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Oral Skin Care

LOOK, FEEL AND LIVE BET TER
Pycnogenol® in Oral Skin Care
Pycnogenol® is widely used in topical and oral applications for various dermatological indications. A unique
combination of pharmacological functions of Pycnogenol® provides an unmatched variety of health benefits for skin health.

Pycnogenol® modes of action

Pycnogenol® protein binding
2.1%

3

33.9%

2

41%

1
4

37.9%

0

10

20

30

40

50

unspecific protein

2. Pycnogenol® enhances blood micro-circulation to the skin,
warranting better supply with oxygen and nutrients, with
better hydration and waste removal.
3. Pycnogenol® inhibits melanogenesis and lowers skin
pigmentation intensity.
4. Pycnogenol® is anti-inflammatory.

collagen

elastin

1. Pycnogenol® selectively binds to collagen and elastin and
protects these proteins from degradation.

skin

sumption in humans, protects collagen and elastin
from enzymatic degradation. These enzymes, matrix
metalloproteinases (MMPs), influence the equilibrium
between collagen degradation and renewal. The inhibitory concentrations (IC50) of Pycnogenol® metabolites were lower than that of a known MMP-inhibitor

Pycnogenol® binds and protects collagen
and elastin
Pycnogenol® has a high affinity to proteins rich in the
amino acid hydroxyl-proline. These are predominantly
the matrix proteins in the skin, collagen and elastin.
When Pycnogenol® is added to collagen or elastin, a
high amount remains tightly bound. In consequence,
Pycnogenol® also tightly binds to the skin. To other
proteins such as albumins Pycnogenol® has little affinity [Grimm et al., 2004].

Pycnogenol® inhibits collagenase
Collagen
protection

80%
60%
40%
20%
0%

Further experiments showed that Pycnogenol® as
well as its metabolites, developing after oral con-

0

20

40

60

80

Pycnogenol® [µg/ml]

I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I

2
Oral Skin Care

Captopril. As an example, inhibition of collagen degradation by collagenase in presence of Pycnogenol®
is shown.

Pycnogenol® increases skin elasticity
In a double-blind, placebo-controlled clinical
study with 62 women a complex formulation with
Pycnogenol® as lead active ingredient was shown to
significantly increase skin elasticity after 6 weeks oral
treatment by 9% as compared to placebo [Segger et
al., 2004]. In addition to Pycnogenol® this complex
formulation (EvelleTM ) bears various natural antioxidants, minerals and vitamins.
Continuous intake of Pycnogenol® as formulated
into EvelleTM for 12 weeks was shown to improve
skin smoothness significantly by 6% as compared
to placebo.

demonstrated an improved healing of wounds (ulcers)
in individuals with microcirculatory disorders.
An improved blood perfusion of the skin warrants
optimal supply with all important nutrients as well as
better hydration to support skin vitality.
Improved skin respiration

+14.4%
O2
-9.4%
CO2

Skin elasticity in 62 women

Pycnogenol® helps prevent UV damage
and photo-ageing
+9%

baseline

1

2

Pycnogenol® (Evelle)
Skin elasticity

3

4

5

6

weeks

Placebo control

Pycnogenol® enhances blood micro-circulation in the skin
Pycnogenol enhances generation of endothelial
nitric oxide (NO) which is the key mediator facilitating arterial relaxation and consequently allows for
optimal blood flow [Fitzpatrick et al., 1998]. Oral
Pycnogenol® supplementation was found to increase
blood perfusion of the skin and oxygen partial pressure increased and, conversely, carbon dioxide concentration decreased [Belcaro et al., 2005]. This study
®

Exposure of the skin to UV-light generates oxygen radicals which in turn damage skin cells and connective
tissues. In an advanced stage the destructive processes can initiate an immune response which is grossly
visible as sunburn. Activated immune cells cause significant damage to the skin, as they discharge even
more reactive oxygen species as well as MMPs which
further degrade collagen and elastin. Altogether, the
immune response adds significant more harm to the
skin than caused by UV-rays alone.
Pycnogenol® displays anti-inflammatory potency,
as it inhibits the trigger (NF-kB), which governs the
pro-inflammatory machinery in immune cells. Oral
application of Pycnogenol® to human volunteers
was shown to significantly inhibit (the trigger) NF-kB
by 15% [Grimm et al., 2006]. For details on inflammation please refer to PYCNOGENOL® AS ANTI-INFLAMMATORY.

