Life Extension Magazine®

Issue: Apr 1998

Younger & Healthier Skin

Your skin is the most visible target of your anti-aging program. Further, it can benefit directly from its own regimen of topically applied nutrients.

Scientifically reviewed by: Dr. Gary Gonzalez, MD, on January 2021.

Younger Healthier Skin Skin does not seem like the most exciting part of the body, but it's actually a dynamic, complex organ. Understanding its chemistry can help keep your skin youthful and healthy.

So much hormonal activity occurs in skin that it has been called another endocrine gland. Skin has its own immune system and specialized enzymes that no other part of the body has. It is, in short, a very special part of you.

According to research, skin cannot function without hormones. The anti-stress hormone DHEA, and the sleep hormone melatonin, are both found in human skin. Both are converted to other entities with important jobs to do. DHEA is converted into estrogen and androgen-type metabolites found only in skin. Melatonin is synthesized in skin, and in low concentrations can stimulate cell growth. This type of on-site, organ-specific production of hormones, called intracrine biosynthesis, allows different organs to manufacture the substances they need without flooding the entire body with growth factors.

Importantly, studies show that both DHEA and melatonin are absorbed by skin when applied topically. A study from CHUL Research Center, at Laval University in Quebec, shows that the activity of DHEA applied topically to rodents is 85 to 90 percent greater than when taken orally.

No special carriers are needed to get DHEA and melatonin into skin. A properly formulated topical preparation of melatonin and DHEA will contain just enough hormone to benefit skin without providing enough to escape into the rest of the body. In addition, it makes sense to apply the hormones directly to the skin if skin protection is the goal, since ingested hormones may end up everywhere in the body.

Estrogen's skin-enhancing effects are well-known. It stimulates collagen production and a moisture factor known as hyaluronic acid. Aging decreases both estrogen and collagen, and enzymes that convert DHEA to estrogen also decline. Not surprisingly, women who take synthetic estrogen have thicker, healthier skin, and women who take both estrogen and testosterone have skin that is 48 percent thicker (and healthier) than women who don't take either hormone.

DHEA is converted into estrogen and testosterone, providing the benefits of both hormones.

While the exact roles of DHEA and melatonin in human skin are still under scrutiny, researchers have identified several mechanisms through which these hormones protect against aging, maintain the health of skin, and affect how sunlight reacts with skin cells. All three are connected. For example, sunlight and aging suppress immunity; immunity affects health, and melatonin and DHEA affect them all.

Skin is such a specialized organ that it has its own immune system. In fact, it has been proposed that faulty skin immunity affects the body's entire immune system. Sunlight can penetrate deep into skin and alter immunity directly, or it can cause changes in the dermis and epidermis that in turn provoke immune changes. Sunlight also affects decreases melatonin, norepinephrine and acetylcholine, and increases cortisol, serotonin, GABA and dopamine.

Formation of Free Radicals

DHEA has beneficial effects beyond its conversion into skin-friendly hormones-DHEA also has powerful skin-protective effects. A study in the Journal of Surgical Research demonstrates the extraordinary ability of topically applied DHEA to protect skin's delicate blood vessels. Researchers found that if DHEA is applied after a serious burn, the blood vessels underlying the burned area are protected, and protected blood vessels save the skin.

Skin that would otherwise die and peel off can be saved by DHEA. No one knows for sure how DHEA saves skin in this way, but its anti-inflammatory action has something to do with it. In particular, DHEA affects a destructive cytokine known as "tumor necrosis factor." At the same time that DHEA is inhibiting this destructive process, it appears to prolong healing: DHEA causes edema (swelling) to last longer, which apparently saves tissue.

DHEA also protects against everyday insults. By maintaining skin immunity, DHEA preserves the ability of skin to react to cancer-causing, skin-destroying pollutants in air, food and water. DHEA also has antioxidant action against peroxyl and superoxide free radicals.

Superoxide defense may have a lot to do with DHEA's ability to prevent skin cancer and papillomas (benign tumors). According to a mouse study, topically applied DHEA keeps oxidant-loving enzymes at bay. Chemicals with carcinogenic potential depend on oxidases for transformation. DHEA's antioxidant action stops them. DHEA provides another important defense: it keeps chemical carcinogens from binding to DNA. According to some very interesting rodent studies conducted at Fels Research Institute and Temple University, in Philadelphia, cancers simply cannot get started if enough DHEA is present.

If this research holds up in humans, topically applied DHEA is an exciting prospect for skin cancer.

Another interesting finding is that cancer-causing chemicals are more likely to cause carcinogenesis at certain times of the day, indicating that some hormones that are only active at particular times give cancer protection. Unfortunately, this exciting research is only in its infancy.

Melatonin is another antioxidant that protects against UV radiation. Scientists at the University of Zurich have shown that topical melatonin gives excellent protection against sunburn if applied before sun exposure. Melatonin also appears to play a role in repairing burned skin. In a study in Brain Research Bulletin, melatonin levels rose six hours after burn injury, then fell to normal.

