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Received 10 May 2005; received in revised form 23 June 2005; accepted 28 July 2005
Available online 10 October 2005
Abstract
Pomegranate (Punica granatum) is an ancient fruit with exceptionally rich ethnomedical applications. The peel (pericarp) is well regarded for
its astringent properties; the seeds for conferring invulnerability in combat and stimulating beauty and fertility. Here, aqueous fractions prepared
from the fruit’s peel and fermented juice and lipophilic fractions prepared from pomegranate seeds were examined for effects on human epidermal
keratinocyte and human dermal fibroblast function. Pomegranate seed oil, but not aqueous extracts of fermented juice, peel or seed cake, was
shown to stimulate keratinocyte proliferation in monolayer culture. In parallel, a mild thickening of the epidermis (without the loss of ordered
differentiation) was observed in skin organ culture. The same pomegranate seed oil that stimulated keratinocyte proliferation was without effect
on fibroblast function. In contrast, pomegranate peel extract (and to a lesser extent, both the fermented juice and seed cake extracts) stimulated
type I procollagen synthesis and inhibited matrix metalloproteinase-1 (MMP-1; interstitial collagenase) production by dermal fibroblasts, but had
no growth-supporting effect on keratinocytes. These results suggest heuristic potential of pomegranate fractions for facilitating skin repair in a
polar manner, namely aqueous extracts (especially of pomegranate peel) promoting regeneration of dermis, and pomegranate seed oil promoting
regeneration of epidermis.
© 2005 Elsevier Ireland Ltd. All rights reserved.
Keywords: Pomegranate (Punica granatum); Type I procollagen; Matrix metalloproteinase-1 (interstitial collagenase); Skin repair; Photodamaged/aged skin;
Epidermal hyperplasia
0378-8741/$ – see front matter © 2005 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.jep.2005.07.027
312 M.N. Aslam et al. / Journal of Ethnopharmacology 103 (2006) 311–318
jects in this project was approved by the University of Michigan Vera Corp., Madison, WI) as described previously (Varani et al.,
Institutional Review Board, and all subjects provided written 2000). The procollagen assay uses an antibody to the C-terminal
informed-consent prior to their inclusion in the study. Immedi- propeptide region that is part of the collagen molecule as it is
ately upon biopsy, the tissue was immersed in culture medium synthesized and secreted (before being proteolytically cleaved).
consisting of Keratinocyte Basal Medium (KBM) (Cambrex As such, this assay is a measure of newly synthesized collagen.
Bioscience, Walkersville, MD). KBM is a low Ca2+ (0.15 mM)
serum-free modification of MCDB-153 medium optimized for 2.6. MMP assays
high-density keratinocyte growth. For use in organ culture, it
was supplemented with CaCl2 to bring the final Ca2+ concen- The same fibroblast-conditioned medium was assayed for
tration to 1.4 mM. This was done because previous studies had MMP-1 (interstitial collagenase) and MMP-2 (72-kDa gelati-
demonstrated that survival of both the epidermis and dermis nase) by casein and gelatin zymography, respectively. Assays
in organ-cultured skin required conditions optimized for fibrob- were carried out as described in a previous report (Gibbs et al.,
lasts (Varani et al., 1993, 1994). After transport to the laboratory 1999). Briefly, SDS-PAGE gels were prepared from 30:1 acry-
on ice, the biopsies were incubated in a 24-well dish contain- lamide/bis with the incorporation of either (3-casein or gelatin
ing 0.5 ml of Ca2+ supplemented KBM with varying amounts (1 mg/ml) before casting. The gels were routinely 7.5% acry-
of the different pomegranate fractions. Cultures were incubated lamide. Culture fluid samples and molecular weight standards
at 37 ◦ C in an atmosphere of 95% air and 5% CO2 . Other than were electrophoresed at constant voltage of 150 V under non-
incubating the tissue in a minimal volume of medium, nothing reducing conditions. After electrophoresis, gels were removed
further was done to maintain a strict air–liquid interface. Incu- and washed twice for 15 min in 50 mM Tris buffer containing
bation was for 8 days, with change of medium every second or 1 mM Ca2+ and 0.5 mM Zn2+ with 2.5% Triton X-100. The gels
third day. At the end of the incubation period, tissue was fixed in were then incubated overnight in Tris buffer with 1% Triton
10% buffered formalin and examined histologically after stain- X-100 and stained with Brilliant Blue R Concentrate the fol-
ing with hematoxylin and eosin. lowing day. After destaining, zones of hydrolysis were detected
as clear areas against a dark background. Zymographic images
2.3. Human epidermal keratinocytes and dermal fibroblasts were digitized. Negative images were created and quantified by
in monolayer culture scanning densitometry. Using the digitized images, quantitative
values for MMP-1 and MMP-2 were obtained.
