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Hartmann D, Valenzuela F. Sunproofing from within: A deep dive into oral photoprotection strategies in dermatology. PHOTODERMATOLOGY, PHOTOIMMUNOLOGY & PHOTOMEDICINE 2024; 40:e12985. [PMID: 38845468 DOI: 10.1111/phpp.12985] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/17/2024] [Revised: 05/18/2024] [Accepted: 05/28/2024] [Indexed: 06/12/2024]
Abstract
BACKGROUND Photoprotection is the first measure in the prevention and treatment of the deleterious effects that sunlight can cause on the skin. It is well known that prolonged exposure to solar radiation leads to acute and chronic complications, such as erythema, accelerated skin aging, proinflammatory and procarcinogenic effects, and eye damage, among others. METHODS A better understanding of the molecules that can protect against ultraviolet radiation and their effects will lead to improvements in skin health. RESULTS Most of these effects of the sunlight are modulated by oxidative stress and proinflammatory mechanisms, therefore, the supplementation of substances that can regulate and neutralize reactive oxygen species would be beneficial for skin protection. Current evidence indicates that systemic photoprotection should be used as an adjunctive measure to topical photoprotection. CONCLUSION Oral photoprotectors are a promising option in improving protection against damage induced by UVR, as they contain active ingredients that increase the antioxidant effects of the body, complementing other photoprotection measures. We present a review of oral photoprotectors and their effects.
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Affiliation(s)
- Dan Hartmann
- Faculty of Medicine, Universidad Finis Terrae, Santiago, Chile
- Centro Internacional de Estudios Clínicos (CIEC), Probity Medical Research, Santiago, Chile
| | - Fernando Valenzuela
- Centro Internacional de Estudios Clínicos (CIEC), Probity Medical Research, Santiago, Chile
- Department of Dermatology, Universidad de Chile, Santiago, Chile
- Department of Dermatology, Clínica Universidad de los Andes, Chile, Santiago, Chile
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2
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Oliveira AMS, de Souza Batista D, de Castro TN, Alves IA, Souto RB, Mota MD, Serafini MR, Rajkumar G, Cazedey ECL. The use of natural extracts with photoprotective activity: a 2015-2023 patent prospection. Photochem Photobiol Sci 2024; 23:853-869. [PMID: 38613600 DOI: 10.1007/s43630-024-00559-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2023] [Accepted: 03/05/2024] [Indexed: 04/15/2024]
Abstract
Synthetic sunscreen offers protection against excessive exposure to ultraviolet (UV) radiation from the sun, and protects the skin from possible damage. However, they have low efficacy against the formation of reactive oxygen species (ROS), which are highly reactive molecules that can be generated in the skin when it is exposed to UV radiation, and are known to play a role in oxidative stress, which can contribute to skin aging and damage. Thus, there is an ongoing search for sunscreens that do not have these negative effects. One promising source for these is natural products. Therefore, the current patent review summarizes topical formulations made from natural compounds that have antioxidant properties and can be used as photoprotective or anti-aging agents, either using a single natural extract or a combination of extracts. The review reports basic patent information (applicant country, type of applicant, and year of filing) and gives details about the invention, including its chemical composition, and the in vitro and in vivo tests performed. These patents describe natural products that can be used to protect the skin and validate their efficacy, and safety, in addition to standardizing their formulations. The compositions described illustrate the consistent innovation in the use of natural products to protect against UV damage and photoaging disorders, a promising field which is receiving growing global recognition.
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Affiliation(s)
- Ana Maria Santos Oliveira
- Postgraduate Program in Pharmaceutical Sciences, Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil.
| | - Daniel de Souza Batista
- Postgraduate Program in Pharmaceutical Sciences, Department of Life Sciences, State University of Bahia, Salvador, Bahia, Brazil
| | - Tailaine Nascimento de Castro
- Postgraduate Program in Pharmaceutical Sciences, Department of Life Sciences, State University of Bahia, Salvador, Bahia, Brazil
| | - Izabel Almeida Alves
- Postgraduate Program in Pharmaceutical Sciences, Department of Life Sciences, State University of Bahia, Salvador, Bahia, Brazil
- Department of Medicines, Faculty of Pharmacy, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Ricardo Bizogne Souto
- Department of Medicines, Faculty of Pharmacy, Federal University of Bahia, Salvador, Bahia, Brazil
| | - Milleno Dantas Mota
- Postgraduate Program in Pharmaceutical Sciences, Department of Life Sciences, State University of Bahia, Salvador, Bahia, Brazil
| | - Mairim Russo Serafini
- Postgraduate Program in Pharmaceutical Sciences, Department of Pharmacy, Federal University of Sergipe, São Cristóvão, Sergipe, Brazil
| | - Gomathi Rajkumar
- Department of Botany, Sri Sarada College for Women (Autonomous), Periyar University, Salem, India
| | - Edith Cristina Laignier Cazedey
- Postgraduate Program in Pharmaceutical Sciences, Department of Life Sciences, State University of Bahia, Salvador, Bahia, Brazil
- Department of Medicines, Faculty of Pharmacy, Federal University of Bahia, Salvador, Bahia, Brazil
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3
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Rodrigues RB, de Oliveira MM, Garcia FP, Ueda-Nakamura T, de Oliveira Silva S, Nakamura CV. Dithiothreitol reduces oxidative stress and necrosis caused by ultraviolet A radiation in L929 fibroblasts. Photochem Photobiol Sci 2024; 23:271-284. [PMID: 38305951 DOI: 10.1007/s43630-023-00516-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2023] [Accepted: 11/23/2023] [Indexed: 02/03/2024]
Abstract
Ultraviolet A (UVA) radiation, present in sunlight, can induce cell redox imbalance leading to cellular damage and even cell death, compromising skin health. Here, we evaluated the in vitro antioxidant and photochemoprotective effect of dithiothreitol (DTT). DTT neutralized the free radicals 2,2-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS·+), 2,2-diphenyl-1-picrylhydrazyl (DPPH·), and superoxide anion (O2·-) in in vitro assays, as well as the ferric ion (Fe3+) in the ferric reducing antioxidant power (FRAP) assay. We also evaluated the effect of DTT pre-treatment in L929 dermal fibroblasts and DTT (50 and 100 µM) led to greater cell viability following UVA-irradiation compared to cells that were untreated. Furthermore, the pre-treatment of cells with DTT prevented the increase of intracellular reactive oxygen species (ROS) production, including hydrogen peroxide (H2O2), lipid peroxidation, and DNA condensation, as well as the decrease in mitochondrial membrane potential (Δψm), that occurred following irradiation in untreated cells. The endogenous antioxidant system of cells was also improved in irradiated cells that were DTT pre-treated compared to the untreated cells, as the activity of the superoxide dismutase (SOD) and catalase (CAT) enzymes remained as high as non-irradiated cells, while the activity levels were depleted in the untreated irradiated cells. Furthermore, DTT reduced necrosis in UVA-irradiated fibroblasts. Together, these results showed that DTT may have promising use in the prevention of skin photoaging and photodamage induced by UVA, as it provided photochemoprotection against the harmful effects of this radiation, reducing oxidative stress and cell death, due mainly to its antioxidant capacity.
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Affiliation(s)
- Renata Bufollo Rodrigues
- Biological Sciences Post-graduation Program, Maringá State University, Av. Colombo, n. 5790, Zona 7, Maringá, Paraná, CEP 87020-900, Brazil
| | | | - Francielle Pelegrin Garcia
- Biological Sciences Post-graduation Program, Maringá State University, Av. Colombo, n. 5790, Zona 7, Maringá, Paraná, CEP 87020-900, Brazil
| | - Tânia Ueda-Nakamura
- Pharmaceutical Sciences Post-graduation Program, Maringá State University, Maringá, Brazil
| | | | - Celso Vataru Nakamura
- Biological Sciences Post-graduation Program, Maringá State University, Av. Colombo, n. 5790, Zona 7, Maringá, Paraná, CEP 87020-900, Brazil.
- Pharmaceutical Sciences Post-graduation Program, Maringá State University, Maringá, Brazil.
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4
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Flieger J, Raszewska-Famielec M, Radzikowska-Büchner E, Flieger W. Skin Protection by Carotenoid Pigments. Int J Mol Sci 2024; 25:1431. [PMID: 38338710 PMCID: PMC10855854 DOI: 10.3390/ijms25031431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/19/2024] [Accepted: 01/22/2024] [Indexed: 02/12/2024] Open
Abstract
Sunlight, despite its benefits, can pose a threat to the skin, which is a natural protective barrier. Phototoxicity caused by overexposure, especially to ultraviolet radiation (UVR), results in burns, accelerates photoaging, and causes skin cancer formation. Natural substances of plant origin, i.e., polyphenols, flavonoids, and photosynthetic pigments, can protect the skin against the effects of radiation, acting not only as photoprotectors like natural filters but as antioxidant and anti-inflammatory remedies, alleviating the effects of photodamage to the skin. Plant-based formulations are gaining popularity as an attractive alternative to synthetic filters. Over the past 20 years, a large number of studies have been published to assess the photoprotective effects of natural plant products, primarily through their antioxidant, antimutagenic, and anti-immunosuppressive activities. This review selects the most important data on skin photodamage and photoprotective efficacy of selected plant carotenoid representatives from in vivo studies on animal models and humans, as well as in vitro experiments performed on fibroblast and keratinocyte cell lines. Recent research on carotenoids associated with lipid nanoparticles, nanoemulsions, liposomes, and micelles is reviewed. The focus was on collecting those nanomaterials that serve to improve the bioavailability and stability of carotenoids as natural antioxidants with photoprotective activity.
