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Estudo comparativo pré e pós luz intensa pulsada no tratamento do fotoenvelhecimento cutâneo: avaliação clínica, histopatológica e imunoistoquímica; Comparative study of pre and post pulsed intense light in the treatment of skin photoaging: clinical evaluation, histopathologic and immunohistochemistry

Patriota, Regia Celli Ribeiro
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 14/05/2009 PT
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Introdução: A luz intensa pulsada(LIP) tem sido muito utilizada no tratamento do fotoenvelhecimento sem completo conhecimento de seu mecanismo de ação. Métodos: Foram acompanhados 26 pacientes apresentando fotoenvelhecimento grau II-III (GLOGAU, 1994), os quais foram submetidas à avaliação clínica , histológica e imunoistoquímica 6 e 12 meses após o término do tratamento com LIP. Foram realizadas cinco sessões com intervalos de trinta dias. Além da quantificação histomorfométrica das fibras colágenas e elásticas na derme, foram avaliados CD1, CD4, CD8 e ICAM-1. Resultados: Após 6 meses houve melhora clínica moderada e intensa em 76,92% dos casos e a nota média de satisfação foi 8,57 correspondendo à melhora moderada. Após 12 meses do término do tratamento observou-se que 51,52% das pacientes apresentaram uma melhora clínica moderada em relação à clínica inicial. Os efeitos colaterais foram eritema (11/26), edema (10/26), ardência (7/26) e crostas (8/26). A quantificação das fibras colágenas mostrou aumento médio de 51,33% proporção média de fibra colágena na derme após 6 meses de tratamento e o aumento em relação a 12 meses do término do tratamento foi 30,17%; as fibras elásticas mostraram aumento de 44...

Terapia fotodinâmica em pele fotoenvelhecida de camundongo hairless: avaliação por técnicas óptica e histopatológica; Photodynamic therapy on photoaged skin of hairless mouse: optical and histopathologic assessments

Jorge, Ana Elisa Serafim
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 02/06/2014 PT
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A exposição crônica à radiação ultravioleta (UV) resulta no fotoenvelhecimento da pele humana. A fim de tratá-lo, a terapia fotodinâmica (TFD) - técnica que utiliza luz, um fotossensibilizador (FS) e oxigênio molecular - tem sido utilizada em ambientes clínicos, no entanto são escassas as investigações que revelam os achados histopatológicos desse tratamento na pele fotoenvelhecida. Com isso, o objetivo deste trabalho foi analisar experimentalmente os efeitos da TFD na pele fotoenvelhecida de camundongos por meio de técnicas ópticas e histológicas. Portanto, foram utilizados camundongos hairless (sem pelo) distribuídos aleatoriamente em diferentes grupos, tais como: Controle, animais de pele sadia envelhecida intrinsecamente, não irradiados com luz UV e não tratados; UV, animais irradiados com luz UV e não tratados; UV/Luz, animais irradiados com luz UV e tratados com fototerapia; UV/TFD, animais fotoenvelhecidos (irradiados com luz UV) e tratados com a TFD; e Controle/TFD, animais de pele sadia envelhecida intrinsecamente e tratados com TFD. A indução do fotoenvelhecimento foi realizada por diferentes fontes de luz contendo, principalmente, a banda espectral UV; para a TFD, foram utilizadas fontes de luz com comprimento de onda de 415...

