Thursday, July 7, 2011

Peptides: Ready for Primetime? By: Ahmed Abdullah, MD, FACS

Peptides: Ready for Primetime?
By: Ahmed Abdullah, MD, FACS

Posted: June 28, 2011, from the July 2011 issue of Skin Inc. Magazine.

During the past decade, peptides have taken on growing prominence in the skin care category. They’ve become so popular, in fact, that countless skin care products proudly feature them on their ingredient lists, whether sold by physicians and licensed skin care professionals, or department stores and drugstores. The excitement surrounding peptides isn’t simply reserved for product formulators and marketers, however. Take a look at the skin care conversation among consumers online, and you’ll find plenty of individuals pronouncing the positive impact peptide formulations have had on their skin. There’s little doubt that consumers are beginning to consider them the next big thing.

Yet, despite the vigor with which skin care brands promote peptide formulations and the growing consumer appetite for such products, their benefits have not yet been fully proven in the scientific arena. Certainly, potential exists, but so do limitations. Whether peptides truly are a panacea or simply another ingredient propelled into the spotlight may not yet be known for several years. Until then, it’s essential for skin care professionals to be well-versed on the topic, because, most certainly, your clients will soon be asking your opinion of peptides, if they haven’t already.

The science

Peptides are biologically active compounds that closely resemble proteins—both are chains of amino acids. The difference? Peptide chains include fewer amino acids. Generally, a chain with more than 50 amino acids is a protein while those with fewer is a peptide. However, there are exceptions. Peptides are classified according to their length. Therefore, you’ll often encounter terms such as dipeptides—two amino acids; tripeptides—three; tetrapeptides—four; pentapeptides—five; and so on. Although there are probably thousands of naturally occurring peptides, to date, only several hundred have been characterized.1

Peptides play an array of important roles in the body, depending on the type. They may reduce inflammation, enhance antioxidant defense mechanisms, regulate bodily functions and even offer analgesic properties. In cosmeceuticals, three types of peptides are used, including:

Signal peptides that encourage fibroblasts to increase production of collagen while decreasing the breakdown of existing collagen;
Neurotransmitter peptides that limit muscle contraction and, thus, are said to mimic the effects of botulinum toxin; and
Carrier peptides that stabilize and deliver trace elements necessary for wound-healing and enzymatic processes.
Given that signs of skin aging, including fine lines and wrinkles, are caused by a breakdown of collagen and elastin—the proteins that give skin strength and elasticity, as well as slow cellular turnover—the abilities of these peptides seem the perfect match for skin care formulations. However, not only are peptides expensive to utilize, in their natural state they also have shortcomings that significantly limit their potential in skin care applications. These shortcomings include the following.

Peptides have a large molecular size and are hydropholic (water-liking), so they are unable to penetrate the lipopholic (fat-liking) stratum corneum layer of the epidermis.2 Despite this, peptides are generally unstable in water-based formulations. The presence of water breaks down the peptide bond, rendering it inactive.3
Should peptides be absorbed, the abundant presence of enzymes found in the skin can also break down peptide bonds.4
Fortunately, peptides are easily modified to improve their characteristics relative to use in skin care formulations. Chemists have found creative ways to overcome their limitations, such as attaching a fatty acid component to improve absorption into the skin, specific activity and economic feasibility.

Popular peptides

In skin care today, only approximately 25 peptides are routinely utilized due to various limitations, including high cost and absorption capabilities.5 Some of the more popular types are palmitoyl pentapeptide-4, acetyl hexapeptide-8 and GHK-C.

Palmitoyl pentapeptide-4. A signal peptide, palmitoyl pentapeptide-4 (previously referred to as palmitoyl pentapeptide-3) is sold commercially as Matrixyl. The compound developed by Sederma adds palmitic acid to the peptide chain to improve penetration. Hailed as a very promising cosmeceutical ingredient during the 20th World Congress of Dermatology in Paris, 2002, company research showed palmitoyl pentapeptide-4 produced substantial improvements in wrinkle appearance more quickly than retinol and without causing irritation.6

Acetyl hexapeptide-8. A neurotransmitter peptide, acetyl hexapeptide-8 (previously referred to as acetyl hexapeptide-3) is sold commercially as Argireline. This compound, manufactured by Lipotec, has often been compared to botulinum toxin, due to its ability to inhibit the reactions that cause muscles to contract. Although it is certainly less potent than botulinum toxin, a study showed that acetyl hexapeptide-8 displayed remarkable anti-wrinkle activity when applied topically.7

