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tofupalace |
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21st July 2008 04:24 PM Last post by: Acne buster |
as found in
linkQUOTE
Draelos ZD, Matsubara A, Smiles K.
Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, NC 27262, USA. zdraelos@northstate.net
BACKGROUND: The presence of sebum on the face is responsible for both facial shine and the formation of comedonal and inflammatory acne lesions. Sebum control is a goal of many OTC skin care products; however, most currently available products function by absorbing sebum from the face rather than modulating its production. OBJECTIVE: To demonstrate the effect of topical 2% niacinamide on sebum excretion rates and casual sebum production in Oriental and Caucasian populations. METHODS: Separate clinical trials were conducted in both Japan and the USA to evaluate the effect of topical 2% niacinamide in different ethnic groups. A total of 100 Japanese subjects were enrolled in a double-blind, placebo-controlled comparison between two independent balanced groups. Fifty subjects applied the 2% niacinamide moisturizer to the face for 4 weeks and 50 subjects used a placebo moisturizer for 4 weeks, with sebum excretion rate (SER) measurements taken at baseline, week 2, and week 4. In addition, 30 Caucasian subjects were enrolled in a randomized split-face study for 6 weeks with SER and casual sebum levels (CSL) measured at baseline, week 3, and week 6. RESULTS: The results of the Japanese study demonstrated that the SER of the two groups was not significantly different at baseline, but the 2% niacinamide treated group demonstrated significantly lowered SER after 2 and 4 weeks of application. The results were somewhat different in the Caucasian study. After 6 weeks of treatment, the CSL was significantly reduced, but the SER was not significantly reduced. CONCLUSIONS: Topical 2% niacinamide may be effective in lowering the SER in Japanese individuals and CSL in Caucasian individuals.
anyone have any suggestions as to how you might go about creating a niacinamide moisturizer? as far as i can tell, niacinamide is a form of B3/niacin. IANAChemist, so i'm not sure what the significance of the -amide is.
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sie |
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6th June 2008 07:43 PM Last post by: cellar door |
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SweetJade1980 |
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2nd June 2008 12:13 PM Last post by: timmoore |
QUOTE
Asia Pac J Clin Nutr. 2004;13(Suppl):S67. Related Articles, Links
The effect of short-term altered macronutrient status on acne vulgaris and biochemical markers of insulin sensitivity.
Smith R, Mann N, Makelainen H, Braue A, Varigos G.
Food Science Department, RMIT University, VIC 3000.
Background - It has been suggested that a low-glycemic index diet may alleviate acne and this hypothesis is currently being investigated in a long-term dietary intervention study. A short-term, live-in study was designed to further investigate this link and to provide information on the short-term effects of altered macronutrient levels.
Objective - To determine the short-term effects of a low-glycemic load diet on markers of insulin sensitivity and how this relates to the clinical progression of acne vulgaris.
Design - Eleven male acne sufferers, aged 15-20, were allocated to either a high protein (HP,n=6, 40-45% energy from carbohydrate, 25% energy from protein) or high carbohydrate group (HC, n=5, 55-60% energy from carbohydrate, 10% energy from protein). Fat intake was maintained at 30-35% energy for each group. All meals were provided on an ad libitum basis for 7 days. Food consumed was measured at baseline and during the live-in study for an overall assessment of an individual's glycemic load. At baseline and day 7, the subject's acne was assessed by a dermatologist and blood was sampled for hormonal markers of acne and HOMA-IR.
Conclusion - The sample size and/or study length was insufficient to observe any significant changes in inflammatory counts or HOMA-IR in either the HP or HC groups. Although some results appear promising, further research is needed to confirm the diet-acne connection.
PMID: 15294556 [PubMed - in process]
QUOTE
Asia Pac J Clin Nutr. 2005;14 Suppl:S43. Related Articles, Links
The effect of a low glycemic load, high protein diet on hormonal markers of acne.Smith R, Mann N, Braue A, Varigos G.
School of Applied Sciences, RMIT University, Melbourne, VIC.
Background - Acne vulgaris is a common endocrine condition affecting adolescents in Western civilizations. Acne typically manifests during puberty when there is a transient decrease in insulin sensitivity. It has been suggested that high glycemic nutrition during puberty induces hyperinsulinemia which increases the bioavailability of androgens and certain growth factors. These changes may induce follicular epithelial growth and increased sebum production - two factors responsible for acne proliferation.
Objective - To determine the effect of a low glycemic load diet, comprised of high levels of protein and low glycemic index (GI) foods, on hormonal makers of acne vulgaris.
Design - Male acne sufferers [n=43, age=18.3+/-0.4 (mean +/- SEM)] were randomly assigned to either the dietary intervention (n=23) or control groups (n=20). The intervention diet consisted of 25% energy from protein and 45% energy from low glycemic index carbohydrates. The control group received no information about diet nor were they given dietary instruction. Venous blood was collected at baseline and 12-weeks for an assessment of
testosterone, sex hormone binding globulin
(SHBG), free androgen index
(FAI), dehydroepiandrosterone - sulfate
(DHEA-S), insulin-like growth factor
(IGF)-I and
IGF-binding proteins -I and -3. Outcomes - Dietary intervention resulted in a
significant reduction in FAI (-9.1 +/- 4.5, P<0.05) and DHEA-S (-0.72 +/- 0.33 umol/L, P<0.05) and an increase in IGFBP-1 (5.3 +/- 1.6 ng/mL, P<0.01). No significant changes were observed in levels of IGF-I, IGFBP-3, testosterone or SHBG following dietary intervention. The control group showed no change in any of the blood parameters measured.