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Affiliation(s)
- Jolanta Flieger
- Department of Analytical Chemistry, Medical University of Lublin, Chodźki 4A, 20-093 Lublin, Poland
| | - Magdalena Raszewska-Famielec
- Faculty of Physical Education and Health, University of Physicl Education, Akademicka 2, 21-500 Biała Podlaska, Poland;
| | - Elżbieta Radzikowska-Büchner
- Department of Plastic, Reconstructive and Maxillary Surgery, National Medical Institute of the Ministry of the Interior and Administration, Wołoska 137 Street, 02-507 Warszawa, Poland;
| | - Wojciech Flieger
- Chair and Department of Anatomy, Medical University of Lublin, K. Jaczewskiego 4, 20-090 Lublin, Poland;
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5
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Boyer F, Delsol C, Ribet V, Lapalud P. Broad-spectrum sunscreens containing the TriAsorB™ filter: In vitro photoprotection and clinical evaluation of blue light-induced skin pigmentation. J Eur Acad Dermatol Venereol 2023; 37 Suppl 6:12-21. [PMID: 37671996 DOI: 10.1111/jdv.19290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Accepted: 06/22/2023] [Indexed: 09/07/2023]
Abstract
BACKGROUND Blue light (BL), particularly high-energy visible (HEV) light (400-450 nm), can cause skin damage and pigmentation. Therefore, effective sunscreens should offer photoprotection beyond ultraviolet (UV) radiation to also prevent or limit BL-induced cutaneous effects. OBJECTIVES To evaluate the in vitro BL photostability and photoprotection properties of nine sunscreens containing the broad-spectrum UV/BL phenylene bis-diphenyltriazine (PBDT or TriAsorB™) filter, together with three other organic UV filters, and to assess the in vivo photoprotection level provided by two of these products against BL-induced skin pigmentation. METHODS In vitro BL photostability and photoprotection factors, comprising the percentage of BL radiation stopped by the product (%BL) and the critical wavelength extended to BL (BL-CW), were determined by spectrophotometry. The in vivo photoprotection provided by two representative sunscreens (i.e. similar formulations, one non-tinted and one tinted) was assessed in two open randomized studies (20 and 16 women, respectively) after exposure of two test areas (with and without sunscreen) on the back of each subject to a 412-nm irradiation dose at 50 J/cm2 , using instrumental and clinical measurements of skin pigmentation. The percentage sunscreen photoprotective effectiveness (%PPE) was calculated by comparing intrasubject post-exposure pigmentation changes between the with and without sunscreen test areas. RESULTS In vitro, the nine PBDT-containing products were highly photostable and had a BL-CW ≥385 nm and a %BL ≥30% (range: 30%-50%), thus allowing effective BL photoprotection. In vivo, both representative sunscreens prevented BL-induced immediate skin pigmentation (1 and 24 h post-exposure) with %PPE values ranging from 50.7% to 75.5% for colorimetric assessments (p < 0.001) and from 31.2% to 72.7% for visual scores (p ≤ 0.001). CONCLUSIONS All PBDT-containing sunscreens were considered effective at absorbing BL radiation in vitro. The two representative broad-spectrum sunscreens tested in subjects significantly reduced BL-induced immediate skin pigmentation following single exposure to monochromatic BL radiation.
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Affiliation(s)
- France Boyer
- Laboratoire Pierre Fabre, Centre R&D, Toulouse, France
| | - Cécile Delsol
- Laboratoires Dermatologiques Avène, Pierre Fabre Dermo-Cosmétique, Lavaur, France
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6
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Ye F, Chen W, Deng Z, Chen SL, Dong Z, Dang L, Li MD. Ultrafast excited-state energy dissipation pathway of diethylamino hydroxybenzoyl hexyl benzoate (DHHB) via the nanoparticles. Photochem Photobiol Sci 2023; 22:2133-2142. [PMID: 37195390 DOI: 10.1007/s43630-023-00435-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Accepted: 05/03/2023] [Indexed: 05/18/2023]
Abstract
The organic UVA filter is popularized in sunscreen cosmetics due to the advantages of excellent light stability and high molar extinction coefficient. However, the poor water solubility of organic UV filters has been a common problem. Given that nanoparticles (NPs) can significantly improve the water solubility of organic chemicals. Meanwhile, the excited-state relaxation pathways of NPs might differ from their solution. Here, the NPs of diethylamino hydroxybenzoyl hexyl benzoate (DHHB), a popular organic UVA filter, were prepared by an advanced ultrasonic micro-flow reactor. The surfactant (sodium dodecyl sulfate) was selected as an effective stabilizer to prevent the self-aggregation of the NPs for DHHB. Femtosecond transient ultrafast spectroscopy (fs-TA) and theoretical calculations were utilized to trace and explain the excited-state evolution of DHHB in NPs suspension and its solution. The results reveal that the surfactant-stabilized NPs of DHHB reserve a similarly good performance of ultrafast excited-state relaxation. The stability characterization experiments demonstrate that the strategy of surfactant-stabilized NPs for sunscreen chemicals can maintain its stability and enhance the water solubility of DHHB compared with that of the solution phase. Therefore, the surfactant-stabilized NPs of organic UV filters are an effective method to improve water solubility and keep the stability from aggregation and photoexcitation.
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Affiliation(s)
- Fanwei Ye
- College of Chemistry and Chemical Engineering, Key Laboratory for Preparation and Application of Ordered Structural Materials of Guangdong Province, Shantou University, No 243, University Road, Shantou, 515063, China
| | - Wenbin Chen
- College of Chemistry and Chemical Engineering, Key Laboratory for Preparation and Application of Ordered Structural Materials of Guangdong Province, Shantou University, No 243, University Road, Shantou, 515063, China
| | - Ziqi Deng
- Department of Chemistry, the University of Hong Kong, Pokfulam, Hong Kong SAR, China
| | - Shun-Li Chen
- College of Chemistry and Chemical Engineering, Key Laboratory for Preparation and Application of Ordered Structural Materials of Guangdong Province, Shantou University, No 243, University Road, Shantou, 515063, China
| | - Zhengya Dong
- Chemistry and Chemical Engineering Guangdong Laboratory, Shantou, 515031, China
| | - Li Dang
- College of Chemistry and Chemical Engineering, Key Laboratory for Preparation and Application of Ordered Structural Materials of Guangdong Province, Shantou University, No 243, University Road, Shantou, 515063, China.
- Chemistry and Chemical Engineering Guangdong Laboratory, Shantou, 515031, China.
| | - Ming-De Li
- College of Chemistry and Chemical Engineering, Key Laboratory for Preparation and Application of Ordered Structural Materials of Guangdong Province, Shantou University, No 243, University Road, Shantou, 515063, China.
- Chemistry and Chemical Engineering Guangdong Laboratory, Shantou, 515031, China.
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7
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Abstract
Endogenous photosensitizers play a critical role in both beneficial and harmful light-induced transformations in biological systems. Understanding their mode of action is essential for advancing fields such as photomedicine, photoredox catalysis, environmental science, and the development of sun care products. This review offers a comprehensive analysis of endogenous photosensitizers in human skin, investigating the connections between their electronic excitation and the subsequent activation or damage of organic biomolecules. We gather the physicochemical and photochemical properties of key endogenous photosensitizers and examine the relationships between their chemical reactivity, location within the skin, and the primary biochemical events following solar radiation exposure, along with their influence on skin physiology and pathology. An important take-home message of this review is that photosensitization allows visible light and UV-A radiation to have large effects on skin. The analysis presented here unveils potential causes for the continuous increase in global skin cancer cases and emphasizes the limitations of current sun protection approaches.
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Affiliation(s)
- Erick L Bastos
- Department of Fundamental Chemistry, Institute of Chemistry, University of São Paulo, 05508-000 São Paulo, São Paulo, Brazil
| | - Frank H Quina
- Department of Fundamental Chemistry, Institute of Chemistry, University of São Paulo, 05508-000 São Paulo, São Paulo, Brazil
- Department of Chemical Engineering, Polytechnic School, University of São Paulo, 05508-000 São Paulo, São Paulo, Brazil
| | - Maurício S Baptista
- Department of Biochemistry, Institute of Chemistry, University of São Paulo, 05508-000 São Paulo, São Paulo, Brazil
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8
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Consumer Behavior, Skin Phototype, Sunscreens, and Tools for Photoprotection: A Review. COSMETICS 2023. [DOI: 10.3390/cosmetics10020039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/25/2023] Open
Abstract
Sunscreens and photoprotection tools along with consumer habits and behaviors, can mitigate the skin damage caused by excessive solar radiation. For example, protecting oneself in the shade, avoiding inadequate sun exposure at times of higher incidence of UVB radiation (between 10:00 a.m. and 4:00 p.m.), wearing clothes with sun protection factors, applying sunscreens at the correct amounts and intervals, and wearing glasses with anti-UVA and UVB lenses are effective measures for protecting an individual. Therefore, the objective of this review was to highlight the importance of photoprotection for all skin phototypes, as skin cancer is a worldwide public health problem. In this review of the scientific literature on the Scopus platform between 2015 and 2022, we addressed the most common behaviors among different individuals and their phototypes, the importance of clarifying population habits against solar radiation, and the use of sunscreens and photoprotection tools to provide advice on healthy and safe sun exposure.
