio of the light absorbance of 620 and 280 nm, increased from 0.5 to above 2.0. Our results could facilitate utilization of a mostly unused byproduct of geothermal powerplants as chromatographic material.

Bathing in the Blue Lagoon, a specific geothermal biotope in Iceland has been known for many years to be beneficial for human skin in general and for patients with psoriasis and atopic dermatitis in particular. The scientific rationale for this empirical observation, however has remained elusive. We now report that extracts prepared from silica mud and two different microalgae species derived from the Blue Lagoon are capable of inducing involucrin, loricrin, transglutaminase-1 and filaggrin gene expression in primary human epidermal keratinocytes. The same extracts also affects primary human dermal fibroblasts, because extracts from silica mud and one type of algae inhibited UVA radiation-induced upregulation of matrix metalloproteinase-1 expression and both algae, as well as silica mud extracts induced collagen 1A1 and 1A2 gene expression in this cell type. These effects were not restricted to the in vitro situation because topical treatment of healthy human skin (n = 20) with a galenic formulation containing all three extracts induced identical gene regulatory effects in vivo, which were associated with a significant reduction of transepidermal water loss. In aggregate, these results suggest that the bioactives in Blue Lagoon have the capacity to improve skin barrier function and to prevent premature skin ageing. These observations explain at least some of the beneficial effects of bathing in the Blue Lagoon and provide a scientific basis for the use of Blue Lagoon extracts in cosmetic and/or medical products.

Regular bathing in the Blue Lagoon in Iceland has beneficial effects on psoriasis. Cyanobacterium aponinum is a dominating member of the Blue Lagoon's microbial ecosystem. The aim of the study was to determine whether exopolysaccharides (EPSs) secreted by C. aponinum (EPS-Ca) had immunomodulatory effects in vitro. Human monocyte-derived dendritic cells (DCs) were matured in the absence or presence of EPS-Ca and the effects were determined by measuring the secretion of cytokines by ELISA and the expression of surface molecules by flow cytometry. DCs matured with EPS-Ca at 100 μg/ml secreted higher levels of IL-10 than untreated DCs. Subsequently, DCs matured in the presence or absence of EPS-Ca were co-cultured with allogeneic CD4(+) T cells and their effects on T cell activation analysed by measuring expression of intracellular and surface molecules and cytokine secretion. Supernatant from allogeneic T cells co-cultured with EPS-Ca-exposed DCs had raised levels of IL-10 compared with control. A reduced frequency of IL-17(+)RORγt(+) T cells was observed when co-cultured with EPS-Ca-exposed DCs and a tendency towards increased frequency of FoxP3(+)IL-10(+) T cells, resulting in a lower IL-17(+)RORγt(+)/FoxP3(+)IL-10(+) ratio. The study shows that EPSs secreted by C. aponinum stimulate DCs to produce vast amounts of the immunosuppressive cytokine IL-10. These DCs induce differentiation of allogeneic CD4(+) T cells with an increased Treg but decreased Th17 phenotype. These data suggest that EPSs from C. aponinum may play a role in the beneficial clinical effect on psoriasis following bathing in the Blue Lagoon.