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Skin Research and Technology 2012; 18: 7076 2011 John Wiley & Sons A/S

Printed in Singapore  All rights reserved Skin Research and Technology


doi: 10.1111/j.1600-0846.2011.00533.x

Novel anti-wrinkle effect of cosmeceutical product


with new retinyl retinoate microsphere using
biodegradable polymer
H. Kim1,2, M. Kim3, Y. Quan4, T. Moon5, J. Mun5, H. Cho2, N. Park2, W. Moon2, K. Lee2, H. Kim2,
J. Lee2, H. Ryoo2, and H. Jung1
1
Department of Biotechnology, Yonsei University, Shinchon-dong, Seoul, Republic of Korea, 2Department of Skin Science and Cosmetics, ENPRANI Co.,
Ltd., Shinhung-dong, Inchon, Republic of Korea, 3Department of Product Development, Samkyung Costech Co., Ltd., Shin-dong, Suwon-si, Kyunggi-do,
Republic of Korea, 4Department of Biopharmaceutics, Kyoto Pharmaceutical University, Nakauti-cho, Misasagi, Yamashina-ku, Kyoto, Japan, and
5
Department of Clinical Evaluation, Ellead Skin Evaluation center, Seohyun-dong, Seongnam-si, Kyunggi-do, Republic of Korea

Background: The novel hybrid retinoid, retinyl retinoate, is Results: The PLA-retinyl retinoate microsphere was more
a synthetic material that was designed to reduce the side effective for the permeation of retinyl retinoate than retinyl
effects of retinoic acid and to increase the stability of retinol. retinoate in itself. The cream A, which contains 3% PLA-
The formulation of the retinyl retinoate, however, is required retinyl retinoate (2%) microsphere, showed a statistically
to enhance skin permeation, and thus to increase the anti- significant improvement in facial wrinkles (Po0.05) in 20
wrinkle effect. volunteers after only 4 weeks of application in a clinical trial
Aim: To identify the efficacy of retinyl retinoate microsphere test. The visual wrinkle improvement and the maximum
using biodegradable polymer as an anti-aging agent of roughness improvement rate (R2) for cream A was 6.05%,
cosmetics in treating females over 30 years old with peri- 8.03% higher than that of cream B which contains 0.06%
orbital wrinkles. retinyl retinoate, after 4 weeks.
Methods: The retinyl retinoate microsphere was prepared Conclusion: Retinyl retinoate has a potent anti-wrinkle
using the biodegradable polymer; polylactic acid (PLA). We activity, and the PLA-retinyl retinoate microsphere could
also conducted two clinical studies with a total of 44 Korean be a useful cosmeceutical product for anti-aging purposes.
women for 12 weeks. In the first clinical study, 20 patients
completed a 12-week trial of cream A [3% PLA-retinyl Key words: anti-wrinkle biodegradable polymer retinoid
retinoate (2%) microsphere] applied twice daily to the retinyl retinoate photoaging
face. In the second clinical study, 24 patients completed a
12-week trial of cream B (0.06% retinyl retinoate) applied & 2011 John Wiley & Sons A/S
twice daily to the face. Efficacy was based on a global Accepted for publication 16 February 2011
photodamage score, photographs, and image analysis
using replicas and Visiometers every 4 weeks.

L IKE ALL organs, skin undergoes characteristic


changes with age. In addition, photoaging
due to UV radiation causes undesirable changes in
retinyl retinoate, was introduced to reduce the side
effects of retinoic acid and to increase the stability
of retinol by applying a condensation reaction
skin appearance (1). Photoaged skin is character- between retinol and retinoic acid (8). Although
ized by an increase of wrinkles, thickening, inelas- this hybrid retinol derivative had enhanced ther-
ticity, dryness, roughness, shallowness, and mal stability and decreased photosensitivity, and
pigmentary mottling (2, 3). Although retinoids, exhibited decreased cell toxicity compared with
such as retinol and retinoic acid, have been con- that of retinal (8), innovative delivery systems with
sidered a highly efficient anti-wrinkle agent real consumer-perceivable benefits required to en-
through the booming of high-performance cos- hance skin penetration as active ingredients.
metics, the side effects of retinoic acid and the Because the encapsulation technology offers
instability of retinol in light and oxygen were the greater effectiveness, lower toxicity, and lasting
main hurdle for their application in the cosmetics stability, it has attracted a great deal of attention
industry (47). Recently, a novel hybrid retinoid, for the potential application in pharmaceutic and

