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局部血小板外泌体用于皮肤年轻化的疗效和耐受性:六周结果。

Efficacy and Tolerability of Topical Platelet Exosomes for Skin Rejuvenation: Six-Week Results.

机构信息

Mayo Clinic, Department of Dermatology, Rochester, MN, USA.

Rion Aesthetics, LLC, Rochester, MN, USA.

出版信息

Aesthet Surg J. 2022 Sep 14;42(10):1185-1193. doi: 10.1093/asj/sjac149.

Abstract

BACKGROUND

Exosomes are regenerative mediators for skin rejuvenation. Human platelet extract (HPE) is an allogeneic exosome product derived from US-sourced, leukocyte-reduced apheresed platelets with consistent purity and potency.

OBJECTIVES

The authors sought to better characterize the safety and tolerability of novel HPE (plated) Intensive Repair Serum (Rion Aesthetics, Rochester, MN) and its maximal effects on skin rejuvenation at 6 weeks.

METHODS

This prospective, single-arm, non-randomized, longitudinal study investigated the safety and efficacy of HPE. Structured sub-analysis evaluated multifactorial improvement in skin health following standardized skin care regimen to determine the maximal effect. Evaluation at baseline and 6 weeks included participant questionnaires and photo documentation with VISIA-CR Generation 5 3D PRIMOS (Canfield Scientific Inc, Fairfield, NJ).

RESULTS

VISIA-CR imaging yielded quantifiable and statistically significant improvements in overall skin health (skin health score). A greater score correlated to greater overall skin health, and there was a statistically significant mean delta improvement of 224.2 ± 112.8 (mean ± standard deviation, P ≤ 0.0001) in skin health score at 6 weeks compared with baseline. This correlated to reduction in redness, wrinkles, and melanin production across all cosmetic units (P = 0.005, P = 0.0023, P ≤ 0.0001, respectively) and significant improvements in luminosity and color evenness (P ≤ 0.001).

CONCLUSIONS

A topically applied platelet-derived exosome product, HPE, induced normalization to skin health at 4 to 6 weeks with improved various clinical measures of facial photodamage and cutaneous aging. It is safe, well-tolerated, and well-liked by participants.

摘要

背景

外泌体是皮肤再生的再生调节因子。人血小板提取物(HPE)是一种同种异体外泌体产品,源自美国来源的白细胞减少的单采血小板,具有一致的纯度和效力。

目的

作者旨在更好地描述新型 HPE(板载)密集修复血清(Rion Aesthetics,罗切斯特,MN)的安全性和耐受性,以及其在 6 周时对皮肤再生的最大效果。

方法

这项前瞻性、单臂、非随机、纵向研究调查了 HPE 的安全性和功效。结构化的亚分析评估了标准化皮肤护理方案后皮肤健康的多因素改善,以确定最大效果。基线和 6 周时的评估包括参与者问卷调查和 VISIA-CR Generation 5 3D PRIMOS(Canfield Scientific Inc,Fairfield,NJ)的照片记录。

结果

VISIA-CR 成像产生了可量化和统计学上显著的整体皮肤健康(皮肤健康评分)改善。更高的分数与更好的整体皮肤健康相关,并且在 6 周时与基线相比,皮肤健康评分的平均差值改善了 224.2±112.8(平均值±标准偏差,P≤0.0001),具有统计学意义。这与所有美容单位的红斑、皱纹和黑色素产生减少相关(P=0.005,P=0.0023,P≤0.0001,分别),并且亮度和颜色均匀度有显著改善(P≤0.001)。

结论

局部应用血小板衍生的外泌体产品 HPE,在 4 至 6 周内诱导皮肤健康正常化,改善了各种面部光损伤和皮肤老化的临床指标。它是安全的,耐受性良好的,并且受到参与者的喜爱。

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