Terapia fotodinâmica na pele fotoenvelhecida de camundongos hairless: iluminação única e fracionada; Photodynamic Therapy on hairless mice photoaged skin: single and fractionated illumination

Campos, Carolina de Paula
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 14/07/2015 PT
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O fotoenvelhecimento é uma condição dérmica decorrente da sobreposição do envelhecimento cronológico e dos efeitos da exposição crônica à radiação ultravioleta (UV) solar. A pele fotodanificada é um local propício para o desenvolvimento de lesões pré-cancerosas que podem evoluir para casos de câncer de pele. Logo, o tratamento dessa condição não é apenas de cunho estético, mas também preventivo. A Terapia Fotodinâmica (TFD) é uma técnica que se baseia na fotoativação de uma molécula fotossensível, que na presença de oxigênio, produz espécies citotóxicas que levam à morte da célula e tecido alvo. Esta técnica tem sido utilizada em estudos clínicos para o tratamento da pele fotoenvelhecida, e tem apresentado bons resultados funcionais e cosméticos. São muitas as variações em parâmetros como fonte de luz, dose e tipo de fotossensibilizador. A TFD fracionada utiliza um tempo de escuro entre frações da dose total e mostra-se mais eficiente que a iluminação em uma única dose, porém seu efeito no tratamento da pele fotoenvelhecida ainda é desconhecido. Neste trabalho, um protocolo de TFD foi desenvolvido para comparar o resultado da terapia com iluminação dose única e fracionada aplicada no fotoenvelhecimento. A avaliação foi através de histologia e espectroscopia de fluorescência e tempo de vida de fluorescência. Camundongos hairless foram fotoenvelhecidos e tratados com luz LED violeta (404 nm) e creme 20% ALA (1h de incubação) com dose única (1 J.cm-2) e fracionada (duas frações de 0...

A randomized and controlled trial about the use of oral isotretinoin for photoaging

Bagatin, Ediléia; Parada, Meire O.B.; Miot, Hélio A.; Hassun, Karime M.; Michalany, Nilceo; Talarico, Sergio
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 207-214
ENG
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Topical retinoids are used to treat photoaging; oral isotretinoin is gold standard for acne; off label indications, including photoaging, have been reported with insufficient evidence of efficacy. This is a randomized controlled phase II trial with clinical and histological assessment to evaluate efficacy and safety of oral isotretinoin for photoaging. Study population was comprised of 32 menopausal or sterilized women, aged 40-55, divided in 2 groups: A (21) received 20mg isotretinoin, 3 times per week, nightly moisturizer, and daily sunscreen, for three months; B (11) just moisturizer/sunscreen. Main outcome measures were: overall clinical assessment; profilometry, corneometer and elasticity tests in periocular regions and left forearm; before/after biopsies from left forearm in patients of B and in 10 randomly selected of A. Microscopic blinded evaluation of epidermal thickness, dermal elastosis, new collagen, p53 epidermal expression was performed by quantitative digital image analysis. All data were submitted to statistical analysis. Clinical evaluation showed slight improvement; profilometry, corneometer and skin elasticity tests presented significant difference in pre/post values (P = 0.001 to 0.028), but no differences between A/B. Histological findings and p53 expression were comparable between groups before treatment (P > 0.1); microscopic analysis showed no differences between groups for most variables...

Resposta neuro-imuno-endocrinologica da pele relacionada ao fotoenvelhecimento : avaliação in vitro e clinica de um novo composto como alternativa terapeutica em dermatologia; Skin neuro-immuno-endocrinology response related to photoaging : in vitro and clinical assessment of a new compound as therapeutical alternative in dermatology

Gustavo de Campos Dieamant
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 21/08/2008 PT
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O envelhecimento cutâneo é resultado de dois processos independentes, clinica e biologicamente distintos, que afetam a pele simultaneamente. Ao primeiro, conhecido como "relógio biológico", damos o nome de envelhecimento intrínseco, o qual afeta a pele na mesma proporção em que órgãos internos são afetados, como por exemplo, a lenta e irreversível degeneração tecidual. O segundo, denominado fotoenvelhecimento, é resultado da exposição da pele a agentes agressores ambientais, primeiramente radiação ultravioleta (RUV). Sobre o impacto da RUV, especialmente RUVA e RUVB, a pele passa por inúmeras alterações, incluindo hiperpigmentação, fotodano, alterações histológicas e imunológicas. Tendo em vista a complexidade do fotoenvelhecimento, podemos dividir este trabalho em duas partes, onde avaliamos em uma primeira etapa os efeitos da RUV sobre a resposta neuroimuno-endocrinológica da pele através da mensuração de parâmetros específicos em culturas de fibroblastos e queratinocitos humanos. Após a realização dos experimentos propostos para a primeira parte deste trabalho, passamos a considerar para a segunda etapa, a possível ação in vitro e in vivo do extrato de Rhodiola rosea (ERR) em associação com o dipeptídeo Lcarnosina (LC) sobre a reversão ou controle dos efeitos deletérios da RUV sobre a pele. Nossos resultados demonstram que durante a foto-exposição...