I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I

3
Oral Skin Care

Oral supplementation of healthy volunteers with
Pycnogenol® was shown to inhibit the inflammation
caused by UV-exposure and consequently protected
from sunburn [Saliou et al, 2001].
The individual UV-dose causing the first reddening
of the skin (minimal erythema dose; MED) was measured at baseline and again after 4 weeks supplementation with 1 mg Pycnogenol® per kg body weight.
This increased the UV-dosage necessary for causing
sunburn by in average 60%.
Increasing the oral Pycnogenol® dosage to 1.7 mg per
kg body weight for another 4 weeks consequently
further increased the MED to 85% compared to

Pycnogenol® lightens hyper-pigmented skin
68.7

2.1
42.8
1.6
baseline
area size [sq mm]

-37%
-22%
30 days

pigmentation [units]

A clinical study has demonstrated that Pycnogenol®
is effective to lighten-up over-pigmented areas of the
skin in humans.

Pycnogenol® prevents sunburn in humans

+60%
+85%

0

10

20

30

40

UV dose causing sunburn [mJ/cm2]

Baseline

Pycnogenol® (1 mg/kg day)

Pycnogenol® (1.7 mg/kg day)

baseline values.
In pre-clinical trials orally applied Pycnogenol® was
demonstrated to be protective also against chronic
UV-exposure induced skin malignancies. These findings point to a significant photo-protective and antiphoto-ageing effect of Pycnogenol®.

Pycnogenol® inhibits melanogenesis and
lowers pigmentation intensity
In vitro experiments have suggested that Pycnogenol®
inhibits tyrosine kinase in melanocytes and thus lowers
generation of skin pigments [Yasumuro et al., 2006].

These brownish spots or patches often develop particularly in the face of women, much less frequently
on other parts of the body. This type of hyper-pigmentation of certain areas of the skin is known in
dermatology as chloasma, or melasma. Dermatologists have noticed that this phenomenon often occurs
to young mothers or women taking contraceptive
hormones. Moreover, it has been noted that oxidative stress is involved in over-production of skin pigments and exposure to sunlight greatly contributes
to further oxidative stress. Often aggressive chemical
peeling agents are applied to the skin, even though
some are known to cause irreversible skin damage.
Oral supplementation of 30 women with Pycnogenol®
for one month reduced the size of skin affected by
hyper-pigmentation significantly by 37% [Ni et al.,
2002]. And more importantly, the average pigmentation intensity of women taking part in the trial was
lowered by about 22%. In this study Pycnogenol®
was found to be effective to achieve a fair skin without any side-effects.

Pycnogenol® is a very potent antioxidant
Pycnogenol® has been shown in laboratory test-

I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I

4
Oral Skin Care

ing as well as in humans to provide significant antioxidant potency to the body [Chida et al., 1999].
Pycnogenol® is effective for neutralizing a broad
range of oxygen radical species. Moreover, it protects
vitamin E from oxidation and recycles oxidized (spent)
vitamin C back to the bioactive form [Rohdewald,
2002]. Pycnogenol® thus contributes to the antioxidant network in the body. Following oral consumption of Pycnogenol® over a period of three weeks the
blood oxygen radical capacity (ORAC) of 25 volun-

teers increased significantly by 40% [Deveraj et al.,
2002]. For more details on the antioxidant activity
of Pycnogenol® please refer to PYCNOGENOL® AS
SUPER ANTIOXIDANT.

Pycnogenol® represents a very potent cosmeceutical which offers a broad range of clinically substantiated health
benefits for the skin:
• Antioxidant potency
• Increased skin elasticity
• Anti-inflammatory activity
• Improved skin microcirculation
• Anti-photoaging and sun-protection
• Lowered skin pigmentation

Pycnogenol® supports skin health best when applied topically in addition to oral uptake. Each delivery form has
unique advantages. Both delivery forms in combination provide optimal supply with nutrients from within and warrant highest efficacy particularly for photo-protection and improved skin elasticity. Please check for more details:
PYCNOGENOL® IN TOPICAL SKIN CARE.

