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Physavie®
Natural soothing for the skin
Skin stress
Immune System
Inflammation
Aging Pathologies
Eczema, Dermatitis,
Psoriasis, Rosacea
UV, IIR, VL Microorganisms Pollution
Skin Immune System
• Activated by keratinocytes or direct contact with Langerhans cells (in the case of microorganisms)
• Pro-inflammatory mediators release – recruit other cells of the skin immune system such as neutrophils, macrophages and lymphocytes – releasing other pro-inflammatory mediators
Langerhans
cells Neutrophils Lymphocytes Macrophages
Pro-inflammatory mediators
IL-1
Stimulate:
IL-4, IL-5, IL-10, INF- (interferon gama) and
TNF- (tumor necrosis factor gama)
Keratinocytes and
macrophages
IL-1 TNF- Stimulate:
IL-1, IL-6, IL-8 and eicosanoides (COX-2 e PGE2)
Cause fever and ECM destruction (MMPs) and
increase vascular permeability (edema)
Atopic dermatitis
and psoriasis
ECM – Extracellular Matrix
MMPs- Metalloproteinases
Pro-inflammatory mediators
IL-6
Stimulate:
Antibody production, acute phase proteins and
angiogenesis
Many cells
INF- TNF- Stimulate:
IL-2 and IL-4 and activate macrophages
(phagocytosis)
Free radicals, impair structures
psoriasis
eczema and
psoriasis
INF- - Interferon gama
TNF- - Tumor necrosis factor gama
Pro-inflammatory mediators
NF-
Activates:
Cytokins and growth factors, but it posess
cyto-protective functions
Histamine
Increase:
• Allergic and atopic dermatites and sensitive skin
• Vasodilatation, edema, pruritus, pain
Atopic dermatitis,
eczema and psoriasis
IL-10 Controls:
Exaggerated immunological reactions (inhibits
macrophages and Langerhans cells reactivity)
Pro-inflammatory mediators
Edema, hyperpigmentation
Vasodilatation, edema,
erythema, pain and pruritus
Growth Factors
TGF-
Stimulate:
Immune system cells migration to the region, but it
reduces the cytokine production, phagocytosis and
Langerhans cells activation
Keratinocytes, Fibroblasts
and Lymphocytes
TGF- GM-CSF Maintenance of capillary integrity and regulates
tissue repair through proliferation of fibroblasts
and synthesis of ECM components
pro- and anti-
inflammatory
action
GM-CSF - granulocyte and macrophage stimulatory factor
TGF- - tissue growth factor alfa
ECM – extracellular matrix
Aging
UVC UVB UVA
VISIBLE
IR-A IR-B IR-C
INFRARED ULTRA-VIOLET
100 nm 280 320 400 760 1mm 1400 3000
HEAT
15 min of midday sun exposition – increases
the skin temperature to 40-43ºC
6.8% 38.9% 54.3%
Source: Seo & Chung, J Dermatol Sci Suppl (2006) 2, S13-S22
Aging • Heat and visible light causes similar damages to those found in photoaging:
• MMPs
• free radicals
• inflammatory mediators
MMPs- Metalloproteinases
Physavie®
• Supercritical extract of Physalis angulata • Plant found in high solar incidence region
• Soothing properties similar to corticoids without side effects (inhibition of growth factors and acceleration of aging)
• Indicated for sensitive or sensitized skin
• Presents antiaging properties
Physavie® • In vitro tests
• Inflammatory mediators • Growth factors • Antioxidant property • Extracellular matrix
• Ex vivo tests • Extracellular matrix
• Clinical trials • Preventive study - temperature, microcirculation and TEWL • Curative study – TEWL, erythema and subjective analysis • SPF – non interference in the SPF • Permeation
Physavie® In vitro – inflammatory mediators
0
500
1.000
1.500
2.000
2.500
Controle HCTS
(0.025%)
Physavie
(0.025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
IL-6
*
*
#
&
0
200
400
600
800
1.000
1.200
Controle HCTS(0.025%)
Physavie(0.025%)
LPS(10ng/mL)
LPS +HCTS
(0.025%)
LPS +Physavie(0.025%)
pg/
mL
IL1-alfa
*
*
#
&
@ @
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.05, in relation to baseline control and
HCTS; & p <0.001, relative to LPS; p <0.001, relative to LPS control and p <0.05, relative to HCTS + LPS.