Normal human epidermal keratinocytes and dermal fibrob-
lasts were isolated from skin as described previously (Varani 2.7. Statistical analysis
et al., 1994). Keratinocytes were maintained in Keratinocyte
Growth Medium (KGM) (Cambrex Bioscience) and fibrob- Differences between groups in experiments with multiple
lasts were maintained in Dulbecco’s modified minimal essential groups were analyzed for statistical significance by ANOVA
medium supplemented with non-essential amino acids and 10% followed by paired-group comparisons. Where there were only
fetal bovine serum (DMEM-FBS). In some experiments, the two groups, the Student t-test was used. Data were analyzed
HaCaT line of immortalized human epidermal keratinocytes as paired or unpaired as appropriate. P < 0.05 was considered
(Boukamp et al., 1988) was used in place of normal ker- significant.
atinocytes. Both keratinocytes and fibroblasts were maintained
at 37 ◦ C in an atmosphere of 95% air and 5% CO2 . Cells were 3. Results
sub-cultured by exposure to trypsin/ethylenediamine tetraacetic
acid (EDTA) and used at passage 2–3. 3.1. Effects of pomegranate seed oil and extracts of
pomegranate peel, fermented juice and seed cake on
2.4. Survival and proliferation assays epidermal proliferation
Keratinocytes and fibroblasts were seeded at 4 × 104 cells per In the first series of experiments, various pomegranate
well in 24-well plates using their respective growth media. The fractions were examined for ability to influence keratinocyte
cells were allowed to attach overnight. The next day, they were proliferation in monolayer culture. As seen in Fig. 1, cold-
washed and then incubated in KBM with or without Ca2+ sup- pressed pomegranate seed oil stimulated keratinocyte prolifer-
plementation and with different concentrations of the various ation in a concentration-dependent manner. Under conditions
pomegranate fractions as indicated in Section 3. Cell num- in which optimal stimulatory activity was observed (0.5 l of
bers were determined 3 days later by releasing the cells with pomegranate seed oil in 1 ml of serum-free, growth factor-free
trypsin/EDTA and enumerating them using a particle counter culture medium), keratinocyte proliferation was increased by
(Coulter Electronics, Hialeah, FL). 60% (proliferation index = 1.56 for no seed oil versus 2.04 in
the presence of seed oil (0.5 l/ml; n = 6; P < 0.05). A second
2.5. Type I procollagen assay seed oil preparation (from a different pomegranate source) also
stimulated keratinocyte proliferation under the same conditions
Fibroblast-conditioned medium was assayed for type I pro- (data not shown). In contrast to the effects observed with the seed
collagen by enzyme-linked immunosorbant assay (ELISA) (Pan oil preparations, there was no stimulation with water-soluble
314 M.N. Aslam et al. / Journal of Ethnopharmacology 103 (2006) 311–318
Fig. 3. Histological features of human skin after incubation for 8 days in organ culture in the absence or presence of pomegranate seed oil. A: control and B: 1 l/ml
pomegranate seed oil. Both sections are from organ-cultured skin after 8 days in culture (hematoxylin and eosin-stained; XI80).