References
Belcaro G et al. Venous ulcers: microcirculatory improvement and faster healing with local use of Pycnogenol®. Angiology 56:
699-705, 2005.
Blazsó G et al. Pycnogenol® accelerates wound healing and reduces scar formation. Phytother Res 18: 579-581, 2004.
Chida M et al. In vitro testing of antioxidants and biochemical end-point in bovine retinal tissue. Ophthalmic Res 31: 407-415,
1999.
Devaraj S et al. Supplementation with a pine bark extract rich in polyphenols increases plasma antioxidant capacity and alters
the plasma lipoprotein profile. Lipids 37: 931-934, 2002.
Fitzpatrick et al. Endothelium-dependent vascular effects of Pycnogenol®. J Cardiovas Pharmacol 32: 509-515, 1998.
Grimm T et al. Antioxidant activity and inhibition of matrix-metalloproteinases by metabolites of maritime pine bark extract
(Pycnogenol®). Free Rad Biol Med 36: 811-822, 2004.
Grimm T et al. Inhibition of NF-kB activation and MMP-9 secretion by plasma of human volunteers after ingestion of maritime

I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I

5
Oral Skin Care

pine bark extract (Pycnogenol®). J Inflamm 3: 1-15, 2006.
Segger D et al. Supplementation with Evelle improves skin smoothness and elasticity in a double-blind, placebo-controlled
study with 62 women. J Dermatol Treat 15: 222-226, 2004.
Rohdewald P. A review of the French maritime pine bark extract (Pycnogenol®), a herbal medication with a diverse pharmacology. Int J Clin Pharmacol Ther 40(4): 158-168, 2002.
Saliou C et al. Solar ultraviolet-induced erythema in human skin and nuclear factor-kappa-B-dependent gene expression in
keratinocytes are modulated by a French maritime pine bark extract. Free Rad Biol Med 30: 154-160, 2001.
Yasumuro M et al. Inhibition of melanogenesis by pine (Pinus pinaster) bark extract containing procyanidins. Manuscript in
preparation 2006.

I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I

6

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Pycnogenol For Oral Skin Care