70
Novel anti-wrinkle effect of cosmeceutical product

cosmetic compounds (911). Although one of the 0.5 g samples were dispersed in 50 mL ethanol.
most common methods is by using liposome (12), The morphological characteristics of PLA-retinyl
the liposomal formulation with retinoids is struc- retinoate microsphere were studied by using a
turally unstable in the presence of oxidation scanning electron microscope (SEM, Shimadzu,
products and results in leakage (13). The emul- Kyoto, Japan) with gold coating.
sion delivery systems can be used for retinoid,
however, the hydrophilic emulsion system (oil-
In vitro skin permeation
in-water) accelerates retinoid instability by the
A Franz diffusion cell was used to analyze the
oxidation in the outer water phase and liphophi-
skin permeation of retinyl retinoate with human
lic emulsion system (water-in-oil) induces unde-
cadaver skin (1921). Human cadaver skin was
sirable properties such as oiliness, greasiness,
purchased from IIAM (USA), and was treated
and stickiness when applied to the skin. To over-
to a thickness of approximately 200 mm with
come these problems for protection of substances
AESCULAP dermatome machine (GA643, Tut-
prone to oxidation or action by atmospheric
tlingen, Germany). Before the experiment, the
moisture (14), the porous polymeric system is
dermatome skin was cut to 30 mm of circle.
introduced as novel cosmetic delivery systems
PLA-retinyl retinoate microsphere and retinyl
(11). This system utilizes microentrapment tech-
retinoate were applied on the stratum corneum
nology, wherein the particles have an open,
(S.C.) side with an administration amount of
porous structure, compared with the continuous
10 mg/cm2 cream. Skin permeation experiments
shell structure associated with microencapsula-
were carried out with Franz diffusion cells hav-
tion, which can control the release of active
ing a diffusion area of 3.14 cm2 and a volume of
ingredients, such as retinyl retinoate, onto the
2.4 mL, which were set into the permeation
epidermis (14, 15).
equipment (TransView C12, Kyoto Japan). After
In this study, we developed retinyl retinoate
application of PLA-retinyl retinoate microsphere
microsphere using the biodegradable polymer
and retinyl retinoate, human dermatome skin
polylactic acid (PLA) to enhance skin penetration
pieces were then carefully mounted onto the Franz
and skin wrinkle improvement on aged skin. The
diffusion cells with the S.C. side facing towards
morphology of these microsphere was analyzed
donor side. The receptor compartments were filled
and their influence on permeation in vitro and
with the phosphate buffer system (PBS, pH 7.4)
skin wrinkle improvement on aged skin was
and the temperature was maintained at 32 1C over
evaluated.
the 6 h permeation study (each test material used
four skin donors for the experiment).
Methods
Preparation of PLA-retinyl retinoate microsphere Retinyl retinoate penetration in S.C.
The biodegradable polymer (PLA), cetostearyl After the permeation experiment, test materials
alcohol, and cholestearyl nonanoate were dis- remaining on the surface of skin were carefully
solved in dichloromethane as an organic solvent removed by wiping with cotton. Then, a scotch
(16). The retinyl retinoate was synthesized from tape was used for stripping the S.C. by peeling 15
all-trans retinol and all-trans retinoic acid times. The first peeling tape was discarded be-
through coupling esterification (8). The retinyl cause of the adhered material left on the surface
retinoate was dissolved in canola oil and dis- of S.C. 2nd14th times successive tape strips were
persed into the prepared polymer solution. After collected and put into 50 mL centrifuge tube.
emulsification with poly(vinylalcohol) in water, Retinyl retinoate was extracted from these
the organic solvent was evaporated using a va- stripped S.C. with 15 mL of ethanol with 1 h
cuum drying system (17, 18). The PLA-retinyl sonication. The extraction solution was trans-
retinoate microsphere was obtained through a ferred to a 100 mL beaker. The solvent was
filtration, drying, and grinding process, and the evaporated completely in 70 1C water bath, and
final concentration of retinyl retinoate was 2% in 1 mL of mobile phase consisting of acetonitrile
the microsphere. A Malvern Mastersizer QAS3002 and methanol (60:40, v/v) was used to re-dis-
(Malvern Instruments Ltd. Worcestershire, UK) solve the extracted retinyl retinoate. After centri-
wet system was used to analyze size distribution fugation at 10,500 g for 5 min, retinyl retinoate in
of the PLA-retinyl retinoate microsphere and the the supernatant was determined with HPLC.

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Kim et al.

