Subscribe to RSS
DOI: 10.1055/s-0029-1240581
© Georg Thieme Verlag KG Stuttgart · New York
Effects of Topical Boswellic Acid on Photo and Age-Damaged Skin: Clinical, Biophysical, and Echographic Evaluations in a Double-Blind, Randomized, Split-Face Study
Publication History
received April 17, 2009
revised October 11, 2009
accepted October 15, 2009
Publication Date:
16 November 2009 (online)
Abstract
Boswellic acids (BAs) are pentacyclic triterpenes with strong anti-inflammatory activity; their most important source is the extract of the gum resin of Boswellia serrata, a tropical tree that grows in India and Africa. In the present randomized, double-blind, split-face, comparative study we have assessed efficacy, tolerability, and safety of a base cream containing 0.5 % BAs as compared to the same cream without these active ingredients in the treatment of clinical manifestations of photoaging of facial skin. Fifteen female volunteers were enrolled; they applied creams once daily for 30 days. At baseline, at the end of the treatment, and after a 2-month follow-up, clinical findings were assessed according to the Dover classification scale for photoaging and by biophysical and ecographic measurements. We registered a significant improvement of tactile roughness and fine lines in the half side of the face treated with BAs; noninvasive instrumental diagnostic investigations showed an improvement of elasticity, a decrease of sebum excretion, and a change of echographic parameters suggesting a reshaping of dermal tissue. The treatment was always well tolerated without adverse effects. The present findings seem to indicate that the topical application of BAs may represent a suitable treatment option for selected features of skin photoaging.
Key words
boswellic acids - Boswellia serrata Roxb. - Burseraceae - skin aging - 20 MHz B‐mode echography
References
- 1 Poeckel D, Wetz O. Boswellic acid: biological action and molecular targets. Curr Med Chem. 2006; 13 3359-3369
- 2 Syrovets T, Büchele B, Krauss C, Laumonnier Y, Simmet T. Acetyl-boswellic acids inhibit lipopolysaccharide-mediated TNF-alpha induction in monocytes by direct interaction with IkappaB kinases. J Immunol. 2005; 174 498-506
- 3 Syrovets T, Gschwend J E, Büchele B, Laumonnier Y, Zugmaier W, Genze F, Simmet T. Inhibition of IkappaB kinase activity by acetyl-boswellic acids promotes apoptosis in androgen-independent PC-3 prostate cancer cells in vitro and in vivo. J Biol Chem. 2005; 280 6170-6180
- 4 Sashwati R, Savita K, Krishnaraju A V. Regulation of vascular responses to inflammation: inducible matrix metalloproteinase-3 expression in human microvascular endothelial cells is sensitive to anti-inflammatory Boswellia. Antioxid Redox Signal. 2006; 8 653-660
- 5 Tanaka K, Hasegawa J, Asamitsu K, Okamoto T. Prevention of the ultraviolet B-mediated skin photoaging by a nuclear factor kappaB inhibitor, parthenolide. J Pharmacol Exp Ther. 2005; 315 624-630
- 6 Lavker R M, Kligman A M. Chronic heliodermatitis: a morphologic evaluation of chronic actinic dermal damage with emphasis on the role of mast cells. J Invest Dermatol. 1988; 90 325-330
- 7 Svobodova A, Walterova D, Vostalova J. Ultraviolet light induced alteration to the skin. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2006; 150 25-38
- 8 Fisher G J, Kang S, Varani J, Bata-Csorgo Z, Wan Y, Datta S, Voorhees J J. Mechanisms of photoaging and chronological skin aging. Arch Dermatol. 2002; 138 1462-1470
- 9 Meng T, Fukada T, Tonks N K. Reversible oxidation and inactivation of protein tyrosine phosphatise in vivo. Mol Cell. 2002; 9 387-399
