Samanta Nunes1, Bhertha Tamura1
Keywords: MINERAL WATERS, LIPOSOMES, SKIN, COSMETICS, AMBULATORY SURGICAL PROCEDURES, SURGICAL PROCEDURES, MINOR
Mineral waters are increasingly used in dermatology due to their physico-chemical properties, which make them beneficial in the treatment of various skin disorders. Their various effects (i.e., moisturizing, anti-inflammatory, calming, antiproliferative, antimicrobial, keratolytic, healing, and antioxidant) are the focus of interest in the therapeutic field. In order to improve the pene- tration of mineral water in the skin and the resulting moisturi- zing action, an elastic liposome that encapsulates molecules of mineral water from the Alvorada spring in the state of Sao Paulo, Brazil (liposome-enhanced mineral water) was developed.
Liposomes
Liposomes are spherical vesicles comprising one or more
concentric lipid bilayers that isolate one or more internal
aqueous compartments from the external environment. The
high biocompatibility of liposomes, especially those from the
natural lipids family, gives them a significant advantage over
other drug delivery systems. Furthermore, liposomes are highly
versatile systems; their size, lamellarity, surface, lipid composi-
tion, volume, and internal aqueous medium''''''''s composition can
be manipulated according to the pharmaceutical and pharmaco-
logical requirements. The ability of these artificial vesicles to
provide barriers against the diffusion of solutes was first
demonstrated by Bangham in 1965.
1,2
Traditionally, liposomes are obtained from a glycerophos- pholipid (phosphatidylcholine). More generally, they can be obtained from any lamellar phase-forming amphiphilic substan- ce. 1, 2 Since they are formed by amphiphilic compounds – mea- ning that their structure can encapsulate hydrophilic and lipop- hilic active substances – they have been widely used as a vehicle for dermocosmetic formulations. The main advantages of using liposomes for administering dermocosmetic agents are: their ability to transport hydro and liposoluble substances; their high affinity for biological membranes; the fact that they are made of natural biocompatible and biodegradable amphiphilics; and their potential to enhance the natural moisture of skin and hair. It is worth noting that such delivery systems can be quite different, and adaptations are made according to the liposomes'''''''' type and composition depending on the substance to be encapsulated. Liposomes are not stable in vehicles containing O/W or W/O emulsifiers. Even in the absence of surfactants, the incorporation of liposomes into certain vehicles can only occur under particu- lar conditions, which can be induced by employing structural synthetic amphiphilics and standardizing the pH, osmolarity, and temperature. 3
Liposome-enhanced Mineral Water
A unique elastic liposome, measuring 40-100 nm (Graph 1) and able to permeate skin pores of up to 30 nm, was develo-
ped to encapsulate a specific mineral water, to be applied on the
skin using an aerosol product.
The mineral water encapsulated in liposomes was sourced from the Alvorada spring, located in the Serra do Japi, in Sao Paulo state''''''''s Atlantic forest region, in Brazil. Figure 1 shows a schematic drawing of the developed liposome. Figure 2 shows electron microscopy images of the liposomes dispersed in mineral water.
Previous studies have demonstrated in vitro biological effects of this mineral water, such as an increased genic expres- sion of filaggrin and aquaporin 3 (important for hydration), a reduction of NF-kb activity (anti-inflammatory effect), and fibroblast proliferation. Further clinical studies are necessary to verify these effects in vivo.
Alvorada spring mineral water was encapsulated in special- ly developed liposomes to provide greater skin permeation of the potential biological active principle contained in it. The Alvorada source mineral water''''''''s lyophilized liposomes compo- sition is shown in Table 1. Trehalose and soy phosphatidylcholine are the main components. Soy phosphatidylcholine represents about 90% of the lipids in the liposomes (Table 2).
To evaluate liposomes'''''''' ability to enhance the skin permea- tion of Alvorada spring mineral water in vivo, using the Raman test. To evaluate the in vitro efficacy of liposome-enhanced water through the gene expression of aquaporin 3 and filaggrin and the nuclear transcription factor NF- ''''''''s activity level.
Liposome-enhanced Mineral Water''''''''s Permeation of
the Skin
Permeation tests using the Raman method were conduc-
ted in order to evaluate the efficacy of liposome-enhanced
water. The tests used confocal microspectroscopy to determine
the depth reached in the cutaneous tissue. The product was applied on the arms and measurements were taken at different
time points (30, 60, and 120 minutes), using phosphatidylcholi-
ne as a marker of the liposome.
Stimulation of Filaggrin and Aquaporin 3 Gene
Expression
Real-time Polymerase Chain Reaction (PCR) studies
were performed to assess the gene expression of filaggrin and
aquaporin 3. Human keratinocytes (Cascade Biologics, Grand
Island, New York, USA) were cultured, and after six hours of
contact with the mineral water, total RNA was extracted using
TRI Reagent ® Solution (Applied Biosystems, Carlsbad,
California, USA) and quantified using the Quant-iT™
RNA Assay Kit (Invitrogen). Readings were carried out using the
Quibit ® Fluorometer device (Invitrogen, Grand Island, New
York, USA) and the tests were conducted using a StepOnePlus
(Applied Biosystems) device. The TaqMan® Gene Expression
Assays trial system (Applied Biosystems) was used to measure
the gene expression of filaggrin. The gene expression of aqua-
porin 3 was assessed with an EXPRESS One-Step SYBR®
Green RNA-to-CT™ kit (Invitrogen). The relative amount of
mRNA was calculated as described in studies by Pfaffl
4
and also
Edith and Gregory.
