Clinicals

  1. Siegesbeckia Orientalis Extract
  2. Emblica
  3. Palmitoyl Pentapeptide-3
  4. Palmitoyl Tetrapeptide-3
  5. Acetyl Hexapeptide-3
  6. Scientific rationale for alpha lipoic acid (ALA) as a skin anti-aging agent
  7. Clinical evidence for the anti-aging effects of topical DMAE
  8. Laboratory evidence for the anti-aging effects of topical antioxidants

Siegesbeckia Orientalis Extract
Siegesbeckia Orientalis Extract is obtained from the herb Siegesbeckia orientalis. This herb has been used for centuries externally to soothe inflammation and stimulate wound healing, which it does through tissue regeneration by way of collagen matrix build-up.

A now expired patent by Pierre Fabre Medicaments describes its ability to stimulate wound healing, to promote more regular tissue renewal, to increase the normal appearance of scars and to fully restore elasticity to damaged skin with collagen fibers arranged in regular fashion.

Extracts of Siegesbeckia orientalis have shown anti-inflammatory properties, inhibition of collagenase and protection from UV induced erythema.

This initial research led to an investigation of Siegesbeckia Orientalis Extract ability to restructure stretch marks. Stretch marks are caused by abnormal stretching of the dermis (pregnancy, change in weight), from a linear scar or from some endocrine disorders. In each case the stretch mark affects the elastin fibers in the middle dermis, which are diminished or disappear. Any effective treatment for stretch marks thus must restore normal quantities of collagen and elastin fibers.

The effects shown in a four-week clinical study where a crème containing 1.5% of Siegesbeckia Orientalis Extract was applied by volunteers twice daily are listed below.

Results

Length of Streaks -- Reduced 52.15%
Surface Smoothness -- Increased 13.7%
Indented Surfaces -- Reduced 55.4%
Length of Irregularities -- Reduced 52.2%

These results correspond to restructuring of the tissue. At the end of treatment the surface of the skin was more regular in appearance and the global profile was more uniform with stretch marks tending to fade. These results show Siegesbeckia Orientalis Extract to possess exciting characteristics for the treatment of stretch marks. In addition, Siegesbeckia Orientalis Extract is shown to possess excellent tolerance and non-toxicity.

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Emblica
Emblica is the trade name for a tannin-rich extract from the herb Phyllanthus emblica. This herb has been used for thousands of years in India and is a cornerstone within the traditional healing system of Ayurveda.

As a skincare ingredient Emblica has been shown to have great multifunctionality. Though its primary applications within the skincare industry are as a photoprotective agent and a skin lightener, Emblica offers a host of benefits for the skin.

Studies have shown Emblica to possess powerful, broad-spectrum antioxidant properties. In addition, Emblica is extremely stable and is not subject to photodegradation. While vitamins C, and E, and antioxidants from pine bark and rosemary lose over 50% of their antioxidant activity in an aqueous solution after only three months, Emblica remains stable for over a year. Research has shown Emblica to increase skin hydration and skin lipids, to reduce collagenase activity, to reduce UV-induced erythema, to reduce inflammation and to help preserve skin tone and integrity.

One of Emblica’s most exciting applications is as a skin lightener. While most skin lighteners such as Hydroquinone, Arbutin, and Kojic Acid have toxicity issues or can cause negative reactions on the skin, Emblica is well tolerated with no side effects. Magnesium Ascorbyl Phosphate has been the best-tolerated skin lightener up to this point, however Emblica is more stable and does not generate pro-oxidant activity.

Skin lightening agents are used to either lighten or depigment the skin. Skin lighteners are generally used in Europe and the United States to treat age spots and freckles whereas the Asian market uses them to change or modify skin color. Excessive pigmentation of the skin can be caused by UV-radiation, hormonal imbalance, inflammation, drugs or aging. A number of studies have demonstrated Emblica’s ability to lighten and even-tone normal, hyper-pigmented and UV-induced pigmented skin color. In two studies Emblica showed comparable results to an equal concentration of Hydroquinone for skin lightening with Hispanic and Asian skin over a nine-week period. Another study showed Emblica to provide significant lightening of freckle spots after 8 weeks.

Though there has not been a specific study of Emblica’s potential to normalize the uneven skin tone caused by stretch marks, its ability to lighten both normal and hyper-pigmented skin is perhaps an indication that Emblica could also play a role in helping to normalize the appearance of stretch-marked skin.