Retinyl retinoate penetration in the epidermis guideline. In the first clinical study, 20 patients
and dermis (age range; 3749 years) completed a 12-week
The skin piece after tape stripping was cut into trial of cream A [3% PLA-retinyl retinoate (2%)
small pieces, and homogenized in 5 mL of dis- microsphere] applied twice daily to the face
tilled water. Fifteen milliliters of diethyl ether excluding two women who abandoned study
was added to the homogenated to extract retinyl procedures. In the second clinical study, 24 pa-
retinoate. After centrifugation at 2,600 g for 5 min, tients (age range: 3450 years) completed a 12-
the diethyl ether layer was collected, and trans- week trial of cream B (0.06% retinyl retinoate)
ferred to a 100 mL beaker. This operation was applied twice daily to the face.
repeated three times. Then, the solvent was
evaporated completely in 50 1C water bath, and
Treatment regimen
1 mL of mobile phase consisting of acetonitrile
The clinical study was a prospective, double
and methanol (60:40, v/v) was used to re-dis-
blind, randomized, and controlled. Independent
solve the extracted retinyl retinoate. After centri-
researchers listed 46 subjects in order of prece-
fugation at 10,500 g for 5 min, retinyl retinoate in
dence in a computer-generated randomization
the supernatant was determined with HPLC. In
list. For the selection of random permuted blocks,
addition, in order to confirm the substance from
a randomization code was developed using com-
skin itself which may influence the determination
puter random number generator. The block
of retinyl retinoate in HPLC chromatograph, the
lengths 4, 8, and 12 varied randomly. The subjects
skin without test material application was mea-
were divided into groups A and B with women
sured as blank by the same procedure mentioned
having an equal probability of assignment to the
above.
groups. Individuals in group A were tested with
cream A whereas individuals in group B were
tested with cream B. Clinical evaluations were
Patients
made at weeks 0 (baseline), 4, 8, and 12.
A total of 44 generally healthy Korean women
aged between 34 and 50 years were selected from
volunteers. All patients satisfied the inclusion Self-assessment questionnaire
criteria with periorbital wrinkles (Global photo- Subject self-assessments via questionnaire were
damage Score 26) (22), confirmed by a derma- made at weeks 0 (baseline), 4, 8, and 12. Subjects
tologists medical interview and physical scored changes as 0, no change; 1, mild; 2, good;
examination. In all, 20 patients had mild photo- or 3, excellent.
damage (grades 23 on a 07 scale), and 24
showed moderate photodamage (grades 46 on
Investigators assessment
a 07 scale). None of the women had used topical
Subjects periorbital wrinkles were evaluated
retinoids on treatment areas for at least 3 months
with a double-blind test by two dermatologists.
before this study. None of the women had under-
The dermatologists evaluated subjects periorbi-
gone wrinkle removal, or peeling procedures
tal wrinkles based on a global photodamage score
within 6 months before the study. None of the
(0, none; 1, none/mild; 2, mild; 3, mild/moder-
women were pregnant or breastfeeding, or had
ate; 4, moderate; 5, moderate/severe; 6, severe; 7,
atopic dermatitis, allergic diathesis, or hypersen-
very severe) at weeks 0 (baseline), 4, 8, and 12
sitive skin. All the subjects were informed by the
(22). If the dermatologists evaluations differed,
investigators about the study objectives, outlines,
low-grade efficacy and high-grade adverse effect
test methods, and the possible adverse effects.
were selected. Subjects periorbital wrinkles were
Subjects filled out their profile, Case Report
classified into eight grades. Adverse effects, such
Form, questionnaire, and signed the Informed
as erythema, edema, scaling, itching, stinging,
Consent Statement. The study was conducted in
burning, tightness, and prickling, were recorded
accordance with the Guideline for Functional
by the investigator.
Cosmetics [KFDA 11-1470000-000863-01; http://
www.kfda.go.kr/index3.html (last accessed 9
September 2009)], which require at least 20 pa- Image analysis using replicas and visiometers
tients for the statistical analysis. Forty-six patients Wrinkle improvement was evaluated by measur-
were divided into two studies satisfying the ing skin roughness and wrinkles using the

72
Novel anti-wrinkle effect of cosmeceutical product

Skin-Visiometer SV 600 (Courage & Khazaka,


Koln, Germany) (23). Replicas of right
and left periorbital areas were taken at weeks 0
(baseline), 4, 8, and 12. Skin replicas of crows-feet
were obtained according to the technique re-
ported by Grove et al. (24). and analyzed with
Visiometer software. Light intensity was analyzed
with Lambert & Beers Law, and the degree of
skin wrinkle improvement was calculated (Iex 5 -
Iine kd), where Iex is the transmitted light inten-
sity, Iin is the unattenuated light intensity, k is the
Napierian absorption coefficient of the medium, d
is the thickness of the medium. Evaluations were
performed in the same location with the same
lighting at each visit. Parameters used in the
assessment of skin visiometer SV 600 were as
follows: R1, skin roughness; R2, maximum rough-
ness; R3, average roughness; R4, smoothness
depth; and R5, arithmetic average roughness.