Conclusion -
These data suggest that a low glycemic load diet may reduce androgenic activity (as indicated by a reduction in FAI and DHEA-S) and may oppose the growth promoting effects of IGF-I by increasing levels of its binding protein, IGFBP-I. This implies that a low glycemic load diet may reduce hormonal influences involved in acne pathogenesis.
http://www.ncbi.nlm.nih.gov/entrez/query.f...l=pubmed_docsumPMID: 16326495 [PubMed - in process]
QUOTE
Asia Pac J Clin Nutr. 2005;14 Suppl:S97. Related Articles, Links
Low glycemic load, high protein diet lessens facial acne severity.Smith R, Mann N, Braue A, Varigos G.
School of Applied Sciences, RMIT University, Melbourne, VIC.
Background - Acne vulgaris is a multi-factorial skin disorder which affects the 85-100% of the adolescent population in Western civilizations. Despite its high prevalence in the West, acne prevalence is extremely low or rare in non-westernized societies. It has been proposed that refined, high glycemic foods common in Western societies may accentuate underlying causal factors responsible for its proliferation.
Objective - To determine whether a low glycemic load diet, comprised of high levels of protein and low GI foods, can alleviate the severity of acne symptoms in young males Design - Male acne sufferers [n=43, age=18.3 +/- 0.4 (mean +/- SEM)] were randomly assigned to either the dietary intervention (n=23) or control groups (n=20). The intervention diet consisted of 25% energy from protein and 45% energy from low glycemic index carbohydrates. The control group received no information about diet nor were they given dietary instruction. The efficacy of dietary treatment versus control was clinically assessed by a dermatologist using a modified Cunliffe-Leeds acne scale. The dermatologist assessed facial acne by means of lesion counts and was blinded to the subject's group.
Outcomes - Dietary intervention resulted in a reduction in total lesion counts (-23.1 +/- 4.0 lesions, P <0.001) and inflammatory counts (-16.2 +/- 3.0 lesions, P <0.001). The control group also showed a reduction in total lesion counts (-12.0 +/- 3.5 lesions, P <0.01) and inflammatory counts (-7.4 +/- 2.5 lesions, P <0.05). However, between group analyses showed that the reduction was significantly greater in the intervention group for total counts (P <0.05) and inflammatory counts (P <0.05).
Conclusion - These data indicate that a low glycemic load diet, comprised of high levels of protein and low GI foods, significantly decreased the mean number of facial acne lesions, therefore alleviating the severity of acne symptoms. However, the multi-factorial nature of this condition is reflected in the fact that the control group also showed a decrease over time, thereby suggesting that other factors are at play.
http://www.ncbi.nlm.nih.gov/entrez/query.f...l=pubmed_docsumPMID: 16326597 [PubMed - in process]
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john1234 |
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29th May 2008 10:15 PM Last post by: AutonomousOne1980 |
http://www.tufts.edu/sackler/pharmacology/...-brain-skin.pdfWhy emotional/physical stress leads to inflammatory skin diseases...
I'm starting to think that stress predisposes a person to hypersensitivity to foods and such. There are too many people who can eat shit and still be clear, and I don't think its purely genetic. Stress wreaks havoc to and distracts the immune system, possibly making us less able to deal with certain foods.
This study showed how you could induce hair growth inhibition in mice by providing them with stressors. We know that hairloss is very possibly related to acne...
Also, stress leads to the production of cytokines and inflammatory mediators....
SweetJade, if you see this, please tell me what you think.
this article was supplied by Dr. Lin, the crazy orgasm doctor who says acne is caused by excessive sex ( a stressor) for some people. A point which I agree completely with.
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Sparkledust |
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29th May 2008 08:26 PM Last post by: SweetJade1980 |
A diet with a low glycemic load may reduce the occurrence of acne in men, according to a small study conducted by researchers from the RMIT University in Melbourne, Australia and reported in the Journal of the American Academy of Dermatology.
Researchers divided 43 men with acne into two groups. The men in one group (high glycemic load) were encouraged to eat plenty of carbohydrates; the men in the other group were told to replace the high glycemic load foods in their diets with other foods that had a lower glycemic load and more protein.
Glycemic load refers to the effect that a food has on a person's blood sugar. High glycemic load foods cause blood sugar to spike, while low glycemic load foods cause a more gradual, longer-lasting increase. High glycemic load foods are those high in low-fiber carbohydrates, such as refined sugars and grains. Low glycemic foods include complex carbohydrates high in fiber.
After 12 weeks, the number of acne lesions among men in the low-glycemic load group dropped by approximately 22. Among the men in the high-glycemic load group, the number of acne lesions dropped by approximately 14.
"The results of this study open up the prospect that nutrition-related lifestyle factors may affect the [development] of acne," the researchers wrote.
In addition, levels of the male sex hormone androgen decreased and insulin sensitivity increased more in the low glycemic load group than in the high glycemic load group. Men eating the lower glycemic diet also lost weight.
The researchers said that with the way the study was set up, it was impossible to know what exactly led to the decrease in acne. The weight loss or the improved insulin sensitivity -- or both -- are the most likely, but "these results should be considered preliminary and larger scale studies are needed to confirm the effect of dietary intervention on acne."
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tricky1 |
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2nd May 2008 01:31 PM Last post by: radikal |
http://www.earthtimes.org/articles/show/am...ne,335261.shtmlQUOTE
Groundbreaking Laser Research Aims to Get to the Root of Acne – Early research findings on the use of a tunable free electron laser that selectively targets the chemical bond structures of acne sebum will be presented. Until now, the current laser and light sources targeting acne only have had a secondary effect on sebaceous glands. The paper was named the ASLMS “Best Overall Basic Science Award” for the conference.
i think this is further development on this from a couple years back, it was posted here as well i believe.
http://www.timesonline.co.uk/tol/news/worl...ticle703825.ece
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Spades |
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30th April 2008 06:42 PM Last post by: temp123 |
"We found that plasma vitamin A concentrations in patients with acne were
significantly lower than those of the control group (336.5 vs. 418.1 lg ⁄ L, respectively)
P ¼ 0.007. We also found that plasma vitamin E concentrations in patients with acne
were significantly lower than those of controls (5.4 vs. 5.9 mg ⁄ L) P ¼ 0.05. In
addition, we found that there is a strong relationship between decrease in plasma
vitamin A levels and increase in the severity of acne condition. Patients with severe
acne had significantly lower plasma concentrations of vitamins A and E than did those
with lower acne grade and the age-matched healthy controls."