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9
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Uncovering Streptomyces-Derived Compounds as Cosmeceuticals for the Development of Improved Skin Photoprotection Products: An In Silico Approach to Explore Multi-Targeted Agents. Sci Pharm 2022. [DOI: 10.3390/scipharm90030048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
The search for novel photoprotective substances has become a challenge in cosmeceutical research. Streptomyces-derived compounds can serve as a promising source of photoprotective agents to formulate skin photoprotection products, such as sunscreens. This study aimed to identify specialized metabolites with the potential to modulate UV-induced cellular damage in the skin by identifying potential multi-target-directed ligands. Using a combination of ligand- and target-based virtual screening approaches, a public compound library comprising 6524 Streptomyces-derived specialized metabolites was studied for their photoprotective capability. The compounds were initially filtered by safety features and then examined for their ability to interact with key targets in the photodamage pathway by molecular docking. A set of 50 commercially available UV filters was used as the benchmark. The protein–ligand stability of selected Streptomyces-derived compounds was also studied by molecular dynamics (MD) simulations. From the compound library, 1981 compounds were found to meet the safety criteria for topically applied products, such as low skin permeability and low or non-toxicity-alerting substructures. A total of 34 compounds had promising binding scores against crucial targets involved in UV-induced photodamage, such as serotonin-receptor subtype 5-HT2A, platelet-activating factor receptor, IL-1 receptor type 1, epidermal growth factor receptor, and cyclooxygenase-2. Among these compounds, aspergilazine A and phaeochromycin F showed the highest ranked interactions with four of the five targets and triggered complex stabilization over time. Additionally, the predicted UV-absorbing profiles also suggest a UV-filtering effect. Streptomyces is an encouraging biological source of compounds for developing topical products. After in silico protein–ligand interactions, binding mode and stabilization of aspergilazine A and phaeochromycin F led to the discovery of potential candidates as photodamage multi-target inhibitors. Therefore, they can be further explored for the formulation of skin photoprotection products.
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10
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Volk KR, Casabianca LB. Quantum mechanical study of interactions between sunscreen ingredients and nucleotide bases. J Mol Model 2022; 28:243. [PMID: 35925497 DOI: 10.1007/s00894-022-05253-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 07/27/2022] [Indexed: 11/26/2022]
Abstract
Interactions between the popular sunscreen ingredients oxybenzone and homosalate and DNA bases have been studied using density functional theory and ab initio methods. Low-energy structures for each sunscreen ingredient interacting with each nucleotide base in either a pi-stacked or hydrogen-bonded fashion were found. The binding energies are comparable to those for the Watson-Crick-Franklin Ade-Thy and Cyt-Gua pairs. Pi-stacked and hydrogen-bonded structures are comparable in energy, with hydrogen-bonded structures having a more negative counterpoise-corrected binding energy, while the final pi-stacked structures are lower in energy. This is due to a geometrical rearrangement required to form the hydrogen bonds that raise the total energy of the complex. It was also found that when using the M06-2X density functional, the STO-3G basis set favors hydrogen bonding, but 6-31G(d) and 6-31 + G(s) basis sets predict similar binding geometries.
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Affiliation(s)
- Kyle R Volk
- Department of Chemistry, Clemson University, Clemson, SC, USA
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11
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[Sunscreens of the future: challenges and opportunities]. Hautarzt 2022; 73:257-265. [PMID: 35258659 DOI: 10.1007/s00105-022-04959-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/26/2022] [Indexed: 10/18/2022]
Abstract
Sunscreens provide excellent protection against erythema and against chronic damage such as photoaging and skin cancer. Today's challenges concern safety of the products and improved methods for standardizing the evaluation of their efficacy. Other important topics are the further development of sunscreen products, as well as personalization of use. Personalized sun protection based on the phenotype, the genetic profiles and moreover the skin's microbiome - all linked to the identification of certain consumer susceptibility factors - is an exciting new area of research. In particular, the expansion with innovative topical agents such as DNA repair liposomes in improved galenic formulations with UV filters tailored to the skin phototype and new topical antioxidants could in future provide even more comprehensive sun protection. New antioxidants and other agents such as nicotinamide could increase systemic photoprevention. Sustainability will also be an important aspect to protect consumers, but also the environment (i.e. especially marine wildlife) from toxic effects of sunscreens.
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12
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Abstract
Photoprotection behaviors can mitigate skin damage caused by ultraviolet radiation, and common methods include seeking shade, avoiding sun exposure during peak daylight hours, wearing sun-protective clothing, applying sunscreen, and using sunglasses. While the role of sun protection in preventing sunburns, photoaging, and skin cancer is well established in fair-skinned populations, individuals with skin of color (SOC) are presumed to suffer fewer negative effects from solar radiation. Thus, the importance of photoprotection in this population is understudied and may be underestimated. In SOC populations, sun exposure is known to cause pigmentary disorders, photoaging, and basal cell carcinoma (BCC), highlighting the potential benefits of photoprotection. Although SOC populations tend to practice photoprotection by seeking shade and wearing sun-protective clothing, survey and interview-based studies have consistently found relatively low use of sunscreen among these populations. Common motivators for photoprotection in individuals with SOC include preventing sunburn and pigmentation, with the prevention of skin cancer being a less important reason. As a skin cancer risk behavior, indoor tanning is relatively rare in SOC populations, but its use may increase with acculturation to US norms. While more studies are necessary to clarify whether photoprotection behaviors may decrease skin cancer-related mortality in SOC populations, regular dermatologic care and counseling on photoprotection remain essential in patients with SOC for overall skin health.
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Affiliation(s)
- Jerry Tsai
- Department of Dermatology, Johns Hopkins University School of Medicine, 601 N Caroline Street, Suite 8060C, Baltimore, MD, 21287, USA
| | - Anna L Chien
- Department of Dermatology, Johns Hopkins University School of Medicine, 601 N Caroline Street, Suite 8060C, Baltimore, MD, 21287, USA.
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13
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Taylor SC, Alexis AF, Armstrong AW, Chiesa Fuxench ZC, Lim HW. Misconceptions of photoprotection in skin of color. J Am Acad Dermatol 2022; 86:S9-S17. [PMID: 34942293 DOI: 10.1016/j.jaad.2021.12.020] [Citation(s) in RCA: 15] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2021] [Revised: 12/02/2021] [Accepted: 12/11/2021] [Indexed: 01/19/2023]
Abstract
Terrestrial sunlight is the portion of electromagnetic radiation that is emitted by the sun and reaches Earth's surface. It encompasses 3 major components: UV radiation (290-400 nm), visible light (400-700 nm), and infrared radiation. The deleterious effects of UV radiation have been appreciated for decades, particularly among those with light skin tones (Fitzpatrick skin types I-II) who primarily manifest with burns of varying degrees of severity with sun exposure. In recent years, studies have increasingly shown the negative impact of visible light on skin health, particularly in individuals with skin of color (Fitzpatrick skin types IV-VI), including the exacerbation of hyperpigmentation disorders such as melasma and post-inflammatory hyperpigmentation, as well as induction of the former. Recommendations from medical societies and the US Food and Drug Administration for photoprotection have been evolving along with the knowledge base. Yet, misconceptions about skin damage related to sunlight and the benefits of photoprotection (particularly among those with Fitzpatrick skin types V-VI) are still prevalent among both clinicians and patients. Among patients with skin of color, disorders of hyperpigmentation and other consequences from sun exposure have been associated with impaired skin health and negative burden on quality of life. This review summarizes currently available evidence of the impact of both UV and visible wavelengths and the low utilization of photoprotection measures among people with skin of color, with the goal of providing recommendations to help educate patients.
