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Human Hair as a Natural Sun Protection Agent: A Quantitative Study

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The rising incidence of skin cancers attributable to excessive sun exposure has become a major health concern worldwide. While numerous studies have analyzed the sun protective effect of sunscreens, clothing, and antioxidants, none to date have measured the photoprotective effect of hair, despite clinical evidence that individuals with balding or thinning hair are at greater risk of skin lesions that can progress to cancer, hence the recommendation to use hats or umbrellas. We analyzed the level of protection offered by hair according to hair density, thickness and color using the spectral transmittance and corrected for relative erythema effectiveness. Our results show that hair provides a barrier against both UVB and UVA radiation which is significantly increased with respect to the hair density, thickness and the presence of melanins. This is the first study to quantify sun protection factor offered by hair, namely hair ultraviolet protection factor (HUPF). We believe that hair should be recognized as an important natural sun barrier in the prevention of UV-induced skin cancers. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.
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Photochemistry and Photobiology, 2015, 91: 966970
Human Hair as a Natural Sun Protection Agent: A Quantitative Study
Mar
ıa Victoria de G
alvez*
1
, Jos
e Aguilera
1
, Jean-Luc Bernab
o
2
, Cristina S
anchez-Rold
an
1
and
Enrique Herrera-Ceballos
1,2
1
Photobiological Dermatology Laboratory, Medical Research Centre, Department of Dermatology and Medicine,
Faculty of Medicine, University of M
alaga, Malaga, Spain
2
Universitary Hospital Virgen de la Victoria, University of M
alaga, Malaga, Spain
Received 12 November 2014, accepted 3 February 2015, DOI: 10.1111/php.12433
ABSTRACT
The rising incidence of skin cancers attributable to excessive
sun exposure has become a major health concern worldwide.
While numerous studies have analyzed the sun protective
effect of sunscreens, clothing and antioxidants, none to date
have measured the photoprotective effect of hair, despite clin-
ical evidence that individuals with balding or thinning hair
are at greater risk of skin lesions that can progress to cancer,
hence the recommendation to use hats or umbrellas. We ana-
lyzed the level of protection offered by hair according to hair
density, thickness and color using the spectral transmittance
and corrected for relative erythema effectiveness. Our results
show that hair provides a barrier against both UVB and
UVA radiation which is signicantly increased with respect
to the hair density, thickness and the presence of melanins.
This is the rst study to quantify sun protection factor
offered by hair, namely hair ultraviolet protection factor
(HUPF). We believe that hair should be recognized as an
important natural sun barrier in the prevention of UV-
induced skin cancers.
INTRODUCTION
The incidence of skin cancers is growing (1,2), and overexposure
to solar UV radiation is recognized as the main causative factor
(3). Lifestyle changes in recent decades have led to increased
participation in outdoor pursuits and as a consequence higher
levels of sun exposure among the general population. These
changes, combined with rising life expectancy and an aging pop-
ulation, have increased the risk of UV-induced skin cancers
(4,5).
Melanin, keratin, urocanic acid and, more recently, antioxi-
dants, are all recognized as natural photoprotective agents (6,7),
but scant attention has been paid to one of our most important
natural defenses against the sun: hair.
The scalp is one of the most heavily sun-exposed areas of the
body, and there is clinical evidence that chronic exposure to sun-
light favors the development of precancerous skin lesions and
skin cancers (3). Field cancerization of the scalp should thus be
an important consideration in skin cancers prevention and treat-
ment. While full sun protection is one of the cornerstones of
actions aimed at preventing UV-induced skin damage, and con-
siderable advances have been made in our understanding and use
of protective clothing, hats and sunscreens (810), the level of
protection afforded by hair has never been measured. The obser-
vation of clear differences in the incidence of head and neck
melanoma between men and women has led to the hypothesis
that hair might have a protective role in melanoma (11). It has
even been shown that sun-exposed areas of the head receive
higher levels of radiation than unexposed areas (12). Neverthe-
less, we are unaware of any studies that have analyzed, either
quantitatively or qualitatively, the photoprotective efciency of
hair, despite the obvious value such information would have for
actions targeting the prevention of UV-induced skin cancers.