Control Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.05, in relation to baseline control; & p <0.001, in relation to baseline control and
p <0.01, in relation to HCTS; @ p <0.001, relative to LPS; £p<0.001, relative to LPS and p <0.01, relative to HCTS + LPS; $p
<0.001, in relation to LPS and p <0.05, in relation to HCTS + LPS.
0
200
400
600
800
1.000
1.200
1.400
1.600
1.800
2.000
Controle HCTS
(0.025%)
Physavie
(0.025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
TNF-alfa
0
100
200
300
400
500
600
700
800
900
Controle HCTS
(0.025%)
Physavie
(0.025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
IFN- gama
*
*
#
*
#
@ @
£
$
Control Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
. * p <0.001, in relation to baseline control; # p <0.001, relative to LPS; @P <0.001, relative to HCTS + LPS.
0
50
100
150
200
250
300
350
400
450
500
Controle HCTS
(0,025%)
Physavie
(0,025%)
LPS (10ng/mL) LPS + HCTS
(0.025%)
LPS + Physavie
(0.025%)
pg/
mL
IL-10
*
#
@
Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p<0,001, em relação ao controle basal; # p<0,001, em relação ao controle basal e HCTS; &p<0,001 em relação ao LPS; @P<0,001,
em relação a LPS e HCTS + LPS.
0
5
10
15
20
25
30
Controle HCTS
(0.025%)
Physavie
(0.025%)
LPS (10ng/mL) LPS + HCTS
(0.025%)
LPS + Physavie
(0.025%)
pg/
mL
Phospholipase A2
*
*
#
&
@
Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.001, relative to LPS; & p <0.01, relative to LPS and HCTS + LPS..
0
5
10
15
20
25
Controle HCTS
(0,025%)
Physavie
(0,025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
COX-2
0
50
100
150
200
250
Controle HCTS
(0,025%)
Physavie
(0,025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
PGE-2
*
*
*
*
#
*
#
& &
Control Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.001, in relation to baseline control and HCTS; @ p <0.001, relative to LPS; $ p <0.001,
in relation to the LPS and HCTS + LPS control..
0
5
10
15
20
25
30
35
40
45
50
Controle HCTS
(0,025%)
Physavie
(0,025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
LOX
0
200
400
600
800
1.000
1.200
Controle HCTS
(0,025%)
Physavie
(0,025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
LTB4
*
*
*
*
#
# @ @
$ $
Control Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.001, in relation to baseline control and HCTS; @p <0.001, relative to LPS; $ p <0.001,
in relation to the LPS and HCTS + LPS control.
0
1
2
3
4
5
6
Controle HCTS (0,025%) Physavie
(0,025%)
LPS (10ng/mL) LPS + HCTS
(0.025%)
LPS + Physavie
(0.025%)
pg/
mL
Histamine
* #
*
@
$
Control
Physavie® In vitro – inflammatory mediators
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.001, in relation to the LPS control; @p <0.001, relative to LPS and HCTS + LPS.
-30
-25
-20
-15
-10
-5
0
5
10
15
20
HCTS (0,025%) Physavie
(0,025%)
LPS (10ng/mL) LPS + HCTS
(0.025%)
LPS + Physavie
(0.025%)
% r
ela
tcio
nad
o a
o c
ontr
ole
bas
al
NF-kB
*
*
*
# @
Physavie® In vitro – Growth factors
Keratinocytes – 48hs of incubation. LPS = bacterial lipopolysaccharides; HCTS = hydrocortisone
* p <0.001, in relation to baseline control; # p <0.001, in relation to baseline control and HCTS; #p <0.001, in relation to baseline
control and P <0.05, in relation to HCTS; @p <0.001, relative to LPS; $p <0.001, in relation to LPS control and HCTS + LPS..