  • 1. Oral Skin Care LOOK, FEEL AND LIVE BET TER
  • 2. Pycnogenol® in Oral Skin Care Pycnogenol® is widely used in topical and oral applications for various dermatological indications. A unique combination of pharmacological functions of Pycnogenol® provides an unmatched variety of health benefits for skin health. Pycnogenol® modes of action Pycnogenol® protein binding 2.1% 3 33.9% 2 41% 1 4 37.9% 0 10 20 30 40 50 unspecific protein 2. Pycnogenol® enhances blood micro-circulation to the skin, warranting better supply with oxygen and nutrients, with better hydration and waste removal. 3. Pycnogenol® inhibits melanogenesis and lowers skin pigmentation intensity. 4. Pycnogenol® is anti-inflammatory. collagen elastin 1. Pycnogenol® selectively binds to collagen and elastin and protects these proteins from degradation. skin sumption in humans, protects collagen and elastin from enzymatic degradation. These enzymes, matrix metalloproteinases (MMPs), influence the equilibrium between collagen degradation and renewal. The inhibitory concentrations (IC50) of Pycnogenol® metabolites were lower than that of a known MMP-inhibitor Pycnogenol® binds and protects collagen and elastin Pycnogenol® has a high affinity to proteins rich in the amino acid hydroxyl-proline. These are predominantly the matrix proteins in the skin, collagen and elastin. When Pycnogenol® is added to collagen or elastin, a high amount remains tightly bound. In consequence, Pycnogenol® also tightly binds to the skin. To other proteins such as albumins Pycnogenol® has little affinity [Grimm et al., 2004]. Pycnogenol® inhibits collagenase Collagen protection 80% 60% 40% 20% 0% Further experiments showed that Pycnogenol® as well as its metabolites, developing after oral con- 0 20 40 60 80 Pycnogenol® [µg/ml] I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I 2
  • 3. Oral Skin Care Captopril. As an example, inhibition of collagen degradation by collagenase in presence of Pycnogenol® is shown. Pycnogenol® increases skin elasticity In a double-blind, placebo-controlled clinical study with 62 women a complex formulation with Pycnogenol® as lead active ingredient was shown to significantly increase skin elasticity after 6 weeks oral treatment by 9% as compared to placebo [Segger et al., 2004]. In addition to Pycnogenol® this complex formulation (EvelleTM ) bears various natural antioxidants, minerals and vitamins. Continuous intake of Pycnogenol® as formulated into EvelleTM for 12 weeks was shown to improve skin smoothness significantly by 6% as compared to placebo. demonstrated an improved healing of wounds (ulcers) in individuals with microcirculatory disorders. An improved blood perfusion of the skin warrants optimal supply with all important nutrients as well as better hydration to support skin vitality. Improved skin respiration +14.4% O2 -9.4% CO2 Skin elasticity in 62 women Pycnogenol® helps prevent UV damage and photo-ageing +9% baseline 1 2 Pycnogenol® (Evelle) Skin elasticity 3 4 5 6 weeks Placebo control Pycnogenol® enhances blood micro-circulation in the skin Pycnogenol enhances generation of endothelial nitric oxide (NO) which is the key mediator facilitating arterial relaxation and consequently allows for optimal blood flow [Fitzpatrick et al., 1998]. Oral Pycnogenol® supplementation was found to increase blood perfusion of the skin and oxygen partial pressure increased and, conversely, carbon dioxide concentration decreased [Belcaro et al., 2005]. This study ® Exposure of the skin to UV-light generates oxygen radicals which in turn damage skin cells and connective tissues. In an advanced stage the destructive processes can initiate an immune response which is grossly visible as sunburn. Activated immune cells cause significant damage to the skin, as they discharge even more reactive oxygen species as well as MMPs which further degrade collagen and elastin. Altogether, the immune response adds significant more harm to the skin than caused by UV-rays alone. Pycnogenol® displays anti-inflammatory potency, as it inhibits the trigger (NF-kB), which governs the pro-inflammatory machinery in immune cells. Oral application of Pycnogenol® to human volunteers was shown to significantly inhibit (the trigger) NF-kB by 15% [Grimm et al., 2006]. For details on inflammation please refer to PYCNOGENOL® AS ANTI-INFLAMMATORY. I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I 3
  • 4. Oral Skin Care Oral supplementation of healthy volunteers with Pycnogenol® was shown to inhibit the inflammation caused by UV-exposure and consequently protected from sunburn [Saliou et al, 2001]. The individual UV-dose causing the first reddening of the skin (minimal erythema dose; MED) was measured at baseline and again after 4 weeks supplementation with 1 mg Pycnogenol® per kg body weight. This increased the UV-dosage necessary for causing sunburn by in average 60%. Increasing the oral Pycnogenol® dosage to 1.7 mg per kg body weight for another 4 weeks consequently further increased the MED to 85% compared to Pycnogenol® lightens hyper-pigmented skin 68.7 2.1 42.8 1.6 baseline area size [sq mm] -37% -22% 30 days pigmentation [units] A clinical study has demonstrated that Pycnogenol® is effective to lighten-up over-pigmented