In this study, we analyze for the rst time, the level of photo-
protection offered by hair of varying densities, thickness and col-
ors, as well as it has been estimated the protection factor based
on the ability to block erythema effective radiation.
METHODS
We analyzed samples of hairs of similar thickness (7375 lm) taken
from the scalp and classied by color (brown, blond, red and white). The
samples were clean and free of any dyes or hair products, such as sham-
poo, conditioner or gel that could alter the natural transmission of UV
radiation.
The effect of hair density (as quantity of hair/volume) on photoprotec-
tive efciency was calculated according to weight and number of hairs
by volume.
Density by weight. To analyze the level of sun protection offered by the
actual structure of hair, or simulated hair in random arrangement, samples
of healthy human brown hair were cut in 3 to 5 mm pieces in length and
randomly placed, in increasing quantities, in a cylindrical container with
a surface area of 0.785 cm
2
and a height of 1.27 cm, in order to ensure
1cm
3
. Prior to measurement of the transmission of light, each sample
was weighed on a 0.1-mg precision scale (Sartorius BL120S, Sartorius
AG G
ottingen, Germany), and the container was shaken to ensure ran-
dom arrangement.
Density by number of hairs. To simulate the natural arrangement of
hair on the scalp (as after brushing or styling), we used samples of hair
measuring 40 mm in length taken from individuals with straight hair.
The number of hairs per sample was estimated by weight, taking as a ref-
erence the mean weight of 10 samples of 50 hairs measuring 40 mm in
length. The hairs, unstretched, were placed uniformly (to ensure a parallel
alignment) over the aperture of the light sensor (1 cm
2
) and held in place
by a plastic cuvette-like structure of 1 cm height to retain the three-
dimensional structure. The hairs were, therefore, assembled parallel to the
surface of the sphere and perpendicular to the beam of incident light. To
compare measurements of HUPF related to hair number cm
3
with
respect to hair density by weight, the weight of selected numbers of
40 mm hair was divided by 4.
Hair thickness. To analyze the effect of the hair thickness in their
photoprotective efciency, strands of brown hair were selected from three
*Corresponding author email: mga@uma.es (Mar
ıa Victoria de G
alvez)
©2015 The American Society of Photobiology
966
different thicknesses. For each group, 5 mm small hair pieces were cut,
placed on a slide and visualized by light microscopy 40x (Nikon Eclipse
E400, Nikon Instruments Europe BV, Amsterdam, Netherlands). Micros-
copy images were taken and thickness measurement was calculated with
an image analysis program (v 6.3 Visilog Noesis, France). A total of 30
measurements of thickness in each hair group were made with mean val-
ues of 85.4 9.12 lm, 76.4 15.06 lm and 67.17 10.83 lm,
respectively.
Calculation of hair ultraviolet protection factor (HUPF). To analyze
the photoprotective efciency of hair according to color and hair density,
we used a 300-W Oriel solar simulator (Newport Corporation, Irvine)
and a double monochromator spectroradiometer (Macam SR-9910-V7,
Irradian Co., UK) to measure the light transmitted through the hair. The
spectroradiometer was equipped with an Ulbricht sphere sensor placed
directly under the hair to ensure uniform measurement of both direct and
diffuse radiation. Both solar simulator and the Ulbrich sphere were xed
in order to make comparable measurements.
The HUPF was estimated using the transmittance of each group of
hair at different wavelengths between 290 and 400 nm corrected for rela-
tive erythema effectiveness based on the erythema action spectrum pro-
posed by the Commission Internationale de lEclairage (CIE;
International Commission on Illumination) (13).
In brief, for each wavelength, the spectral irradiance was multiplied
by the relative erythema spectral effectiveness and by the hair transmit-
tance value. The HUPF was calculated using the following formula:
HUPF ¼R400
290 Ekek
R400
290 EkekTk
where HUPF is the ultraviolet protection factor of hair, E, solar spectral
irradiance, e, relative erythema spectral effectiveness (CIE) and T, spec-
tral transmittance through hair.
Statistical analysis. For each sample of hair, HUPF values were calcu-
lated from the mean SD of 5 replicas.
The HUPF values in relation to hair density were tted to an exponential
model using Microsoft Excel 2010. Differences between regression slopes
were examined by covariance analysis. Statistical signicance was set at a
Pvalue of less than 0.05 (14).