As mentioned above, Emblica also possesses exciting photoprotective properties. Of particular importance is Emblica’s ability to reduce collagenase activity (a protein that attacks the dermis), which is increased by UV light. Collagenase is one of the key factors in aging of the skin.

Another extremely important feature of Emblica is that it can chelate iron and copper.
While iron and copper are necessary for many biological activities, their toxicity threatens cellular integrity. Emblica seems a particularly good ingredient to add to sun protection products, as it is clear that UV radiation causes the release of iron in skin firbroblasts and that sun-damaged skin contains significantly higher levels of iron.

While antioxidants are the chief defense against free radical damage, vitamins C and E as well as glutathione all function as pro-oxidants when in the presence of iron and copper, causing additional oxidative stress. Emblica may play an increasing role in UV protective products because it can help reduce oxidative stress by scavenging free radicals while simultaneously chelating iron and copper, stopping their harmful effects.

Emblica is extremely well tolerated with no adverse side effects.

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Palmitoyl Pentapeptide-3
Palmitoyl Pentapeptide-3 is a synthetic protein that is a fragment of the C-terminal portion of collagen I (the most common type of the nineteen forms of collagen) combined with palmitic acid to make it more lipophillic, to improve its stability and to enhance its affinity towards human skin. One could look at Palmitoyl Pentapeptide-3 as a man-made precursor to collagen I. When this protein is added to cultured human fibroblasts it enhances the synthesis of collagen I, collagen III and fibronectin.

The research behind Palmitoyl Pentapeptide-3 was begun to find specific solutions to address aging factors in the skin, particularly the thinning of the sinusoidal layer between the dermis and the epidermis. The goal was to find a short peptide that would stimulate fibroblasts in the skin to produce key components of the extra-cellular matrix such as collagen and hyaluronic acid. The reasons for this follow.

As we age, the skin gets thinner. Part of this process is that the sinusoidal dermo-epidermal interface layer between the dermis and the epidermis gets flatter. It is this layer that allows nutrients to flow from the dermis to the epidermis. As we age this layer gets flatter and this reduces the area of exchange interface between the dermis and the epidermis. This can significantly affect the quality of the epidermis. The loss of adhesion between these two structures, which is normally provided by collagen IV and collagen VII, results in nutritional exchange deficiencies and a slowing of biological processes in the skin.

Collagen is the main constituent of the skin’s extra-cellular matrix. In fact, collagen as a whole makes up approximately 25% of all protein found in the human body. In young skin, the collagen fibers are held in place by orderly bonds, to form a sort of net. The “holes” of this net are filled by proteoglycans and glycosaminoglycans forming the glycan network. The glycan network is a water-saturated gel in which water-soluble molecules and ions are able to circulate. It is this water that gives skin its visco-elasticity and its turgidity. A key molecule in this process is hyaluronic acid, as it can hold up to 1000 times its weight in water. A reduction in the quantity of interstitial glycans (including hyaluronic acid) leads to a loss of water retention and the glycan network collapses onto itself. With age, this gel tends to sag, hindering cell migration and mitosis. As the number of fibroblasts, mastocytes and blood vessels falls, the dermis atrophies.

Studies were carried out to see if Palmitoyl Pentapeptide-3 would affect the sinusoidal dermo-epidermal interface layer and if it would help to stimulate factors making up the glycan network. As mentioned above, collagen IV and collagen VII are the primary constituents of the sinusoidal dermo-epidermal interface layer between the dermis and the epidermis that allows nutrients to flow from the dermis to the epidermis. In vitro, Palmitoyl Pentapeptide-3 was found to stimulate collagen IV synthesis by 100-327% and to stimulate hyaluronic acid synthesis by 267%. In vivo Palmitoyl Pentapeptide-3 was found to stimulate collagen synthesis by 30-117%. The next step was to use image analysis to determine the affect Palmitoyl Pentapeptide-3 had on wrinkled skin. The six-month results are listed below, though significant results were seen in two months.
Results

Mean wrinkle depth -- Reduced 17%
Surface area – deep wrinkles -- Reduced 68%
Surface area – moderate wrinkles -- Reduced 51%
Mean density of wrinkled area -- Reduced 47%
Skin roughness -- Reduced 16%
Main wrinkle volume -- Reduced 24%

