COSMETIC DERMATOLOGY: PRINCIPLES AND PRACTICE in .NET framework

Make QR Code JIS X 0510 in .NET framework COSMETIC DERMATOLOGY: PRINCIPLES AND PRACTICE

COSMETIC DERMATOLOGY: PRINCIPLES AND PRACTICE
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Coenzyme Q10 (Ubiquinone)
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Coenzyme Q10 (CoQ10) is a naturallyoccurring nutrient available through
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food consumption Fish and shellfish are good dietary sources of CoQ10 The current recommended oral dose is 90 to 150 mg daily; however, many physicians are recommending 200 to 400 mg/d CoQ10 is a fat-soluble compound found in all cells as part of the electron transfer chain responsible for energy production It is estimated that CoQ10 provides 95% of the body s energy (ATP) requirements59 CoQ10 has also been found to have antioxidant properties The Q alludes to its membership in the quinone family; the 10 identifies the number of isoprenoid units on its side chain (Fig 34-2) The biosynthesis of CoQ10 is a complex process that depends on a copious supply of essential amino acids, such as tyrosine, and several vitamins and trace elements There are several studies on the use of CoQ10 in the cardiology literature60 Researchers have identified an agerelated decline of CoQ10 levels in animals and humans61 For this reason, many believe that the antioxidant activities of CoQ10 may make it useful as a treatment for aged skin A study by Hoppe et al demonstrated that CoQ10 penetrated into the viable layers of the skin and significantly suppressed the expression of collagenase in human dermal fibroblasts following UVA irradiation62 It was further shown that prolonged supplementation of CoQ10 in humans reduces wrinkle formation in the corner of the eye In another study, the same group orally supplemented CoQ10 (0, 1, 100 mg/kg po) daily for 2 weeks and noted that levels of CoQ10 significantly increased in the epidermis, but not in the dermis They hypothesized that this might be a prerequisite to the reduction of wrinkles and other benefits related to the potent antioxidant and energizing effects of CoQ10 in skin63 Patients taking 3-hydroxy-3-methylglutaryl-coenzyme A (HMG-CoA) reductase inhibitors (statins) to lower their low-density lipoprotein cholesterol have been shown to have decreased mitochondrial CoQ10 levels This is because statin drugs inhibit the conversion of HMG-CoA to mevalonate, a precursor for cholesterol and CoQ10 In cell
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culture, decreased mitochondrial CoQ10 levels have been associated with a higher degree of cell death, increased DNA oxidative damage, and a reduction in ATP synthesis Oral supplementation of CoQ10 has been shown to reduce cell death and DNA oxidative stress, and increase ATP synthesis64 For this reason, many physicians recommend that patients taking statins should supplement CoQ10 orally The most commonly prescribed dose is 200 to 400 mg/d, in the morning Coenzyme Q10 exhibits caffeine-like effects and can lead to insomnia if taken at night COENZYME Q10 LEVELS AND SKIN CANCER Abnormally low plasma levels of CoQ10 have been found in patients with cancer of the breast, lung, or pancreas65 A recent study investigated the usefulness of CoQ10 plasma levels in predicting the risk of metastasis and the duration of the metastasis-free interval in melanoma patients Rusciani et al showed that CoQ10 levels were significantly lower in melanoma patients than in control subjects and in patients who developed metastases than in the metastasis-free subgroup They suggested that baseline plasma CoQ10 levels could serve as a prognostic factor to estimate the risk for melanoma progression66 In the adjuvant therapy of melanoma with interferon (IFN), it seems that large amounts of ATP are required for an immune response initiated by IFN to be effective It has thus been hypothesized that the failure of some patients to respond to IFN therapy may be caused by an inability to meet the excess demand for ATP induced by this medication However, it is known that CoQ10 plays a key role in the mitochondrial respiratory cycle and production of ATP67,68 Therefore, Rusciani et al conducted a clinical trial in stage I and II melanoma patients examining a postsurgical adjuvant therapy with recombinant IFN alpha-2b in combination with coenzyme Q10 versus IFN alpha-2b alone for the control group In a 3-year trial, they uninterruptedly treated the patients with low-dose recombinant IFN alpha-2b administered twice daily and coenzyme Q10 (400 mg/d) The control group was treated with only low-dose recombinant IFN alpha-2b in the same dosage and administration Treatment efficacy was evaluated as incidence of recurrences at 5 years The group demonstrated that the risk of developing metastases was about 10 times lower in the IFN CoQ10 patients compared with the IFN-alone group69 However, a
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10-year follow-up will be needed to provide more significant results At the time of publication of this text there were several over-the-counter (OTC) cosmetic products, including Nivea and Eucerin, on the market containing CoQ10 Although they are very popular, more research is needed to examine the long-term preventive effects of these products in order to see if they are truly able to prevent the cutaneous signs of aging CoQ10 is stable in topical products Penetration depends on the characteristics of the topical formulation because of the high-molecularweight of this compound Formulation with this ingredient leads to a yellow tint in the product SIDE EFFECTS Oral CoQ10 supplementation has been associated with a caffeinelike side effect and may cause nervousness or a jittery feeling So as not to induce insomnia, it is recommended that CoQ10 not be taken at night Diarrhea, appetite loss, and mild nausea are among the other side effects reported70 No side effects have been reported with topical application CoQ10 has not been reported to cause contact dermatitis
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