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Affiliation(s)
- Susan C Taylor
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
| | - Andrew F Alexis
- Department of Dermatology, Weill Cornell Medicine, New York, New York
| | - April W Armstrong
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Zelma C Chiesa Fuxench
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Henry W Lim
- Department of Dermatology, Henry Ford Health, Detroit, Michigan
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14
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Boothby-Shoemaker WT, Mohammad TF, Ozog DM, Lim HW. Photoprotection by clothing: A review. PHOTODERMATOLOGY, PHOTOIMMUNOLOGY & PHOTOMEDICINE 2022; 38:478-488. [PMID: 35073443 DOI: 10.1111/phpp.12776] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/27/2021] [Revised: 12/19/2021] [Accepted: 01/13/2022] [Indexed: 12/18/2022]
Abstract
Clothing is recognized by leading health agencies as a primary method to protect against the harmful effects of photodamage caused by ultraviolet (UV) radiation and visible light. The photoprotective capacity of clothing is commonly measured as the ultraviolet protective factor (UPF). While the technology driving photoprotective clothing has been well-established, there continues to be efforts to discover new materials to improve the UPF of clothing. Here, we show increased Google searches for photoprotective clothing over the last decade, suggesting a high level of public interest in photoprotective clothing. In addition, we investigate the frequency of UPF-graded photoprotective clothing sold by large retail stores featured in Fortune 1000. We review factors that alter the UPF of clothing and describe emerging textile technologies used to increase clothing's photoprotective capacity. Finally, we compare how photoprotective clothing is regulated among different countries, the importance of photoprotective clothing in occupational health, and research in visible light and clothing photoprotection.
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Affiliation(s)
- Wyatt T Boothby-Shoemaker
- Photomedicine and Photobiology Unit, Henry Ford Health System, Detroit, Michigan, USA.,Michigan State University College of Human Medicine, East Lansing, Michigan, USA
| | - Tasneem F Mohammad
- Photomedicine and Photobiology Unit, Henry Ford Health System, Detroit, Michigan, USA
| | - David M Ozog
- Photomedicine and Photobiology Unit, Henry Ford Health System, Detroit, Michigan, USA
| | - Henry W Lim
- Photomedicine and Photobiology Unit, Henry Ford Health System, Detroit, Michigan, USA
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15
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Ghazi S. Do the polyphenolic compounds from natural products can protect the skin from ultraviolet rays? RESULTS IN CHEMISTRY 2022. [DOI: 10.1016/j.rechem.2022.100428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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16
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Rigel D, Lim HW, Draelos Z, Weber TM, Taylor S. PHOTOPROTECTION FOR ALL: CURRENT GAPS AND OPPORTUNITIES. J Am Acad Dermatol 2021; 86:S18-S26. [PMID: 34942298 DOI: 10.1016/j.jaad.2021.12.023] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 12/02/2021] [Accepted: 12/10/2021] [Indexed: 12/31/2022]
Abstract
The effects of solar radiation on human skin differ based on skin phototype, the presence or absence of photodermatoses, biological capacity to repair DNA damage, wavelength, intensity of sun exposure, geographic latitude, and other factors, underscoring the need for a more tailored approach to photoprotection. To date, the focus of photoprotection guidelines has been to prevent sunburn and DNA damage induced by ultraviolet (UV) radiation, both UVB and UVA; however, several recent studies have shown that visible light (VL) also generates reactive oxygen and nitrogen species that can contribute to skin damage and pigmentation on the skin, particularly in people of color. Therefore, dark-skinned individuals, while naturally better protected against UVB radiation by virtue of high eumelanin content in melanocytes, may need additional protection from VL-induced skin damage. The current options for photoprotection products need to expand, and potential strategies against VL include the addition of iron oxide, titanium dioxide, and biologically relevant antioxidants to sunscreen formulations, as well as supplementation with orally active antioxidants.
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Affiliation(s)
- Darrell Rigel
- Department of Dermatology, Icahn School of Medicine at Mt. Sinai, New York, NY USA
| | - Henry W Lim
- Department of Dermatology, Henry Ford Hospital, Detroit, MI USA
| | - Zoe Draelos
- Dermatology Consulting Services, PLLC, High Point, NC USA
| | | | - Susan Taylor
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA USA
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17
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Rigel DS, Taylor SC, Lim HW, Alexis AF, Armstrong AW, Chiesa Fuxench ZC, Draelos ZD, Hamzavi IH. Photoprotection for skin of all color: Consensus and clinical guidance from an expert panel. J Am Acad Dermatol 2021; 86:S1-S8. [PMID: 34942296 DOI: 10.1016/j.jaad.2021.12.019] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2021] [Revised: 12/02/2021] [Accepted: 12/10/2021] [Indexed: 02/07/2023]
Abstract
The negative effects of sun exposure have become better accepted among health care professionals and the lay public over recent decades. Most attention has been focused on the effects of UV light, particularly UVB wavelengths (290-320 nm). Accordingly, products to protect skin from sunlight-associated harm (sunscreens) have been developed to minimize UVB exposure. The effects of longer wavelengths, including UVA (320-400 nm) and visible light (VL, 400-700 nm), are increasingly appreciated. VL accounts for approximately half of the solar radiation that reaches the earth's surface and understanding of its effects on the skin is improving. Studies have shown that VL can induce hyperpigmentation in individuals with dark skin types (Fitzpatrick skin types IV-VI). In addition, VL can contribute to the exacerbation of pigmentary disorders, including melasma. Because these findings are relatively new, there are gaps in understanding the needs for photoprotection and guidance for clinicians. A panel of dermatologists and photobiologists was convened to develop consensus recommendations and clinical guidance about sunscreen use relevant to the current understanding of risks associated with sun exposure using a modified Delphi method.
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Affiliation(s)
- Darrell S Rigel
- Department of Dermatology, Mt Sinai Icahn School of Medicine, New York, New York.
| | - Susan C Taylor
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Henry W Lim
- Department of Dermatology, Henry Ford Health, Detroit, Michigan
| | - Andrew F Alexis
- Department of Dermatology, Weill Cornell Medicine, New York, New York
| | - April W Armstrong
- Department of Dermatology, Keck School of Medicine, University of Southern California, Los Angeles, California
| | - Zelma C Chiesa Fuxench
- Department of Dermatology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania
| | - Zoe D Draelos
- Dermatology Consulting Services, PLLC, High Point, North Carolina
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18
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Gromkowska-Kępka KJ, Markiewicz-Żukowska R, Nowakowski P, Naliwajko SK, Moskwa J, Puścion-Jakubik A, Bielecka J, Grabia M, Mielcarek K, Soroczyńska J, Socha K. Chemical Composition and Protective Effect of Young Barley ( Hordeum vulgare L.) Dietary Supplements Extracts on UV-Treated Human Skin Fibroblasts in In Vitro Studies. Antioxidants (Basel) 2021; 10:antiox10091402. [PMID: 34573034 PMCID: PMC8467029 DOI: 10.3390/antiox10091402] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2021] [Revised: 08/17/2021] [Accepted: 08/27/2021] [Indexed: 12/02/2022] Open
Abstract
Young barley seems to be a promising material for use as nutricosmetic due to the presence of many biologically active compounds. The aim of this study was to evaluate the effect of Hordeum vulgare L. extracts on human skin fibroblasts exposed to ultraviolet radiation B (UVB) radiation. Analysis of the chemical composition showed a predominance of 9,12,15-octadecatrienoic acid. The quality assessment showed that young barley preparations have high total polyphenolic content (TPC) and favourable total antioxidant status (TAS). They also contain antioxidant elements such as zinc, copper, and selenium. Furthermore, the analyzed products were found to be safe in terms of toxic elements (lead, cadmium and mercury) and lack of cytotoxic effect of young barley extracts on cells. In vitro bioactivity assays showed that young barley extract increased the survival rate and accelerated the migration of fibroblasts in research models with UVB radiation. The application of both extracts caused an increase in DNA biosynthesis, and in the number of cells arrested in S phase. Moreover, an inhibitory effect of the tested extracts on the expression of matrix metalloproteinase 2 (MMP-2) and matrix metalloproteinase 9 (MMP-9) was observed. The results indicate that young barley extracts, due to protective as well as restorative effect, could potentially be used in the production of nutricosmetics and skin care products.
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19
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Sander M, Sander M, Burbidge T, Beecker J. The efficacy and safety of sunscreen use for the prevention of skin cancer. CMAJ 2021; 192:E1802-E1808. [PMID: 33318091 DOI: 10.1503/cmaj.201085] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Affiliation(s)
- Megan Sander
- Department of Medicine (Megan Sander, Burbidge), Section of Dermatology, and Cumming School of Medicine (Michael Sander), University of Calgary, Calgary, Alta.; Division of Dermatology (Beecker), Department of Medicine, The Ottawa Hospital; Faculty of Medicine (Beecker), University of Ottawa and The Ottawa Hospital Research institute (Beecker), Ottawa, Ont.