0
500
1.000
1.500
2.000
2.500
3.000
Controle HCTS
(0,025%)
Physavie
(0,025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
TGF-beta
0
10
20
30
40
50
60
70
80
90
100
Control HCTS
(0,025%)
Physavie
(0,025%)
LPS
(10ng/mL)
LPS +
HCTS
(0.025%)
LPS +
Physavie
(0.025%)
pg/
mL
GM-CSF
*
*
#
* *
@ @
$
$
Control Control
Physavie® In vitro – antioxidant property
Keratinocytes – 48hs of incubation. HCTS = hydrocortisone; IIR/VL = infrared irradiation and visible light
* p <0.001, in relation to baseline control; # p <0.001, in relation to control and HCTS; & p <0.001, relative to IIR/VL; @ p <0.001, in
relation to the IIR/VL and IIR/VL + HCTS control..
0
1
2
3
4
5
6
7
8
9
Controle HCTS
(0.025%)
Physavie
(0.025%)
IIV/LV IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
CA
T a
ctiv
ity
(U/m
L)
CAT
0
0,1
0,2
0,3
0,4
0,5
0,6
0,7
0,8
0,9
Controle HCTS
(0.025%)
Physavie
(0.025%)
IIV/LV IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
SOD
act
ivity
(U/m
L)
SOD
*
*
#
#
*
*
*
@
&
@
Control Control IIR/VL IIR/VL IIR/VL +
HCTS
(0.025%)
IIR/VL +
HCTS
(0.025%)
IIR/VL +
Physavie
(0.025%)
IIR/VL +
Physavie
(0.025%)
Physavie® In vitro – extracellular matrix
Fibroblasts – 24hs of incubation. HCTS = hydrocortisone; IIR/VL = infrared irradiation and visible light
Gene expression was considered relevant (or significant) when values obtained in the experiment were higher than 1.5 time (±
standard deviation) or lower than 0.5 time (± standard deviation) in relation to the control.
0
0,5
1
1,5
2
2,5
3
3,5
4
Controle HCTS
(0,025%)
Physavie
(0,025%)
IIV/LV
(2J/cm2)
IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
Gene e
xpre
ssio
n in r
ela
tion t
o t
he c
ontr
ol
Colligin
0
0,5
1
1,5
2
2,5
3
3,5
4
Controle HCTS
(0,025%)
Physavie
(0,025%)
IIV/LV
(2J/cm2)
IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
Gene e
xpre
ssio
n in r
ela
tion t
o t
he c
ontr
ol
Headpin
Control Control IIR/VL
IIR/VL
IIR/VL +
HCTS
(0.025%)
IIR/VL +
HCTS
(0.025%)
IIR/VL +
Physavie
(0.025%)
IIR/VL +
Physavie
(0.025%)
Physavie® In vitro – extracellular matrix
0
0,5
1
1,5
2
2,5
Controle HCTS(0,025%)
Physavie(0,025%)
IIV/LV(2J/cm2)
IIV/LV +HCTS
(0.025%)
IIV/LV +Physavie(0.025%)
Gene e
xpre
ssio
n in r
ela
tion t
o the c
ontr
ol
Pro-collagen
Fibroblasts – 24hs of incubation. HCTS = hydrocortisone; IIR/VL = infrared irradiation and visible light
Gene expression was considered relevant (or significant) when values obtained in the experiment were higher than 1.5 time (±
standard deviation) or lower than 0.5 time (± standard deviation) in relation to the control.
Control IIR/VL
IIR/VL +
HCTS
(0.025%)
IIR/VL +
Physavie
(0.025%)
Physavie® In vitro – extracellular matrix
Fibroblasts – 48hs of incubation. HCTS = hydrocortisone; IIR/VL = infrared irradiation and visible light
* p <0.001, in relation to baseline control; # p <0.001, in relation to control and HCTS; & p <0.001, relative to IIR/VL; @ p <0.001, in
relation to IIR/VL and IIR/VL + HCTS control.
