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Perspectives from a future dermatologist

Product Review: Wexler MMPi Skin Regeneration Serum

MMpi

Leave it to Patricia Wexler, the fashion-forward, world-famous Manhattan-based dermatologist, to put a phrase like “matrix metalloproteinase” on the map. Matrix metalloproteinases (MMPs) are collagen-degrading enzymes that play an important role in the aging picture. In a 1996 study by Fisher et al., it was found that UV exposure increase MMPs (and hence collagen production) in three steps, as mentioned in Cosmetic Dermatology. One, UV exposure increases the production of the transcription factor c-jun. Two, the “extra” c-jun combines with another transcription factor already present in high concentration, c-fos, to produce activator protein, AP-1. Three, AP-1 activates the MMP genes, which produce collagenase, gelatinase, and stromelysin-1. It may further be noted that there are twenty-three human MMPs, and MMP-1 has been found in studies to be the MMP responsible for collagen degradation.

In addition to UV radiation, MMPs are activated in other ways that are similar to free radicals: the natural aging process, environmental stresses, smoking, and pollution. And, similar to how natural antioxidants keep free radicals in check, the body naturally produces Tissue Inhibitors (TMPs) to keep levels of MMPs down. Unfortunately, however, as people age, MMP activity increases, while levels of Tissue Inhibitors (TMPs) decrease.

Matrix metalloproteinase activity can be stopped in two ways. The first is to prevent their production. This is best done with a sunscreen with high UVB protection (UVB has been directly liked to MMP production by Fisher et al.) Fortunately, the best UVB protection is easy to find: look for the sunscreen with the highest sun protection factor (SPF), a direct measure of UVB protection. The second method is to stop the degrading activities of the MMPs. According to Dr. Wexler, there are several substances that act as MMP inhibitors (MMPis): epigallocatechin-3-gallate (a derivative of green tea), retinoic acid, eicosapentaenoic acid (an omega-3 fatty acid), beta-carotene, DHEA (though this is controversial), polysaccharides, vitamin E, and vitamin C, and flavonoids. Research has shown all of these inhibit MMPs and increase TIMPs.

Patricia Wexler’s MMPi Skin Regeneration Serum uses MMPis to inhibit MMP activity in skin cells by more than 80%. According to Wexler’s website, MMP relative inhibition potency in competing products ranges from 1.6 – 15.4%; in Wexler’s serum, the same potency is 100%. Very exciting indeed.

So how does Wexler’s MMPi Skin Regeneration Serum fit into the anti-aging skin regimé? Based on current research, the ideal anti-aging regimé contains five elements: exfoliating ingredients at least once/week, antioxidants for free-radical protection, retinoids (not always for those with sensitive skin) for increased skin-cell turnover and collagen production, moisture-enhancing ingredients like sodium hyaluronate (not always for those with oily skin), and of course, a UVA/UVB sunscreen of at least SPF 30 for free-radical and MMP protection. Of these, Wexler’s MMPi Skin Regeneration Serum contains antioxidants, MMPis, and moisture-binding ingredients. If a moisturizer with SPF is applied over the serum, it seems to be an excellent, novel defense against aging. At $55.00 for 1 floz., I say, if you got it, go for it. 10/10. One of the best out there!

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September 26th, 2007 Posted by futurederm | Best Products | 5 comments

How do antioxidants work?

Antioxidants

Ah, yes, the antioxidant. While nearly everyone has heard of them, few know how they actually work. But it’s relatively simple.

Let’s get into some basic chemistry. Oxygen molecules are stable, or unreactive, when they have an even number of electrons. However, when oxygen molecules combine with other molecules, the oxygen can end up with an odd number of electrons. The oxygen molecule is now unstable and highly reactive, and the odd-numbered species is known as a free radical. This free radical really is a crazy, radical species: it starts a vicious chain reaction that attacks cells, proteins, and DNA, all of which contribute to aging.

The body defends against free radicals with antioxidants, which impede or slow the chain reaction. Antioxidants like beta carotene and vitamins C and E “break the chain,” stopping free radicals from ripping electrons off of other molecules. Other antioxidants, like superoxide dismutase, catalase and glutathione peroxidase, stabilize the unstable, reactive free radicals, and thereby slow the free radical chain reaction.

Unfortunately, the body does not produce or ingest enough antioxidants to neutralize all of the free radicals, which come from processes that are both endogenous (within the body, such as human metabolism) and exogenous (outside the body, from pollution, smoking, alcohol, and UV radiation, amongst other sources). Over time, this means free radicals accumulate a great deal of damage within the body (WebMD). As a means of defense against future UV-induced free-radical damage, most dermatologists recommend daily use of sunscreen with UVA/UVB protection and a SPF of at least 15. However, according to Skinceuticals, sunscreens only block 45-55% of free radical production. As such, many experts recommend a second line of defense, by using antioxidant supplements and antioxidant-rich topically applied treatments.

However, beware of overloading on antioxidant supplements. Although studies repeatedly conclude that levels of antioxidant vitamins found in most popular multivitamins are safe, it is easy to increase intake to toxic levels. Some of these levels are provided in this article from the Harvard School of Public Health, and additionally from How Stuff Works below:

Antioxidant RDA (adults) Upper Level (adults) Comment
Vitamin E 15 mg 1,070 mg natural vitamin E785 mg synthetic vitamin E Higher amounts impair blood clotting, increasing likelihood of hemorrhage.
Vitamin C Women: 75 mg
Men: 90 mg
2,000 mg Higher amounts could lead to diarrhea and other GI disturbances. Extremely high levels may lead to cancer, atherosclerosis, and kidney stones.
Beta-carotene None None Chronic high doses turn your skin yellow-orange, but it is not toxic. However, research indicates it is unwise to consume doses of beta-carotene beyond what is in a multivitamin and your regular diet.
Selenium 55 micrograms 400 micrograms Higher amounts could cause hair loss, skin rashes, fatigue, GI disturbances, and nervous system abnormalities.

In addition to antioxidant supplements, take care selecting a quality antioxidant skincare product. According to Cosmetic Dermatology, vitamins C and E, glutathione, lipoic acid, and coenzyme Q10 are “network antioxidants,” which work together synergistically to regenerate or enhance their action. For instance, after vitamin E is used to neutralize a free radical, vitamin C or coenzyme Q10 can donate electrons to vitamin E, effectively “recycling” it in the system. For this reason, antioxidant products like Skinceuticals C E Ferulic are particularly valuable; when used with a sunscreen, this product has been shown to provide eight times the free radical protection of sunscreen alone.

Although antioxidants provide ample protection against future free radical damage, antioxidants have not as of yet been shown to reverse existing signs of aging. According to Paula Begoun, bestselling author of Don’t Go to the Skincare Counter Without Me, it is further unknown how many antioxidants are necessary to stop all or even most free-radical damage, or for how long antioxidants are effective before being used up. However, based on current research, antioxidants provide excellent prevention against aging, and should be used as a part of your regular skincare regular regimé.

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September 26th, 2007 Posted by futurederm | Uncategorized | 17 comments