Article

The protective effect of lycopene-rich products on skin photodamage: A systematic review and meta-analysis of randomized controlled trials

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Abstract

Background: Ultraviolet (UV) radiation has known as a major cause of photodamage, photoaging, and skin cancer as it involves in reactive oxygen species generation. Several natural antioxidants, including lycopene, have been suggested for photoprotection. However, the protective effect of lycopene on skin photodamage is still controversial. Objective: The objective of this study was to evaluate the protective effect of lycopene-rich product on skin photodamage. Materials and Methods: A systematic literature search was conducted in PubMed, Scopus, CINAHL, and Cochrane Library from inceptions to March 2018. Randomized placebo-controlled trials determining the effect of lycopene-rich products on photodamage in healthy volunteer were included in the study. Studies adding other antioxidants except carotenoids were excluded from the study. Risk of bias version 2.0 was used to assess the quality of included studies. Primary outcome was intensity of skin erythema formation. Meta-analysis was performed using random-effects model. Results: A total of four studies were included in this systematic review with a total of 99 participants. Only two studies were included in a meta-analysis. Lycopene-rich products with the lycopene content of 8–20 mg/day significantly reduced skin erythema formation, with mean difference of −2.35 units when compared to control (95% confidence interval; −3.65– −1.05, I2 = 0.0%). At molecular level, lycopene significantly inhibited UV radiation-induced expression of matrix metalloproteinase-1, heme oxygenase 1, and intercellular adhesion molecule 1 (ICAM-1) compared to olive or soybean oil (P < 0.05). Conclusions: Lycopene-rich products had a potential to be developed as a nutraceutical for photoprotection as it showed protective effects on skin photodamage. © 2018, Faculty of Pharmaceutical Sciences, Chulalongkorn University. All rights reserved.

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UVA exposure causes skin photoaging by singlet oxygen (1)O(2)-mediated induction of, e.g., matrix metalloproteases (MMPs). We assessed whether pretreatment with beta-carotene, a (1)O(2) quencher and retinoic acid (RA) precursor, interferes with UVA-induced gene regulation. HaCaT keratinocytes were precultured with beta-carotene at physiological concentrations (0.5, 1.5, and 3.0 microM) prior to exposure to UVA from a Hönle solar simulator (270 kJ/m(2)). HaCaT cells accumulated beta-carotene in a time- and dose-dependent manner. UVA irradiation massively reduced the cellular beta-carotene content. Beta-carotene suppressed UVA-induction of MMP-1, MMP-3, and MMP-10, three major matrix metalloproteases involved in photoaging. We show that regulation by not only MMP-1, but also MMP-10, involves (1)O(2)-dependent mechanisms. Beta-carotene dose-dependently quenched (1)O(2)-mediated induction of MMP-1 and MMP-10. Thus, as in chemical solvent systems, beta-carotene quenches (1)O(2) also in living cells. Vitamin E did not cooperate with beta-carotene to further inhibit MMP induction. HaCaT cells produced weak retinoid activity from beta-carotene, as demonstrated by mild upregulation of RAR beta and activation of an RARE-dependent reporter gene. Beta-carotene did not regulate the genes encoding other RARs, RXRs, or the two beta-carotene cleavage enzymes. These results demonstrate that beta-carotene acts photoprotectively, and that this effect is mediated by (1)O(2) quenching.
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