Epidermal trans-urocanic acid and the UV-A-induced photoaging of the skin

Hanson, Kerry M.; Simon, John D.
Fonte: The National Academy of Sciences Publicador: The National Academy of Sciences
Tipo: Artigo de Revista Científica
Publicado em 01/09/1998 EN
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The premature photoaging of the skin is mediated by the sensitization of reactive oxygen species after absorption of ultraviolet radiation by endogenous chromophores. Yet identification of UV-A-absorbing chromophores in the skin that quantitatively account for the action spectra of the physiological responses of photoaging has remained elusive. This paper reports that the in vitro action spectrum for singlet oxygen generation after excitation of trans-urocanic acid mimics the in vivo UV-A action spectrum for the photosagging of mouse skin. The data presented provide evidence suggesting that the UV-A excitation of trans-urocanic acid initiates chemical processes that result in the photoaging of skin.

Anti-photoaging and Photoprotective Compounds Derived from Marine Organisms

Pallela, Ramjee; Na-Young, Yoon; Kim, Se-Kwon
Fonte: Molecular Diversity Preservation International Publicador: Molecular Diversity Preservation International
Tipo: Artigo de Revista Científica
Publicado em 08/04/2010 EN
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Marine organisms form a prominent component of the oceanic population, which significantly contribute in the production of cosmeceutical and pharmaceutical molecules with biologically efficient moieties. In addition to the molecules of various biological activities like anti-bacterial, anti-cancerous, anti-inflammatory and anti-oxidative etc., these organisms also produce potential photoprotective or anti-photoaging agents, which are attracting present day researchers. Continuous exposure to UV irradiation (both UV-A and UV-B) leads to the skin cancer and other photoaging complications, which are typically mediated by the reactive oxygen species (ROS), generated in the oxidative pathways. Many of the anti-oxidative and anti-photoaging compounds have been identified previously, which work efficiently against photodamage of the skin. Recently, marine originated photoprotective or anti-photoaging behavior was observed in the methanol extracts of Corallina pilulifera (CPM). These extracts were found to exert potent antioxidant activity and protective effect on UV-A-induced oxidative stress in human dermal fibroblast (HDF) cells by protecting DNA and also by inhibiting matrix metalloproteinases (MMPs), a key component in photoaging of the skin due to exposure to UV-A. The present review depicts various other photoprotective compounds from algae and other marine sources for further elaborative research and their probable use in cosmeceutical and pharmaceutical industries.

Matrix-degrading Metalloproteinases in Photoaging

Quan, Taihao; Qin, Zhaoping; Xia, Wei; Shao, Yuan; Voorhees, John J.; Fisher, Gary J.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/2009 EN
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Ultraviolet (UV) irradiation from the sun adversely impacts skin health through complex, multiple molecular pathways. Premature skin aging (photoaging) is among the most widely appreciated harmful effects of chronic exposure to solar UV irradiation. Extensive damage to the dermal connective tissue is a hallmark of photoaged skin. Disruption of the normal architecture of skin connective tissue impairs skin function and causes it to look aged. UV irradiation induces expression of certain members of the matrix metalloproteinase (MMP) family, which degrade collagen and other extracellular matrix (ECM) proteins that comprise the dermal connective tissue. Although the critical role of MMPs in photoaging process is undeniable, important questions remain. This article summarizes our current understanding regarding the role of MMPs in the photoaging process and presents new data that 1) describe expression and regulation by UV irradiation of all members of the MMP family in human skin in vivo, and 2) quantify the relative contributions of the epidermis and dermis to expression of UV irradiation-induced MMPs in human skin in vivo.