5
Decreased Activity of Nuclear Transcription Factor
(NF¿ß)
NF- activity was evaluated through the culture of human
keratinocytes in six different concentrations of liposome-enhan-
ced mineral water and demineralized water (control). The cells
were subjected to UVA/UVB radiation and again exposed to
the product for more than 24 hours. NF- ''''''''s activity level was
measured using a kit manufactured by Cayman Chemical
Company (Ann Arbor, Michigan, USA). The absorbance rea-
dings were taken using a microplate reader at 450 nm. NF-
values were expressed as percentage ratios of the respective con-
trols (basal and UVA/UVB).
Mineral Water Permeation of the Skin with Liposomes
After the first 30 minutes of the single application, phos-
phatidylcholine levels (liposome marker) were significantly
increased at a 1-7 m depth (stratum corneum), suggesting that
the liposome quickly permeated within the first minutes of
application. In line with the observations of the first 30 minu-
tes, reduced levels of phosphatidylcholine were found in the
upper layers of the skin, and the levels progressively increased in
deeper layers (with a peak of 19 m in the stratum spinosum),
indicating that the liposome reaches deeper layers of the epider-
mis. Two hours after application, there were no significant alte-
rations. No increase in phosphatidylcholine levels in the deeper
layers was detected, and the permeation pattern remained
unchanged from the level that was measured after the first 60
minutes. Results are shown in Graph 2.
Filaggrin Gene Expression Stimulation
In a study of cell cultures, the liposome-enhanced mineral
water provided approximately a threefold increase (2.8 times) in
the gene expression of filaggrin – which was 7% higher than
that obtained with the Alvorada spring water without liposo-
mes. These data suggest that liposome-enhanced water can con-
siderably contribute to the maintenance of the skin''''''''s hydric/
balance, since filaggrin is a major protein forming the stratum
corneum, and is responsible for the formation of approximately
50% of the skin''''''''s total natural moisturizing factor.
Stimulation of Aquaporin 3 Gene Expression
In a study of cell cultures, the Alvorada spring mineral
water without liposomes produced a 1.8-fold increase in the
aquaporin 3 gene expression compared to the Milli Q water,
which did not contain minerals. In contrast, the test carried out
with liposome-enhanced mineral water demonstrated a 4.3-fold
increase (140% higher). This increase in the expression of aqua-
porin 3 confirms the product''''''''s ability to maintain the skin''''''''s
hydric integrity, since that protein acts as a specialized mecha-
nism capable of compensating excessive epidermal loss of water.
Decreased Activity of Nuclear Transcription Factor
(NF¿ß)
The 0.2% concentration of mineral water liposomes led to
a significant reduction (47%) in NF¿ß activity, suggesting a
soothing and anti-inflammatory mechanism in vitro.
One of the major disadvantages of topical therapy is the low speed of permeation of drugs applied to the skin. The bar- rier to the diffusion of most substances is the stratum corneum, which consists of corneocytes immersed in a lipid matrix. The stratum corneum''''''''s lipid matrix is formed of a lipid bilayer that is composed of cholesterol, fatty acids, and ceramides. The main advantages of using liposomes are linked to their ability to store water-soluble substances in their interior and lipophilic and amphiphilic substances in their membranes – in which the acti- ve substances are kept and transferred later to other membranes, such as the skin. As demonstrated by the Raman test, those lipo- somes are able to increase skin permeation, into the stratum cor- neum, and can better hydrate the skin. In addition, liposomes are non-toxic, biodegradable, and can be prepared in large scale. In vitro tests also confirmed that the liposome-enhanced water presented advantageous biological effects compared with the mineral water without liposomes. Among these advantages, it is important to highlight the significant increase in the gene expression of aquaporin 3 and filaggrin, which denote an improved hydration and reconstruction capacity of the skin bar- rier. Many dermatoses can benefit from this new technology. A significantly greater reduction in the activity of nuclear trans- cription factor NF¿ß was also observed, suggesting a greater anti-inflammatory mechanism compared to that of the une- nhanced mineral water. These tests, combined with the in vitro tests conducted with the unenhanced water, suggest that the lat- ter would be more appropriate in cases in which the cutaneous barrier is compromised. Liposome-enhanced water seems to be preferable for normal skin, where the liposomes increase skin permeation and deliver the water into the stratum spinosum.
Although it has not been proven clinically, the application of liposome-enhanced water on compromised skin could result in permeation that is too deep, which could cause irritant effects. Further studies are needed to better understand the effects of liposome-enhanced mineral water on healthy skin and dermatoses.
Nanotechnology''''''''s multidisciplinarity and benefits cannot be overlooked. The development of liposomes using Brazilian- based technology demonstrates that Brazilian scientists are inno- vating in the area of cosmetic delivery systems, which benefits the field of dermatology. Brazil''''''''s wealth of mineral spring waters represents a considerably valuable resource, and should be the object of further studies in dermatology. This study has verified that liposome-encapsulated water can permeate the skin and provide enhanced biological effects.
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