0
5
10
15
20
25
Controle HCTS
(0,025%)
Physavie
(0,025%)
IIV/LV
(2J/cm2)
IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
pg/
mL
Collagen type I
0
1
2
3
4
5
6
Controle HCTS
(0,025%)
Physavie
(0,025%)
IIV/LV
(2J/cm2)
IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
ug/
mL
GAG
*
*
# #
*
* *
&
@
@
Control Control IIR/VL
IIR/VL
IIR/VL +
HCTS
(0.025%)
IIR/VL +
HCTS
(0.025%)
IIR/VL +
Physavie
(0.025%)
IIR/VL +
Physavie
(0.025%)
Physavie® In vitro – extracellular matrix
Fibroblasts – 48hs of incubation. HCTS = hydrocortisone; IIR/VL = infrared irradiation and visible light
* p <0.001, in relation to baseline control; # p <0.001, in relation to control and HCTS; & p <0.05 and @p <0.001 relative to IIR/VL;
$ p <0.001, in relation to IIR/VL and IIR/VL + HCTS control.
0
100
200
300
400
500
600
700
800
900
Controle HCTS
(0,025%)
Physavie
(0,025%)
IIV/LV
(2J/cm2)
IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
pg/
mL
MMP-1
0
10
20
30
40
50
60
70
80
90
100
Controle HCTS
(0,025%)
Physavie
(0,025%)
IIV/LV
(2J/cm2)
IIV/LV +
HCTS
(0.025%)
IIV/LV +
Physavie
(0.025%)
pg/
mL
PMN-elastase
*
*
#
* &
@
$
$
Control Control IIR/VL
IIR/VL
IIR/VL +
HCTS
(0.025%)
IIR/VL +
HCTS
(0.025%)
IIR/VL +
Physavie
(0.025%)
IIR/VL +
Physavie
(0.025%)
Physavie® Ex vivo – extracellular matrix
Human skin fragment – exposition to IIR/VL (2J/cm2) or oven heat at 43º C for 90 minutes. IIR/VL = infrared irradiation and visible
light.
Green fluorescence = type I collagen. Blue fluorescence = nucleus (DAPI). Band size = 50μm.
Control
Heat (43C/90 min)
Physavie®
Heat (43C/90 min)
Control
IIR/VL (2J/cm2)
Physavie®
IIR/VL (2J/cm2)
Physavie® Clinical – Preventive Study
33 volunteers 18-60 years old
Phototype I to IV
Pannel Products
Microcirculation by Laser Doppler
Cutaneous temperature
TEWL
Evaluation
Placebo
Physavie 0.5%
Hydrocortisone 0.5%
Application
1X a day for 5 days 0.1% de methyl nicotinate on D5
Physavie® Clinical – Preventive Study
0255075
100125150175200225250
0 5 10 20 40
Perf
usi
on u
nits
Time (minutes after application of MN on D5)
Blood flow
Physavie 0,5% HCTS 0,5% Placebo
HCTS = hydrocortisone; MN = methyl nicotinate.
Physavie® Clinical – Preventive Study
37,2 37,5 37,6 37,8 37,3
37,3 37,8 39,1
40,6
38,4
37,3 37,9
39,9
42,2
40,7
34353637383940414243
0 5 10 20 40
Skin
tem
pera
ture
(C
)
Time (minutes after application of MN on D5)
Cutaneous temperature
Physavie 0,5% HCTS 0,5% Placebo
HCTS = hydrocortisone; MN = methyl nicotinate.
Physavie® Clinical – Preventive Study
0
1
2
3
4
5
D1 D5
Tra
nse
pid
erm
al w
ater
loss
(T
EW
L)
(g/m
h)
Time (days)
TEWL
Physavie 0,5% HCTS 0,5% Placebo
P>0,05 P<0,05
-21%
+5,4% P<0,05
-5,8%
HCTS = hydrocortisone; MN = methyl nicotinate.
