Plant Secondary Metabolites against Skin Photodamage: Mexican Plants, a Potential Source of UV-Radiation Protectant Molecules

Human skin works as a barrier against the adverse effects of environmental agents, including ultraviolet radiation (UVR). Exposure to UVR is associated with a variety of harmful effects on the skin, and it is one of the most common health concerns. Solar UVR constitutes the major etiological factor in the development of cutaneous malignancy. However, more than 90% of skin cancer cases could be avoided with appropriate preventive measures such as regular sunscreen use. Plants, constantly irradiated by sunlight, are able to synthesize specialized molecules to fight against UVR damage. Phenolic compounds, alkaloids and carotenoids constitute the major plant secondary metabolism compounds with relevant UVR protection activities. Hence, plants are an important source of molecules used to avoid UVR damage, reduce photoaging and prevent skin cancers and related illnesses. Due to its significance, we reviewed the main plant secondary metabolites related to UVR protection and its reported mechanisms. In addition, we summarized the research in Mexican plants related to UV protection. We presented the most studied Mexican plants and the photoprotective molecules found in them. Additionally, we analyzed the studies conducted to elucidate the mechanism of photoprotection of those molecules and their potential use as ingredients in sunscreen formulas.

Evaluation of the knowledge regarding vitamin D, and sunscreen use of female adolescents in Iran

Background Vitamin D (Vit D) deficiency/insufficiency is an important risk factor for several chronic conditions. We aimed to evaluate the knowledge and behavior of female adolescents with respect to the association between sunlight exposure, sunscreen use, and Vit D status. Methods This cross-sectional survey was performed in northeastern Iran, among 940 female adolescents in January 2015. Each subject completed a questionnaire containing items about demographic characteristics, knowledge about Vit D and their use of sunscreen. Serum Vit D levels were measured using an electrochemiluminescence method and dietary intake of Vit D was assessed using a Food Frequency Questionnaire. Statistical analyses were conducted using SPSS software. A P value < 0.05 was considered statistically significant. Results Few of the participants were aware of the biological functions of Vit D (8.8%), the causes of Vit D deficiency (16.7%), and the sources of Vit D (9.3%). Less than half of the participants used sunscreen during the day. The serum levels of Vit D in subjects who used sunscreen were significantly lower than those who did not (p = 0.004). However, there was no significant association between their knowledge about Vit D and serum Vit D, or dietary intake of Vit D. Conclusion There appears to be a lack of coherence between lifestyle, behavior and knowledge that may affect the Vit D status of adolescent girls in northeastern Iran. This information provides a basis for developing public health planning (workshops or training at the college level) for the prevention of Vit D deficiency especially in adolescent girls.

Interventions to Increase Sunscreen Use in Adults: A Review of the Literature

Skin cancers are the most common malignancy in Australia. Regular sunscreen use can reduce the incidence of cutaneous squamous cell carcinomas and actinic keratoses and has been associated with reducing the incidence of basal cell carcinomas and melanomas. However, sunscreen effectiveness is limited by the failure of the population to use it routinely. Interventions that promote the daily application of sunscreen may reduce the morbidity, mortality, and economic burden associated with skin malignancies. We reviewed the literature that examines the effectiveness of interventions to increase routine sunscreen use and found that no one strategy has been shown to be clearly effective in adults and that relatively few studies have aimed to increase routine use in groups at extreme skin cancer risk. Future research should consider how interventions can be best designed and how sunscreen use is measured so that cost-effective, feasible strategies that result in improved sunscreen use in adults can be established.

The Association of Frontal Alopecia with a History of Facial and Scalp Surgical Procedures

<b><i>Introduction:</i></b> The prevalence of frontal fibrosing alopecia (FFA) is increasing worldwide, though the pathogenesis remains unknown. Anecdotal reports describe alopecia occurring in an FFA pattern following facial surgical procedures, but this potential link remains unexplored. <b><i>Objective:</i></b> The objective of this study is to determine if a significant association exists between the diagnosis of FFA and a history of facial and scalp surgical procedures. <b><i>Methods:</i></b> This retrospective study comparing data from frontal alopecia patients to controls was conducted at a tertiary medical center. Additionally, a literature review was conducted on scarring alopecias occurring from scalp procedures. <b><i>Results:</i></b> Fifty percent of frontal alopecia patients (<i>n</i> = 54) reported a history of facial surgical procedures compared to 9.8% of controls (<i>n</i> = 51) (OR: 7.8 [95% CI: 2.77–25.98, <i>p</i> &#x3c; 0.001]). Although no significant differences were observed in current daily facial sunscreen use, sunscreen use prior to alopecia onset was significantly higher in frontal alopecia (<i>p</i> = 0.295; <i>p</i> = 0.021). Sunscreen use was not a significant modifier in the association between frontal alopecia and facial surgical procedures (<i>p</i> = 0.89). <b><i>Conclusions:</i></b> A significant association exists between frontal alopecia clinically consistent with FFA and a history of facial surgery, the nature of which is unclear. The role of sunscreen use and frontal alopecia development in this setting needs to be better elucidated.

Impact of Tourist Behavior on the Discharge of Sunscreen Contamination in Aquatic Parks, Sinkholes, and Beaches of the Mexican Caribbean

The Mexican Caribbean is part of the Mesoamerican Barrier Reef System, considered the second largest reef system globally. This system, as well as inland aquatic ecosystems, are at risk of contamination due to the intensive use of sunscreen by the tourists who visit the Riviera Maya each year. At present, the regulation and management of sunscreens are inconsistent, with most policies and legislation focused on the protected marine areas with little current focus on inland aquatic ecosystems. An estimated 229.76 tons of sunscreen are used annually, with residues putting the health of the marine and freshwater aquatic ecosystems and residents at risk. Groundwater is used recreationally (e.g., tourists swimming in sinkholes or cenotes) and as household drinking water. To understand the environmental impacts of sunscreen use and the management implications, a mixed-methods study was carried out, combining survey and interview data on how tourists use sunscreen and their perceptions of discharge of sunscreens into the water, with analysis of regional, national and international policies and legislation. Our findings of touristic behaviors, gaps in current legislation, and the pollution implications of different sunscreen types provide useful information for future decision-making and the creation of stronger environmental regulations.