Studies Opposing Sunscreen Studies Supporting Sunscreen SUNSCREEN UVA-Activated Synthesis of Metalloproteinases 1, 3 and 9 Is Prevented by a Broad-Spectrum Sunscreen. Sunscreens Containing Physical UV Blockers Can Increase Transdermal Absorption of Pesticides Introduction Sunscreens are widely used as superficial barriers to prevent UV skin damage and cancers, but also are of concern because dermal absorption is a major source of human chemical exposure. This study by Brand, R.M., et al (2003) was conducted to determine whether commercial sunscreens containing physical UV absorbers titanium dioxide or zinc oxide increase transdermal absorption of pesticides. For this study, the full thickness dorsal skin of female hairless mice aged 6-16 weeks were used in accordance to the NIH Guide for the Care and Use of Laboratory Animals. Four studies were conducted. First was the effect of sunscreens containing physical UV absorbers on the transdermal penetration of herbicide 2,4-D. Next, a study to determine if an inhibiting sunscreen could be made using a solvent and UV absorbers. A third study was to model repeated application of an SPF 45 sunscreen with a second dose of the pesticide and sunscreen applied 4.5 hours later, and lastly three other pesticides (paraquat, malathion, parathion) were tested to see if sunscreens can enhance the absorption. The results of the first study showed five of nine tested sunscreens showed significantly increased absorption of the pesticide 2,4-D, while the remaining 4 also showed an increase but that was not significant. The second study yielded that the tested UV absorbers and solvent were found to be able to inhibit 2,4-D transdermal absorption when compared with the control group. Next, the third study found with reapplication when the skin is not washed there was a significant increase in the second pulse of pesticide absorption. Lastly, after a 30 minute treatment with sunscreen, all three additional pesticides showed significantly increased absorption. Overall, concluding from the data in this study, sunscreen can increase the transdermal absorption of pesticides 2,4D, paraquat, malathion and parathion especially when not washed between applications. Sunscreens are a widely used consumer product for protection from UV rays. Despite the use of sunscreen by consumers, skin cancer rates continue to rise in the US. UV exposure can cause photo aging and even cancers. Both UVA and UVB exposure pose their own threats to health so it is recommended to use broad or full spectrum sunscreens. UVA light can reach the dermis layer of the skin and cause alterations to cells which may become cancerous. UVB light affects the epidermis or top layer of the skin and causes sunburns. There is controversy over the efficacy of sunscreen at preventing cancers and controversy for sunscreen as a form of pollutant. However, there is evidence for sunscreen to be protective of skin damage and ultimately DNA damage which leads to cancers. • An overlooked consequence of sunscreen use is the threat to marine life it poses. In the study Sunscreen products as emerging pollutants to coastal waters by Tovar-Sánchez, A., et al., (2013) the effect of sunscreens introduced into coastal marine systems in nearshore waters of Majorca Island was studied. These sunscreens are made of organic and inorganic UV chemical filters that enter the oceans by humans and affect marine life. These chemicals do not biodegrade well for they are lipophilic and they are persistent in the environment. There were three field and laboratory studies conducted. The first was to get results for UV chemical filter levels in different samples of surface water in three Majorca Island areas. In August-September of 2011, the samples were collected from two areas that were near densely populated beaches and a third location, considered a control, near an open and scarcely used beach in a pristine area. Secondly, a study was done to evaluate the contribution of sunscreen to the total dissolved in nearshore beaches. Lastly, the effect of sunscreens on the growth rate of marine diatom was tested. A permit for sampling was obtained and no endangered or protected species were involved in the studies. The results yielded of the first study that after a chemical analysis was done, three areas around the Majorca Island showed four of the main chemicals used in sunscreens in the surface waters. Even in the pristine control area detectable concentrations of chemicals were measured. This shows a connection between shore activity and the persistence of these products which contributes to an impact along the whole Island. The second study showed when sunscreens dissolved in