I found this tid bit of research while surfering my college privileged subscription to some academic journals (that have been peer reviewed) and this is what I've found. Now don't go out and buy some supplement because I doubt that will be the cure all and it is dangerous. However, supplementation and eating foods with Vitamin A (Preferably Beta Carotene) and Vitamin E might be beneficial at Acne although consult a doctor first.
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TheseWordsAreMyOwN |
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15th April 2008 04:21 AM Last post by: Tomza |
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_Morris_ |
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9th April 2008 07:05 AM Last post by: _Morris_ |
I originally had an article on topical spiro, where it was found to be effective for patients with acnez
I can't seem to find this study through a search on google or on this site, would anyone here have it?
If you can copy paste it, it would be much appreciated
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Zileuton
Supposedly decreases sebum production..
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Luis Figo |
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21st February 2008 09:01 AM Last post by: Lutya |
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willow569 |
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29th January 2008 06:20 PM Last post by: willow569 |
Comparison of a- and b-Hydroxy Acid Chemical Peels in the
Treatment of Mild to Moderately Severe Facial Acne Vulgaris
EDWARD KESSLER, BA, KATHERINE FLANAGAN, MD, CHRISTINA CHIA, MD, CYNTHIA ROGERS, MD, AND DEE ANNA GLASER, MD
BACKGROUND Chemical peels are used as adjuvants for treatment of facial acne. No well-controlled studies have compared alpha and beta -hydroxy acid peels in the treatment of mild to moderately severe facial acne.
OBJECTIVE To compare the efficacy of a- and b-hydroxy acid chemical peels in the treatment of mild to moderately severe facial acne vulgaris.
MATERIALS AND METHODS Twenty patients were recruited in this split-face, double-blind, randomized, controlled study. An a-hydroxy acid (30% glycolic acid) was applied to one-half of the face and a b-hydroxy acid peel (30% salicylic acid) was applied contralaterally every 2 weeks for a total of six treatments. A blinded evaluator performed quantitative assessment of papules and pustules.
RESULTS Both chemical peels were significantly effective by the second treatment (po.05) and there were no significant differences in effectiveness between the two peels. At 2 months posttreatment, the salicylic acid peel had sustained effectiveness. More adverse events were reported with the glycolic acid peel after the initial treatment.
CONCLUSION The glycolic acid and salicylic acid peels were similarly effective. The salicylic acid peel had sustained effectiveness and fewer side effects. a- and b-Hydroxy acid peels both offer successful adjunctive treatment of facial acne vulgaris.
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willow569 |
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13th January 2008 12:02 PM Last post by: willow569 |
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fivetotenyears |
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10th January 2008 05:32 PM Last post by: Elsewhere |
It breaks down your skin!
€œSequencing the whole genome has revealed that the bacterium can actively degrade human skin tissue because of the massive presence of these enzymes, and also that there are specific immunogenic proteins which are present in this bacterium which trigger the immune response,€ Brggemann told New Scientist.
And they thought it was part of the human genome because of contamination!
The genome also reveals a P. acnes gene mistakenly annotated as a human gene in the international Genbank database. This raised the possibility that if human sequence stored there is contaminated with bacterial sequences, other human sequence data may be similarly affected.
http://www.newscientist.com/article.ns?id=dn6222
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Anna |
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4th January 2008 06:29 AM Last post by: temp123 |
http://www.blackwell-synergy.com/doi/full/...87.2007.06274.xChloracne is a form of acne induced by halogenated aromatic compounds. Best known is dioxin (2,3,7,8-tetrachlorodibenzo-p-dioxin), that caused the environmental catastrophe in Seveso, Italy, in 1976. Dioxin can cause severe acne with abscess formation that is difficult to treat. Beyond provocation by chemical substances, physical irritation can trigger acne, for example by friction or chafing (acne mechanica) of a shirt collar. An iodine-rich diet of algae and vitamin B complex products as nutritional supplements can trigger a worsening or development of acne.
Triggering of acne by food has long been held insignificant, but recently has gained attention. New epidemiological observations suggest that diet can play a role; populations with a natural lifestyle do not develop acne. Various hypotheses correlate acne with western diet (e.g. with dairy products and with the promotion of hyperglycemia, thus increasing production of insulin and other growth factors and thus producing seborrhea and follicular hyperkeratosis).
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pintsize7 |
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19th December 2007 05:32 PM Last post by: pintsize7 |
while looking through the taurine thread and going through references there i stumbled upon...
http://www.wipo.int/pctdb/en/wo.jsp?IA=WO2...;DISPLAY=STATUSit is a patent i found for a new product containing taurine bromamine
"FOR INHIBITING PATHOGENIC BACTERIA AND FUNGI GROWTH "also has a great write up on acne its causes and known treatments
has n e one heard of any thing pretaining to taurine bromamine ?
and on to the article below...i highlighted the information regaurding this treatment using taurine bromamine .
http://www.wipo.int/pctdb/en/wo.jsp?IA=WO2...;DISPLAY=STATUSMETHOD FOR INHIBITING PATHOGENIC BACTERIA AND FUNGI GROWTH AND MICROBICIDAL COMPOSITION TECHNICAL FIELD The present invention relates to a method for inhibiting pathogenic bacteria and fungi growth and a microbicidal composition to be applied in the treatment of dermal diseases and associated diseases attributable, among others causative factors to propionibacterium types, particularly in the treatment of common acne (Acne vulgaris) as well as a composition comprising taurine, and its uses in filed of cosmetics and/or pharmacology, especially dermatology.
