Kerscher Martina, Hertz-Kleptow Dominique, Drabik Attyla, Kaptan Tanju, Reinecke Julio
J Drugs Dermatol. 2021 Jun 1;20(6):682-688. doi: 10.36849/JDD.2021.5018.
Blood Cell Secretome, BCS (also Autologous Conditioned Serum, ACS) is efficacious in treatment of musculoskeletal disorders. It contains inflammation resolving cytokines, growth factors, exosomes, and lipid mediators. Skin aging is associated with reduced TGF-ß signaling and collagen synthesis and chronic (sub-acute) inflammation, among other factors. Pre-clinically, BCS counteracts these mechanisms, suggesting it as a treatment against cutaneous aging.
This 24-week study evaluated the effects of deep dermal to immediate sub-dermal micropuncture injections of cell-free BCS in patients with age-related reduced facial skin elasticity.
In this prospective, single-armed, mono-center study, 21 women underwent 4 BCS treatment sessions over 12 weeks with follow-up at 24 weeks. The primary endpoint was skin elasticity measured by cutometry. Secondary endpoints were safety, skin hydration, and aesthetic assessments using global aesthetic improvement scale.
Skin firmness increased significantly between baseline and 12 weeks (P<0.001) and further increased by 24 weeks (P<0.001). Skin tiring was congruently reduced (P<0.001). Skin hydration and aesthetic ratings improved significantly. No BCS-related adverse reactions occurred.
BCS treatment resulted in increased firmness and hydration, usually attributed to younger skin. BCS is potentially the first cell-free autologous therapy for skin rejuvenation derived from patients’ own blood. J Drugs Dermatol. 2021;20(6):682-688. doi:10.36849/JDD.5018.
血细胞分泌组(BCS,也称为自体条件血清,ACS)在治疗肌肉骨骼疾病方面有效。它含有可减轻炎症的细胞因子、生长因子、外泌体和脂质介质。皮肤老化与转化生长因子-β(TGF-β)信号传导减少、胶原蛋白合成减少以及慢性(亚急性)炎症等因素有关。临床前研究表明,BCS可对抗这些机制,提示其可用于治疗皮肤老化。
这项为期24周的研究评估了对年龄相关面部皮肤弹性降低的患者进行真皮深层至皮下即刻微针注射无细胞BCS的效果。
在这项前瞻性、单臂、单中心研究中,21名女性在12周内接受了4次BCS治疗,并在24周时进行随访。主要终点是通过皮肤硬度计测量的皮肤弹性。次要终点是安全性、皮肤水合作用以及使用整体美学改善量表进行的美学评估。
基线至12周期间皮肤紧致度显著增加(P<0.001),到24周时进一步增加(P<0.001)。皮肤松弛度相应降低(P<0.001)。皮肤水合作用和美学评分显著改善。未发生与BCS相关的不良反应。
BCS治疗可增加皮肤紧致度和水合作用,这些通常与更年轻的皮肤相关。BCS可能是第一种源自患者自身血液的无细胞自体皮肤年轻化疗法。《药物皮肤病学杂志》。2021年;20(6):682 - 688。doi:10.36849/JDD.5018