5-Aminolevulinic Acid-based Photodynamic Intense Pulsed Light Therapy Shows Better Effects in the Treatment of Skin Photoaging in Asian Skin: A Prospective, Single-blinded, Controlled Trial

Yang, Gao; Xiang, Leihong Flora; Gold, Michael H.
Fonte: Matrix Medical Communications Publicador: Matrix Medical Communications
Tipo: Artigo de Revista Científica
Publicado em /03/2010 EN
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Objective: To investigate the effects of photodynamic intense pulsed light therapy on skin photoaging in Asian skin. Methods: This was a prospective, single-blinded, controlled, clinical trial with 40 patients enrolled. The enrolled patients applied 5% 5-aminolevulinic acid on the left side of the face while a placebo was applied on the right side of the face. After a one-hour incubation, the patients received intense pulsed light therapy. After four treatment cycles, the pH values, transepidermal water loss of the dermis of the forehead and canthus skin, as well as the moisture capacity of stratum corneum and the global score of photoaging were assessed. Results: The pH value of forehead and canthus skin, moisture capacity of stratum corneum, and the dermis of forehead and canthus skin of the photodynamic intense pulsed light therapy treated sides were significantly higher than those of the control sides in all of the patients. The photoaging score decreased after the therapy on both sides, with the photodynamic intense pulsed light therapy treated sides decreasing more than the control sides (P<0.01). Conclusion: 5-aminolevulinic acid photodynamic intense pulsed light therapy showed better effects in the treatment of skin photoaging compared to intense pulsed light therapy alone.

Singlet molecular oxygen-quenching activity of carotenoids: relevance to protection of the skin from photoaging

Terao, Junji; Minami, Yuko; Bando, Noriko
Fonte: the Society for Free Radical Research Japan Publicador: the Society for Free Radical Research Japan
Tipo: Artigo de Revista Científica
EN
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Carotenoids are known to be potent quenchers of singlet molecular oxygen [O2 (1Δg)]. Solar light-induced photooxidative stress causes skin photoaging by accelerating the generation of reactive oxygen species via photodynamic actions in which O2 (1Δg) can be generated by energy transfer from excited sensitizers. Thus, dietary carotenoids seem to participate in the prevention of photooxidative stress by accumulating as antioxidants in the skin. An in vivo study using hairless mice clarified that a O2 (1Δg) oxygenation-specific peroxidation product of cholesterol, cholesterol 5α-hydroperoxide, accumulates in skin lipids due to ultraviolet-A exposure. Matrix metalloproteinase-9, a metalloproteinase family enzyme responsible for the formation of wrinkles and sagging, was enhanced in the skin of ultraviolet-A -irradiated hairless mice. The activation of metalloproteinase-9 and the accumulation of 5α-hydroperoxide, as well as formation of wrinkles and sagging, were lowered in mice fed a β-carotene diet. These results strongly suggest that dietary β-carotene prevents the expression of metalloproteinase-9 (at least in part), by inhibiting the photodynamic action involving the formation of 5α-hydroperoxide in the skin. Intake of β-Carotene therefore appears to be helpful in slowing down ultraviolet-A -induced photoaging in human skin by acting as a O2 (1Δg) quencher.