BACKGROUND ART The human skin and the external mucosa are constantly in contact with their surrounding environment. Hence they are exposed to diseases caused by bacteria, fungi and viruses. Bacterial skin diseases are mostly caused by mixed staphylococcal/streptococcal infections. Dermatomycoses are pathogen fungi.
One of the most common skin diseases is acne in which bacteria Propionibacterium acnes is an etiological factor. The acne (Acne vulgaris) is experienced during pubertal changes, this condition being associated with the development of hair-follicles, together with their associated sebaceous and excretory duct systems in association with the formation of keratinocytes.
Despite the progress in diagnostic techniques, the acne remains a problem, not only for patients, but also for medical diagnostic teams attempting to alleviate the problem. It is assumed that some 85% of the human population experiences these changes, associated with maturation, in a more or less intense form. More aggravated symptoms, at varying levels, occur within the 14-18 year-old age-range, and involve some 10% of the population. Either gender is susceptible to the condition, but it is particularly prevalent in its severest form for pubertal males, due to genetic and hormonal changes.
The etiology of acne is attributable to several causative origins, including; hormonal balances, genetics, immune reactions, and bacterial factors, among others to be mentioned. Juvenile acne occurs as a result of the increase of sebum production by the cutaneous glands under the influence of increased secretion of androgenic hormones during the pubertal phase. In the development of the acne, four factors have primary significance: increased secretion of sebum, excessive keratosis, blockage of the folicular/sebacial duct outlets and invasion and colonization by anaerobic bacteria (Propionibacterium acnes) that cause an inflammatory state in and around the sebaceous glands and result in the formation of so-called blackheads, inflamed papule, surface cysts, atheromatous cysts and pustules. Androgens, as already mentioned, stimulate the secretion of sebum from the sebaceous glands. Sebum is a fatty substance that maintains a proper level of hydration of the skin and in keratin, the latter constituting the principal component of hair. The other main causative factor for the progenesis of acne is the obstruction of the ducts that exude sebum onto the surface of the skin. This leads to enlargement of the ducts of the sebaceous glands and the development firstly of closed comedones, and then to their bursting. The blockage results in the excessive amounts of generated sebum being retained. Blackheads or points with white heads appear. These changes are non-inflammatory in character. If the walls of the overfilled follicle burst, the secretions may be exuded into adjacent tissue- layers, resulting in the development of inflammatory acne. The infection invades the dermal tissue, cysts arise and these may burst at a later stage, leaving transient or even persistent tissue scarring. These changes may become subject to super-infection. The bacterium P, acnes, by introducing chemotactic factors, may engender a polynuclear leukocytes inflow to the sebaceous glands. As a result of the leukocytes induced phagocytes of the bacteria, hydrolytic enzymes are liberated, leading to the destruction of the walls of the sebaceous glands, allowing their content to invade the corium and leading to the development of an inflammatory condition. Papulo pustuar eruptions may appear. In severe forms of acne, deep, purulent infiltrations and fistulae are generated, leading to local scarring. Within the blocked sebaceous glands the development of anaerobic bacteria takes place. These bacteria produce enzymes that decompose the sebum into free fatty acids, thereby intensifying the inflammatory state. The bacteria P. acnes and P. granulosum are mainly found in areas of the human body rich in sebaceous glands such as the head, the chest, the back, mainly in the interscapular region. The above mentioned factors, associated with a raised concentration of microorganisms, give rise to chronic inflammatory processes, involving the sebaceous hair follicles and the sebaceous glands with which they are associated. Stimulation of the sebaceous glands induces increased production of sebum whose lipid- rich secretions form an excellent medium in which bacteria may breed. A correlation between the severity of the degree of acne and the level of secretion of sebum has been observed. At the same time as the process is taking place, dyskeratinisation occurs-i. e. an abnormal proliferation of ductal keratomycetes and the avulsion of sebaceous gland cells, leading to the blockage of the ducts, thereby creating ideal conditions for the development of anaerobic bacterial growths.
In recognition of the variable etiology of changes associated with acne, the potential increase in the intensity of such changes and the various sites in which the condition may occur, often diverse suggestions have been made as to how to treat this pathological state. The principal aim of treatment for common acne is to arrest the symptoms of seborrhea by constricting the dermal pores, removal of the retained secretions, prevention of the occurrence of comedones, reducing the secretion of sebum, alleviating inflammatory states and decreasing hypersensitivity. Various therapeutic regimes have been applied, such as the administration of hormones (estrogens and pro- estrogens), courses of vitamins (B2, A, C, E, PP) or antibiotics (tetracycline, erythromycin). The traditional treatment uses, local applicants containing dehydrative compounds with the addition of salicylic acid, menthol and sulphur, recorcin, exposure to sunlight or UV light (the latter no longer being practiced).
The use of salicylic acid is also no longer recommended for the alleviation of the symptoms of acne due to its irritant effect in many cases. As an adjunct to treatment, large doses of vitamins are recommended, particularly those belonging to the vitamin B group. Hormone-based medicines form one of other groups; those which diminish the effect of androgens. Medicines containing progesterones are most frequently prescribed. They are most effective in cases of mild acne. Their action causes a diminution in concentrations of androgens and thereby reduces the rate of sebum secretion and the component creating conditions for inflammation. Spironolactone is another medicine with a similar effect and is popular for the treatment of acne. It has also been demonstrated that corticosteroids given generally, inhibit the secretion of androgens.