| | - Michael Sander
- Department of Medicine (Megan Sander, Burbidge), Section of Dermatology, and Cumming School of Medicine (Michael Sander), University of Calgary, Calgary, Alta.; Division of Dermatology (Beecker), Department of Medicine, The Ottawa Hospital; Faculty of Medicine (Beecker), University of Ottawa and The Ottawa Hospital Research institute (Beecker), Ottawa, Ont
| | - Toni Burbidge
- Department of Medicine (Megan Sander, Burbidge), Section of Dermatology, and Cumming School of Medicine (Michael Sander), University of Calgary, Calgary, Alta.; Division of Dermatology (Beecker), Department of Medicine, The Ottawa Hospital; Faculty of Medicine (Beecker), University of Ottawa and The Ottawa Hospital Research institute (Beecker), Ottawa, Ont
| | - Jennifer Beecker
- Department of Medicine (Megan Sander, Burbidge), Section of Dermatology, and Cumming School of Medicine (Michael Sander), University of Calgary, Calgary, Alta.; Division of Dermatology (Beecker), Department of Medicine, The Ottawa Hospital; Faculty of Medicine (Beecker), University of Ottawa and The Ottawa Hospital Research institute (Beecker), Ottawa, Ont
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20
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A Study of Botulinum Toxin A for Ultraviolet-Induced Hyperpigmentation: A Randomized Controlled Trial. Dermatol Surg 2021; 47:e174-e178. [PMID: 33731570 DOI: 10.1097/dss.0000000000002943] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
BACKGROUND Ultraviolet (UV) exposure contributes to skin hyperpigmentation. Recently, botulinum neurotoxin type A (BoNT-A) showed a promising protective effect on UVB-induced hyperpigmentation in both in vitro and animal models. OBJECTIVE The study aimed to investigate the preventive effect of BoNT-A against UVB-induced hyperpigmentation in human subjects. MATERIALS AND METHODS A prospective, double-blinded, randomized controlled trial was performed in 15 healthy participants. Four separate square areas on the abdomen were randomly injected intradermally with different dilutions of BoNT-A (1:2.5, 1:5, 1:7.5) and normal saline (control). Two weeks after injection, hyperpigmented spots were induced by UVB irradiation at the experimental sites. The lightness index and hyperpigmentation scores from blinded physician and participants were evaluated. RESULTS Fifteen participants completed the study. One week after UVB irradiation, all BoNT-A-treated sites had a significantly lower degree of hyperpigmentation than the control site in lightness index and hyperpigmentation scores from blinded physician and participants (p < .05). However, no statistically significant difference was observed between different concentrations of BoNT-A. No side effects were observed throughout the study period. CONCLUSION Intradermal BoNT-A injection provided a protective effect from UVB-induced hyperpigmentation. It may be used for other hyperpigmentation disorders that are aggravated by UVB.
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21
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Sander M, Sander M, Burbidge T, Beecker J. Efficacité et innocuité des écrans solaires pour la prévention du cancer de la peau. CMAJ 2021; 193:E348-E354. [PMID: 33685958 PMCID: PMC8034319 DOI: 10.1503/cmaj.201085-f] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
Affiliation(s)
- Megan Sander
- Département de médecine (Megan Sander, Burbidge), Section de dermatologie et École de médecine Cumming (Michael Sander), Université de Calgary, Calgary, Alb.; Division de dermatologie (Beecker), Service de médecine, Hôpital d'Ottawa; Faculté de médecine (Beecker), Université d'Ottawa et Institut de recherche de l'Hôpital d'Ottawa (Beecker), Ottawa, Ont.
| | - Michael Sander
- Département de médecine (Megan Sander, Burbidge), Section de dermatologie et École de médecine Cumming (Michael Sander), Université de Calgary, Calgary, Alb.; Division de dermatologie (Beecker), Service de médecine, Hôpital d'Ottawa; Faculté de médecine (Beecker), Université d'Ottawa et Institut de recherche de l'Hôpital d'Ottawa (Beecker), Ottawa, Ont
| | - Toni Burbidge
- Département de médecine (Megan Sander, Burbidge), Section de dermatologie et École de médecine Cumming (Michael Sander), Université de Calgary, Calgary, Alb.; Division de dermatologie (Beecker), Service de médecine, Hôpital d'Ottawa; Faculté de médecine (Beecker), Université d'Ottawa et Institut de recherche de l'Hôpital d'Ottawa (Beecker), Ottawa, Ont
| | - Jennifer Beecker
- Département de médecine (Megan Sander, Burbidge), Section de dermatologie et École de médecine Cumming (Michael Sander), Université de Calgary, Calgary, Alb.; Division de dermatologie (Beecker), Service de médecine, Hôpital d'Ottawa; Faculté de médecine (Beecker), Université d'Ottawa et Institut de recherche de l'Hôpital d'Ottawa (Beecker), Ottawa, Ont
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22
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Geisler AN, Austin E, Nguyen J, Hamzavi I, Jagdeo J, Lim HW. Visible light. Part II: Photoprotection against visible and ultraviolet light. J Am Acad Dermatol 2021; 84:1233-1244. [PMID: 33640513 DOI: 10.1016/j.jaad.2020.11.074] [Citation(s) in RCA: 31] [Impact Index Per Article: 10.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2020] [Revised: 11/11/2020] [Accepted: 11/12/2020] [Indexed: 01/08/2023]
Abstract
Cutaneous photobiology studies have focused primarily on the ultraviolet portion of the solar spectrum. Visible light (VL), which comprises 50% of the electromagnetic radiation that reaches the Earth's surface and, as discussed in Part I of this CME, has cutaneous biologic effects, such as pigment darkening and erythema. Photoprotection against VL includes avoiding the sun, seeking shade, and using photoprotective clothing. The organic and inorganic ultraviolet filters used in sunscreens do not protect against VL, only tinted sunscreens do. In the United States, these filters are regulated by the Food and Drug Administration as an over-the-counter drug and are subject to more stringent regulations than in Europe, Asia, and Australia. There are no established guidelines regarding VL photoprotection. Alternative measures to confer VL photoprotection are being explored. These novel methods include topical, oral, and subcutaneous agents. Further development should focus on better protection in the ultraviolet A1 (340-400 nm) and VL ranges while enhancing the cosmesis of the final products.
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Affiliation(s)
| | - Evan Austin
- Department of Dermatology, Center for Photomedicine, SUNY Downstate Medical Center, Brooklyn, New York; Dermatology Service, VA New York Harbor Healthcare System, Brooklyn, New York
| | - Julie Nguyen
- Department of Dermatology, Center for Photomedicine, SUNY Downstate Medical Center, Brooklyn, New York; Dermatology Service, VA New York Harbor Healthcare System, Brooklyn, New York
| | - Iltefat Hamzavi
- Department of Dermatology, Photomedicine and Photobiology Unit, Henry Ford Health System, Detroit, Michigan
| | - Jared Jagdeo
- Department of Dermatology, Center for Photomedicine, SUNY Downstate Medical Center, Brooklyn, New York; Dermatology Service, VA New York Harbor Healthcare System, Brooklyn, New York.
| | - Henry W Lim
- Department of Dermatology, Photomedicine and Photobiology Unit, Henry Ford Health System, Detroit, Michigan
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23
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Fania L, Sampogna F, Ricci F, Hyeraci M, Paradisi A, Palese E, Di Lella G, Pallotta S, Panebianco A, Candi E, Dellambra E, Abeni D. Systemic Photoprotection in Skin Cancer Prevention: Knowledge among Dermatologists. Biomolecules 2021; 11:biom11020332. [PMID: 33672113 PMCID: PMC7926776 DOI: 10.3390/biom11020332] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2020] [Revised: 02/16/2021] [Accepted: 02/17/2021] [Indexed: 12/28/2022] Open
Abstract
Background: Systemic photoprotection (i.e., administration of substances such as nicotinamide, carotenoids, and vitamin D) may be important to reduce photocarcinogenesis or to support long-term protection against UV irradiation. Clinical trials showed that oral nicotinamide is effective in reducing the onset of new nonmelanoma skin cancers (NMSCs), while other oral photoprotectors failed to achieve the reduction of new melanoma or NMSC formation in humans. The aim of this study was to summarize the current state of knowledge of systemic photoprotection and to evaluate the knowledge and attitude of dermatologists regarding these treatments. Methods: The survey was conducted on a sample of dermatologists recruited according to a snowball sampling procedure. The questionnaire consisted of a first part asking for characteristics of the participant and a second part with 12 specific questions on their knowledge about systemic photoprotection, particularly their knowledge of astaxanthin, β-carotene, nicotinamide, and vitamin D3. Results: One hundred eight dermatologists answered the survey. Most of them (85.2%) stated that oral photoprotectors have a role in the prevention of skin cancer, and responses mainly mentioned nicotinamide. More than half of them (54.6%) had prescribed all the considered oral photoprotectors, but the majority of them had prescribed nicotinamide, mainly for 2 to 3 months during summer, almost invariably (n = 106) associated with topical photoprotectors. Most dermatologists (>80%) were aware of scientific publications demonstrating an effect of systemic photoprotectors on NMSC. Conclusions: Most Italian dermatologists have positive views on oral photoprotection in skin cancer and are aware of the demonstrated potential of nicotinamide in the prevention of NMSCs.
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Affiliation(s)
- Luca Fania
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
- Correspondence: ; Tel.: +39-0666-464-571
| | - Francesca Sampogna
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Francesco Ricci
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Mariafrancesca Hyeraci
- Department of Pharmaceutical and Pharmacological Sciences, University of Padua, 35121 Padua, Italy;
| | - Andrea Paradisi
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
- Dermatology Unit, “Cristo Re” General Hospital, 00167 Rome, Italy
| | - Enzo Palese
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Giovanni Di Lella
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Sabatino Pallotta
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Annarita Panebianco
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Eleonora Candi
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
- Department of Experimental Medicine, University of Rome Tor Vergata, Via Montpellier, 1, 00133 Rome, Italy
| | - Elena Dellambra
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
| | - Damiano Abeni
- IDI-IRCCS, Dermatological Research Hospital, Via dei Monti di Creta 104, 00167 Rome, Italy; (F.S.); (F.R.); (A.P.); (E.P.); (G.D.L.); (S.P.); (A.P.); (E.C.); (E.D.); (D.A.)