GHK-Cu. Enthusiasm surrounding the use of peptides in skin care began with copper peptide GHK-Cu, which was discovered by Loren Pickart, MD, in 1973.8 A carrier peptide, GHK-Cu has been shown to be effective in wound-healing and reducing fine lines and the depths of wrinkles, among other attributes.9, 10

Matrixyl 3000. Peptides are also used in combination, as in the case of Matrixyl 3000. Manufactured by Sederma, Matrixyl 3000 is a combination of palmitoyl oligopeptide and palmitoyl tetrapeptide-7. Together, these peptides are reported to decrease wrinkle density, volume and depth.11

Overcoming hurdles

Although chemists have found ways to optimize peptides for use in topical skin care formulations, they still face hurdles before they can generate the results anticipated by the consumers who buy them. Assuming the peptide has been modified to improve its stability in skin care formulations, through chemistry, the use of appropriate product packaging and its ability to penetrate the skin, it’s still essential that the product feature an effective delivery system to reach the target area where collagen synthesis, wound-healing and other activities may occur. Only when the peptide is absorbed by the skin and delivered to the targeted area in a stable form will it stand the potential of generating results.1

Formulators are certainly rising to this challenge. Sophisticated new delivery systems are regularly being developed, and the onus is on skin care professionals to stay on top of these new developments to ensure the products they are recommending stand a strong chance of truly providing their marketed benefits.

Another challenge: To be effective, peptides must be utilized in appropriate concentrations. Unfortunately, ingredient concentrations within a formulation are rarely disclosed on the label. Given the generally high cost of peptides, some manufacturers use them in concentrations below those utilized in scientific research or recommended by the peptide manufacturer. This is a marketing trick that allows the company to tout the use of a certain peptide and charge a lower price for the product. However, the formulation is nearly certain to be ineffective. Because of this, it is important to request and obtain backup research for product claims from manufacturers.

Speaking of research, although some third-party studies do exist that demonstrate positive outcomes from the use of peptides in skin care, there remains the issue of consumer expectations. For example, acetyl hexapeptide-8 is incapable of delivering results similar to that of botulinum toxin injections. Yet, this mantra is still promoted by many consumers and even individuals within the industry when referring to this compound. Because of this, consumer expectations are often out of line with the true capabilities of some peptide products. To be clear, if peptides were indeed able to produce results that matched much of the hype, they would be classified as drugs and require U.S. Food and Drug Administration (FDA) approval for use. To that point, it’s often necessary to downplay much of the hype surrounding the use of these ingredients until a stronger base of unbiased research exists.

The future

With so much excitement surrounding peptides, the field of researchers investigating their potential is broadening, and their work is proving fruitful. In just the past few years, several new studies have demonstrated a wider potential for the use of peptides. For example, it is believed that the antimicrobial and anti-inflammatory characteristics of certain peptides may prove useful in the treatment of psoriasis, dermatitis and eczema.12, 13 As the development of synthesized peptides continues to move forward, it is expected the applications for peptides in skin care may broaden to include UV protection, treatment of an array of skin disorders, greater use as a melanin suppressant and much more.

However, while peptides are indeed showing promise as a capable and perhaps even impressive anti-aging ingredient, it’s important that their use be realistically approached. Currently, much of the enthusiasm surrounding their use is being fueled by consumer anecdotes of successful results. Although these are useful, they cannot be the measuring stick by which the ingredients you recommend are determined.

Until the true potential of peptides is better understood, it’s important to err on the side of caution by providing clients with the facts so they have realistic expectations before they purchase a peptide-based skin care product.

REFERENCES

1. MP Lupo and AL Cole, Cosmeceutical peptides, Dermatologic Therapy 20 5 343–349 (2007)

2. C Cullander and RH Guy, Routes of delivery: case studies (6). Transdermal delivery of peptides and proteins, Advanced Drug Delivery News Rev8 291–329 (1992)

3. A Gonzalez, Cosmetology Global Media 2007

4. K Lintner and O Peschard, Biologically active peptides: from a laboratory bench curiosity to a functional skin care product, International Journal of Cosmetic Science 22 207–218 (2000)

5. L Zhang and TJ Falla, Cosmeceuticals and peptides, Clinics in Dermatology 27 485–494 (2009)

6. CL Guttman, Studies demonstrate value of procollagen fragment Pal-KTTKS, Dermatology Times 23 9 (Sep 2002)

7. C Blanes-Mira, J Clemente, G Jodas, A Gil, et al, A synthetic hexapeptide (Argireline) with antiwrinkle activity, International Journal of Cosmetic Science 24 303–310 (2002)