RESULTS
The estimated transmittance values for each of the UV wave-
lengths showed that the hair analyzed attenuated radiation across
the whole UV spectrum which is different depending on hair
color (Fig. 1). Light transmitted across the brown and red hair
showed a slight, but not statistically signicant, increase in trans-
mittance along the whole UV spectrum with difference of trans-
mittance between 290 and 400 nm less than 5%, thus concluded
as homogeneous spectral UV transmittance. However, blond and
white hair produced a gradual, but signicant elevation of trans-
mittance, especially in white hair, up to 60% at 400 nm com-
pared to 290 nm.
When hair density was increased, we observed a gradual
reduction in transmitted radiation (Fig. 2). However, the hair
density did not affect spectral transmittance with respect to dif-
ferent wavelengths as showed in the case of brown hair, with
parallel curves related to different hair densities.
Using the transmittance data, we calculated HUPF according
to density assessed by weight and by number of hairs cm
3
.In
all cases, the value increased exponentially with increasing den-
sity (Fig. 3). In order to compare the attenuation of UV radiation
of hair according to random arrangement or parallel alignment
(as hair brushing), we calculated the HUPF of brown hair in
terms of mg hairs cm
3
with respect to number of hairs cm
3
(Fig. 3A,B). Results showed higher HUPF in aligned hair com-
pared to randomly arranged hair. For example, HUPF of 500
brown aligned hairs cm
3
was 32 (according to model of
Fig. 3B), while its corresponding weight cm
3
was 22.5 mg.
According to the model of the Fig. 3A, a weight of 22.5 mg cor-
responded to a HUPF of 19.
Hair color inuenced the slope values of the exponential mod-
els relating hair density assessed by number of hairs cm
3
com-
pared to HUPF, with similar slopes from brown, red and blond
hair (Fig. 3BD), while white hair showed signicantly
(P<0.05) lower slopes (Fig. 3E).
According to the hair thickness, results showed exponential
curves of HUPF signicantly increased with respect to of hair
density (in terms of number of hairs cm
3
). Higher curve slope
was observed in thicker hair (85.4 lm) than lower values
observed for thinner hair (67.2 lm) (Fig. 4).
Figure 1. Spectral transmittance between 290400 nm for different hair
colors.
Figure 2. Spectral transmittance (290400 nm) for different brown hair
densities (measured by numbers of hair cm
3
).
Photochemistry and Photobiology, 2015, 91 967
Using the exponential t models relating HUPF to hair den-
sity, we estimated the number of hairs by color that would be
needed per cm
3
to offer similar levels of protection to those used
for sunscreens according to the sun protection factor (SPF) cate-
gories in the European Standard on sun protection test methods
for cosmetics (15). Approximately 300 hairs cm
3
would be
needed to achieve a HUPF of 10 in the case of brown, blond
and red hair, while 400 hairs cm
3
of white hair would be
needed. To achieve a HUPF of over 40, 550 hairs cm
3
would
be required in colored hair (brown, blond and red) and approxi-
mately 700 white hairs cm
3
(Table 1).
DISCUSSION
Promoting awareness of the importance of full sun protection is
an important public health issue worldwide. Considerable
advances have been made in our understanding of articial sun
protection products, such as fabrics, sunscreens and sun protec-
tion supplements. While it is known sun protection by hats (e.g.
wearing a 7 cm brim hat reduces the incidence solar radiation by
a factor 5 in different parts of the face and neck) (9), little is
known about the photoprotective function of human hair, even
though sun exposure is known to increase the risk of skin
Figure 3. Exponential increase in HUPF provided according to hair density and color. (A) Brown hair density assessed by weight (random
arrangement) (BE) Hair density assessed by number of hairs cm
3
(parallel alignment). (B) Brown, (C) Blond, (D) Red, (E) White
.
968 Mar
ıa Victoria de G
alvez et al.
cancers. We have performed what is, to our knowledge, the rst-
ever study to quantify, using spectrometric techniques, the ability
of the hair to protect against erythema damage induced by UV
radiation. Hair density is a determining factor in the estimation
of the UV protection offered by hair and secondly it has been
shown how hair color and thickness affect such protection.