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Furukawa JY, Martinez RM, Morocho-Jácome AL, Castillo-Gómez TS, Pereda-Contreras VJ, Rosado C, Velasco MVR, Baby AR. Skin impacts from exposure to ultraviolet, visible, infrared, and artificial lights - a review. J COSMET LASER THER 2021; 23:1-7. [PMID: 34669525 DOI: 10.1080/14764172.2021.1950767] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Social distancing is conducive to grow the impact of artificial light in the daily life of the worldwide population with reported consequences to the skin. Sunlight is also essential for human development, indeed, solar radiation is composed of different types of wavelengths, which generate different skin effects. It can be divided into ultraviolet (UV), infrared (IR), and visible. UV radiation (UVA and UVB) has cutaneous biological effects ranging from photoaging, immunosuppression to melanoma formation, through the production of reactive oxygen species (ROS), inflammation and elevation of the energy state of organic molecules, changing the DNA structure. IR radiation reaches deeper layers of the skin and is also related to the generation of ROS, photoaging and erythema while visible light is responsible for generating ROS, pigmentation, cytokine formation, and matrix metallopeptidases (MMPs). Furthermore, artificial light could be harmful to the skin, as it can generate ROS, hyperpigmentation, and stimulate photoaging. Currently, we briefly summarized the cutaneous biological effects of sunlight, as well as artificial light on skin and remarked the opportunity of the evolution of current photoprotective formulas through new strategies with broad spectrum protection.
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Affiliation(s)
- Juliana Yuka Furukawa
- CBIOS - Universidade Lusófona's Research Center for Biosciences and Health Technologies, Lisbon, Portugal
| | - Renata Miliani Martinez
- Department of Pharmacy, School of Pharmaceutical Sciences, University of São Paulo, São Paulo/SP, Brazil
| | - Ana Lucía Morocho-Jácome
- Department of Pharmacy, School of Pharmaceutical Sciences, University of São Paulo, São Paulo/SP, Brazil
| | | | | | - Catarina Rosado
- CBIOS - Universidade Lusófona's Research Center for Biosciences and Health Technologies, Lisbon, Portugal
| | | | - André Rolim Baby
- Department of Pharmacy, School of Pharmaceutical Sciences, University of São Paulo, São Paulo/SP, Brazil
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Linde K, Wright CY, Kapwata T, du Plessis JL. Low Use of Ocular Sun Protection among Agricultural Workers in South Africa: Need for Further Research. Photochem Photobiol 2021; 97:453-455. [PMID: 33492701 DOI: 10.1111/php.13388] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/12/2020] [Accepted: 01/20/2021] [Indexed: 12/11/2022]
Abstract
Although ocular diseases related to solar ultraviolet radiation exposure have a high prevalence in Africa, little is known about the occupational use of ocular photoprotective measures on the continent. In a survey of South Africa farmworkers on a farm in the Limpopo Province, we analyzed factors related to ocular sun protection including use of different types of hats and sunglasses in relation to age, gender and duration of agricultural employment. Majority of participants (80%) never wore sunglasses while 23% never wore a hat when working. More male workers used measures to protect their eyes than female workers. The type of hat most worn was a cap although broad-brimmed hats provide more effective photoprotection. The need for awareness campaigns that focus on the importance of using photoprotective measures in both an agricultural and South Africa contexts was identified.
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Affiliation(s)
- Karlien Linde
- Occupational Hygiene and Health Research Initiative (OHHRI), North-West University, Potchefstroom, South Africa.,Department of Physiology and Environmental Health, University of Limpopo, Sovenga, South Africa
| | - Caradee Yael Wright
- Environmental and Health Research Unit, South African Medical Research Council (SAMRC), Pretoria, South Africa.,Department of Geography, Geoinformatics and Meteorology, University of Pretoria, Pretoria, South Africa
| | - Thandi Kapwata
- Environmental and Health Research Unit, South African Medical Research Council (SAMRC), Pretoria, South Africa.,Department of Environmental Health, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa
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Sensitized photo-oxidation of gadusol species mediated by singlet oxygen. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2020; 213:112078. [PMID: 33221626 DOI: 10.1016/j.jphotobiol.2020.112078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Revised: 10/20/2020] [Accepted: 10/31/2020] [Indexed: 11/21/2022]
Abstract
Gadusols are efficient nature UV sunscreens with antioxidant capacity. The kinetics of the quenching reactions of singlet oxygen O2(1∆g) by gadusol species was evaluated in aqueous solution as well as in the presence of direct charged micelles. Time-resolved phosphorescence detection of O2(1∆g) indicated that gadusolate, the main species under biological pH, is a more efficient quencher than the enol form with a rate constant of ca. 1.3 × 108 L mol-1 s-1. The deactivation proceeds via a collisional mechanism with clear dominance of chemical pathways, according to the rates of gadusol and oxygen consumptions, and typical photooxidation quantum yields of ca. 7%. The relative contributions of the chemical and physical quenching steps were not affected by the presence of anionic or cationic micelles emulating simple pseudo-biological environments. The products of the photo-oxidative quenching support a type II mechanism initiated by the addition of O2(1∆g) to the C-C double bond of gadusolate. These results point to the relevance of considering the role of sacrifice antioxidant along with the UV-screening function for gadusol, particularly in the context of potential biotechnological applications of this natural molecule.
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Kumar N, Jose J. Current developments in the nanomediated delivery of photoprotective phytochemicals. ENVIRONMENTAL SCIENCE AND POLLUTION RESEARCH INTERNATIONAL 2020; 27:38446-38471. [PMID: 32761528 DOI: 10.1007/s11356-020-10100-y] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/28/2020] [Accepted: 07/10/2020] [Indexed: 06/11/2023]
Abstract
Natural products have been used to protect the skin from harmful UV radiation for decades. Due to the ecotoxicological implications of synthetic sunscreen exposure in aquatic ecosystems, there is a greater need to explore alternative sources of UV filters. Recent research has focused on discovering novel UV absorbing photoprotective molecules from nature. In response to the excessive damage caused by UVB rays, plants induce the production of high concentrations of phytoprotective secondary metabolites and anti-oxidative enzymes. Despite promising UV absorbing and photoprotective properties, plant secondary metabolites have been underutilized in topical delivery due to low solubility and high instability. Numerous phytochemicals have been effectively nanosized, incorporated in formulations, and studied for their sustained effects in photoprotection. The present review outlines recent developments in nanosizing and delivering photoprotective crude plant extract and phytochemicals from a phytochemical perspective. We searched for articles using keywords: "UV damage," "skin photoprotection," "photodamage," and "nano delivery" in varied combinations. We identified and reviewed literature from 43 original research articles exploring nanosized phytochemicals and crude plant extracts with photoprotective activity. Nanosized phytochemicals retained higher amounts of bioactive compounds in the skin and acted as depots for their sustained release. Novel approaches in nanosizing considerably improved the photostability, efficacy, and water resistance of plant secondary metabolites. We further discuss the need for broad-spectrum sunscreen products, potential challenges, and future growth in this area.
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Affiliation(s)
- Nimmy Kumar
- Department of Pharmacognosy, NITTE Gulabi Shetty Memorial Institute of Pharmaceutical Sciences, NITTE Deemed-to-be University, 575018, Mangalore, India
| | - Jobin Jose
- Department of Pharmaceutics, NITTE Gulabi Shetty Memorial Institute of Pharmaceutical Sciences, NITTE Deemed-to-be University, Mangalore, 575018, India.
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Saternus R, Reichrath J. [Power station sun and hormone factory skin : A current assessment of the importance of vitamin D metabolism during human evolution and strategies for UV prevention]. Hautarzt 2020; 71:772-785. [PMID: 32915242 DOI: 10.1007/s00105-020-04684-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
The sun is of great importance for human health. One important reason for this is the production of vitamin D, endorphins and many other hormones by the skin due to stimulation by sunlight. Insufficient access to sunlight increases the risk for vitamin D deficiency, a pandemic which would affect more than one billion people worldwide and under which ca. 60% of the population in Germany would suffer. The skin has a unique position in vitamin D metabolism as elementary steps for vitamin D production take place here and it is furthermore a target organ for actions of vitamin D. Due to the many positive effects of the sun, a healthy balance must be found between UV protection to shield against skin cancer but also ensuring sufficient vitamin D production. For regulation of this fragile balance between photoprotection and vitamin D production, which has accompanied mankind throughout evolution, sunscreens are an integral part of the modern lifestyle, although critical reports on possible risks for their use have recently become more frequent. This article discusses the current state of knowledge on the importance of vitamin D metabolism in human skin and the use of sun creams.
