Background: The formation of free radicals in human skin by solar ultraviolet radiation is considered to be the main reason for extrinsic skin aging. The antioxidants in human tissue represent an efficient protection system against the destructive action of these reactive free radicals. In this study, the parameters of the skin, epidermal thickness, stratum corneum moisture, elasticity and wrinkle volume, were determined before and after the treatment with antioxidant- or placebo-containing tablets and creams. Methods: The study included 5 groups of 15 volunteers each, who were treated for 2 months with antioxidant-containing or placebo tablets, creams or a combination of antioxidant-containing tablets and cream. The skin parameters were measured at time point 0 and at week 8 utilizing ultrasound for the determination of epidermal thickness, a corneometer for stratum corneum moisture measurements, skin profilometry for quantifying the wrinkle volume and a cutometer for determining the elasticity. Results: The verum cream had a positive influence on epidermal thickness, elasticity and skin moisture, but the verum tablets improved the epidermal thickness only. The combined application of verum tablets and creams led to a significant improvement of all investigated skin parameters, whereas the application of placebo tablets or cream did not influence any parameters. Conclusion: The topical and oral supplementation of antioxidants can be an instrument to improve several skin parameters and potentially counteract or decelerate the process of extrinsic skin aging.

1.
Chuong CM, Nickoloff BJ, Elias PM, Goldsmith LA, Macher E, Maderson PA, Sundberg JP, Tagami H, Plonka PM, Thestrup-Pederson K, Bernard BA, Schroder JM, Dotto P, Chang CM, Williams ML, Feingold KR, King LE, Kligman AM, Rees JL, Christophers E: What is the ‘true' function of skin? Exp Dermatol 2002;11:159-187.
2.
Darvin ME, Haag S, Meinke M, Zastrow L, Sterry W, Lademann J: Radical production by infrared a irradiation in human tissue. Skin Pharmacol Physiol 2010;23:40-46.
3.
Wolfle U, Seelinger G, Bauer G, Meinke MC, Lademann J, Schempp CM: Reactive molecule species and antioxidative mechanisms in normal skin and skin aging. Skin Pharmacol Physiol 2014;27:316-332.
4.
Zastrow L, Groth N, Klein F, Kockott D, Lademann J, Renneberg R, Ferrero L: The missing link - light-induced (280-1,600 nm) free radical formation in human skin. Skin Pharmacol Physiol 2009;22:31-44.
5.
Kawaguchi Y, Tanaka H, Okada T, Konishi H, Takahashi M, Ito M, Asai J: Effect of reactive oxygen species on the elastin mRNA expression in cultured human dermal fibroblasts. Free Radic Biol Med 1997;23:162-165.
6.
Monboisse JC, Poulin G, Braquet P, Randoux A, Ferradini C, Borel JP: Effect of oxy radicals on several types of collagen. Int J Tissue React 1984;6:385-390.
7.
Krutmann J, Morita A, Chung JH: Sun exposure: what molecular photodermatology tells us about its good and bad sides. J Invest Dermatol 2012;132:976-984.
8.
Fisher GJ: The pathophysiology of photoaging of the skin. Cutis 2005;75:5-8; discussion 8-9.
9.
Murphy GM: Ultraviolet radiation and immunosuppression. Br J Dermatol 2009;161(suppl 3):90-95.
10.
Moon JS, Oh CH: Solar damage in skin tumors: quantification of elastotic material. Dermatology 2001;202:289-292.
11.
Jung S, Darvin ME, Chung HS, Jung B, Lee SH, Lenz K, Chung WS, Yu RX, Patzelt A, Lee BN, Sterry W, Lademann J: Antioxidants in Asian-Korean and Caucasian skin: the influence of nutrition and stress. Skin Pharmacol Physiol 2014;27:293-302.
12.
Darvin ME, Sterry W, Lademann J, Patzelt A: Alcohol consumption decreases the protection efficiency of the antioxidant network and increases the risk of sunburn in human skin. Skin Pharmacol Physiol 2013;26:45-51.
13.
Lademann J, Kocher W, Yu R, Meinke MC, Na Lee B, Jung S, Sterry W, Darvin ME: Cutaneous carotenoids: the mirror of lifestyle? Skin Pharmacol Physiol 2014;27:201.
14.
Lademann J, Schanzer S, Meinke M, Sterry W, Darvin ME: Interaction between carotenoids and free radicals in human skin. Skin Pharmacol Physiol 2011;24:238-244.
15.
Lauer AC, Groth N, Haag SF, Darvin ME, Lademann J, Meinke MC: Dose-dependent vitamin C uptake and radical scavenging activity in human skin measured with in vivo electron paramagnetic resonance spectroscopy. Skin Pharmacol Phys 2013;26:147-154.
16.
Haag SF, Taskoparan B, Darvin ME, Groth N, Lademann J, Sterry W, Meinke MC: Determination of the antioxidative capacity of the skin in vivo using resonance Raman and electron paramagnetic resonance spectroscopy. Exp Dermatol 2011;20:483-487.
17.
Darvin M, Patzelt A, Gehse S, Schanzer S, Benderoth C, Sterry W, Lademann J: Cutaneous concentration of lycopene correlates significantly with the roughness of the skin. Eur J Pharm Biopharm 2008;69:943-947.
18.