Ixora parviflora Protects against UVB-Induced Photoaging by Inhibiting the Expression of MMPs, MAP Kinases, and COX-2 and by Promoting Type I Procollagen Synthesis

Wen, Kuo-Ching; Fan, Pei-Ching; Tsai, Shang-Yuan; Shih, I-Chen; Chiang, Hsiu-Mei
Fonte: Hindawi Publishing Corporation Publicador: Hindawi Publishing Corporation
Tipo: Artigo de Revista Científica
EN
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Ixora parviflora with high polyphenol content exhibited antioxidant activity and reducing UVB-induced intracellular reactive oxygen species production. In this study, results of the photoaging screening experiments revealed that IPE at 1000 μg/mL reduced the activity of bacterial collagenase by 92.7 ± 4.2% and reduced the activity of elastase by 32.6 ± 1.4%. Therefore, we investigated the mechanisms by which IPE exerts its anti-photoaging activity. IPE at 1 μg/mL led to an increase in type I procollagen expression and increased total collagen synthesis in fibroblasts at 5 μg/mL. We found that IPE inhibited MMP-1, MMP-3, and MMP-9 expression at doses of 1, 5, and 10 μg/mL, respectively, in fibroblasts exposed to UV irradiation (40 mJ/cm2). Gelatin zymography assay showed that IPE at 50 μg/mL inhibited MMP-9 secretion/activity in cultured fibroblasts after UVB exposure. In addition, IPE inhibited the phosphorylation of p38, ERK, and JNK induced by UVB. Furthermore, IPE inhibited the UVB-induced expression of Smad7. In addition, IPE at 1 μg/mL inhibited NO production and COX-2 expression in UV-exposed fibroblasts. These findings show that IPE exhibits anti-inflammatory and anti-photoaging activities, indicating that IPE could be a potential anti-aging agent.

Fernblock, a Nutriceutical with Photoprotective Properties and Potential Preventive Agent for Skin Photoaging and Photoinduced Skin Cancers

Gonzalez, Salvador; Gilaberte, Yolanda; Philips, Neena; Juarranz, Angeles
Fonte: Molecular Diversity Preservation International (MDPI) Publicador: Molecular Diversity Preservation International (MDPI)
Tipo: Artigo de Revista Científica
Publicado em 29/11/2011 EN
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Many phytochemicals are endowed with photoprotective properties, i.e., the capability to prevent the harmful effects of excessive exposure to ultraviolet (UV) light. These effects include photoaging and skin cancer, and immunosuppression. Photoprotection is endowed through two major modes of action: UV absorption or reflection/scattering; and tissue repair post-exposure. We and others have uncovered the photoprotective properties of an extract of the fern Polypodium leucotomos (commercial name Fernblock). Fernblock is an all-natural antioxidant extract, administered both topically (on the skin) or orally. It inhibits generation of reactive oxygen species (ROS) production induced by UV including superoxide anion. It also prevents damage to the DNA, inhibits UV-induced AP1 and NF-κB, and protects endogenous skin natural antioxidant systems, i.e., CAT, GSH, and GSSR. Its photoprotective effects at a cellular level include a marked decrease of UV-mediated cellular apoptosis and necrosis and a profound inhibition of extracellular matrix remodeling. These molecular and cellular effects translate into long-term inhibition of photoaging and carcinogenesis that, together with its lack of toxicity, postulate its use as a novel-generation photoprotective nutriceutical of phytochemical origin.

Protective effect of porphyra-334 on UVA-induced photoaging in human skin fibroblasts