The scalp is the highest part of the body and as such is
exposed to the greatest amount of solar radiation. Furthermore,
when a person is standing, his or her scalp is perpendicular to
the suns rays and therefore receives high doses of radiation,
probably explaining the relatively high incidence of precancerous
lesions and skin cancers in this area (16). The incidence of mela-
noma is rising and melanoma is less common in hair-covered
areas of the head and neck compared with bare areas, suggesting
a protective role for hair (11). In 2006, Green et al. (12) exam-
ined the hypothesis that hair offered protection against UV radia-
tion in a study in which UV exposure was analyzed using
manikin head forms equipped with UV dosimeters on the ears
and nose. Three of the manikins were tted with human hair-
pieces and one was left bare. The ndings showed that the bare
manikin received 80% more solar UV radiation than the hair-
covered manikins.
The results of our study conrm that hair is an important sun
protection agent: it reduced the transmission of UV radiation
across the spectrum, highlighting its importance as a natural pro-
tector against sun-induced erythema. This protective effect would
appear to be supported by clinical evidence, as sun-induced
lesions are much more common in bare areas of the scalp (16).
We also found that the level of protection increased exponentially
with hair density, in a manner similar to that observed for fabric
cover in a recent study by our group (17). Otherwise, it has been
observed that the hair thickness changes its photoprotection ef-
ciency which is greater in thick hair. This fact is of particular
interest in cases of androgenic alopecia where the hair miniaturi-
zation occurs over the years, and therefore the hair losses photo-
protective efcacy. Moreover, we have observed that certain
degree of order (parallel alignment) showed higher values of
HUPF compared to random arrangement of hairs. This is obvious
due that ordered alignment may confer higher cover than random
arrangement because the loss of effectiveness by overlap of hair.
On the other hand, the presence of melanin, that confers color
to the hair, adds photoprotective effect to the hair structure. We
have observed higher levels of light transmittance in white hair
as compared to colored hair (brown, red or blond). Our ndings
show that the brown and red hair analyzed offered highly effec-
tive sun protection, as it absorbed similar amounts of UV radia-
tion, including UVA radiation, across the spectrum analyzed. It
is important to point out the high degree of photoprotection by
red hair (with a higher content of pheomelanin) as it is present
in skin type I in which there is a higher prevalence of skin can-
cers. However, the blond and so much more pronounced white
hair, produce a gradual increase in transmittance over the wave-
lengths of the UV spectrum, especially in the range of UVA, up
to 60% from 290 to 400 nm. These ndings could have clinical
signicance, as UVA radiation emits 20 times more radiant
energy than UVB radiation, and it has been widely documented
that the former has a role in actinic damage, primarily through
the generation of oxidative stress, which is associated with skin
aging and, more importantly, photocarcinogenesis (18,19).
We used the exponential t model relating HUPF to hair den-
sity to estimate the density required to provide the level of pro-
tection similar to the categories for sunscreen products. It has to
be pointed out that solar protection factor for sunscreens is based
on in vivo end point and HUPF is based on in vitro measure-
ments considering erythema effectiveness. HUPF was related to
hair density dened as the number of hairs cm
3
in a parallel
arrangement. The number of hairs cm
2
of hair surface has been
estimated at between 0 and approximately 200 (20), meaning that
for a thickness of 1 cm, the maximum hair density would be 200
hairs cm
3
. Nonetheless, higher densities can occur in longer
hair, as parts of the scalp would be covered by the hair growing
in this area plus overlapping hair from other areas. According to
the models approximately 300 hairs cm
3
would be needed to
achieve a HUPF of 10 in the case of brown, blond and red hair,
while would be needed approximately 400 hairs cm
3
of white
hair. A HUPF value of 010 might appear low if we consider
the corresponding protection offered by an SPF of 010 in a sun-
screen. However, it should be noted that SPF ratings are calcu-
lated for an application thickness of 2 mg cm
2
, which is
unrealistic, as most people apply signicantly thinner layers
(21,22). Furthermore, sunscreen products degrade with time and
can be rubbed or washed off by wear and sweat. The protection
offered by hair, however, does not vary on exposure to sun.
Figure 4. Exponential increase in HUPF provided according to three dif-
ferent brown hair thicknesses (mean values of thickness included in the
legend).