These results show that Palmitoyl Pentapeptide-3 had a dramatic effect on reducing the quantity and depth of wrinkles. It also improved surface smoothness. The studies behind Palmitoyl Pentapeptide-3 give a clear description of the mechanism for how this is accomplished and also indicate that Palmitoyl Pentapeptide-3 is stimulating natural biological processes to reverse the aging process of the skin. In addition, Palmitoyl Pentapeptide-3 is very well tolerated by the skin. Palmitoyl Pentapeptide-3 is a very exciting ingredient and is becoming more and more popular as its results are becoming more widely known.
Biopeptide-CL

Like Palmitoyl Pentapeptide-3, Biopeptide-CL is a synthetic protein that is a fragment of collagen combined with palmitic acid to make it more lipophillic, to improve its stability and to enhance its affinity towards human skin. As with Palmitoyl Pentapeptide-3, one could look at Biopeptide-CL as a man-made precursor to collagen.

Biopeptide-CL was developed through research to identify a substance that would behave similarly to retinoic acid but without its drawbacks, especially in regards to synthesizing collagen.

The reported results are as follows:

In vitro:
Increases collagen production by the fibroblasts by as much as 350%.
Increases hyaluronic acid production by the fibroblasts by as much as 146%.

In vivo:

The following statistics were gathered using image analysis of volunteers who used crèmes containing a 3% concentration of Biopeptide-CL for 28 days.

Surface roughness -- Reduced 17%
Mean depth of wrinkles -- Reduced 23%
Depth of main wrinkle -- Reduced 39%
Skin thickness -- Increased 4%

The increase in skin thickness was considered especially notable and contrasts with the 6% reduction of the skin thickness that occurs after 10 years of aging. The study concludes to state that Biopeptide-CL is a potent active cosmetic ingredient without the adverse effects (including irritation, dehydration or long-term toxicity and instability) characteristic of retinoids.

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Palmitoyl Tetrapeptide-3
Palmitoyl Tetrapeptide-3 is a synthetic peptide that is a fragment of immunoglobulin G that has been combined with palmitic acid to make it more lipophillic and thus enhance its affinity towards human skin. Palmitoyl Tetrapeptide-3 was discovered through research to learn how to suppress the body’s production of interleukins, particularly IL6, since these are the chemical messengers that trigger the body’s acute inflammatory response.

Inflammation is a function of immunity and is a protective response to injury or destruction of tissue. This is the body’s way of walling off the injurious agent and the injured tissue. Under normal circumstances, very little IL6 is secreted and its secretion is strictly controlled. However, as we age this regulation system develops defects, and significant levels of IL6 appear in the plasma even when there is no inflammatory stimulus. This results in high levels of inflammatory proteins in the tissues and a loss of healing potential. This process has been linked with breast cancer, osteoporosis, anemia, autoimmunity and slower tissue regeneration.

The hormone DHEA is directly responsible for maintaining the regulation of the production of IL6. This has even been demonstrated in the skin: when DHEA is present in sufficient amounts it is converted into a steroid hormone, androstenediol, which is directly responsible for maintaining IL6 production and for maintaining local homeostasis of cytokine and interleukin production. As we age, DHEA is reduced and this directly leads to cytokine deregulation and the over-production of some interleukins and the under production of others. As mentioned above, IL6 production is increased with negative consequences. Since UV radiation can increase IL6 production by five times, this process can significantly impact the skin.

The researchers’ goal thus became to find a peptide that would mimic the effects of DHEA without DHEA’s potential for being converted into estrogen, since estrogen is a hormone that is not licensed for cosmetic purposes. Specifically they wanted to find a peptide that would target IL6 and inhibit its production. The results:

1.) At concentrations from 10 ppm, Palmitoyl Tetrapeptide-3 induces a marked reduction in the secretion of the cytokine IL6. This reduction is progressive and depends on the concentration of the peptide: baseline secretion may be inhibited by up to 40%.

2.) Palmitoyl Tetrapeptide-3 reduced levels of IL6 after cells were exposed to UV radiation by up to 86% even though IL6 had been increased by about 20 fold by the UV.

These results show that Palmitoyl Tetrapeptide-3 is able to affect baseline levels of IL6 as well as modulate the effects of UV-stimulated over-production of IL6. IL6 is marketed by Sederma as a molecule that can restore cytokine equilibrium, which characterizes youthful skin. Cosmedical Aesthetics has chosen to use Palmitoyl Tetrapeptide-3as a synergistic support ingredient to create a more optimum environment for other active ingredients to help restore youthful skin appearance.

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Acetyl Hexapeptide-3(Argelline)
Acetyl Hexapeptide-3 is used in our formulationsas a wrinkle reducer and as alternative to injections. It is also an effective wrinkle preventive.