8. L Pickart and MM Thaler, Tripeptide in human serum which prolongs survival of normal liver cells and stimulates growth in neoplastic liver, Nature New Biology 243 124 85–87 (1973)

9. Y Wegrowski, FX Maquart and JP Borel, Stimulation of sulfated glycosaminoglycan synthesis by the tripeptide-copper complex glycyl-L-histidyl-L-lysine-Cu2+, Life Sciences 51 13 1049–1056 (1992)

10. MB Finkley, Y Appa and S Bhandarkar, Copper peptide and skin. Cosmeceuticals and Active Cosmetic, New York, 549–563 (2005)

11. digitalebookden.com/two-matrikines-to-fight-sign-of-ageing.html (Accessed Apr 29, 2011)

12. S Namjosh and HAE Benson, Cyclic peptides as potential therapeutic agents for skin disorders, Biopolymers 94 5 673–680 (2010)

13. PY Ong, T Ohtake, C Brandt, et al, Endogenous microbial peptides and skin infections in atopic dermatitis, New England Journal of Medicine 347 1151–1160 (2002)

Ahmed Abdullah, MD, FACS, a board-certified plastic and cosmetic surgeon, is CEO, co-founder and formulator of Lexli International, Inc. He is a member of the International Aloe Science Council (IASC) based in Dallas, and has served on its board. Abdullah is a clinical associate professor of plastic surgery at the University of North Dakota School of Medicine in Grand Forks, North Dakota, and owns and practices at Plastic Surgery Institute PC and the Lexli Skin Care Center, both of which are based in Fargo, North Dakota.

Thursday, June 30, 2011

Are tanning beds a good source of vitamin D?

The answer is NO....end of story.

Check out the article HERE.

Wednesday, June 29, 2011

Slight change in service at DERMASPACE

Effective immediately the "Hand & Arm Massage" will be discontinued until further notice due to an ongoing shoulder issue. Please accept my apologies and thank you for your understanding.

Thursday, June 2, 2011

Great article in the New York Times!

I began my career at The Face Place in 1995 and now offer this amazing treatment in Seattle. Check out this article by clicking HERE.

Wednesday, May 4, 2011

Fundamentals of Laser Science By: Zoe D. Draelos, MD, and Peter T. Pugliese, MD

Posted fro SkinInc.: March 28, 2011

A basic understanding of the physics of lasers and how laser light interacts with skin is essential information for any esthetician who plans to move ahead in this industry. Estheticians need to understand the basics of laser science and to appreciate the wide range of its applications to skin care.

Lasers can be used to destroy or physically remove unwanted tissue. The old methods as well as the more recently used resurfacing laser treatments fall into this category. With resurfacing, skin actually is removed either superficially or more deeply. Resurfacing causes tissue loss; laser stimulation doesn’t destroy tissue. The problem with this is that skin repairs itself perfectly at the time of injury only if enough of the cells that regenerate skin remain; that is, if the basal layer of the epidermis is left intact. The deeper the removal of the dermis, the less perfect is the subsequent repair. For example, the new skin can be left whiter and thinner than normal. Furthermore, only skin on the face can be treated this way as the dermis on the body is much thinner and mechanical removal of even slight depth could cause scarring.

The alternative way of using laser light is to use it to stimulate the patient’s body to produce the desired repair without any mechanical destruction. This requires meticulous attention to the technique of application, which also has to be very gentle. It is slower than resurfacing, but the benefits far outweigh the investment of time. The skin repairs itself perfectly, provided it is not accidentally or purposefully interfered with during the healing process. The genetic code in the basal cells and fibroblasts acts as the master plan that the body uses as the method by which to heal itself. Extensive destruction of regenerative epidermal cells removes this data from the master plan. When laser light is used in these very gentle modes, it simply acts as a trigger to start this re-healing process, just as any gentle rejuvenation process.

Actually all lasers can be used in this gentle fashion. The laser chosen will depend on where in the skin the repair needs to occur. As you now know, different colors of laser light will penetrate to different depths. The carbon dioxide laser is capable of the deepest penetration, able to reach collagen and beyond. It is used to stimulate dermal collagen repair resulting in rejuvenating skin, or repairing scars and stretch marks. It takes gentle stimulation requiring a special care so that the temperature delivered to the tissue remains specific. See The Effects of Temperature on Tissue.