RYU, JINA; PARK, SU-JIN; KIM, IN-HYE; CHOI, YOUN HEE; NAM, TAEK-JEONG
Fonte: D.A. Spandidos Publicador: D.A. Spandidos
Tipo: Artigo de Revista Científica
EN
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The significant increase in life expectancy is closely related to the growing interest in the impact of aging on the function and appearance of the skin. Skin aging is influenced by several factors, and solar ultraviolet (UV) irradiation is considered one of the most important causes of skin photoaging. The aim of this study was to examine the anti-photoaging role of porphyra-334 from Porphyra (P.) yezoensis, a mycosporine-like amino acid (MAA), using high-performance liquid chromatography (HPLC), and electrospray ionization-mass spectrometry (ESI-MS). In the present study, extracted UV-absorbing compounds from P. yezoensis included palythine, asterina-330 and porphyra-334. Porphyra-334 was the most abundant MAA in P. yezoensis, and it was therefore used for conducting antiphotoaging experiments. The effect of porphyra-334 on the prevention of photoaging was investigated by measuring reactive oxygen species (ROS) production and matrix metalloproteinase (MMP) levels, as well as extracellular matrix (ECM) components and protein expression in UVA-irradiated human skin fibroblasts. Porphyra-334 suppressed ROS production and the expression of MMPs following UVA irradiation, while increasing levels of ECM components, such as procollagen...

Astragaloside IV controls collagen reduction in photoaging skin by improving transforming growth factor-β/Smad signaling suppression and inhibiting matrix metalloproteinase-1

CHEN, BIN; LI, RAN; YAN, NING; CHEN, GANG; QIAN, WEN; JIANG, HUI-LI; JI, CHAO; BI, ZHI-GANG
Fonte: D.A. Spandidos Publicador: D.A. Spandidos
Tipo: Artigo de Revista Científica
EN
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Exposure to ultraviolet (UV) light reduces levels of type I collagen in the dermis and results in human skin damage and premature skin aging (photoaging). This leads to a wrinkled appearance through the inhibition of transforming growth factor-β (TGF-β)/Smad signaling. UV irradiation increases type I collagen degradation through upregulating matrix metalloproteinase (MMP) expression. Astragaloside IV (AST) is one of the major active components extracted from Astragalus membranaceus. However, its multiple anti-photoaging effects remain to be elucidated. In the present study, the effects of AST against collagen reduction in UV-induced skin aging in human skin fibroblasts were investigated. The expression of type I procollagen (COL1), MMP-1, TGF-βRII and Smad7 were determined using reverse transcription-polymerase chain reaction, western blotting and ELISA, respectively. UV irradiation inhibits type I collagen production by suppressing the TGF-β/Smad signaling pathway and increasing COL1 degradation by inducing MMP-1 expression. Transforming growth factor-β type II protein and COL1 mRNA decreased but MMP-1 and Smad7 levels increased in the photoaging model group, which was reversed by topical application of AST. AST prevents collagen reduction from UV irradiation in photoaging skin by improving TGF-β/Smad signaling suppression and inhibiting MMP-1...

Involvement of TGF-beta in skin photoaging; Involvement of Beta transforming growth factors in skin photoaging

Choi, Won Seon, 1975-
Fonte: Massachusetts Institute of Technology Publicador: Massachusetts Institute of Technology
Tipo: Tese de Doutorado Formato: 157 leaves
ENG
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The goal of this thesis study was to understand the role of TGF-[beta] in skin photoaging, especially in solar elastosis. Solar elastosis, the accumulation of elastotic material in the dermal extracelluar matrix, is a major hallmark of photoaging. However, the mechanisms by which UV radiation causes solar elastosis are poorly understood. TGF-[beta] is a multifunctional cytokine involved in the regulation of extracelluar matrix and is known to be up-regulated by UVR. Involvement of reactive oxygen species (ROS) in the development of solar elastosis has been demonstrated by many studies using antioxidants and anti-inflammatory agents in the mouse skin in vivo. We hypothesized that ROS produced by TGF-[beta] are key components in the tropoelastin (TE, a soluble precursor of elastin) up-regulation in dermal fibroblasts, and that TGF-[beta] is a major regulator in the photoaging processes. Using human skin fibroblasts system in vitro, we found that ROS generated from NADPH oxidase and mitochondria are involved in the TGF-[beta] induced elastin production, and intracellular sources of ROS vary with time. We showed that both Smad and non-Smad pathways, e.g. MAPK and PKC pathways, are required for TE mRNA up-regulation by TGF-[beta].; (cont.) However...