Corticosteroids are mainly administered by direct injection to isolated deforming acne changes of a cystic or tubercular character to accelerate their rate of healing. Nevertheless, hormone-based medicines are not the most suitable and are only partially effective in cases exhibiting advanced dermal pathological conditions. Additionally, if large doses of Spironolactone (as mentioned earlier) are administered, women may experience menstrual irregularities and men may suffer from gynaecomastia and loss of libido. Dizziness and a general feeling of fatigue may also be experienced.
Retinoids form another group of medicines, being derivatives of Vitamin A. They are applied to slow the process of keratinisation, and are typically applied both locally and generally. Isotretynoine is characterized by its effect in stabilizing abnormal keratosis pilaris and inhibiting the process of desquamination of epithelial cells by weakening their interconnections. Among generally applied Retinoids, Isotretynoine has been proved to be the most effective. Its effectiveness relies on its reducing sebum secretion.
Simultaneously it normalizes the process of keratinisation in the hair follicles and although it has no direct antibacterial activity its effects, as noted above, result in a decrease in the changes occurring within hair follicles. Treatment with Isotretynoine is particularly effective in severe cases of acne that exhibit inflamed cysts with the proviso that such treatment should be carefully monitored, especially in the case of female patients as it is not recognized as being entirely safe. Such patients should be tested for pregnancy before treatment is commenced, least fetal damage be caused. The treatment is contraindicated in cases of pregnancy. It is also recommended that a course of treatment with Isotretynoine should be accompanied by the use of oral contraceptives by women. The effect of Retinoids is the normalization of the desquamation process in the outlet ducts of the sebaceous glands, thereby facilitating the exudation of gland secretions and thereby resulting in a discernible reduction of comedogenesis. For this reason their main application is in cases of acne comedonica. Contraindications are also exhibited by exsiccation, desquamation and reddening of the skin, these being frequent symptoms in patients taking Isotretynoine. The use of such medicines may cause severe undesirable side-effects, particularly teratogenic reactions.
Medicines from the Retinoids group, as noted earlier, have no direct bactericidal activity. Such action is desirable in cases requiring treatment for dermal changes. In addition to the adverse effects of therapy using Retinoids, there are observed increases in levels of transaminases, bilirubin and hyper- three-glycerids. For this reason patients in the risk-group i. e. with a family history of hyper-three-glyceridemia or diabetes are advised to be examined both before treatment and two months thereafter, not only for general medical examination but with particular attention being paid to the liver and to lipid levels. Frequently-experienced side effects also include drying of the mucosae of the lips and the nasal cavity and conjunctivitis.
Yet another group of medicines used to treat pathological dermal states are antibiotics. They are normally used for local lavage or are applied locally as gels or ointments as well as being taken orally. The main activity of such medicines lies in their antibacterial effect, thereby diminishing the level of colonization by bacteria of the external pores of the sebaceous glands. By decreasing the number of micro-organisms they directly decrease concentrations of free fatty acids, thereby lowering the levels of lipase and protease in the hair follicles. Hence antibiotics are both antibacterial and anti- inflammatory in their action. The main groups of antibiotics used for acne treatment are tetracyclins, macrolids, clindamycin and cotrimoctrisol. The main disadvantage of antibiotics is that they cannot be used for extended periods, their application being restricted to 3-4 weeks. Moreover, the excessive, uncontrolled and indiscriminate use of antibiotics and sulphonamides, as was the case in the 1970s and'80s has resulted in the fact that nowadays the use of many chemotherapeutic agents even on the skin has resulted in bacterial immunity to them, thereby rendering such agents ineffective. This concerns, among others, neomycin and tetracycline. There is also the possibility of adverse reactions.
Apart from antibiotics a number of locally-applied agents are used for the treatment of mild acne. These include benzyl peroxide, azelan acid, sulphur preparations and salicylic acid, the latter having been mentioned earlier.
A less known therapy is to inject triamcinolon, a type of steroid directly into the cyst. This may have the temporary side-effect of darkening the skin around the site of the injection.
Adjunctive therapies are also used and these should be preceded by the patient being clearly and comprehensibly informed about them. Individual approach of patients'regimes, possibly administering several medicines simultaneously, in conjunction with hygiene/cosmetic procedures, and if necessary with cryotherapy, lasertherapy or treatment with liquid nitrogen may alleviate the symptoms of acne considerably.
Clinical tests have also been conducted using phototherapy. The promising effects of photodynamic treatment observed after the external use of ALA solution and irradiation of the skin of patients with acne are primarily a decrease in the number of inflammatory changes, the photocytotoxic damage to the sebaceous glands the long-term suppression of sebum production and a considerable decrease in the number of bacteria.
In some cases vaccines and autovaccines are used. Irrespective of which is applied an immune reaction occurs identically because all these preparations contain Propionibacterium acnes strains with strong immunomodulating activity. The practice indicates, however, that in cases of patients treated with vaccines or autovaccines, there is a need to simultaneously administer preparations with antibacterial and anti-inflammatory activity. On the other hand, it has been stated that treatment with vaccines containing antigens Propionibacterium acnes and Propionibacterium granulosum turned out to have little effect-only about 30% of patients experienced a limited improvement and the same proportion of patients showed a worsening of their condition. Administering autovaccines, in the light of contemporary knowledge, would seem to be unjustified.