Statistical data analysis


The changes from the baseline of wrinkle and
roughness parameters (R1, R2, R3, R4, and R5)
were evaluated. A statistically significant differ-
ence in efficacy was achieved (P value of o0.05)
by paired t-test. The statistical data analysis was
performed by the utilization of SPSS software Fig. 1. Scanning electron microscopic (SEM) images of polylactic acid
version 10.0 (SPSS Inc., Chicago, IL, USA). (PLA) microsphere and PLA-retinyl retinoate microsphere. The scale
bar is 10 mm. Gold coating; IC-50 (Shimadzu), SEM; Superscan SS-
550 (Shimadzu). The size range of PLA-retinyl retinoate microsphere
Adverse effects was found to be D (n,0.1) 5 1.76 mm and D (n,0.9) 5 26.13 mm with
We assayed for erythema, edema, scaling, itching, the mean diameter of 12.87 mm.
stinging, burning, tightness, and prickling.
cream showed 2.95% and 3.29% of retinyl retino-
Results ate were penetrated into the S.C., while 0.03%
and 0.23% of retinyl retinoate were penetrated
Microspheres morphology into the epidermis and dermis, respectively.
SEM images of PLA and PLA-retinyl retinoate Although the penetration of retinyl retinoate in
microsphere are shown in Fig. 1 with a regular the S.C. showed no significant difference with
spherical shape. The morphology of PLA-micro- retinyl retinoate itself, the penetration in deep
sphere surface depends on the retinyl retinoate layers of skin (epidermis and dermis) with PLA-
loading. Although PLA-microsphere revealed a retinyl retinoate microsphere was 7.7-fold higher
smooth outer surface, retinyl retinoate loading than with retinyl retinoate in itself.
showed smaller dent over the outer surface. The
size range of PLA-retinyl retinoate microsphere
was found to be D (n,0.1) 5 1.76 and D (n,0.9) 5 Subject self-assessments
26.13 with the mean diameter of 12.87 mm. Subjects performed self-assessments of their own
skin with blinded evaluation. In the first clinical
Skin permeation effect study of cream A, 50% of subjects (out of 20)
Figure 2 shows the penetration of retinyl retino- reported slight improvement of wrinkles and
ate in the S.C. and in the epidermis and dermis 40% of subjects (out of 20) reported moderate or
after 6 h permeation study. Retinyl retinoate significant improvement of wrinkles. Improve-
cream and PLA-retinyl retinoate microsphere ment reports were not obtained from two subjects

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Kim et al.

that did not lead to allergic contact dermatitis or


irritant contact dermatitis.

Investigators assessment
In the first clinical study of cream A, the visual
wrinkle grade was significantly reduced from
3.50 to 3.25, 3.20, and 3.15 after 4, 8, and 12 weeks,
respectively (Po0.05). The visual wrinkle im-
provement rate of cream A was 7.14% (P 5 0.021),
8.57% (P 5 0.010), and 10.0% (P 5 0.0047) after 4,
8, and 12 weeks, respectively. In the second
clinical study of cream B, the visual wrinkle
grade was slightly reduced from 3.83 to 3.79,
3.71, and 3.42 after 4, 8, and 12 weeks, respec-
tively. The visual wrinkle improvement rate of
cream B was 1.09% (P 5 0.33), 3.26% (P 5 0.083),
and 10.87% (P 5 0.0005) after 4, 8, and 12 weeks,
respectively. Although cream A and B showed
10.0% and 10.87% visual wrinkle improvement
after 12 weeks, photodamage scores significantly
improved after only 4 weeks of application in
cream A. An example of the facial improvement
Fig. 2. The penetration of retinyl retinoate in the S.C. (a) and in the
effect is shown in Figs 3 and 4.
epidermis and dermis (b) in human cadever skin.