Table 1. Solar protection level related to hair density and color.
Solar Protection Level
Number of hairs cm
3
Brown Blond Red White
Low sun protection
(HUPF 010)
0303 0311 0310 0389
Moderate sun protection
(HUPF 1025)
304467 312479 311482 390602
High sun protection
(HUPF 2540)
468551 480565 482570 603711
Very high sun protection
(HUPF >40)
>551 >565 >570 >711
Photochemistry and Photobiology, 2015, 91 969
In summary, we have shown that hair is an important natural
protective agent against UVB and UVA radiation and should be
considered in the prevention of UV-induced cancer of the scalp,
particularly to consider in people with alopecia in which the use
of hats would be specially indicated for minimizer the harmful
effect of the ultraviolet radiation.
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Age-associated skin lesions linked to UV radiation (UVR) include actinic keratosis, non-melanoma skin cancer-such as basal cell carcinoma and squamous cell carcinoma-lentigo senilis and lentigo maligna. Their incidence is increasing worldwide, mainly due to exaggerated UV exposure and to an aging population. Early diagnosis and therapy of pre-malignant cutaneous lesions is crucial for the secondary prophylaxis of invasive and highly aggressive skin cancers. Combined efforts to increase public awareness, patient education about self-examination, prophylactic modalities, such as consistent and sufficient UV protection, and rigorous follow-up of high-risk groups are of highest importance.
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Abstract We propose a new approach for photoprotection. 4-Methylbenzylidene camphor (4-MBC), one of the most widely used UV filters, was encapsulated in microspheres, with a view to overcoming problems (percutaneous absorption, photodegradation and lack of lasting effect) arising with organic sunscreens, and to achieve safe photoprotection. We focused on this filter in the light of the Cosmetics Europe opinion concerning its possible effects on the thyroid gland. Microspheres were prepared by emulsification-solvent evaporation, using different amounts of 4-MBC and characterized for morphology, encapsulation efficiency and particle size. The particles were then mixed in O/W emulsions. The in vitro sun protection factors, in vitro release and photostability were investigated and compared with emulsions containing the free sunscreen. The new microspheres offer good morphology and loading (up to 40%), and the same photoprotection as the free filter while at the same time protecting it from photodegradation. The systems also give a slower release from the emulsions.
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Clothing is considered one of the most important tools for photoprotection against harmful solar ultraviolet radiation (UVR). The standard for sun-protective clothing is based on erythema despite other biological effects of UVR on the skin. We analyzed the potential protection against UVR in fabrics destined for summer clothing based on several action spectra. We examined 50 garments classified by type of fabric composition, structure of the fiber yarn, and color. The ultraviolet protection factor was calculated based on fabric ultraviolet transmittance corrected for erythema according to the EU standard E-13758 as well as the UVA transmittance of fabrics. UVR protection was also analyzed in base of different action spectra as for pre-vitamin D3, non-melanoma skin cancer, photoimmunosuppression and photoageing. Most knitted fabrics used for sports T-shirts offered excellent ratings for ultraviolet protection while normal shirts showed very low ratings, particularly against photoageing. The cover is the most influential variable in fabric photoprotection, having an exponential relationship with the UPF. The relation between cover and UVA protection was linearly negative. Information about ultraviolet protection in textiles used for summer clothing should be included in labeling since some types of fabrics, especially those used for shirts, offer very low UVR protection.This article is protected by copyright. All rights reserved.
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In Louisiana, the "Sportsman's Paradise," and throughout the Southern United States (US), outdoor pursuits are among the most popular physical activities, despite well-documented associations between excessive solar ultraviolet (UV) radiation and skin cancer. Although there have been recent advances in broad-spectru m sunscreens, photoprotective clothing, and photoprotective sunglasses, few peer-reviewed publications have focused specifically on recommendations for responsible sun behavior and photoprotection for residents of the South. In response, the objectives of this review will be (1) to describe the adverse health effects of excessive UV radiation exposures; (2) to review recent cohort studies of public perceptions regarding sun behavior and photoprotection; (3) to identify special populations at increased risks of UV-associated skin cancers; and (4) to recommend responsible sun behavior and photoprotection strategies. Internet search engines were queried with the key words as search terms to examine the latest references on photoprotection and the epidemiology of UV-associated skin cancers and other adverse effects of UV-radiation exposures. Observational studies have demonstrated that the public knows little about proper sunscreen selection and UV protection, and cohort studies have identified populations at increased risks of UV-associated skin cancers. Southerners should avoid intense sunlight, wear photoprotective clothing, wear sunglasses, and select the right sunscreen for their skin type. Physicians should counsel their patients about responsible sun behavior and photoprotection and encourage them to take advantage of recent advances in the development of more effective broad-spectrum sunscreens and photoprotective clothing and sunglasses for themselves and their children.
