Sytenol®A Acne-affected Skin Sytenol®A for the Management of Acne-affected Skin Acne is a common, chronic, and recurring disease. Acne involves multiple etiological factors including follicular hyperkeratinization, increased sebum production, Propionibacterium acne proliferation, and inflammation [Leyden, J Am Acad Dermatol 32 S15–S25,1995]. Acne affects about 80% of teenagers and young adults. Acne usually becomes less of a problem after the age of 25 years. The cause of acne is due to the higher levels of sex hormones, especially the androgens (such as testosterone), at puberty than in younger children. Testosterone is converted in the skin to dihydrotestosterone (DHT) by a-reductase which stimulates oil glands to enlarge. The oil glands (sebaceous glands) produce sebum. The more sebum, the more likely it is that acne will be troublesome. If sebum and keratin block the skin pores, comedones can develop. The wall of the follicles may rupture. Bacterial and comedonal debris cause acne pimples or pustules (inflammatory lesions). Typical acne appears in the oil-producing areas of the body, namely, the face, chest, and back. Product Information Trade Name Sytenol® A INCI Name Bakuchiol CAS # 10309-37-2 ELINCS N/A Harmonized Tariff # 29071190 Appearance Yellow viscous liquid Assay (GC) 95% (w/w) min Bakuchiol content Solubility Highly miscible with a wide range of hydrophobic emmolients and solubilizers Suggested use level 0.5 to 1% Storage Store in original, sealed container at +10 to +30 0C; Avoid light & heat Patent status Covered by multiple US and world-wide patents Safety Data: REACH-ready safety profile available upon request q q q q q No skin irritation & No skin sensitization (HRIPT) at 2 and 5% dilution in corn oil No eye irritation (In-vitro; alternate to Draize methodology) Non-genotoxic in the in-vitro micronucleus assay in human lymphocytes Non-mutagenic based on TA98 in Salmonella typhimurium Reverse Mutation Assay Passes aquatic toxicity tests (short-term, Zebra fish & Daphnia magna); Fresh water single cell green alga & biodegradability Regulatory Status: USA: Allowed for personal care applications Europe: Up to 1 Ton annual use requires no REACH registration Rest of the World: Allowed for use in most Asian, South American and African countries Consult your regulatory authority for any restrictions this product may have for use in your country Stages of the Development of Acne 0 - Normal skin 1 – Whiteheads 2 – Blackheads 3 – Pustules & Nodules 4 - Cysts What are the Treatment Options Available for Acne? There are four major principles presently governing the therapy of acne: q q q q Correction of the altered pattern of follicular keratinization Decrease sebaceous gland activity (5-α-reductase inhibitor) Decrease the follicular bacterial population (especially P. acne) Produce an anti-inflammatory effect At present, oral or topical isotretinoin (retinoic acid) is the only single agent which is effective against all four major pathophysiologic features. However, it is responsible for several side effects such as skin irritation, skin sensitization, phototoxcity and teratogenicity. Most common alternate approaches include exfoliating agents, such as, salicylic acid, glycolic acid. Skin becomes more sensitive to sun-induced damage when exfoliating agents are used for a long period of time. Benzoyl peroxide is another very common agent found in anti-acne products. However, in the US, benzoyl peroxide is now a category III ingredient pending further studies whether UV-radiation enhances development of skin cancer. The recommendation now is that acne treatments should be combined to target as many pathogenic factors as possible [KurokawaIet al., Exp Dermatol, 18(10):821-832, 2009]. Sytenol® A in combination with salicylic acid can provide a solution to acne-affected skin. Acne-affected skin has been shown to have many other problems: q Presence of high levels of Staphyloccus and Candida q Impaired antioxidant defense system q Presence of high levels of matrix-degrading metalloprotease Sytenol® A Down-regulates 5-α-reductase Expression