Acetyl Hexapeptide-3 is a mimic of the N-terminal end of SNAP-25, one of three proteins (known as the SNARE complex) that are essential for neurotransmitter release at the synapse, which is the chemical signal for a muscle to contract.

As a wrinkle reducer, studies have shown that Acetyl Hexapeptide-3 at a 10% concentration was able to significantly decrease the depth of wrinkles after 30 days of treatment. The mechanism by which Acetyl Hexapeptide-3 is able to accomplish this is related to the ways in which Acetyl Hexapeptide-3 is able to assist wrinkle prevention.

Acetyl Hexapeptide-3 performs this activity in two distinct ways:

The first way Acetyl Hexapeptide-3 acts as a wrinkle prevenyive is by competing with SNAP-25 for a position in the SNARE complex. This destabilizes the SNARE complex, preventing the vesicle from releasing neurotransmitters efficiently, and therefore attenuating muscle contraction. This causes a reduction in facial muscle contraction, which is believed to help prevent the long-term formation of lines and wrinkles.

The second way that Acetyl Hexapeptide-3 acts as a wrinkle preventive is by reducing the release of catecholamines the overproduction of which is known to induce the formation of wrinkles and fine lines in the skin).

Acetyl Hexapeptide-3 is non-toxic and well tolerated by the skin.

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Scientific rationale for alpha lipoic acid (ALA) as a skin anti-aging agent

The scientific evidence cited below demonstrates why topical and dietary alpha lipoic acid (ALA) is effective for reducing oxidation/inflammation in human and animal skin. Both delivery methods (oral and topical) make good scientific sense as a safe way to reduce oxidation/inflammation in the skin, which most researchers agree to be a primary cause of wrinkles.
Current research reveals four things about topical and supplemental use of ALA:

ALA is shown to protect skin against free radicals and inflammation in the skin.


Meewes C, Brenneisen P, Wenk J, Kuhr L, Ma W, Alikoski J, Poswig A, Krieg T, Scharffetter- Kochanek K. Adaptive antioxidant response protects dermal fibroblasts from UVA-induced phototoxicity. Free Radic Biol Med. 2001 Feb 1;30(3):238-47.
Pertinent Excerpt: "Here we report that, in addition to the previously published induction of manganese superoxide dismutase (MnSOD) activity, single and, to a higher extent, repetitive low-dose UVA irradiation also leads to a substantial upregulation of glutathione peroxidase (GPx) activity. .... Collectively, these data indicate that the concomitant induction of MnSOD and GPx activity is related to the optimal adaptive protection from photooxidative damage." [Note: This finding supports the importance of ALA as a recycler of MnSOD and GPx in protecting skin against oxidative stress.]


Taborda V, Baumann L. A randomized, double-blind, placebo-controlled trial of alpha-lipoic acid cream in facial aging skin. Lauro de Souza Lima Institute & University of Miami.
http://www.dermato.med.br/iacd/congress/papers/papers-b.htm
Pertinent Excerpt: "Alpha lipoic acid (ALA) has been proposed as a new antioxidant agent to treat and prevent aging skin. In order to evaluate the effectiveness of topical application of alpha-lipoic acid cream to the face as an adjunct therapy in the management of aging skin, the authors compared the application of topical alpha-lipoic acid cream on the face with a placebo cream and with glycolic acid.
Pertinent Excerpt: "In summary, alpha lipoic acid is a potent antioxidant which represents a promising option in the treatment of aging skin and, therefore, should achieve maximum importance in our future cosmetics practice."

ALA reduces (i.e., recycles to full potency) oxidized glutathione, vitamin E, and ascorbatethe body's other key antioxidantsand it boosts the cell's ability to synthesize glutathione. This provides the bodyincluding its largest organ-an enhanced antioxidant network with which to reduce ROS and inflammation in the skin.

Han D, Handelman G, Marcocci L, Sen CK, Roy S, Kobuchi H, Tritschler HJ, Flohe L, Packer L. Lipoic acid increases de novo synthesis of cellular glutathione by improving cystine utilization. Biofactors. 1997;6(3):321-38.


Podda M, Tritschler HJ, Ulrich H, Packer L. Alpha-lipoic acid supplementation prevents symptoms of vitamin E deficiency. Biochem Biophys Res Commun. 1994 Oct 14;204(1):98- 104.