Development and Validation of a Clinical Scale for the Evaluation of Forearm Skin Photoaging

Guimaraes, C. O. Z.; Bagatin, E.; Guadanhim, L. R. S.; Sternberg, F.; Picosse, F. R.; Nunes, G.; Milanez, C.; Miot, H. A.
Fonte: Sage Publications Inc Publicador: Sage Publications Inc
Tipo: Artigo de Revista Científica Formato: 380-387
ENG
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Background: Despite the focus on facial photoaging ratings, there are few classifications developed for forearm skin aging assessment.Objective: To develop and validate a clinical scale for the evaluation of forearm skin aging.Methods: Three clinical dermatology faculty members selected, discussed, and appraised the main signs of forearm photoaging. The validation of the resulting scale was performed by 5 assessors who were previously trained to classify 102 photographs of forearms with different degrees of aging. Retests were performed in 15 days.Results: There was significant correlation between the selected variables and the subjective global aging scale. The developed scale showed high internal consistency (Cronbach's alpha = 0.87) and high correlation with the global photoaging scale (rho = 0.92). Inter- and intraobserver final scores showed high agreement.Conclusion: A validated clinical photoaging scale for forearms with internal consistency, reliability, and validity was developed.

Oral isotretinoin in photoaging: objective histological evidence of efficacy and durability

Bravo,Bruna Souza Felix; Azulay,David Rubem; Luiz,Ronir Raggio; Mandarim-De-Lacerda,Carlos Alberto; Cuzzi,Tullia; Azulay,Mônica Manela
Fonte: Sociedade Brasileira de Dermatologia Publicador: Sociedade Brasileira de Dermatologia
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
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AbstractBACKGROUND:The off-label use of oral isotretinoin in photoaging is a therapeutic tool that has been used by dermatologists. There are few studies to corroborate its effectiveness and durability.OBJECTIVES:To assess, both clinically and histologically, the changes caused by the use of oral isotretinoin in skin photoaging as well as the duration of the effects.METHODS:20 female patients, aged 45-50 years, with phototypes II-VI, none of whom had experienced menopause, were treated with 20mg oral isotretinoin, 3 days a week, for 12 weeks. They underwent clinical analysis and skin biopsies in the pre-auricular region, while histologic cuts enabled assessment of the solar elastosis level and morphologic analysis.RESULTS:Clinically, patients, as well as the researching and the assessor physicians, noticed improvement in skin quality. One patient presented severe solar elastosis, 11 manifested the moderate form, while 8 presented the discreet type. According to histological analysis, 65% of the patients revealed alteration in the distribution and thickness of the elastic fibers, which can be interpreted as a histological improvement, while 60% showed an increase in collagen density. We observed an increase in collagen density, from 51.2% to 57.4%...

Effect of Weathering and Accelerated Photoaging on PET/PC (80/20 wt/wt%) Melt Extruded Blend

Pires,Homero Modesto; Mendes,Luis Claudio; Cestari,Sibele Piedade; Pita,Victor Jayme Roget Rodriguez
Fonte: ABM, ABC, ABPol Publicador: ABM, ABC, ABPol
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
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In this study we investigated the natural weathering of a catalyzed blend of poly(ethylene terephthalate)/polycarbonate PET/PC (80/20wt/wt%). The results were compared to the accelerated photoaging tests. The specimens were characterized by wide angle X-ray diffraction (WAXD), optical microscopy (OM), thermogravimetry (TG/DTG), medium infrared spectroscopy (FT-IR) and stress-strain analysis. The OM analysis revealed the coexistence of at least three phases – one rich in PET (matrix), the other rich in PC (dispersed droplet) and an interfacial region between them, made of PET/PC copolymer (compatibilizing agent) produced in situ. The TG/DTG curves showed that UV radiation acted mainly on the PET-rich phase and the PET/PC copolymer. The OM and TG/DTG results indicated that the degradation of the compatibilizing agent has had a critical effect on the mechanical properties. For both types of aging (natural and accelerated), the PET’s carbonyl index decreased with the exposure time. The FT-IR results corroborated what was seen in the OM images, showing that the PET phase acts as a shield against the PC degradation. Under accelerated aging, the mechanical properties decreased abruptly - mainly the stress-strain at yield and break - due to the degradation of the in situ compatibilizing agent.