Cells: HaCaT human kerationocytes; At confluence, cells were trypsinized and seeded in micro plates at a density of 50,000 cells per well Incubation time: 48 hours of incubation at 37°C in an atmosphere containing 5% CO2; Supernatants discarded and the cells washed using sterile PBS. Estimation of 5-α-reductase expression: Immunofluorescence technique using specific antibody; Determined spectrofluorimetrically at wavelengths 485 nm (excitation) and 518 nm (emission). Result: At 10 µg/ml, Sytenol® A and Retinoic acid downregulates 5-a-reductase expression by about 40%. % Down-regulation of 5-a-reductase expression Sytenol® A has Broad Antibacterial & Antifungal Activities Using a genetically based strategy with sensitivity and a discriminatory power surpassing those of culture-based methods, Bek-Thomsen et al has demonstrated recently that the follicles from healthy skin were exclusively colonized by P. acne, whereas the follicular microbiota of acne patients included, in addition, Staphylococcus epidermidis and minor proportions of other species [Bek-Thompson et al., J Clin Microbiol, 46(10):3355–3360, 2008]. A recent clinical study has shown that Retinol and Retinoic acid do not have any antibacterial activity whereas Retinal is a very effective inhibitor of Staphylococcus and Candida [Slobododnikova et al., Phytother Res, 18(8):674-676, 2004]. Sytenol®A minimun inhibitery concentration (µg/ml) Microorganisms Sytenol® A Retinol Salicylic acid P. acne 1.5 1 2 1.5 31 N/D >100 Staphylococcus aureus Staphylococcus epidermidis Candida albicans N/D N/D N/D N/D N/D Sytenol® A Relieves Inflammation by Down-regulating Pro-inflammatory Genes and Enzymes Pro-inflammatory gene expression Cyclooxygenase-1 (Prostaglandin G/H synthase precursor)(PTGS1/ COX-1): Prostaglandin biosynthesis; Acts both as a dioxygenase and as a peroxidase Phospholipase A-2-activating protein (PLAA): Eicosanoid synthesis, release of neutrophil lysosomal enzymes and superoxide and on RBC hemolysis Cytosolic phopholipase A2 (PLA2G4A): Catalyzes hydrolysis of membrane phospholipids to release arachidonic acid which is subsequently metabolized into eicosanoids Prostaglandin E2 receptor EP2 subtype (PTGER2): Inflammatory reaction via the EP2 receptor through its regulation of TNF-alpha and IL-6 Prostaglandin E2 receptor EP4 subtype (PTGER4): Inflammatory reaction via the EP4 receptor through its regulation of TNF-alpha and IL-6 Prostaglandin dehydrogenase 1(HPGD): Degrades PGF2a and PGE2 (cause inflammation) and converts to hydroxy metabolites (anti-inflammatory) Fold change vs Control Sytenol® A is an excellent inhibitor of pro-inflammatory enzymes: Phospholipase A2, iNOS and COX-2 Sytenol® A Improves Compromised Antioxidant Defense System A recent clinical study has confirmed the role of reactive oxygen species in inflammation of acne by determining the activity of antioxidant defense enzymes in leukocytes [Basak et al., J Dermatol, 28(3):123127, 2001]. Oxidative breakdown of squalene and other skin lipids may not merely be a consequence of the acne process, it was suggested by AL Lorincz in 1965 that lipid peroxides might be directly acnegenic to the skin [Lorincz, Armed Services Technical Information Report, AD467008:1-12, 1965]. This has been proven clinically [Bowe et el., Lipids in Health and Disease, 9:141-151, 2011]. Squalene was shown to be highly sensitive to oxidation and researchers reported that both squalene and its oxidized metabolites are found at much higher levels in acne vs. healthy controls. Sytenol® A is a Broad-Spectrum Antioxidant Sytenol® A Up-regulates Antioxidant Defence Genes Antioxidant Defense Gene Expression Glutathione glutathione peroxidase 3 peroxidase(GPX3): precursor/ Protect Extracellular organism from oxidative damage. Reduce lipid hydroperoxides --> alcohols and hydrogen peroxide --> water Glutathione S-transferase theta -1 (GSTT1): Involved in the detoxification of endogenous compounds, such as peroxidised lipids, as well as the metabolism of xenobiotics Glutathione S-transferase P 1(GSTP1): Same as above NAD(P)H dehydrogenase [quinone] (NQO1):This