Another treatment of acne is known from the US Patent No. US 4,772, 592 that describes a water-in-oil emulsion suitable for topical application to human skin. The water-in-oil emulsion comprises in addition to water a C. sub. 1 to C. sub. 4 alkyl lactate, a silicone oil ingredient containing a dispersion in a volatile siloxane of a polymer of dimethyl polysiloxane with polyoxyethylene and/or polyoxypropylene side chains. These substances are present in specified quantities. Volatile polar liquids, such as alkyl lactate and alkanol constitute essential components of the emulsion, because in association with silicone oil they act to stabilize it. However, the C. sub. 1 to C. sub. 4 alkyl lactate irritates the skin and the mucosae.
AIM OF INVENTION It is an aim of this invention to provide a method for inhibiting pathogenic bacteria and fungi growth that is more effective than known methods.
It is another object of this invention to provide a bactericidal composition to be applied in the treatment of dermal diseases allowing selectively acting on pathogenic bacteria and fungi.
DISCLOSURE OF INVENTION According to the present invention, the method consists of treating bacteria and fungi with a therapeutically effective amount of taurine bromamine [TauBr] (N-bromo taurine) or a solution with an effective quantity of taurine bromamine [TauBr]. The therapeutical effective amount of taurine bromamine [TauBr] has concentrations of 10-100% content by weight in the solution or the solution with the effective quantity of taurine bromamine [TaurBr] has concentrations of 10-100% content by weight. A microbicidal, especially bactericidal, composition, according to the invention, contains taurine bromamine [TauBr] being its essential component at concentrations of 10- 100% by weight. The taurine bromamine [TauBr] with cetomakrogel emulsion or ethyl-cellulose gel or powder or glycerol can be used as a cosmetic or pharmaceutical composition or a medicine in treatment of pathological dermal conditions, especially in treatment of acne. The taurine bromamine [TauBr] can be a solution in an ethyl-cellulose gel or a cream or a powder with pH of 5-7.
The composition, besides the taurine bromamine, can contain talc in amount of 10.0-24. 0 % by weight, glycerol in amount of 14.0-40. 0 % by weight, distilled water in amount of 5.0-30. 0 % by weight and menthol in amount of 0.5-2. 0 % by weight or 5% or methylcellulose solution in amount of 50.0-65. 0 % by weight or cetomakrogel emulsion in amount of about 15.0 % by weight, liquid paraffin in amount of about 15.0 % by weight, vaseline in amount of about 15.0 % by weight and a mixture of preservative agents.
The composition, besides the taurine bromamine, can contain a lipophyllic phase-liquid paraffin, acetyl alcohol and an hydrophyllic phase- propylene glycol and estolate.
The taurine bromamine [TauBr] may be included as a main ingredient of soap used for disinfecting a human skin.
The taurine bromamine can be produced by mixing a solution of NaOCI with a phosphate buffer to obtain an NaCI solution at a concentration of 50- 100 mM, then mixing the solution of NaCI in equal proportions with a solution of NaBr and diluting the NaOBr obtained in this way in a phosphate buffer with a final concentration of NaOBr not exceeding 10 mM and dropping while stirring the solution of NaOBr to taurine solution at a concentration ca. 10 times higher than the concentration of the NaOBr solution.
BEST MODE FOR CARRYING OUT THE INVENTION It is known that taurine chloramine [TauCI] (N-chloro taurine) has bactericidal properties. Its effect has been described in Hyg. Med. 18,330-326, 1992. During the studies, it has been found, unexpectedly, that taurine bromamine [TauBr] (N-bromo taurine), which shows much stronger bactericidal activity than taurine chloramine [TauCI], produces a bactericidal effect on bacteria of Propionibacterium types, which are one of etiological factors of common acne (Acne vulgaris). Moreover, it turned out that taurine bromamine does not destroy the whole bacterial flora but acts selectively in certain conditions.
Different methods for producing taurine bromamine are known in present biochemical technology. In order to evaluate its bactericidal properties according to the invention, taurine bromamine was prepared on the day of the clinical test. In this order the solution of 180 mM NAOMI (Aldrich, Germany) was mixed in a phosphate buffer (POCH, Gliwice, Poland) to obtain NaCI solution with a concentration of 60 mM. The 60 mM solution of NaCI was mixed in equal proportions with a 100 mM solution of NaBr (POCH, Gliwice, Poland). NaOBr obtained in this way was diluted in a phosphate buffer (POCH, Gliwice, Poland) with a final concentration of NaOBr not exceeding 10 mM. To obtain taurine bromamine a solution of NaOBr was introduced by drops (whilst stirring very slowly) to the taurine solution (Sigma, St. Louis, MO) with a concentration of ca.
100 mM. The concentration of the taurine solution was 8-12 times higher than the concentration of the NaOBr solution, although taurine may be used in higher concentrations-up to 100 times greater. Preferably, while producing taurine bromamine, the concentration of the taurine solution was around 10 times higher than the concentration of the NaOBr solution. This resulted in the taurine bromamine solution having a molar concentration not exceeding 10 mM. The molar concentration of the taurine bromamine produced was assessed by measuring the extinction at a wave-length Amax= 286 nm, where the molarity of taurine bromamine equals value of extinction in peak 430~. To produce, for example 10 mi of 4-6 mM TauBr solution, 0.33 ml of 180 mM NaOCI in 0.67 ml of phosphate buffer (pH 7.4) was mixed with 1ml of 100mM NaBr. The NaOBr so obtained was dissolved in 3 ml of phosphate buffer and stirred very gently while 5 ml of 100 mM taurine was introduced in drops. The TauBr solution was tested at pH ranging from 5.0 to 8.0.
For research purposes, two bacterial strains commonly found on the human skin were chosen: Proplonibactenum acnes (causing acne) and Staphylococcus epidermides (being a part of physiological flora of the skin).