- 10 Garrington T P, Johnson G L. Organization and regulation of mitogen-activated protein kinase signalling pathways. Curr Opin Cell Biol. 1999; 11 211-218
- 11 Pellacani G, Seidenari S. Variations in facial skin thickness and echogenicity with site and age. Acta Derm Venereol. 1999; 79 1-4
- 12 Serup J, Keiding J, Fullerton A, Gniagecka M, Gnidecki R. High-frequency ultrasound examination of skin. Introduction and guide. Handbook of non-invasive methods and the skin. Boca Raton; CRC Press 1995: 239-256
- 13 Process for producing a fraction enriched up to 100 % of 3-O-acetyl-11-keto-β-boswellic acid from an extract containing a mixture of boswellic acids. US patent 0073060. 2004 www.uspto.gov
- 14 Pinnagoda J, Tupker R A, Agner T, Serup J. Guidelines for transepidermal water loss (TEWL) measurement. A report from the Standardization Group of the European Society of Contact Dermatitis. Contact Dermatitis. 1990; 22 164-178
- 15 O'goshi K, Serup J. Inter-instrumental variation of skin capacitance measured with the Corneometer. Skin Res Technol. 2005; 11 107-109
- 16 Kim M K, Choi S Y, Byun H J, Huh C H, Park K C, Patel R A, Shinn A H, Youn S W. Comparison of sebum secretion, skin type, pH in humans with and without acne. Arch Dermatol Res. 2006; 298 113-119
- 17 Gniadecka M, Gniadecki R, Serup J, Søndergaard J. Ultrasound structure and digital image analysis of the subepidermal low echogenic band in aged human skin: diurnal changes and interindividual variability. J Invest Dermatol. 1994; 102 362-365
- 18 de Rigal J, Escoffier C, Querleux B, Faivre B, Agache P, Lévêque J L. Assessment of aging of the human skin by in vivo ultrasonic imaging. J Invest Dermatol. 1989; 93 621-625
- 19 Karin M, Greten F R. NF-kappaB: linking inflammation and immunity to cancer development and progression. Nat Rev Immunol. 2005; 5 749-759
- 20 Perkins N D. Post-translational modifications regulating the activity and function of the nuclear factor kappa B pathway. Oncogene. 2006; 25 6717-6730
- 21 Lawrence T, Gilroy D W, Colville-Nash P R, Willoughby D A. Possible new role for NF-kappaB in the resolution of inflammation. Nat Med. 2001; 7 1291-1297
- 22 Okamoto T, Sakurada S, Yang J P, Merin J P. Regulation of NF-kappa B and disease control: identification of a novel serine kinase and thioredoxin as effectors for signal transduction pathway for NF-kappa B activation. Curr Top Cell Regul. 1997; 35 149-161
- 23 Saliou C, Kitazawa M, McLaughlin L, Yang J P, Lodge J K, Tetsuka T, Iwasaki K, Cillard J, Okamoto T, Packer L. Antioxidants modulate acute solar ultraviolet radiation-induced NF-kappa-B activation in a human keratinocyte cell line. Free Radic Biol Med. 1999; 26 174-183
- 24 Safayhi H, Rall B, Sailer E R, Ammon H P. Inhibition by boswellic acids of human leukocyte elastase. J Pharmacol Exp Ther. 1997; 281 460-463
- 25 Safayhi H, Sailer E R. Anti-inflammatory actions of pentacyclic triterpenes. Planta Med. 1997; 63 487-493
- 26 Hostanska K, Daum G, Saller R. Cytostatic and apoptosis-inducing activity of boswellic acids toward malignant cell lines in vitro. Anticancer Res. 2002; 22 2853-2862
- 27 Xia L, Chen D, Han R, Fang Q, Waxman S, Jing Y. Boswellic acid acetate induces apoptosis through caspase-mediated pathways in myeloid leukemia cells. Mol Cancer Ther. 2005; 4 381-388
- 28 Liu J J, Huang B, Hooi S C. Acetyl-keto-beta-boswellic acid inhibits cellular proliferation through a p 21-dependent pathway in colon cancer cells. Br J Pharmacol. 2006; 148 1099-1107
MD Alessandra Pedretti
Department of Dermatology
Spedali Civili
P.le Spedali Civili 1
25123 Brescia
Italy
Phone: + 39 03 03 99 53 05
Fax: + 39 03 03 99 50 15
Email: ale.pedretti@alice.it