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La radiación ultravioleta es el principal factor de riesgo en el desarrollo del cáncer de piel. En las últimas décadas se ha producido un cambio en los estilos de vida que conlleva mayores exposiciones a la radiación ultravioleta, lo que unido a un mayor envejecimiento de la población aumenta el riesgo de desarrollar cáncer de piel. Nuestro objetivo es analizar la tendencia temporal en la incidencia del cáncer de piel a nivel mundial, europeo y español durante el período comprendido entre 1978–2002.
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Head and neck melanomas (HNMs) are frequent and have a poorer prognosis than melanomas at other sites. Photoprotection in these locations is difficult. In this population-based study of 279 HNMs diagnosed in a French region between 2004 and 2009, major differences were found between genders. A clearcut, sex-related distribution was found between a "peripheral" area (scalp, forehead, temples, ears, and neck) and a "central" one (other parts of the face), with 56.7% of HNMs being located in the peripheral area in men and 79.3% in the central area in women (P<0.0001). Moreover, HNMs located in the peripheral area occurred on the left side in 57.6% of men and on the right side in 73.1% of women (P=0.009). Peripheral HNMs differed from central HNMs by a higher proportion of invasive tumors, nodular or superficial spreading melanomas, and a lower proportion of lentigo maligna melanomas (LMMs). We hypothesized that this differential distribution between men and women could be explained mostly by a major role of long-term photoprotection by hair and sun exposure in a car. Important public health messages could result from these observations, such as the role of hairstyles in melanoma prevention and the importance of reducing sun exposure in a car, particularly in professional drivers.Journal of Investigative Dermatology advance online publication, 7 February 2013; doi:10.1038/jid.2012.405.
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Background. Human hair emerges from the scalp in groupings known as follicular units. In follicular unit transplantation, the follicular unit is the exclusive element to be moved in the transplant. Objective. To study the distribution of follicular units in the human occipital (donor) scalp. Methods. Using digital photography, we counted in 50 patients the hair density, follicular unit density, and the proportion of 1-, 2-, and 3-hair units per square centimeter. We measured the median distance between the follicular units. All the data obtained was statistically analyzed. Results. In the occipital (donor) scalp the number of follicular units per square centimeter ranges between 65 and 85, and the hair density ranges between 124 and 200. The proportions of the different hair groupings change according to the patient’s hair density. We have developed a mathematical model that can predict the number and the most probable distribution of 1, 2, and 3 hair groupings, based on the patient’s hair density. The distance between follicular units ranges from 1.0 mm to 1.4 mm. Conclusion. Hair transplant surgeons can now predict the total number of follicular units to be obtained from any given donor strip. In addition, the proportion of 1-, 2-, and 3-hair follicular units can also be anticipated. Some variance is to be expected due to the lack of uniform density in the donor area.
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This is a book review by A. W. F. Edwards (published in Biometrics, 31(2) 229-230) of my books Biometry (by Sokal and Rohlf) and Statistical Tables (by Rohlf and Sokal) both published in 1981.
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Free radicals have long been studied as a contributor to aging and disease processes. Endogenous production of radicals from cellular metabolism and exogenous sources from ultraviolet radiation and pollution can damage the skin on the cellular and tissue levels. Although the body possesses an elegant defense system to prevent radical damage, this innate system can be overwhelmed and lead to a state of oxidative stress or immunosuppression, and can even trigger carcinogenesis. Topical supplementation of antioxidants can provide additional protection to neutralize reactive oxygen species from both endogenous and exogenous sources. This review will discuss our current understanding of the mechanisms of free radical damage and evaluate the potential benefit of topical antioxidants in sunscreens and skin care products.