Hyperpigmented skin spots as a result of photoaging: correlation and treatment
31
Jul
The
skin is not only subject to chronological aging: in fact, unlike the
other organs of the body, it is directly affected by environmental
stressors (1) such as sun, long term exposure to UV radiation
(photoaging), and high levels of pollution. These environmental
damaging agents are not only among the major skin cancer-promoting
factors (2), but they also cause a progressive degradation of the
dermal layer (3) resulting in premature aging, wrinkles, altered
pigmentation, and loss of skin firmness (4).
Hyperpigmented
spots and heterogeneities in the skin pigmentation are one of the
main signs of skin aging (3). As
found by the results of a recent publication, pigmentation disorders
and heterogeneity are purely linked to UV-exposure, independently to
the age: sun-induced damages appear to be responsible for about 80%
of the facial aging signs when it comes to the skin of Caucasian
women (3).
Photoaging
(sun-induced aging), therefore, is the primary factor in skin aging
and it is a cumulative process whose impacts depend on the degree of
exposure to UV-radiation from sunlight and on the skin pigmentation.
Some people are at higher risk, experiencing stronger degrees of
photoaging: those who live in geographically warmer climates, who
have outdoor lifestyles, and individuals whose skin is lightly
pigmented (1). Moreover, a study comparing
Chinese and European populations´skin revealed how the
intensity of hyperpigmented spots appears to be a more prominent sign
of aging in Chinese women (severe for 30% of women over 40) compared
to Caucasian (French) women (severe for less than 8% of them,
irrespective of age). (5)
Several
studies revealed that chronic sun exposure causes fundictional losses
and reduces proliferative capacity at the cellular level between
infancy and adulthood, as well as causing futher losses between
early and late adulthood (6). Photoaged
skin also shows alterations and damages in the collagen levels of
connective tissue: the degradation of type I Collagen was increased
by 58% in UV-irradiated skin in comparison with non-irradiated skin
(4) in a scientific study that analyzed the two situations. Collagen
fibers, constituents of the dermis - the layer providing support to
the outer layer of the skin, the epidermis (6) - give strenght and
resiliency to the skin (7). Collagen in the dermis is degraded by an
agent called metalloproteinases, whose levels are highly increased
with multiple UV-radiation exposure (4).
The
traditional depigmenting treatments for hyperpigmented skin spots
include hydroquinone, corticosteroids,
and kojic acid. These agents are highly effective but they raise
several safety concerns with long-term usage (e.g. atrophy,
carcinogenesis,
and other side effects). (8) Retinol
appears to provide benefits that contribute to achieving a more
omogeneous pigmentation, although it does not have direct
skin-lightening properties: it improves the skin cells regeneration
and the proliferation of keratinocytes. (9) Several
natural active compounds derived from plants and botanical extracts
were identified over the last decades as potential depigmenting
ingredients for topical treatments: arbutin, aloesin, gentisic acid, flavonoids,
hesperidin,
licorice, niacinamide,
yeast derivatives, and polyhenols
(8) constitute some examples. Many studies and publications support
the hypothesis that natural plant extracts constitute an effective
and safer alternative to traditional skin-lightening treatments, and
incorporating these natural ingredients in topicaly applied cosmetics
or cosmeceuticals significally expands the offer, providing always
better treatments for hyperpigmented spots and uneven skin
pigmentation. (8)
___
(1)
Fisher GJ., Kang S., Varani J., et al. (2002) „Mechanisms of
Photoaging and Chronological Skin Aging“, Arch
Dermatol., vol.138,
n.11, pp.1462–1470
(2)
Balasubramanian
S., Eckert R.L. (2007) „Keratinocyte proliferation,
differentiation, and apoptosis – differential mechanisms of
regulation by curcumin, EGCG and Apigenin“, Toxicology and Applied
Pharmacology, vol.224, n.3, pp.214–219
(3)
Flament F., Bazin R., Laquieze S., Rubert V., Simonpietri E., Piot
B. (2013) „Effect of the sun on visible clinical signs of aging in
Caucasian skin“, Clinical, Cosmetic and Investigational
Dermatology, vol.6, pp.221–232
(4)
Fisher G.J., Wang Z., Datta S.C., Varani J., Kang S., Voorhees J.
J. (1997) „Pathophysiology
of Premature Skin Aging Induced by Ultraviolet Light“, N Engl J
Med, vol. 337, pp.1419-1429
(5)
Nouveau-Richard S., Yang Z., Mac-Mary S., Li L, Bastien P., Tardy
I., Bouillon C., Humbert P., de Lacharrière O., „Skin ageing: a
comparison between Chinese and European populations: A pilot study“
(2005) Journal of Dermatological Science, vol.40, n.3, pp.187-193
(6)
Gilchrest B. (1989) „Skin aging and photoaging: An
overview“,Journal of the American Academy of Dermatology,
vol. 21, n.3, part 2. pp.610-613
(7)
Uitto
J. Collagen. In: Fitzpatrick TB, Eisen AZ, Wolff K, Freedberg IM,
Austen KF, eds. (1993)
“Dermatology
in general medicine”, 4th ed., vol.
1, New York: McGraw-Hill, pp.299-314
(8h)
Zhu
W., Gao J. (2008) „The Use of Botanical Extracts as Topical
Skin-Lightening Agents for the Improvement of Skin Pigmentation
Disorders“, Journal of Investigative Dermatology Symposium
Proceedings, vol.13, n.1, pp.20-24
(9)
Yoshimura
K., Tsukamoto M., Okazaki M., Virador V.M., Lei T., Suzuki Y.,
Uchida G., Kitano Y., Harii K. (2001) „Effects of all-trans
retinoic
acid on melanogenesis in pigmented skin equivalents and monolayer
culture of melanocytes“, Journal of Dermatological Science,
vol.27, supplement 1, pp.68-75