protein’s enzymatic activity prevents the one electron reduction of quinones that results in the production of radical species. Fold Change vs Control Sytenol® A Provides Skin Relief by Inhibiting Matrix Metalloprotease Enzymes & Genes Matrix metalloprotease (MMP) level in acne-affected skin is much higher than in normal skin [Papakonstantinou et al., J Invest Dermatol, 125(4):673-684, 2005]. MMPs have been reported to have a predominant role in inflammatory matrix remodeling and hyper-proliferative skin disorders. MMPs also cause destruction of extracellular matrix proteins, like, collagen, fibronectin, laminin, elastin. Diminishing the presence of matrix-degrading enzymes in the acne lesion reduces imperfect repair of the skin and thus decreases scarring in acne-affected skin. Sytenol®A inhibits matrix degrading (MMP) enzymes Matrix Metalloprotease Method Used Sytenol®A Retinol MMP-1 (Collagenase) Enzcheck collagenase assay kit (Molecular Probe) Calbiochem human neutrophile elastase kit (Cat # 324681) 50% inhibition at 1 mg/ml Not determined 70% inhibition at 1 µg/ml 8% inhibition at 1 µg/ml MMP-12 (Elastase) Sytenol®A up-regulates Elastase-specific inhibitory genes Gene Gene Description Function Fold Change Vs. Control Sytenol® A Retinol PI3 Elastase-specific inhibitor SERPINB1 Leukocyte elastase inhibitor Suppresses degradation of connective tissue components, such as elastin, and collagen. Suppresses the development of solar elastosis and skin tumors +2.7 +2.5 +6.1 +3.8 Human Clinical Studies % Reduction in Acne weeks 6 Protocol 1 n Number of subjects – 4x15 n Duration – Six weeks 4 n Application frequency – Twice/day n Method of evaluation – Global acne 2 grading system [Burke & Cunliffe, The assessment of acne vulgaris, British J Dermatol, 111:83-92, 1984] score Results Sytenol®A is clinically proven to work with salicylic acid in improving the condition of acne-affected skin. In a six-week study, a 67% reduction in acne lesson observed with a lotion containing 1% Sytenol®A and 2% Salicylic acid ! ! Woman 1 Protocol 2 n Number of subjects – 10 n Formulation – 1% Sytenol®A lotion Before n Duration – Six weeks After 6 weeks n Application frequency – Twice/day Method of evaluation – Global acne grading system & photography (Visia CR) n ! Woman 2 ! Results Before After 6 weeks Sytenol®A is clinically proven to work in improving the condition of acne-affected skin. In a six-week study, a significant reduction in acne lesson with overall improvement of skin appearance was observed with a lotion containing 1% Sytenol®A. Sytenol®A provides significant improvement in acne-affected skin It works by: q Down-regulating 5-α-reductase expression q Inhibiting P. acne and other bacteria & fungi q Down-regulating/Inhibiting pro-inflammatory genes/enzymes q Quenching radicals and non-radicals and by up-regulating antioxidant defense genes q Inhibiting/down-regulating matrx metalloprotease enzymes/genes Sytenol®A has an excellent safety profile, easy to formulate, is non-skin irritant and non skin sensitizer based on human repeat insult patch test and has no photo-or hydrolytic- stability issues and thus can be used throughout the day. Topical formulations that include Sytenol®A are likely to lead further improvements in the way we treat skin infected by acne and beyond. USA: 315 Wootton Street, Boonton, NJ 07005 www.sytheonltd.com - [email protected] Disclaimer The information given and the recommendations made herein are based on our research and literature search and are believed to be accurate but no guarantee of their accuracy is made. This information is intended to be helpful, but no warranty is expressed or implied as to the results obtained from use in the formulation, procedure or products suggested herein. Neither is any permission or recommendation to practice any invention covered by patent either expressed or implied. Tel.: +1 973.988.1075 FRANCE: 1ère avenue, 1ère rue, BP 383 06514 Carros Cedex www.sytheonltd.com - [email protected] 2011 - www.growitgroup.com Tel.: +33 (0)4.92.08.52.42
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