Packer L, Witt EH, Tritschler HJ alpha-Lipoic acid as a biological antioxidant. Free Radic Biol Med. 1995 Aug;19(2):227-50. Review.

ALA possesses the ability to block protein glycationa key factor in skin aging, due to the protein cross-linking and free radicals it produces. ALA produces an indirect antioxidant effect in this context, since the glycation bond generates free radicals continuously. In addition, ALA increases cellular glucose uptake through recruitment of the glucose transporter-4 to plasma membranes, thus reducing the amount of free glucose available for glycation reactions.

Podda M, Zollner TM, Grundmann-Kollmann M, Thiele JJ, Packer L, Kaufmann R. Activity of alpha-lipoic acid in the protection against oxidative stress in skin. Curr Probl Dermatol. 2001;29:43-51.


Bierhaus A, et al. Advanced glycation end product-induced activation of NF-kappaB is suppressed by alpha-lipoic acid in cultured endothelial cells. Diabetes. 1997 Sep;46(9):1481- 90.


Kunt T, et al. Alpha-lipoic acid reduces expression of vascular cell adhesion molecule-1 and endothelial adhesion of human monocytes after stimulation with advanced glycation end products. Clin Sci (Lond). 1999 Jan;96(1):75-82.


Melhem MF, Craven PA, Liachenko J, DeRubertis FR. alpha-Lipoic Acid Attenuates Hyperglycemia and Prevents Glomerular Mesangial Matrix Expansion in Diabetes. J Am Soc Nephrol. 2002 Jan;13(1):108-16.

ALA blocks key inflammation signals in body cells. As people age, cumulative damage by free radicals lowers the activation thresholds of redox-modulated transcription factors. The system that activates genes deteriorates, producing inflammation, immunosenescence, cancer, and degenerative disease. Alpha lipoic acid, (ALA) has special properties and functions within the antioxidant network that contribute to its impressive anti-aging properties. ALA helps control inflammation by regulating the redox-sensitive nuclear transcription factors known as Activator Protein 1 (AP-1) and Nuclear Factor kappa-B (NF-jB).

Meyer M, Pahl HL, Baeuerle PA. Regulation of the transcription factors NF-kappa B and AP-1 by redox changes. Chem Biol Interact. 1994 Jun;91(2-3):91-100.


Packer L, Roy S, Sen CK. a-Lipoic acid: a metabolic antioxidant and potential redox modulator of transcription. Advances in Pharmacology 1996; 38: 79-101.


Lavrovsky Y, Chatterjee B, Clark RA, Roy AK. Role of redox-regulated transcription factors in inflammation, aging and age-related diseases. Exp Gerontol. 2000 Aug;35(5):521-32. Review.
Pertinent Excerpt: "Chronic oxidative stress and inflammatory reaction also lead to many age- associated diseases such as atherosclerosis and arthritis. Transcription factors that are directly influenced by ROS and proinflammatory cytokines include nuclear factor kappa B (NF-kappaB), activator protein 1 (AP-1), specificity protein 1 (Sp1), peroxisome proliferator- activated receptors (PPARs) and other members of the nuclear receptor superfamily."

  • Meyer M, Pahl HL, Baeuerle PA. Regulation of the transcription factors NF-kappa B and AP-1 by redox changes. Chem Biol Interact. 1994 Jun;91(2-3):91-100.
  • Meyer M, Schreck R, Baeuerle PA. H2O2 and antioxidants have opposite effects on activation of NF-kappa B and AP-1 in intact cells: AP-1 as secondary antioxidant-responsive factor. EMBO J. 1993 May;12(5):2005-15.
  • Saliou C, Kitazawa M, McLaughlin L, Yang JP, Lodge JK, Tetsuka T, Iwasaki K, Cillard J, Okamoto T, Packer L. Antioxidants modulate acute solar ultraviolet radiation-induced NF- kappa-B activation in a human keratinocyte cell line. Free Radic Biol Med. 1999 Jan;26(1- 2):174-83.
  • Sen CK, Packer L. Antioxidant and redox regulation of gene transcription. FASEB J. 1996; 10: 709-720.
  • Suzuki YJ, Aggarwal BB, Packer L. Alpha-lipoic acid is a potent inhibitor of NF-kappa B activation in human T cells. Biochem Biophys Res Commun. 1992 Dec 30;189(3):1709-15.
  • Suzuki YJ, Mizuno M, Tritschler HJ, Packer L. Redox regulation of NF-kappa B DNA binding activity by dihydrolipoate. Biochem Mol Biol Int. 1995 Jun;36(2):241-6.