Physavie® Clinical – Curative Study
20 volunteers 18-50 years old
Phototype I to III
Pannel Products
Erythema by Mexameter
TEWL
Subjective evaluation
Evaluation
Placebo
Physavie 1%
Hydrocortisone 1%
Application
Tape stripping in the forearm
Lactic acid 10% at nasolabial region
One single application after insult
Physavie® Clinical – Curative Study Tape stripping
-35,00
-30,00
-25,00
-20,00
-15,00
-10,00
-5,00
0,00
T2h T6h T24h T48h T72h
% c
han
ge in t
he t
ranse
pid
erm
al w
ater
loss
TEWL
Placebo Physavie 1% HCTS 1%
*
*
HCTS = hydrocortisone
* p <0.001, relative to placebo and HCTS within the times assessed; # p <0.001, in relation to control
and HCTS; # p <0.05, relative to placebo..
#
Physavie® Clinical – Curative Study Tape stripping
HCTS = hydrocortisone
p <0.05, in relation to HCTS at the time evaluated.
-1,5
-1
-0,5
0
0,5
1
T2h T6h T24h T48h T72h
% c
han
ge in e
ryth
em
a Mexameter
Placebo Physavie 1% HCTS 1%
*
Physavie® Clinical – Curative Study Tape stripping
HCTS = hydrocortisone.
0
5
10
15
20
25
30
% Im
pro
vem
ent
Subjective Evaluation
HCTS 1% Physavie 1%
T2h T6h
Physavie® Clinical – Curative Study Lactic acid
p£ 0.001, relative to placebo and, p <0.05, over placebo at the time evaluated..
-2
-1,5
-1
-0,5
0
0,5
1
T1 T2 T4
% c
hange in r
ela
tion t
o p
lacebo
Erythema
-29
-28
-27
-26
-25
-24
-23
T1 T2 T4
% c
han
ge in
rel
atio
n t
o p
lace
bo
TEWL
*
*
*
#
70% of the panel stated that there was no very mild/mild
discomfort when tested and then treated with Physavie®
Physavie® Clinical – SPF
10 volunteers 18-50 years old
Phototype I to III
Pannel Products
Erythema by Chromameter
T0 and T24 hours after
exposition
Evaluation
Placebo
Physavie 1%
Hydrocortisone 1%
Application
1X before exposition to 6 different
doses of UVB
Physavie® Clinical SPF
Product Mean Minimal Erythema Dose
(unprotected skin)
Mean Minimal Erythema Dose
(protected skin)
Placebo 1,76 2,48
Physavie 1% 1,76 2,44
HCTS 1% 1,76 2,45
Physavie® does not interfere with erythema
measurement, necessary for determining the
sun protection factor.
HCTS = hydrocortisone.
Physavie® Clinical - Permeation
2 volunteers
Pannel Products
Raman spectroscopy
1-60 m depth
Standard: total phytosterols (
95% pure)
Evaluation
Placebo
Physavie 1%
Application
One single application
Physavie® Clinical - Permeation
30min 1h 2h 4h 24h 48h 72h
1% Physavie® 5,884 36,173 16,916 25,426 14,844 20,152 22,429
Permeation of the active ingredient (arbitrary unit) relative
to the concentration of total phytosterols and placebo
Physavie®
Benefits
• 100% biodegradable
• Has soothing properties equivalent to hydrocortisone without the adverse effects
• Has anti-pruritic and soothing properties, essential for sensitive and/or sensitized skin
• Regulates skin temperature and microcirculation, maintaining its baseline levels, even after external aggression
Physavie®
Benefits
• Biologically reduces damage from infrared radiation and visible light;
• Has proven Anti-Aging Thermal Action;
• Can be associated with photoprotectors, with the appeal of reducing the damages caused by rays in the infrared wavelength and visible light, without interfering in the formation of erythema, needed in Solar Protection Factor (SPF) determination
Physavie® Application • Oil phase at a maximum of 80°C (for up to 15 minutes)
• pH 4,5-7,5
• Emulsions, gels, serums, tonics, soaps, oils for sensitive or sensitized skin
• Compatible with formulations containing both chemical and physical sunscreens
• For transparent formulas, please order specific version
Concentration of use 0.5-1.0% (w/w)
Thank you!