nearshore beaches some inorganic nutrients were found that can affect algae growth. Other studies have shown that high concentrations induce a significant response from phytoplankton. Also discovered in the study was metals such as aluminum and iron were in the dissolved sunscreen products which have been shown to limit primary production, or the conversion of energy by autotrophs to organic substances, in phytoplankton. The species of marine phytoplankton tested for effects of sunscreen on their growth rate was Chaetoceros gracilis. In the last study, the concentrations of sunscreen were made higher than observed levels in the water samples to find a threshold for toxicity. Even at low sunscreen concentration levels some inhibitory effects were observed. This study confirms the toxicity of sunscreen on marine phytoplankton. In conclusion, this study gives evidence of sunscreen as a potential pollutant with negative effects on marine life and emphasizes the importance of understanding the radiating effects of our actions and choices as consumers on this Earth. • Survey Results Tovar-Sánchez, A., Sánchez-Quiles, D., Basterretxea, G., Benedé, J. L., Chisvert, A., Salvador, A., & ... Blasco, J. (2013). Sunscreen Products as Emerging Pollutants to Coastal Waters. Plos ONE, 8(6), 1-8. doi:10.1371/journal.pone.0065451 • 35 Participants : Females: 25 Males: 10 Completed by students at Bridgewater State University Everyday N% Brand, R. M., Pike, J., Wilson, R. M., & Charron, A. R. (2003). Sunscreens containing physical UV blockers can increase transdermal absorption of pesticides. Toxicology & Industrial Health, 19(1), 9-16. doi:10.1191/0748233703th169oa Sunscreen Products as Emerging Pollutants to Coastal Waters Jean, C., et al., (2011) reported research on the efficacy of a broad spectrum sunscreen in preventing UVA induced -catenin activation and the stimulation of matrix metalloproteinases. Since UVA radiation reaches the dermis of the skin, it can stimulate matrix metalloproteinase, or MMP, to cause degradation which can be cancerous. It has been shown that catenin can signal malignant squamous cell carcinomas and MMP can help facilitate cancer cell progression. MMPs work in the skin work to break down collagen and other elastic components which increase photo aging. This study aimed to test the effect of sunscreen on -catenin translocation, in which it was found that without protective sunscreen, the -catenin invaded the nucleus of the cell, which causes cancer progression. However, with the sunscreen layer, -catenin remained within the cell membrane, unable to alter and harm the cell. Next, the effects of UVA induced MMP expression was tested. It was found that cells, specifically keratinocytes, irradiated through a non-quartz plate showed active synthesis of MMPs. In contrast, the coating of the quartz plate with sunscreen proved a reduction in MMP synthesis of MMP-9, MMP-3, MMP-1 by 65%, 80%, and 83% respectively. This study has shown that broad spectrum sunscreen has significantly reduced the UVA transcription of catenin and the activation of MMPs which both are linked to skin cancers. How often sunscreen is used 2 (5%) Only Only during while at the the beach summer N% N% Never 12 (34%) 16 (45%) 5 (14%) Freshma Sophomore n N% N% Year at Bridgewater 1 (2.8%) State University 10 (28%) Total Answered Correctly N% SPF stands for Sun Protection Factor UVA light can penetrate to the dermal layer of the skin UVB light can penetrate to the epidermal layer of the skin Sunscreen works by absorbing light 30 (85%) 15(42%) N% Hours spent in sun on average per week Junior N% 11 (31%) Less than 12 hours N% 12-24 hours N% 24 or more hours N% Unsure N% 12 (34%) 19 (54%) 2(5%) 2 (5%) Yes N% No N% 24 (68%) 11 (31%) Senior N% 13 (37%) Other cosmetics or products than sunscreen used that contain SPF Total Answered Incorrectly N% Strongly agree N% 5 (14%) 20 (57%) 13 (37%) 22 (62%) 5 (7%) 30 (85%) Belief sunscree n use can prevent cancer 13 (37%) Agree N% 17 (48%) Unsure Disagree Strongly N% N % disagree N% 2 (5%) 3 (8%) Conclusion Based on the research studies reviewed, it is concluded that using sunscreen is a preventive behavior for skin damage and cancers. According to my survey, 85 percent of the participants did not know that SPF stood for sun protection factor and also only 7 percent knew that sunscreens work through absorbing light. It was also found that the majority of the participants are outside on average per week about 12-24 hours, in which sunscreen should be an integral part. Another important point from the survey was that 14 percent reported to never use sunscreen. It is believed it would be beneficial for consumers to understand their own behaviors and level of knowledge with the threats and precautions of their current choices on the effects of UV light. Also addressed in the research is the growing potential of sunscreens as pollutants with implications for marine systems as the trend for populations is to live in coastal areas. There is an opportunity and need for more studies to explore this implication of sunscreen use. I concluded from this research the emphasis on the use of broad or full spectrum sunscreen. With being mindful of sunscreen use and reapplication, one can best protect themselves from UV light harm. Overall, this research has proven that sunscreen can prevent cancers and other skin damage. 