The lower panel of Fig. 4 demonstrates the effects of compounds originating in pomegranate seed oil, juice and peel
pomegranate peel extract on MMP production. It can be seen have anti-oxidant activity and inhibit pro-inflammatory enzymes
that MMP-1 accumulation in the fibroblast-conditioned medium including the cyclooxygenases and lipoxygenases (Schubert et
was dramatically reduced in the presence of the pomegranate al., 1999; Gil et al., 2000; Aviram et al., 2000; Murthy et al.,
peel extract. The dose–response for MMP-1 inhibition mirrored 2002; Singh et al., 2002). As a result, pomegranate preparations
(inversely) the dose–response for proliferation, i.e., the same containing these components are being evaluated for potential
extract concentrations that stimulated proliferation inhibited anti-inflammatory activity. Pomegranate seed oil has also been
MMP-1 accumulation. It can also be observed from this figure shown in experimental studies to suppress proliferation of sev-
that the level of MMP-1 in Ca2+ supplemented KBM was similar eral different tumor cell types (Kim et al., 2002; Albrecht et
to the level in non-supplemented KBM. When pomegranate peel al., 2004; Kawaii and Lansky, 2004; Lansky et al., 2005) and
extract was included in Ca2+ supplemented KBM, inhibition to reduce skin carcinogenesis in mice (Hora et al., 2003) and
of MMP-1 elaboration was observed over the same dose-range mammary carcinogenesis in a mouse mammary organ culture
as was seen in the non-Ca2+ supplemented medium (data not model (Mehta and Lansky, 2004).
shown). In contrast to these results, when we assessed MMP- While most of the current interest in the pomegranate relates
2 (72-kDa gelatinase A) production in the pomegranate peel to its anti-oxidant, anti-inflammatory and anti-carcinogenic
extract-treated fibroblasts, there was no effect (data not shown). potential, the focus of the present work is on the potential for one
This is of interest since our past studies have shown that unlike or more pomegranate fractions to promote skin repair. Aging
MMP-1, MMP-2 is not subject to regulation by agents that act of the skin is accompanied by thinning of the epidermis and
through AP-1-mediated gene transcription (Fisher et al., 1996). a concomitant loss of dermal connective tissue (Smith et al.,
In a final set of experiments, skin organ cultures were 1962; Lavker, 1979; Lovell et al., 1987; Kligman and Balin,
incubated for 3 days in KBM in the presence or absence of 1989; Schwartz et al., 1989; Oikrinen and Kallioinen, 1989;
pomegranate peel extract (0.1–1.0 l/ml). At the end of the incu- Schwartz et al., 1993; Lavker, 1995). The loss of connective
bation period, the culture medium was collected and assayed tissue elements including types I and III collagen in aged skin
for MMP-1. At 1 l/ml, virtually complete inhibition of MMP- reflects progressive MMP-mediated connective tissue destruc-
1 production was observed. Approximately 50% inhibition was tion (occurring over decades) (Fisher et al., 1996, 1997; Varani et
observed in the presence of 0.5 l of pomegranate peel extract al., 2000) and a late-stage sharp decline in synthesis of replace-
per ml while at 0.1 l/ml, there was no observable inhibition ment collagen (Griffiths et al., 1993; Talwar et al., 1995; Varani
(data not shown). et al., 2001). Skin damage is a cosmetic problem, but it is also
a cause of significant morbidity. Aged/photo-aged skin bruises
4. Discussion easily (e.g., senile purpura) and the chronic bruises often go on to
form slow-healing ulcers. Similar detrimental changes are also
The pomegranate (Punica granatum) is a small tree culti- observed in diabetic skin (Loots et al., 1999; Hehenberger et al.,
vated in various parts of the world for its fruit. In addition to its 1999) and in other conditions where the vasculature of the skin
value as a table fruit, pomegranate preparations have been used is compromised (Strigini and Ryan, 1996; Stadelmann et al.,
for ages in various folk remedies (reviewed in Ayensu, 1981; 1998; Mendez et al., 1998) as well as following long-term corti-
Boulos, 1983; Duke and Ayensu, 1985). In recent years, efforts costeroid use (McMichael et al., 1996). If the connective tissue
have been made to identify bioactive moieties in pomegranate of damaged skin can be repaired, it might be possible to delay
preparations and to characterize their effects at the cellular and or prevent the serious consequences that occur in the damaged
biochemical levels. Pomegranate seed oil is a rich source of tissue (Lateef et al., 2005).
conjugated fatty acids (of which punicic acid is the most com- Various bioactive pomegranate fractions might well find
mon) mainly in the form of mono-, di- and triglycerols (Hora et use as skin repair agents. A water-soluble extract made from
al., 2003). Polyphenolic compounds are also present in the seed pomegranate peel was found in the present study to inhibit
oil of the pomegranate (Schubert et al., 1999). Polyphenolic elaboration of the major enzyme (MMP-1) responsible for col-
316 M.N. Aslam et al. / Journal of Ethnopharmacology 103 (2006) 311–318
Acknowledgment
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