Escala para valoración cliníca de fotoenvejecimiento cutáneo en la cara

Romero Bustos, Vladimir
Fonte: Facultad de Medicina Publicador: Facultad de Medicina
Tipo: info:eu-repo/semantics/bachelorThesis; info:eu-repo/semantics/acceptedVersion Formato: application/pdf
Publicado em 14/08/2014 SPA
Relevância na Pesquisa
27.70961%
Introducción: el fotoenvejecimiento cutáneo es causado principalmente por la exposición crónica y acumulativa a los rayos ultravioleta. Las clasificaciones y escalas existentes evalúan el envejecimiento cutáneo de forma global y no existe un instrumento que valore exclusivamente el fotoenvejecimiento cutáneo. Objetivo: Construir y realizar la validación de contenido, de una escala para valoración clínica del fotoenvejecimiento cutáneo en la cara. Materiales y métodos: Estudio de validez de contenido, de una escala para valoración clínica del fotoenvejecimiento cutáneo en cara, construida a partir del marco conceptual, y evaluada por 15 expertos con especialidades médicas que manejan el fotoenvejecimiento. Los datos obtenidos se analizaron así: porcentaje de la pertinencia; la media; coeficiente de variación (CV) e índice de validez de contenido por ítem (CVIi) de cada ítem incluido en la escala. Resultados: Para el grupo de 15 expertos evaluadores, la pertinencia de los 6 ítems incluidos en los criterios clínicos, arrojo una media de 4,2/5 con CVIi entre 73,3% y 100% y con CV por debajo del 20%; el ítem de surcos tuvo un CV de 26,93%; la pertinencia de los 5 ítems incluidos en los antecedentes, arrojo una media de 3...

Construcción de una guía fotográfica para valorar el grado de fotoenvejecimiento cutáneo del dorso de las manos

Lizarralde Lara, Mónica; Rincón Rubiano, Dianna Elvira
Fonte: Facultad de Medicina Publicador: Facultad de Medicina
Tipo: info:eu-repo/semantics/bachelorThesis; info:eu-repo/semantics/acceptedVersion Formato: application/pdf
Publicado em 26/01/2012 SPA
Relevância na Pesquisa
27.921665%
Introducción: La exposición crónica al sol es la principal causa ambiental de envejecimiento cutáneo. (1) Pese a que existen clasificaciones exclusivas de fotoenvejecimiento a nivel facial, no existen, con estas características a nivel de manos. El objetivo de este estudio fue elaborar una guía fotográfica para identificar fotoenvejecimiento en el dorso de manos. Materiales y metodos: En la primera fase se seleccionaron nueve características del puntaje SCINEXA, utilizadas en la fase dos por un grupo de cinco expertos para definir cuatro grados de severidad del fotoenvejecimiento de las manos. En la fase tres otros seis expertos clasificaron en 150 fotografías estandarizadas el grado de fotoenvejecimiento de las manos teniendo en cuenta los grados definidos. Por último se realizó análisis estadístico para valorar la concordancia inter evaluadores y se tomaron las fotos con mejor concordancia para la construcción de la guía fotográfica. Resultados: La valoración de las características tomadas para cada grado de fotoenvejecimiento de las manos tuvo una concordancia casi del 100%, mientras que la concordancia global interevaluadores de las 150 fotografías fue del 41.1%. La mejor concordancia interevaluadores se dio para el grado 0 (57...