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Clinical evidence for the anti-aging effects of topical DMAE

The natural bodily compound known as DMAE is a probable precursor to the neurotransmitter acetycholine, responsible for maintaining muscle tone. This is one reason why DMAE is a key topical ingredient in my program. (It also enhances the skin penetration of alpha lipoic acid and other ingredients.)

The efficacy of DMAE in improving skin tone and firmnessand the long-term safety of topical DMAEwere confirmed in two clinical studies by researchers at the Johnson & Johnson company (see "Cole AC, Gisoldi EM, Grossman RM," below). Their positive findings, including before and after photos, were presented at a scientific conference (American Academy of Dermatology, Feb. 22-26, 2002, New Orleans), and were confirmed in 2002 by researchers at the University Medical Center of Liege, Belgium (see "Uhoda I," below).

Cole AC, Gisoldi EM, Grossman RM. Clinical and consumer evaluations of improved facial appearance after 1 month use of topical dimethylaminoethanol. Poster presentation, American Academy of Dermatology, Feb. 22-26, 2002, New Orleans USA.


Grossman RM, Gisoldi EM, Cole AC. Long term safety and efficacy evaluation of a new skin firming technology: dimethylaminoethanol. Poster presentation, American Academy of Dermatology, Feb. 22-26, 2002, New Orleans USA.


Uhoda I, Faska N, Robert C, Cauwenbergh G, Pierard GE. Split face study on the cutaneous tensile effect of 2-dimethylaminoethanol (deanol) gel. Skin Res Technol. 2002 Aug;8(3):164-7.

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Laboratory evidence for the anti-aging effects of topical antioxidants


Laboratory evidence for topical vitamin C and vitamin C ester
The plain vitamin C found in foods (and used in most vitamin-infused cosmetics) is called ascorbic acid. Vitamin C ester is a term describing any of the uncommon, fat-soluble forms of vitamin C, such as ascorbyl palmitatethe vitamin C ester used in N.V. Perricone, M.D. Cosmeceuticals products-or acylated ascorbate.

The majority of published research results suggest that vitamin C ester offers very substantial advantages over ascorbic acid in terms of its absorption, potency per gram, and ability to stimulate repair of skin structures (collagen).

Note: In the only peer-reviewed human clinical trial published to date, the proprietary vitamin C dietary supplement known as Ester-C(r) (which, despite its name, is not an este) showed no bodily absorption advantage over ascorbic acid. Nor is there any evidenceor scientific reason to supposethat it is superior to ascorbic acid or true vitamin C esters as a topical antioxidant.

Rosenblat G, et al. Acylated ascorbate stimulates collagen synthesis in cultured human foreskin fibroblasts at lower doses than does ascorbic acid. Connect Tissue Res. 1998;37(3- 4):303-11.
Pertinent Excerpt: "Cells treated with 10 microM palmitoyl ascorbate for 36 h exhibited a production of collagen threefold greater than those in the presence of 10 microM ascorbic acid, and it was about the same as in cells treated with 100 microM ascorbic acid."


Rosenblat G, Willey A, Zhu YN, Jonas A, Diegelmann RF, Neeman I, Graham MF. Palmitoyl ascorbate: selective augmentation of procollagen mRNA expression compared with L- ascorbate in human intestinal smooth muscle cells. J Cell Biochem 1999 Jun 1;73(3):312- 20.
Pertinent Excerpt: "Palmitoyl ascorbate augments HISM cell procollagen synthesis and mRNA levels more efficiently than L-ascorbate. This property may be due to the greater resistance of the ascorbate ester to oxidation and suggests that palmitoyl ascorbate could be an important agent for studies of collagen synthesis in vitro."


Ross D, Mendiratta S, Qu ZC, Cobb CE, May JM. Ascorbate 6-palmitate protects human erythrocytes from oxidative damage. Free Radic Biol Med. 1999 Jan;26(1-2):81-9.
Pertinent Excerpt: "These results show that an amphipathic ascorbate derivative is retained on the exterior cell surface of human erythrocytes, where it helps to protect the membrane from oxidant damage originating outside the cells."


Perricone N, Nagy K, Horvath F, Dajko G, Uray I, Zs-Nagy I. The hydroxyl free radical reactions of ascorbyl palmitate as measured in various in vitro models. Biochem Biophys Res Commun. 1999 Sep 7;262(3):661-5.
Pertinent Excerpt: "AP [ascorbyl palmitate] inhibits carbonyl formation very efficiently, indicating that AP may be utilized as a biological OH(*) free radical scavenger in human therapy."