Selected microorganisms were lyophilized and kept at room temperature. To prepare strain cultures for immune research the lyophilisate was dissolved in 0.5 ml of 0.9% NaCI solution. The mixture was stirred and seeded on a growth medium. Incubation was conducted in anaerobic conditions at 37°C for 48-72 hrs. A suspension of bacteria at a concentration of 5x 109 CFU/ml was then prepared.
In order to assess the microbicidal activity of the TauBr solution, the Proponibacterium acnes and the Staphylococcus epidermides bacteria were incubated in closed tubes with TauBr solution. The range of concentrations tested was 1-1000 uM. The incubation was conducted at room temperature for 30 minutes. When this process was completed, bacteria were seeded onto a growth medium. After an appropriate period of time the number of developed colonies was counted. Next, estimation of the susceptibility of the Proponibacterium acnes and Staphylococcus epidermides bacteria to the agent tested [TauBr] was determined. Analysis of the susceptibility of the strains tested proved the bactericidal activity of TauBr to the Proponibacterium acnes for which the inhibitory concentration was below 32, uM (MIC) and to the Staphylococcus epidermidis for which the inhibitory concentration was above 125uM (M ! C) In further test, the microbicidal composition described in the example, in the form of an emulsion, was applied to the patient's skin. The microbicidal composition consisted of : an active substance-TauBr at concentrations of 10 - 50% and a base (emulsion)-made up to 100%. The base (emulsion) contains a 16% lipophyllic phase-liquid paraffin, acetyl alcohol and an 84% hydrophyllic phase-propylene glycol and estolate (or lauryl sulphate). The bactericidal formulation is particularly useful in the treatment of inflammatory skin conditions caused by bacterial or mycotic infections such as acne and skin candidiosis. Further tests proved that the bactericidal activity of TauBr is much stronger than TauCl especially at pH above 7, at which Taux ! shows no bactericidal properties in subcytotoxic concentrations for mammalian cells, whereas TauBr destroys 99% of the bacteria tested. Variable susceptibility of the strains exposed to TauBr was found. TauCi shows no such selective bactericidal properties.
In order to conduct further tests to ascertain the antibacterial activity of the formulation containing taurine bromamine and prepared by the method described above, the imprinting method was chosen with use of Rodac plates with an area of 25 cm2. For the purposes of study a Scheadler Agar Base medium produced by the firm Dico, catalogue number 212189, was used with addition of 5% ram blood. The medium was poured steadily onto the Rodac plates in aseptic conditions until a convex meniscus appeared. Before being applied, the medium was kept in enclosed conditions within a fridge at a temperature of ca. +4 °C and was used in a time not exceeding 7 days from the date of its preparation.
For the purpose of the studies several volunteers were selected-women aged between 23 and 27, who exhibited no discernable clinical pathological changes of the skin surface and who were not taking preparations with antibacterial activity during the studies, neither on the skin surface nor internally.
Tests for the microbicidal activity of taurine bromamine were conducted by performing 5 imprints of the dorsal skin on time at each of the patients examined. The skin area, on which the tests were to be performed, was determined in advance and marked with the numbers 1-5. After having marked the place where the test was to be performed, sterile gauze pads of area 4 cm2 saturated with different substances were applied to the skin.
At the site marked 1-a gauze pad saturated with 0.9% inj. solution of NaCI (Polfa Lublin), which was a control substance without antibacterial activity was applied to the skin. At site 2-a gauze pad saturated with a 4-7 mM solution of taurine bromamine in a buffer with pH 5-pH 6.4 was applied to the skin. At site 3-a gauze pad saturated with a 4-7 mM solution of taurine bromamine in a buffer with pH 6.4-pH 7.4 was applied to the skin. At site 4-a gauze pad saturated with a 1% solution of salicylic acid in a buffer with pH 5 and at the site marked 5-a gauze pad saturated with a 1 % solution of salicylic acid in a buffer with pH 7 was applied to the skin. 1 % solutions of salicylic acid in buffers with pH 5 and pH 7 are substances which are used routinely in the treatment of acne. At all sites gauze pads were fixed firmly to the skin surface for 30 minutes and then were removed. 5 minutes after their removal, as the skin was already dry, the Rodac type plates were pressed down so that the site treated with the substance tested was imprinted centrally on the plate. Next the plates were placed in anaerobic conditions using the Gas Pack system produced by the firm Biomerieux and incubated for 5 days at a temperature of 37 °C. After completing the incubation the bacteria growths on the imprinting plates from sites 2-5 after treatment with the substance tested on each patient were compared with the control plate applied at site 1. Wherever possible, all the cultivated colonies of relatively aerobic and anaerobic bacteria were counted, to provide a figure for the concentration per cm2 of the skin. The studies were repeated four times on the same patients at one-week intervals, which produced similar results. On the basis of the results obtained a considerable diminution in the number of bacteria on the skin area treated with the 4-7 mM solution of taurine bromamine in a buffer with pH 5-pH 7 was recorded for all the patients examined, and the biggest decrease in bacterial concentration, from the uncountable level of ca 104 CFU/cm2 to a level of 1 o1 _ 102 CFU/cm2 was observed on the skin areas treated with a 5 mM solution of taurine bromamine in a buffer with pH 7. Decrease in bacterial concentration on a human skin was also observed when hands were washed with soap containing, for example bromamine taurine and glycerol or stearin.
Further studies of the microbicidal activity of taurine bromamine were conducted using a gel, a cream and a powder. In these tests, applications with a semisolid consistency and plastic features were made, called hereinafter, pharmaceutical or cosmetic preparations or compositions, particularly a taurine bromamine solution in an ethyl-cellulose gel with pH 5-pH 7, a cetomacrogol cream with pH 5-pH 7 and a powder suspension in a taurine bromamine solution.
The powder suspension in taurine bromamine solution was prepared on a base of liquid powder changing the proportions of the components by weight.