areas of the skin in humans. Pycnogenol® prevents sunburn in humans +60% +85% 0 10 20 30 40 UV dose causing sunburn [mJ/cm2] Baseline Pycnogenol® (1 mg/kg day) Pycnogenol® (1.7 mg/kg day) baseline values. In pre-clinical trials orally applied Pycnogenol® was demonstrated to be protective also against chronic UV-exposure induced skin malignancies. These findings point to a significant photo-protective and antiphoto-ageing effect of Pycnogenol®. Pycnogenol® inhibits melanogenesis and lowers pigmentation intensity In vitro experiments have suggested that Pycnogenol® inhibits tyrosine kinase in melanocytes and thus lowers generation of skin pigments [Yasumuro et al., 2006]. These brownish spots or patches often develop particularly in the face of women, much less frequently on other parts of the body. This type of hyper-pigmentation of certain areas of the skin is known in dermatology as chloasma, or melasma. Dermatologists have noticed that this phenomenon often occurs to young mothers or women taking contraceptive hormones. Moreover, it has been noted that oxidative stress is involved in over-production of skin pigments and exposure to sunlight greatly contributes to further oxidative stress. Often aggressive chemical peeling agents are applied to the skin, even though some are known to cause irreversible skin damage. Oral supplementation of 30 women with Pycnogenol® for one month reduced the size of skin affected by hyper-pigmentation significantly by 37% [Ni et al., 2002]. And more importantly, the average pigmentation intensity of women taking part in the trial was lowered by about 22%. In this study Pycnogenol® was found to be effective to achieve a fair skin without any side-effects. Pycnogenol® is a very potent antioxidant Pycnogenol® has been shown in laboratory test- I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I 4
  • 5. Oral Skin Care ing as well as in humans to provide significant antioxidant potency to the body [Chida et al., 1999]. Pycnogenol® is effective for neutralizing a broad range of oxygen radical species. Moreover, it protects vitamin E from oxidation and recycles oxidized (spent) vitamin C back to the bioactive form [Rohdewald, 2002]. Pycnogenol® thus contributes to the antioxidant network in the body. Following oral consumption of Pycnogenol® over a period of three weeks the blood oxygen radical capacity (ORAC) of 25 volun- teers increased significantly by 40% [Deveraj et al., 2002]. For more details on the antioxidant activity of Pycnogenol® please refer to PYCNOGENOL® AS SUPER ANTIOXIDANT. Pycnogenol® represents a very potent cosmeceutical which offers a broad range of clinically substantiated health benefits for the skin: • Antioxidant potency • Increased skin elasticity • Anti-inflammatory activity • Improved skin microcirculation • Anti-photoaging and sun-protection • Lowered skin pigmentation Pycnogenol® supports skin health best when applied topically in addition to oral uptake. Each delivery form has unique advantages. Both delivery forms in combination provide optimal supply with nutrients from within and warrant highest efficacy particularly for photo-protection and improved skin elasticity. Please check for more details: PYCNOGENOL® IN TOPICAL SKIN CARE. References Belcaro G et al. Venous ulcers: microcirculatory improvement and faster healing with local use of Pycnogenol®. Angiology 56: 699-705, 2005. Blazsó G et al. Pycnogenol® accelerates wound healing and reduces scar formation. Phytother Res 18: 579-581, 2004. Chida M et al. In vitro testing of antioxidants and biochemical end-point in bovine retinal tissue. Ophthalmic Res 31: 407-415, 1999. Devaraj S et al. Supplementation with a pine bark extract rich in polyphenols increases plasma antioxidant capacity and alters the plasma lipoprotein profile. Lipids 37: 931-934, 2002. Fitzpatrick et al. Endothelium-dependent vascular effects of Pycnogenol®. J Cardiovas Pharmacol 32: 509-515, 1998. Grimm T et al. Antioxidant activity and inhibition of matrix-metalloproteinases by metabolites of maritime pine bark extract (Pycnogenol®). Free Rad Biol Med 36: 811-822, 2004. Grimm T et al. Inhibition of NF-kB activation and MMP-9 secretion by plasma of human volunteers after ingestion of maritime I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I 5
  • 6. Oral Skin Care pine bark extract (Pycnogenol®). J Inflamm 3: 1-15, 2006. Segger D et al. Supplementation with Evelle improves skin smoothness and elasticity in a double-blind, placebo-controlled study with 62 women. J Dermatol Treat 15: 222-226, 2004. Rohdewald P. A review of the French maritime pine bark extract (Pycnogenol®), a herbal medication with a diverse pharmacology. Int J Clin Pharmacol Ther 40(4): 158-168, 2002. Saliou C et al. Solar ultraviolet-induced erythema in human skin and nuclear factor-kappa-B-dependent gene expression in keratinocytes are modulated by a French maritime pine bark extract. Free Rad Biol Med 30: 154-160, 2001. Yasumuro M et al. Inhibition of melanogenesis by pine (Pinus pinaster) bark extract containing procyanidins. Manuscript in preparation 2006. I Horphag Research-Geneva, Switzerland I Horphag Research Asia-Shanghai, China I Natural Health Science-Hoboken NJ, USA I www.pycnogenol.com I ©HORPHAG I 6