Tebbe B, Wu S, Geilen CC, Eberle J, Kodelja V, Orfanos CE. L-ascorbic acid inhibits UVA- induced lipid peroxidation and secretion of IL-1alpha and IL-6 in cultured human keratinocytes in vitro. J Invest Dermatol. 1997 Mar;108(3):302-6.
Pertinent Excerpt: "These findings indicate a major cell-protective effect of L-ascorbic acid on UVA-induced lipid peroxidation and the secretion of pro-inflammatory cytokines by UVA- irradiated human keratinocytes [skin protein cells]."


Lin JY, Selim MA, Shea CR, Grichnik JM, Omar MM, Monteiro-Riviere NA, Pinnell SR. UV photoprotection by combination topical antioxidants vitamin C and vitamin E. J Am Acad Dermatol. 2003 Jun;48(6):866-74.
Pertinent Excerpt: "Appreciable photoprotection can be obtained from the combination of topical vitamins C and E. We suggest that these natural products may protect against skin cancer and photoaging."

Laboratory evidence for topical alpha lipoic acid (ALA)
Podda M, Zollner TM, Grundmann-Kollmann M, Thiele JJ, Packer L, Kaufmann R. Activity of alpha-lipoic acid in the protection against oxidative stress in skin. Curr Probl Dermatol. 2001;29:43-51.
Pertinent Excerpt: "....based on our in vivo and in vitro studies we suggest that alpha lipoic acid could be a good candidate antioxidant for the protection of skin against oxidative damage."


Perricone N, Nagy K, Horvath F, Dajko G, Uray I, Zs-Nagy I. Alpha lipoic acid (ALA) protects proteins against the hydroxyl free radical-induced alterations: rationale for its geriatric topical application, Archives of Gerontology and Geriatrics 29 (1) (1999) pp. 45-56. Author's Summary: "Two studies were performed to test the effectiveness of ALA as a topical application to protect proteins, such as the collagen in human skin. One test used gamma radiation to produce free radicals in cow-tissue proteins; a second test used a 'Fenton' reaction caused by the presence of iron to produce free radicals. The cow protein was protected by the Na-ALA in both cases. Note: The ALA was modified to make it water soluble, which makes the study applicable to N.V. Perricone, M.D. Cosmeceutical products.
Pertinent Excerpt: "Na-ALA [water-soluble alpha lipoic acid] may be considered a potential biologically useful free-radical scavenger for human therapy, explaining also the beneficial effects of its topical application against certain age-dependent skin alterations [i.e., wrinkles]."


Podda M, Rallis M, Traber MG, Packer L, Maibach HI. Kinetic study of cutaneous and subcutaneous distribution following topical application of [7,8-14C]rac-alpha-lipoic acid onto hairless mice. Biochem Pharmacol. 1996 Aug 23;52(4):627-33.
Pertinent Excerpt: "In conclusion, alpha-lipoic acid topically applied to skin penetrated readily, and was reduced to dihydrolipoic acid. Thus, alpha-lipoic acid could potentiate skin antioxidant protection."

Laboratory evidence for topical vitamin E
Vitamin E consists of eight related compounds called tocopherols and tocotrienols, and they are perhaps the key protective antioxidants occurring naturally in human skin. Topical vitamin E reduces the damaging effects of ultraviolet radiation, quickly penetrates skin to the subcutaneous fat layer, helps preserve existing vitamin E levels in skin cells, and significantly increases vitamin E levels in the skin. N.V. Perricone, M.D. Cosmeceuticals topical products employ tocotrienol forms of vitamin E, because they offer superior antioxidant capacity and penetrate skin tissues very quickly (30 minutes) and deeply (into the subcutaneous layers).

Packer L, Weber SU, Rimbach G. Molecular aspects of alpha-tocotrienol antioxidant action and cell signalling. J Nutr. 2001 Feb;131(2):369S-73S. Review.
Pertinent Excerpt: "Tocopherols and tocotrienols are part of an interlinking set of antioxidant cycles, which has been termed the antioxidant network. Although the antioxidant activity of tocotrienols is higher than that of tocopherols, tocotrienols have a lower bioavailability after oral ingestion. Tocotrienols penetrate rapidly through skin and efficiently combat oxidative stress induced by UV or ozone."