Image analysis using replicas and visiometers


Replicas from the periorbital areas of group A and
B were taken at weeks 0 (baseline), 4, 8, and 12,
and were analyzed in terms of five parameters
using the visiometer. Replicas were analyzed with
the Visiometer software (Skin-Visiometer SV 600,
Courage & Khazaka, Germany). Figure 5 is a
comparison of improvement rate in the para-
meters at 4 and 12 weeks with cream A and cream
B. In cream A, statistically significant differences
in the values of R2 (maximum roughness) and R3
(average roughness) were observed (R2; 8.58%,
P 5 0.0099, R3; 6.55%, P 5 0.0024) at 4 weeks. At 12
weeks, statistically significant differences in the
Fig. 3. Changes in the visual grade in subjects treated with cream A values of R1 (skin roughness) and R4 (smoothness
(3% PLA-retinyl retinoate (2%) sphere) and cream B (0.06% retinyl depth) were also observed (R1; 12.32%, P 5 0.014,
retinoate) for 12 weeks. R4; 18.94% P 5 0.0027). In cream B, statistically
significant differences in the values of R1 (skin
(10%). In the second clinical study of cream B, roughness), R2 (maximum roughness), R3 (aver-
62.5% of subjects (out of 24) reported slight age roughness) and R5 (arithmetic average rough-
improvement of wrinkles and 25% of subjects ness) were also observed (R1; 9.41%, P 5 0.027, R2;
(out of 24) reported moderate or significant im- 7.09% P 5 0.029, R3; 6.30% P 5 0.046 and R5;
provement of wrinkles. Improvement reports 13.52% P 5 0.031) after 12 weeks. This result com-
were not obtained from three subjects (12.5%). bined with the significant difference in the max-
Although subjects noted improvement with the imum roughness (R2) and average roughness (R3)
two creams after 12 weeks, the overall satisfac- in cream A after 4 weeks, indicated faster and
tion with cream A was higher than that of cream greater effect of PLA-retityl retinoate microsphere
B. Cream A and cream B were all safe products on wrinkle improvement.

74
Novel anti-wrinkle effect of cosmeceutical product

Fig. 4. A patient with wrinkles before (a, c) and 12 weeks after (b, d) treatment with cream A (a, b) or cream B (c, d).

Discussion

The retinyl retinoate of the biodegradable micro-


sphere (PLA-retinyl retinoate microsphere) was
more permeable than the retinyl retinoate in itself
in the Franz diffusion cell experiment. The percen-
tage penetration of retinyl retinoate in the deep
layers of skin (epidermis and dermis) with PLA
microspheres was 7.7-fold higher than with retinyl
retinoate in itself. Also, the topical application of
the retinyl retinoate cream with microspheres sig-
nificantly improved facial wrinkles (Po0.05) in 20
volunteers within 4 weeks. Ninety percent of sub-
jects reported slight or significant improvement of
wrinkles in self-assessment and statistically signifi-
cant difference in the value of R2 and R3 were
observed at only 4 weeks (25). The adverse effects,
such as erythema, edema, scaling, itching, stinging,
burning, tightness, and prickling were not reported
in this retinyl retinoate loaded PLA-microspheres.
Recently, a novel hybrid retinoid, retinyl re-
tinoate, was introduced to reduce the side effects
of retinoic acid and to increase the stability of
retinol and this hybrid retinol derivative had
enhanced thermal stability and decreased photo-
sensitivity (8). Innovative delivery systems, how-
Fig. 5. Changes in wrinkle improvement were analyzed by a Skin ever, with real consumer-perceivable benefits
Visiometer SV600 after 4 weeks (a) and 12 weeks (b) with cream A or
required to enhance skin penetration as active
cream B. Asterisk indicates statistical significance *Po0.05,
**Po0.01, and ***Po0.001. R1, skin roughness; R2, maximum ingredients. In this study, we showed the faster
roughness; R3, average roughness; R4, smoothness depth; and R5, wrinkle improvement using biodegradable poly-
arithmetic average roughness. mer microspheres. This encapsulation technology

75
Kim et al.

offers greater effectiveness and lasting stability tion and improvement of skin aging, and the
for retinyl retinoate which tend to decompose treatment of skin problems.
expose to heat, light, and oxygen.
In summary, the formulation of microsphere
using a biodegradable polymer with retinyl re-
Acknowledgements
tinoate can enhance the permeability rate of the This work was supported by a grant from the
retinoid component. Thus, PLA-microsphere Korea Health & Medical Technology R&D Pro-
with retinyl retinoate can be conveniently used ject, Ministry of Health & Welfare (0405-CS00-
as a useful cosmeceutical product for the preven- 0501-0010) and Seoul R&BD Program (SS100001).

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