Darvin ME, Gersonde I, Albrecht H, Sterry W, Lademann J: Resonance Raman spectroscopy for the detection of carotenoids in foodstuffs. Influence of the nutrition on the antioxidative potential of the skin. Laser Phys Lett 2007;4:452-456.
19.
Mayne ST, Cartmel B, Scarmo S, Lin H, Leffell DJ, Welch E, Ermakov I, Bhosale P, Bernstein PS, Gellermann W: Noninvasive assessment of dermal carotenoids as a biomarker of fruit and vegetable intake. Am J Clin Nutr 2010;92:794-800.
20.
Palombo P, Fabrizi G, Ruocco V, Ruocco E, Fluhr J, Roberts R, Morganti P: Beneficial long-term effects of combined oral/topical antioxidant treatment with the carotenoids lutein and zeaxanthin on human skin: a double-blind, placebo-controlled study. Skin Pharmacol Physiol 2007;20:199-210.
21.
Fitzpatrick TB: The validity and practicality of sun-reactive skin types I through VI. Arch Dermatol 1988;124:869-871.
22.
Darvin ME, Richter H, Ahlberg S, Haag SF, Meinke MC, Le Quintrec D, Doucet O, Lademann J: Influence of sun exposure on the cutaneous collagen/elastin fibers and carotenoids: negative effects can be reduced by application of sunscreen. J Biophotonics 2014;7:735-743.
23.
Akhalaya MY, Maksimov GV, Rubin AB, Lademann J, Darvin ME: Molecular action mechanisms of solar infrared radiation and heat on human skin. Ageing Res Rev 2014;16C:1-11.
24.
Sahle FF, Gebre-Mariam T, Dobner B, Wohlrab J, Neubert RH: Skin diseases associated with the depletion of stratum corneum lipids and stratum corneum lipid substitution therapy. Skin Pharmacol Physiol 2015;28:42-55.
25.
Arai H: Oxidative modification of lipoproteins. Subcell Biochem 2014;77:103-114.
26.
Norlen L: Current understanding of skin barrier morphology. Skin Pharmacol Physiol 2013;26:213-216.
27.
Darvin M, Zastrow L, Sterry W, Lademann J: Effect of supplemented and topically applied antioxidant substances on human tissue. Skin Pharmacol Phys 2006;19:238-247.
28.
Pandel R, Poljsak B, Godic A, Dahmane R: Skin photoaging and the role of antioxidants in its prevention. ISRN Dermatol 2013;2013:930164.
29.
Darvin ME, Fluhr JW, Schanzer S, Richter H, Patzelt A, Meinke MC, Zastrow L, Golz K, Doucet O, Sterry W, Lademann J: Dermal carotenoid level and kinetics after topical and systemic administration of antioxidants: enrichment strategies in a controlled in vivo study. J Dermatol Sci 2011;64:53-58.
30.
Wertz K, Hunziker PB, Seifert N, Riss G, Neeb M, Steiner G, Hunziker W, Goralczyk R: Beta-carotene interferes with ultraviolet light A-induced gene expression by multiple pathways. J Invest Dermatol 2005;124:428-434.
31.
Lorencini M, Brohem CA, Dieamant GC, Zanchin NI, Maibach HI: Active ingredients against human epidermal aging. Ageing Res Rev 2014;15:100-115.
32.
Fisher GJ, Wang ZQ, Datta SC, Varani J, Kang S, Voorhees JJ: Pathophysiology of premature skin aging induced by ultraviolet light. N Engl J Med 1997;337:1419-1428.
33.
Heinrich U, Tronnier H, Stahl W, Bejot M, Maurette JM: Antioxidant supplements improve parameters related to skin structure in humans. Skin Pharmacol Physiol 2006;19:224-231.
34.
Fabbrocini G, Cameli N, Lorenzi S, De Padova MP, Marasca C, Izzo R, Monfrecola G: A dietary supplement to reduce side effects of oral isotretinoin therapy in acne patients. G Ital Dermatol Venereol 2014;149:441-445.
35.
Gianeti MD, Mercurio DG, Campos PM: The use of green tea extract in cosmetic formulations: not only an antioxidant active ingredient. Dermatol Ther 2013;26:267-271.
36.
Lademann J, Caspers PJ, van der Pol A, Richter H, Patzelt A, Zastrow L, Darvin M, Sterry W, Fluhr JW: In vivo Raman spectroscopy detects increased epidermal antioxidative potential with topically applied carotenoids. Laser Phys Lett 2009;6:76-79.
37.
Fluhr JW, Caspers P, van der Pol JA, Richter H, Sterry W, Lademann J, Darvin ME: Kinetics of carotenoid distribution in human skin in vivo after exogenous stress: disinfectant and wIRA-induced carotenoid depletion recovers from outside to inside. J Biomed Opt 2011;16:035002.
38.
Darvin ME, Sterry W, Lademann J: Resonance Raman spectroscopy as an effective tool for the determination of antioxidative stability of cosmetic formulations. J Biophotonics 2010;3:82-88.
39.
Lademann J, Patzelt A, Schanzer S, Richter H, Meinke MC, Sterry W, Zastrow L, Doucet O, Vergou T, Darvin ME: Uptake of antioxidants by natural nutrition and supplementation: pros and cons from the dermatological point of view. Skin Pharmacol Physiol 2011;24:269-273.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.