Laser technology is fast developing, but the training and associated skills still are lacking. Recommending one of your clients for laser treatment imposes considerable responsibility on the esthetician. Having a laser and knowing how use it are not the same things. A pilot skilled in flying a single engine airplane would not dream of trying to fly a multi-engine airplane without adequate training by an experienced pilot. A few days training, or even a month of training with a laser is not adequate to qualify a physician as an expert. The esthetician should get a good background on the physician’s training and experience with lasers before referring a client.

Order online at www.Allured.com/bookstore, or call 1-630-653-2155. Volume discounts available.

Allured Books is a division of Allured Business Media, a global information leader in the personal care, beauty, professional skin care, and fragrance and flavor industries for more than 90 years. Publisher of definitive business-to-business magazines and industry-leading books, electronic media, reference materials and directories, and producers of dynamic trade shows and conferences, Allured continues to set information standards in the industries it serves. Publisher of Skin Inc., Cosmetics & Toiletries, Global Cosmetics Industry (GCI) and Perfumer & Flavorist magazines and The Journal of Essential Oil Research.

Sunday, May 1, 2011

The Importance of Pre-Booking your Iderm Facial Treatments!

Hi everyone....


I just wanted to talk to you briefly about the importance of pre-booking your appointments.

I am currently the only person north of San Francisco currently offering the Iderm Facial Treatment.

(Hannah Sowd does an amazing job in SF and Marianne Kehoe of Face to Face LA is the woman to see in Los Angeles)

I do 25 clients per week right now. That's it until DERMASPACE expands. I am hoping to have a second treatment room by July and an assistant to help me which will allow me to double my availability.

DERMASPACE is open Tuesday-Saturday. For special events or if you must see me then I will take appointments on my days off at an increased price. Contact me for details.

Most of my clients see me every two weeks, a few come weekly. I have several clients who have booked their appointments in advance through the end of the year.

I am becoming increasingly busy so if you want to take your skin care to the next level then I highly recommend pre-booking standing appointments with me since appointment times are first come first serve. I want to make sure I can see you and help you achieve your skin care goals and will do my best to accommodate you.

Keep your fingers crossed that the second treatment room and the expansion of DERMASPACE goes forward. I am being interviewed on The Marie Manuchehri Show…Where Energy and Medicine Meet on August 11th so I am expecting an influx of new clients so if you are currently seeing me and want to ensure you still can after August 11th then please pre-book.

You can book easily online by clicking HERE.

Thank each and every one of you for being so loyal to me and DERMASPACE. It has been a pleasure and so rewarding to do what I love and to provide you with excellent skin care. If you have any suggestions for me or comments please do not hesitate to contact me.

Never in my wildest dreams did I imagine that DERMASPACE would grow so fast and I feel quite blessed. THANK YOU!!!

Best,

Jody, The Skin Wizard

DERMASPACE Price Changes for the IDERM FACIAL TREATMENT

Hello Everyone!!!

I'm writing you on a lovely spring day here in Seattle....FINALLY the sun is out and there is warmth in the air.

For the last year and a half I have offered Dermaculture's Iderm Facial Treatment for a very low price of $85. Normally this treatment goes for $125 in Los Angeles and New York. My goal is to help you achieve beautiful, healthy skin so I have tried to keep the treatment affordable so I established my base price of $85. If you were a frequent client (those who make the commitment to come every 2 weeks) then your price would be $75.

The intro price began at $50 then was raised to $65. I also had employee perks deals with Amazon, Seattle Children's Hospital and Seattle Cancer Care Alliance.

Well.....life happens. The kids get sick, you get sick, work becomes a burden and your spouse forgets to tell you about a company barbecue. Whatever the case sometimes clients have to cancel and reschedule appointment so instead of coming every 2 weeks it becomes every 3 or 4...then back on track, then off again, etc.....you get the picture.

I love my clients and of course would not make any of you who have been so loyal to me pay the higher price if you fall off track with your skin care maintenance. It was becoming increasingly difficult for me to manage the accounting end of DERMASPACE with clients paying a wide range of prices, depending on whatever category they fell into; employee perks, frequent client, new client, etc.

So....as of today, May 1, 2011, I am simplifying my life and creating a new price structure.

Iderm Facial Treatment: $75 regardless of how often you come.

(First time client intro price, $65, employee perks intro price, $60)*

*regular price after that.

If you have any questions please CONTACT me.


To book online please CHECK AVAILABILITY!