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Affiliation(s)
- R Saternus
- Klinik für Dermatologie, Venerologie und Allergologie, Hautklinik und Poliklinik, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg/Saar, Deutschland.
| | - J Reichrath
- Klinik für Dermatologie, Venerologie und Allergologie, Hautklinik und Poliklinik, Universitätsklinikum des Saarlandes, Kirrberger Str. 100, 66421, Homburg/Saar, Deutschland
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Garnacho Saucedo GM, Salido Vallejo R, Moreno Giménez JC. [Effects of solar radiation and an update on photoprotection]. An Pediatr (Barc) 2020; 92:377.e1-377.e9. [PMID: 32513601 DOI: 10.1016/j.anpedi.2020.04.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 04/11/2020] [Indexed: 12/22/2022] Open
Abstract
Sunburn, immunodepression, photoaging, and photocarcinogenesis, are some of the most significant adverse effects of solar radiation in humans. Children are population group of special vulnerability, due to the fact that exposure to the sun has more pronounced biological effects compared to adults. Furthermore, childhood is a critical period for promoting the development of photo damage and photocarcinogenesis in the later stages of life if adequate measures at not put into place. This is because it is estimated that between 18 and 20 years of age is when 40% to 50% of the accumulative exposure to ultraviolet radiation up to 60 years of age is received. The most important strategy for the photoprotection of children is changes in behaviour and habits associated with exposure to the sun at all levels (school, society, family, etc.). Resorting to the shade, reduction in overall time of exposure to the sun, and physical protection (clothes, hats, and sunglasses) are the best and least costly photoprotection strategies. The photoprotectors must be incorporated into the daily routine of children in the same way as adults, and must complete a series of requirements in order to make them effective, safe, and in line with the environment.
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Affiliation(s)
- Gloria M Garnacho Saucedo
- Unidad de Dermatología Pediátrica, Departamento de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España.
| | - Rafael Salido Vallejo
- Unidad de Dermatología Pediátrica, Departamento de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España
| | - Jose Carlos Moreno Giménez
- Unidad de Dermatología Pediátrica, Departamento de Dermatología, Hospital Universitario Reina Sofía, Córdoba, España
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Garnacho Saucedo GM, Salido Vallejo R, Moreno Giménez JC. Effects of solar radiation and an update on photoprotection. An Pediatr (Barc) 2020. [DOI: 10.1016/j.anpede.2020.04.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Araújo FM, Carmo JAD, Cunha LD, Martins IML, Gon ADS, Caldeira AP. Development and validation of an instrument to assess the knowledge of general practitioners and pediatricians about photoprotection and solar radiation. An Bras Dermatol 2019; 94:532-541. [PMID: 31777353 PMCID: PMC6857560 DOI: 10.1016/j.abd.2019.09.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2017] [Accepted: 10/08/2018] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The knowledge of general practitioners about photoprotection is unknown. OBJECTIVES To develop and validate an instrument to evaluate the knowledge of general practitioners and pediatricians about photoprotection, gauging the knowledge of these professionals. METHODS The study followed the steps: (1) Literature identification and item elaboration related to the theme; (2) Content validation; (3) Apparent validation; (4) Construct validation: internal consistency analysis and discriminatory analysis; (5) Reliability analysis. In Step 4, the instrument was applied to 217 general practitioners and pediatricians who worked in the host city of the study; the scores were compared with dermatologists scores. RESULTS The final instrument had 41 items and showed satisfactory internal consistency (Cronbach's alpha=0.780), satisfactory reproducibility and good test-retest reliability (good-to-excellent kappa statistic in more than 60% of items). The discriminatory analysis registered a mean score of 54.1 points for dermatologists and 31.1 points for generalists and pediatricians, from a total of 82 possible points, representing a statistically significant difference (p<0.001). Generalists and pediatricians demonstrated an understanding of the relationship between excessive sun exposure and skin cancer, but they revealed lack of technical information necessary for their professional practice. STUDY LIMITATIONS The instrument evaluates only knowledge, without evaluating the conduct of the participants. CONCLUSION The results show that the instrument has good internal consistency and good reproducibility. It could be useful in the identification of general practitioners and pediatricians knowledge gaps on the subject, for the subsequent development of training and educational strategies.
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Affiliation(s)
- Fernanda Mendes Araújo
- Department of Clinical Medicine, Dermatology, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil; Postgraduate Program in Health Sciences, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil.
| | | | - Letícia Diniz Cunha
- School of Medicine, Faculdades Integradas Pitágoras de Montes Claros, Montes Claros, MG, Brazil
| | - Igor Monteiro Lima Martins
- Postgraduate Program in Health Sciences, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil
| | - Airton Dos Santos Gon
- Department of Clinical Medicine, Dermatology, Universidade Estadual de Londrina, Londrina, PR, Brazil
| | - Antônio Prates Caldeira
- Postgraduate Program in Health Sciences, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil; Department of Pediatrics, Universidade Estadual de Montes Claros, Montes Claros, MG, Brazil
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Yeager DG, Lim HW. What's New in Photoprotection: A Review of New Concepts and Controversies. Dermatol Clin 2019; 37:149-157. [PMID: 30850037 DOI: 10.1016/j.det.2018.11.003] [Citation(s) in RCA: 47] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
Abstract
Cumulative ultraviolet exposure plays a critical role in photodamage. Recent advancements in photomedicine have resulted in a more thorough understanding of these mechanisms. Despite this, the adoption of routine sun protective practices is commonly not undertaken regularly by a large proportion of the public. Various obstacles exist that contribute to the public's nonadherence to these practices. Sunscreens, which are an integral component in all photoprotective regimens, have been questioned recently in terms of their safety. The aim of this article is to provide an overview of new concepts in photoprotection and also address current controversies pertaining to sunscreens.
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Affiliation(s)
- Danielle G Yeager
- Department of Dermatology, Henry Ford Medical Center, 3031 West Grand Boulevard, Suite 800, Detroit, MI 48202, USA.
| | - Henry W Lim
- Department of Dermatology, Henry Ford Medical Center, 3031 West Grand Boulevard, Suite 800, Detroit, MI 48202, USA
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de la Coba F, Aguilera J, Korbee N, de Gálvez MV, Herrera-Ceballos E, Álvarez-Gómez F, Figueroa FL. UVA and UVB Photoprotective Capabilities of Topical Formulations Containing Mycosporine-like Amino Acids (MAAs) through Different Biological Effective Protection Factors (BEPFs). Mar Drugs 2019; 17:md17010055. [PMID: 30646557 PMCID: PMC6356945 DOI: 10.3390/md17010055] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2018] [Revised: 12/21/2018] [Accepted: 01/03/2019] [Indexed: 12/12/2022] Open
Abstract
The safety and stability of synthetic UV-filters and the procedures for evaluating the photoprotective capability of commercial sunscreens are under continuous review. The influence of pH and temperature stressors on the stability of certain Mycosporine-like amino acids (MAAs) isolated at high purity levels was examined. MAAs were highly stable at room temperature during 24 h at pH 4.5–8.5. At 50 °C, MAAs showed instability at pH 10.5 while at 85 °C, progressive disappearances were observed for MAAs through the studied pH range. In alkaline conditions, their degradation was much faster. Mycosporine-serinol and porphyra-334 (+shinorine) were the most stable MAAs under the conditions tested. They were included in four cosmetically stable topical sunscreens, of which the Sun Protection Factor (SPF) and other Biological Effective Protection Factors (BEPFs) were calculated. The formulation containing these MAAs showed similar SPF and UVB-BEPFs values as those of the reference sunscreen, composed of synthetic UV absorbing filters in similar percentages, while UVA-BEPFs values were slightly lower. Current in vitro data strongly suggest that MAAs, as natural and safe UV-absorbing and antioxidant compounds, have high potential for protection against the diverse harmful effects of solar UV radiation. In addition, novel complementary in vitro tests for evaluation of commercial sunscreens efficacy are proposed.
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Affiliation(s)
- Francisca de la Coba
- Department of Ecology and Geology, Faculty of Science, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
- Photobiology Laboratory, Central Service for Research Support (SCAI), University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
| | - José Aguilera
- Photobiological Dermatology Laboratory, Medical Research Centre, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
- Department of Dermatology and Medicine, Faculty of Medicine, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
| | - Nathalie Korbee
- Department of Ecology and Geology, Faculty of Science, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
| | - María Victoria de Gálvez
- Photobiological Dermatology Laboratory, Medical Research Centre, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
- Department of Dermatology and Medicine, Faculty of Medicine, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
| | - Enrique Herrera-Ceballos
- Photobiological Dermatology Laboratory, Medical Research Centre, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
- Department of Dermatology and Medicine, Faculty of Medicine, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
| | - Félix Álvarez-Gómez
- Department of Ecology and Geology, Faculty of Science, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
| | - Félix L Figueroa
- Department of Ecology and Geology, Faculty of Science, University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
- Photobiology Laboratory, Central Service for Research Support (SCAI), University of Malaga, Campus Universitario de Teatinos s/n, E-29071 Malaga, Spain.