In small amounts, melatonin causes skin cells to proliferate. (In large amounts, it stops proliferation). People with psoriasis and atopic eczema do not have normal melatonin secretion. With psoriasis, for example, melatonin peaks in the day when it shouldn't, and there's little at night.

It may seem surprising that a hormone connected to sleep has a lot to do with skin health. But maybe not to those researchers who consider skin another endocrine gland.

Further Reading
Pashko, et al. 1985. Inhibition of 7,12 dimethylbenz(a)anthracene induced skin papillomas and carcinomas by dehydroepiandrosterone and 3-beta-methylandrost-5-en-17-one in mice. Cancer Res 45:164-66.

Labrie C, et al. 1996. High bioavailability of dehydroepiandrosterone administered percutaneously in the rat. J Endocrin 150: S107-118. Brincat M, et al. 1983. Sex hormones and skin collagen content in postmenopausal women. Br Med J 287:6402:1337-8.

Bangha E, et al. 1997. Suppression of UV-induced erythema by topical treatment with melatonin (N-acetyl-5-methoxytryptamine). Influence of the application time point. Dermatology 195:248-52.

Iverson OH, et al. 1995. A diurnal variation in the tumorigenic response of mouse epidermis to a single application of the strong short-acting chemical carcinogen methylnitrosourea. A dose-response study of 1,2 and 10 mg. In Vivo 9:117.

Araneo BA, et al. 1995. Dehydroepiandrosterone reduces progressive dermal ischemia caused by thermal injury. J Surg Res 59:250-62.

Scott DE, et al. 1986. Hypothalamic neuroendocrine correlates of cutaneous burn injury in the rat: I. Scanning electron microscopy. Brain Res Bull 17:367-8.


New Rejuvenex
Skin Care Formulas

New Rejuvenex Product Among the most popular products offered by the Life Extension Buyers Club has been the Rejuvenex line of skin care formulas, created by Prof. Carmen Fusco. The original Rejuvenex has 25 years of research behind it, and has been reformulated several times to incorporate the latest research findings on the causes and prevention of skin damage. Rejuvenex Facial Cleanser is an ideal preparation for the application of Rejuvenex Cream.

Now, the Rejuvenex line has been extended with two new products offered through the Life Extension Buyers Club. The Dream Cream by Rejuvenex is an intensive nighttime rejuvenating treatment for the face and neck.

Dr. Nicholas Hall, director of the Institute for Health and Human Performance, notes that it is during slow-wave "delta sleep" that our bodies recover from the stress and fatigue of daily living. The Dream Cream is designed to work during this period. In addition to RNA for cell energy, and vitamins A, C and E for antioxidant effect, the formula also contains DHEA and melatonin in a topical formula based on research published in peer-reviewed scientific journals.

Clinically, DHEA is shown to have a softening effect on rough, dry areas when applied topically. Dry, flaky skin is diminished, and a softened look is enhanced. Especially well-researched has been the essential role of antioxidants in healing and protecting the skin. In addition, vitamin E acetate, also contained in Dream Cream, reduces swelling in laboratory experiments. Tocopherols and their acetates, when applied topically, protected against swelling, redness, skin sensitivity and skin wrinkling.

Melatonin is a proven free-radical scavenger, and protects against harmful UV skin damage and aging.

Another product from Rejuvenex and Prof. Fusco, Vitaleyes Eye Cream, rounds out the Rejuvenex lineup for the skin. While Rejuvenex topical skin cream is a potent anti-aging weapon for the face and body, the skin around the eyes is thinner and more delicate, and requires a specialized treatment.

Vitaleyes has the antioxidant formulation found in Rejuvenex, and contains as well the natural vitamin E cited in a Veris Research Summary Report (May 1997, page 3) as one of the most effective substances for topical eye care:

"In a study of 20 women between 42 and 64 years of age, over one-half of the subjects showed a significant decrease in wrinkle amplitude and roughness on the eyelid treated with vitamin E containing cream daily for four weeks, compared to the eyelid treated with placebo cream. As noted by the researchers, their results clearly showed that topical use of natural vitamin E induced smoothing of fine lines and wrinkles in a sensitive area of the face."

The Vitaleyes formula helps promote increased collagen synthesis, important in preventing or reversing the "droopy" effect around the eyes. Over extended use, Vitaleyes can provide similar results as collagen injections, without the irritation and cost.

As we grow older, we suffer diminished microcapillary circulation within the skin, which deprives skin cells of the supply of vitamin C it needs for youthful collagen synthesis. The topical application of Vitaleyes' vitamin C regenerates vitamin E, and enables vitamin E to provide sustained antioxidant protection in the skin's elastin fibers. Together with Rejuvenex Cream and Cleanser, these two new products from Prof. Fusco promise a full range of benefits for the skin.