0 (0%) Jean, C., Bogdanowicz, P., Haure, M., Castex-Rizzi, N., Fournié, J., & Laurent, G. (2011). UVA-activated synthesis of metalloproteinases 1, 3 and 9 is prevented by a broad-spectrum sunscreen. Photodermatology, Photoimmunology & Photomedicine, 27(6), 318-324. doi:10.1111/j.1600-0781.2011.00627.x DNA Photo Protection Conveyed by Sunscreen DNA damage is an important part of the process of cancer development resulting from UV exposure. In the study DNA photo protection conveyed by sunscreen by DeHaven, C., et al., (2014) skin models were used to confirm that DNA damage is protected by sunscreens. DNA damage can be measured by the development of sunburn cells (SBC) and cyclopyrimidine dimers (CPDs). With UV exposure, the normal pairings and structure of the DNA double helix can be disrupted. CPDs are the types of lesions that result from that disruption. When solar UV energy damages the nucleus and DNA, that cell is considered a sunburn cell. For this study, an EpiDerm-FT™ full thickness human skin model was used. This model contained normal human epidermal cells including keratinocytes and fibroblasts. These tissues were prepared with one sample treated with sunscreen of SPF30 and one not treated as a control and UV doses were administered. The results showed that the application of sunscreen to the skin model prior to exposure protected against SBCs. As for the CPDs, the results showed that the sunscreen application also provided protection against CPD formation. This study showed the effective protection of the SPF 30 sunscreen at preventing the formation of sunburn cells and the alteration of CPD formation to the human skin model. • DeHaven, C., Hayden, P. J., Armento, A., & Oldach, J. (2014). DNA photoprotection conveyed by sunscreen. Journal Of Cosmetic Dermatology, 13(2), 99-102. doi:10.1111/jocd.12087 Evaluation of the Effectiveness of a Broad-Spectrum Sunscreen in the Prevention of Chloasma in Pregnant Women Chloasma is a hyperpigmentation disorder that typically appears on the forehead, cheeks and chin. This condition has both negative psychological and emotional effects. This can affect up to 50-70% of pregnant women. During the pregnancy, there is no treatment other than to use effective sunscreen, because sun exposure increases the chloasma. Lakhdar, H. et al., (2016) reported research on the efficacy of broad spectrum sunscreen in the prevention and treatment of chloasma in pregnant women. Two hundred women of at least age 18 and less than three months pregnant were selected for this study. Out of the 200, 185 completed the study. All gave written consent to participate in the 12 month study. The participants applied the sunscreen every two hours and avoided using any other products that could interfere with the sunscreen. Three or four visits were made during the study. An inclusion stage when the pregnancy was announced was the first meeting in which two dermatologists noted 12 preexisting cases of chloasma. Next was an optional three month visit, in which the effectiveness of the sunscreen was recorded as excellent by both the participant and the dermatological evaluation. There was next a visit at six months and lastly one at the final end of the pregnancy. Tolerance to the sunscreen was assessed during the study and was rated as good to excellent by 94% of the cases. As a result of the study, only five new cases of chloasma were noted of the 185 participants. This was compared to 53% observed in the control group for chloasma formation. This study confirms the efficacy of broad spectrum sunscreen in efforts to prevent and treat chloasma in pregnant women. • Lakhdar, H., Zouhair, K., Khadir, K., Essari, A., Richard, A., Seit, S., & Rougier, A. (2007). Evaluation of the effectiveness of a broad-spectrum sunscreen in the prevention of chloasma in pregnant women. Journal Of The European Academy Of Dermatology & Venereology, 21(6), 738-742. doi:10.1111/j.1468-3083.2007.02185.x
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