Ricciarelli R, Maroni P, Ozer N, Zingg JM, Azzi A. Age-dependent increase of collagenase expression can be reduced by alpha-tocopherol via protein kinase C inhibition. Free Radic Biol Med. 1999 Oct;27(7-8):729-37.
Pertinent Excerpt: "Our in vitro experiments with skin fibroblasts suggest that alpha- tocopherol may protect against skin aging by decreasing the level of collagenase expression, which is induced by environmental insults and by aging."


Traber MG, Rallis M, Podda M, Weber C, Maibach HI, Packer L. Penetration and distribution of alpha-tocopherol, alpha- or gamma-tocotrienols applied individually onto murine skin. Lipids. 1998 Jan;33(1):87-91.
Pertinent Excerpt: " .... the largest fraction of skin vitamin E following topical application was found in the deeper subcutaneous layers--the lowest layers, PD (40 +/- 15%) and D (36 +/- 15%), contained the major portion of the applied vitamin E forms. .... Hence, applied vitamin E penetrates rapidly through the skin, but the highest concentrations are found in the uppermost 5 microns."


Traber, MG, Podda M, Weber C, et al. Diet derived topically applied tocotrienols accumulate in skin and protect the tissue against UV light-induced oxidative stress. Asia Pacific Journal of Clinical Nutrition. 1997;6:63-67.
Pertinent Excerpt: "The unique distribution of tocotrienols in skin suggested that they might have superior protection against environmental stressors."


Weber C, Podda M, Rallis M, Thiele JJ, Traber MG, Packer L. Efficacy of topically applied tocopherols and tocotrienols in protection of murine skin from oxidative damage induced by UV-irradiation. Free Radic Biol Med. 1997;22(5):761-9.
Pertinent Excerpt: "Thus, UV-irradiation of skin destroys its antioxidants: however, prior application of TRF [tocotrienols fraction of vitamin E] to mouse skin results in preservation of vitamin E."


Lin JY, Selim MA, Shea CR, Grichnik JM, Omar MM, Monteiro-Riviere NA, Pinnell SR. UV photoprotection by combination topical antioxidants vitamin C and vitamin E. J Am Acad Dermatol. 2003 Jun;48(6):866-74.
Pertinent Excerpt: "Appreciable photoprotection can be obtained from the combination of topical vitamins C and E. We suggest that these natural products may protect against skin cancer and photoaging."

Literature review articles on the anti-aging effects of topical antioxidants
Thiele JJ, Schroeter C, Hsieh SN, Podda M, Packer L. The antioxidant network of the stratum corneum. Curr Probl Dermatol. 2001;29:26-42. Review.
Pertinent Excerpt: "Taken together, the presented data suggest that, under conditions of environmentally challenged skin or during prooxidative dermatological treatment, topical and/or systemic application of antioxidants could support physiological mechanisms to maintain or restore a healthy skin barrier. Growing experimental evidence should lead to the development of more powerful pharmaceutical and cosmetic strategies involving antioxidant formulations to prevent UV-induced carcinogenesis and photoaging as well as to modulate desquamatory skin disorders."


Dreher F, Maibach H. Protective effects of topical antioxidants in humans. Curr Probl Dermatol. 2001;29:157-64. Review.
Pertinent Excerpt: "Human studies have convincingly demonstrated pronounced photoprotective effects of 'natural' and synthetic antioxidants when applied topically before UVR [sun] exposure. .... In conclusion, regular application of skin care products containing antioxidants may be of the utmost benefit in efficiently preparing our skin against exogenous oxidative stressors occurring during daily life."

  • Perricone NV. Topical vitamin C ester (ascorbyl palmitate). Adapted from the first annual symposium on aging skin, San Diego, CA, February 21-23, 1997. J Geriatric Dermatol 1997; 5(4):162-170.
  • Perricone NV. Aging: prevention and intervention part I: Antioxidants. J Geriatr Dermatol 1997;5(1):1-2.
  • Perricone NV. Topical vitamin c ester (ascorbyl palmitate). Adapted from the first annual symposium on aging skin, San Diego, CA, February 21-23, 1997. J Geriatric Dermatol 1997; 5(4):162-170.
  • Kleinsmith DM, Perricone NV. Common skin problems in the elderly. Clin Geriatr Med 1989, Feb;5(1):189-211. Review.
  • Kleinsmith DM, Perricone NV. Common skin problems in the elderly. Dermatol Clin. 1986 Jul;4(3):485-99. Review.

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