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Suh H, Lewis J, Fong L, Ramseier JY, Carlson K, Peng Z, Yin ES, Saltzman WM, Girardi M. Biodegradable bioadhesive nanoparticle incorporation of broad-spectrum organic sunscreen agents. Bioeng Transl Med 2019; 4:129-140. [PMID: 30680324 PMCID: PMC6336670 DOI: 10.1002/btm2.10092] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 04/17/2018] [Accepted: 04/17/2018] [Indexed: 11/17/2022] Open
Abstract
Conventional emulsion-based sunscreen formulations are limited by postapplication epicutaneous penetration that increases the risk of allergic dermatitis, cellular damage, and filter photodegradation upon ultraviolet radiation (UVR) exposure. Encapsulation of the UVB filter padimate O within bioadhesive biodegradable nanoparticles (BNPs) composed of poly(d,l-lactic acid)-hyperbranched polyglycerol was previously shown to enhance UVR protection while preventing skin absorption. Herein, we assess the capacity of BNP co-incorporation of avobenzone and octocrylene to provide broad-spectrum UVR protection. The ratio of UV filters within nanoparticles (NPs) was optimized for filter-filter stabilization upon UV irradiation and maximum drug loading. In vitro water-resistance test showed significant particle retention at 85% over 3 hr. In a pilot clinical study, protection against UVR-induced erythema of BNPs was found to be comparable to the FDA standard P2. Thus, sunscreen formulations utilizing BNP incorporation of a combination of organic filters may offer key safety and performance advantages.
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Affiliation(s)
- Hee‐Won Suh
- Dept. of Biomedical Engineering, Yale School of Engineering & Applied Science55 Prospect Street, New HavenCT06520
| | - Julia Lewis
- Dept. of Dermatology, Yale School of Medicine333 Cedar Street, New HavenCT06520
| | - Linda Fong
- Dept. of Biomedical Engineering, Yale School of Engineering & Applied Science55 Prospect Street, New HavenCT06520
| | - Julie Ying Ramseier
- Dept. of Dermatology, Yale School of Medicine333 Cedar Street, New HavenCT06520
| | - Kacie Carlson
- Dept. of Dermatology, Yale School of Medicine333 Cedar Street, New HavenCT06520
| | - Zheng‐Hong Peng
- Dept. of Biomedical Engineering, Yale School of Engineering & Applied Science55 Prospect Street, New HavenCT06520
| | - Emily Sara Yin
- Dept. of Dermatology, Yale School of Medicine333 Cedar Street, New HavenCT06520
| | - W. Mark Saltzman
- Dept. of Biomedical Engineering, Yale School of Engineering & Applied Science55 Prospect Street, New HavenCT06520
| | - Michael Girardi
- Dept. of Dermatology, Yale School of Medicine333 Cedar Street, New HavenCT06520
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Cadet J, Douki T. Formation of UV-induced DNA damage contributing to skin cancer development. Photochem Photobiol Sci 2018; 17:1816-1841. [PMID: 29405222 DOI: 10.1039/c7pp00395a] [Citation(s) in RCA: 209] [Impact Index Per Article: 34.8] [Reference Citation Analysis] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
UV-induced DNA damage plays a key role in the initiation phase of skin cancer. When left unrepaired or when damaged cells are not eliminated by apoptosis, DNA lesions express their mutagneic properties, leading to the activation of proto-oncogene or the inactivation of tumor suppression genes. The chemical nature and the amount of DNA damage strongly depend on the wavelength of the incident photons. The most energetic part of the solar spectrum at the Earth's surface (UVB, 280-320 nm) leads to the formation of cyclobutane pyrimidine dimers (CPDs) and pyrimidine (6-4) pyrimidone photoproducts (64PPs). Less energetic but 20-times more intense UVA (320-400 nm) also induces the formation of CPDs together with a wide variety of oxidatively generated lesions such as single strand breaks and oxidized bases. Among those, 8-oxo-7,8-dihydroguanine (8-oxoGua) is the most frequent since it can be produced by several mechanisms. Data available on the respective yield of DNA photoproducts in cells and skin show that exposure to sunlight mostly induces pyrimidine dimers, which explains the mutational signature found in skin tumors, with lower amounts of 8-oxoGua and strand breaks. The present review aims at describing the basic photochemistry of DNA and discussing the quantitative formation of the different UV-induced DNA lesions reported in the literature. Additional information on mutagenesis, repair and photoprotection is briefly provided.
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Affiliation(s)
- Jean Cadet
- Département de Médecine Nucléaire et Radiobiologie, Faculté de Médecine, 3001 12e Avenue Nord, Université de Sherbrooke, Sherbrooke, Québec JIH 5N4, Canada.
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Parrado C, Philips N, Gilaberte Y, Juarranz A, González S. Oral Photoprotection: Effective Agents and Potential Candidates. Front Med (Lausanne) 2018; 5:188. [PMID: 29998107 PMCID: PMC6028556 DOI: 10.3389/fmed.2018.00188] [Citation(s) in RCA: 45] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2018] [Accepted: 06/08/2018] [Indexed: 12/20/2022] Open
Abstract
Electromagnetic radiation in the ultraviolet, visible, and infrared ranges produces biologic effects in humans. Where some of these effects are beneficial, others are harmful to the skin, particularly those stemming from ultraviolet radiation (UVR). Pharmacological photoprotection can be topical or systemic. Systemic photoprotection is often administered orally, complementing topical protection. New and classic oral agents (e.g., essential micronutrients as vitamins, minerals, polyphenols, carotenoids) are endowed with photoprotective and anti-photocarcinogenic properties. These substances bear the potential to increase systemic protection against the effects of electromagnetic radiation in the UV, visible, and infrared ranges. Protective mechanisms vary and include anti-oxidant, anti-inflammatory, and immunomodulatory effects. As such, they provide protection against UVR and prevent photo-induced carcinogenesis and aging. In this review, we present state of the art approaches regarding the photoprotective effects of vitamins and vitamin derivatives, dietary botanical, and non-botanical agents. A growing body of data supports the beneficial effects of oral photoprotection on the health of the skin. More studies will likely confirm and expand the positive impact of oral dietary botanicals as complementary measures for photoprotection.
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Affiliation(s)
- Concepción Parrado
- Department of Histology and Pathology, University of Málaga, Málaga, Spain
| | - Neena Philips
- School of Natural Sciences, Fairleigh Dickinson University, Teaneck, NJ, United States
| | - Yolanda Gilaberte
- Dermatology Service, Hospital Miguel Servet, Zaragoza, Spain.,Dermatology, Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - Angeles Juarranz
- Biology Department, Instituto Ramón y Cajal de Investigación Sanitaria, Universidad Autónoma de Madrid, Madrid, Spain
| | - Salvador González
- Medicine and Medical Specialties Department, Instituto Ramón y Cajal de Investigación Sanitaria, Alcalá University Madrid, Madrid, Spain
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Scott JF, Lu KQ. Vitamin D as a Therapeutic Option for Sunburn: Clinical and Biologic Implications. DNA Cell Biol 2017; 36:879-882. [PMID: 29064295 DOI: 10.1089/dna.2017.3978] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
Affiliation(s)
- Jeffrey F Scott
- 1 Department of Dermatology, University Hospitals Cleveland Medical Center , Cleveland, Ohio.,2 Department of Dermatology, Case Western Reserve University School of Medicine , Cleveland, Ohio
| | - Kurt Q Lu
- 1 Department of Dermatology, University Hospitals Cleveland Medical Center , Cleveland, Ohio.,2 Department of Dermatology, Case Western Reserve University School of Medicine , Cleveland, Ohio
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Lademann J, Meinke MC, Schanzer S, Albrecht S, Zastrow L. [New aspects in the development of sunscreening agents]. Hautarzt 2017; 68:349-353. [PMID: 28280909 DOI: 10.1007/s00105-017-3965-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
Sunlight is indispensable for life. Skin aging is determined not only by genetic factors but also by the influence of solar radiation which in all its spectral regions induces free radicals in the human skin. Below a critical concentration, free radicals are important for signaling processes in the human body. Exceeding a critical threshold value (FRTV), however, free radicals lead to cellular damage which, in turn, can induce skin aging, immunosuppression and even skin cancer. Recently it could be shown that 50% of the free radicals induced in the human skin by solar radiation were caused by the visible and infrared spectral regions. Taking into consideration that people who use sunscreen stay considerably longer in the sun than unprotected people, their skin could be exposed to free radical formation in the visible and infrared spectral regions, which far exceeds the critical threshold. Filter substances like those used in sunscreens for skin protection in the ultraviolet region are not available for the visible and infrared spectral regions. Using the natural protection mechanisms of the human skin as examples, however, the protective effect of sunscreens can be considerably enhanced by the addition of scattering and reflective pigments, such as titanium dioxide, as well as of antioxidants which neutralize the free radicals. Currently the focus of sunscreen development is shifting from mere UV protection to protection covering the entire solar spectrum.
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Affiliation(s)
- J Lademann
- Klinik für Dermatologie, Venerologie und Allergologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland.
| | - M C Meinke
- Klinik für Dermatologie, Venerologie und Allergologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - S Schanzer
- Klinik für Dermatologie, Venerologie und Allergologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - S Albrecht
- Klinik für Dermatologie, Venerologie und Allergologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
| | - L Zastrow
- Klinik für Dermatologie, Venerologie und Allergologie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Deutschland
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