The suspension consisted of, by weight: 14.0-60. 0 % of 10 mM Taurine bromamine solution, 10.0-24. 0 % of talc, 14.0-40. 0 % of glycerol, 5.0-30. 0 % of distilled water and 0.5-2. 0 % of menthol. The constituents of the suspension were stirred thoroughly until an homogenous dispersion of the solid phase was obtained.
The taurine bromamine solution in an ethyl-cellulose gel was prepared on a base of methyl-cellulose solution (Methocel 1500 cP) on a sterile phosphate buffer with pH 7.4 by pouring methyl cellulose to approx. one third of the volume of the prepared buffer solution at a temperature of ca. 90°C and mixed so that the powder became completely moistened. The substance prepared in this way was cooled. The remainder of the buffer solution together with the taurine bromamine solution was added, similarly cooled, and was mixed thoroughly then left in a fridge to become clarified.
To prepare taurine bromamine solution in a cream form, (in brief-the preparation on a cream base), a cetomacrogol cream (Cetomacrogol Cream, Sorbolone Cream) was used according to The Extra Pharmacopoeia, Ed. 29. It was modified by introducing a phosphate buffer at pH 7.4 (with its composition KH2P04 i Na2HP04 x 12H20) in different amounts to replace distilled water.
Next, the chloro-cresol in this cream was replaced with a mixture of preservative agents in different amounts. The mixture contained 1.0-3. 0 g of benzyl alcohol, 120-200 mg of methyl-hydroxybenzoate or sodium hydroxybenzoesan and 60-100 mg of propyl-hydroxybenzoate (propyl hydroxybenzoesan). The production of the cream-based preparation began with melting the components of a cetomacrogol cream oil phase (emulsifying wax, liquid paraffin, white petroleum) in a water bath. Then the water phase (a sterile phosphate solution, a taurine bromamine solution, preserving agents) was emulsified in warmth at a temperature of ca. 60°C into the oil phase and stirred until the mixture set.
The preparations based on a cream and gel base and the powder suspension were applied to the skin of the subjects at the places marked with numbers 1-5. Each of the preparations was applied to an area of ca, 4 cm2 of every patient tested in the following way: at site"1"-a 0.4-0. 8 mM taurine bromamine solution in a ethyl cellulose gel with pH 5-pH 7 was applied to the skin, at site"2"-a suspension of 3.0-4. 5 mM taurine bromamine in an ethyl- cellulose gel with pH 5-pH 7, at site"3"-the preparation of 3.0-4. 5 mM taurine bromamine solution in a cetomacrogol cream with pH 5-pH 7 and at site"4"-the powder suspension of 3.0-5. 0 mM taurine bromamine was applied The preparations were left on the skin area for 30 minutes and then the plates were pressed down so that the site exposed to the activity of the various substances was imprinted centrally on the plate. Later, as in case of the taurine bromamine solutions, the plates were placed in anaerobic conditions using the Gas Pack system produced by Firm Biomerieux and incubated for 5 days at a temperature of 37°C. After completing the incubation, the bacterial growth on the imprinting plates, from the sites marked by 1 to 5, which had been treated with the substance tested, were compared. Wherever it was possible, all cultivated colonies of relatively aerobic bacteria and anaerobic bacteria were counted, giving their occurrence per 1 cm2 of the skin. The tests were conducted four times on the same people at one-week intervals, which produced similar results. On the basis of the results the most significant diminution in bacterial activity was observed in all patients on the skin areas treated with the suspension of above 3.5 mM taurine bromamine in the cetomacrogol cream at pH 7.
The taurine bromamine solutions in a cream and in a gel and powder suspensions in the taurine bromamine solutions, which may serve as examples of cosmetic compositions and pharmaceutical compositions, are given below.
Proportions of the components of the substances mentioned below may be changed in amount of +50% by weight in response to the sensitivity of the skin.
However, in case of a normal skin it is recommended that the molarity of these substances should not exceed 5 mM taurine bromamine, because above this level all the bacterial flora is destroyed, for example Staphylococcus epidermides.
Example 1.100 ml of 3.5 mM modified cream Cetomakrogel emulsion about 15.0 Liquid paraffin about 10.0 Vaseline (or paraffin jelly) about 10.0 Benzyl alcohol 1.5 Sodium hydroxybenzoesan 0.15 Propyl hydroxybenzoesan 0.08 Propylene glycol, 5.0 10 mM Taurine bromamine 35.0 Water ad 100.0 Example 2.100 ml of 5.0 mM modified cream Cetomakrogel emulsion about 15.0 Liquid paraffin about 10.0 Vaseline (or paraffin jelly) about 10.0 Benzyl alcohol 1. 5 Sodium hydroxybenzoesan 0.15 Propyl hydroxybenzoesan 0. 08 Propylene glycol 5.0 10 mM Taurine bromamine 50.0 Water ad 100.0 Example 3.100 ml of 3.5 mM modified gel 5% methylcellulose solution 65.0 10 mM Taurine bromamine 35.0 Example 4.100 mi of 5. 0 mM modified gel 6.7% methylcellulose solution 50.0 10 mM Taurine bromamine 50.0 Example 5.100 mi of 3.5 mM fluid powder 10 mM Taurine bromamine 35.0 Talc 22.0 Glycerol 38.0 Menthol 1.0 Distilled water ad 100.0 Example 6.100 ml of 5.0 mM fluid powder 10 mM Taurine bromamine 50.0 Talc 19. 0 Glycerol 29.0 Menthol 1. 0 Distilled water ad 100.0
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12th December 2007 12:55 PM Last post by: timmoore |
A cool
study for those who have a thing for lactic acid. It actually discusses lactic acid's antibacterial activity as its benefit in treating acne, not it's exfoliation abilities.
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