THE SCIENCE OF SIRTUINS: REPROGRAMMING THE FUTURE OF SKIN 8.29.12 FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. INTRODUCTION Resveratrol isn’t new in skincare circles. In fact, resveratrol— a key ingredient in red wine—is singled out in The French Paradox as one possible explanation for why, despite their high-fat diets, the French have low rates of heart disease: moderate amounts of red wine, France’s beverage of choice, appear to be beneficial to the heart. Beyond its primary function as an antioxidant, resveratrol has recently led scientists to a potentially powerful new pathway in helping to maintain the health and vitality of the skin. Resveratrol is believed to help promote a group of proteins in the skin known as the sirtuins, which have been dubbed “longevity proteins.” Research is now uncovering the specific roles of sirtuins in the cellular aging process. And lately in laboratory testing, scientists continue to discover ways sirtuins are activated, and in doing so, identify ways to encourage skin cells to help hold onto their youthful appearance longer than if left to chance. The latest game-changer in skincare involves targeting these sirtuins at just the right time—before the visible signs of aging manifest—to prolong the look of youth. This guide will explore the vital role that cells play in the skin, the process by which skin starts to appear aged, and how sirtuin research suggests a natural way to help delay that process. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 2 CELLS AND HEALTHY SKIN BASICS OF THE SKIN Every square centimeter of skin contains millions of cells, as well as hundreds of sweat glands, oil glands, nerve endings and blood vessels. This complicated pattern can be divided into three distinct compartments (Figure 1): the epidermis, the dermis, and the subcutaneous tissue (also known as the hypodermis). The skin is the largest organ in the human body, accounting for approximately 16 percent of total body weight (Martini and Nath, 2009). It is a constant and dynamic interface between the body and its environment. The epidermis forms the skin’s protective outer layer. About as thick as a sheet of paper (~0.1 mm) (Starr and McMillan, 2008), the epidermis has several layers of cells that are constantly flaking off and being renewed. On a cosmetic level, the appearance of the skin is a reflection of health and a measure of age and beauty. The skin is the only organ continually exposed to the environment and on display for all to see (Fisher et al., 2008). Not surprisingly, skin changes are among the most visible signs of aging. The main cells of the epidermis are keratinocytes, which produce keratin, a tough protein that is a basic component of hair, skin and nails and that helps create an intact, waterproof barrier. THE UNDERLYING CAUSE OF THE APPEARANCE OF AGE-RELATED CHANGES LIES IN THE HEALTH OF THE CELLS THAT COMPRISE THE SKIN. Below the epidermis is the skin layer most critical to the physiology of aging, the dermis. Up to 20 times thicker than the epidermis, the dermis regulates body temperature and nourishes the epidermis. The dermis is made up of blood vessels, nerve endings, hair follicles, oil glands and connective tissue – where changes are critical to the formation of wrinkles. The dermis is primarily composed of the extracellular matrix, a scaffolding network of fibers. These fibers, including collagen and elastin, are produced by cells in the dermis called fibroblasts and secreted into the tissue environment (Fisher et al., 2008). The fatty bottom layer of the skin, the subcutaneous tissue, is made up of connective tissue, blood vessels, and cells that store fat. This layer helps protect the body from injury and helps hold in body heat. Figure 1. Compartments of the skin. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 3 THE ROLE OF CELLS AND PROTEINS IN SKIN AND AGING The healthy appearance of skin depends on the fitness of its components—especially its cells, along with the proteins and extracellular matrix components these cells produce. Fibroblasts in the dermis, for instance, produce important matrix fibers such as collagen, which is strong and hard to stretch (Figure 2), and the stretchy fibers of elastin. These fibers give the skin its strength and flexibility and are part of the reason young skin looks plump and healthy. Bundles of collagen lend strength and support to the skin. In the dermis, the collagen network is organized and maintained through tension provided by the fibroblasts that produce it. Age-related reduction in this tension (Figure 3) is believed to be a driving force behind many of the changes in the appearance of aged skin (Fisher et al., 2008). Beyond collagen and elastin, fibroblast cells in the dermis produce other matrix components, such as long carbohydrate chains known as glycosaminoglycans (GAGs)— in particular, hyaluronic acid. Because water tends to latch onto GAGs, these chains are another element that helps keep skin looking plump and fresh. Figure 2. Collagen fibers in the dermis. Modified from Lim et al. 2008. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 4 Figure 3. Young skin fibroblasts (left) are stretched tight by attachments to the extracellular matrix. Old fibroblasts (right) lose their connections and collapse, leading to a loss of skin plumpness. Modified from Fisher et al. 2008. In the epidermis, the rapid renewal of keratinocytes helps maintain the healthy status of this skin layer (Hwang et al., 2011) and is critical for the youthful radiance of skin. One main driving force of visible aging is a change in the lifecycle of critical skin cells such as epidermal keratinocytes and dermal fibroblasts. As we age, critical cells die or become inactive in a process known as cellular senescence, which deprives us of the resources to renew young-looking skin. Cell death and senescence can greatly reduce cells’ capacity to synthesize important elements of the skin such as GAGs, collagen, elastin and other matrix proteins. Some of the cellular effects of aging are listed below: — The proliferation of keratinocytes begins to wane, leading to duller, less radiant skin — Fibroblasts in the dermis begin to senesce and die off, leading to a decline in collagen and elastin production, and consequently a loss in skin firmness and elasticity — The aging of the extracellular matrix causes many of the remaining fibroblasts to lose their taut shape and connectivity to the dermal matrix, which is necessary for their healthy function (Figure 3) Adding to these problems, aging is also associated with the active destruction of the existing collagen and elastin networks. SIGNS OF AGING The first signs of aging include the appearance of fine lines and wrinkles, the loss of skin vibrancy and elasticity, and an increase in dullness, dryness and flakiness. Dark circles and puffiness around the eyes also begin to appear. These symptoms are caused by a combination of internal and external factors – namely genetics and lifestyle choices as well as environmental factors. While physical and psychological stress, smoking, alcohol, poor nutrition and pollution all age the skin, the extrinsic factor that contributes the most (up to 80 percent) is ultraviolet (UV) irradiation from the sun. At early stages, the signs of aging may not be visible, since the cellular changes happen beneath the surface of the skin. But if not addressed at the proper time, these early signs can rapidly develop into more visible problems (Figure 4). SCIENTISTS ARE NOW DEVELOPING METHODS AND MATERIALS TO ADDRESS THE EARLY AGE-RELATED CHANGES IN SKIN CELLS AND PROTEINS, IN ORDER TO HELP DELAY CHANGES IN MIDDLE-AGED SKIN THAT CAN LATER LEAD TO THE AGED APPEARANCE OF OLDER SKIN. THE GOAL IS TO HELP REPROGRAM THE FUTURE OF SKIN. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 5 EARLY SIGNS OF AGING Figure 4. The damage of aging occurs before physical signs appear. Graph based on Amway R&D research. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 6 AGING AND THE SIRTUIN CONNECTION For those interested in slowing the march of time, research into wine and its highly touted ingredient, resveratrol, has provided an unexpected windfall. Perhaps the most exciting effect of resveratrol for skin care lies in its ability to affect these cellular proteins (sirtuins), which regulate cellular longevity by delaying senescence (Catalgol et al., 2012; Bastianetto et al., 2010). It has been a decade since the first demonstration that a sirtuin extended the lifespan of yeast cells (Haigis and Sinclair, 2010) (Figure 5). For yeast, sirtuins increase the number of times that a mother yeast cell can produce daughter cells before the mother dies—thereby delaying the yeast version of senescence. More sirtuins delayed senescence, while less hastened it (Sinclair and Guarente, 1997; Kaeberlein et al., 1999). Since that time, every organism analyzed, including bacteria, insects, plants, and humans, has been found to contain at least one of its own versions of these life-extenders (North and Verdin, 2004). In some cases, including in worms and flies, scientists found that ramping up sirtuin activity by pharmacological means increased that organism’s lifespan and improved its health (Haigis and Sinclair, 2010; Blander and Guarente, 2004). Further investigation is required to better understand how and to what extent sirtuins can extend an organism’s lifespan (Burnett et al, 2011), but the majority of results to date suggest that sirtuin activation at a minimum leads to healthier functioning cells that mimic their youthful state. Altogether, these findings have led to great interest in developing sirtuins as a means to treat human diseases related to aging. Research leveraging the power of sirtuins in skin, however, has not been as thoroughly investigated and is not as well understood – until now. In skin, while much science around the world has focused on reversering and reparing the signs of aging that have already emerged in older skin. THE GREATER TECHNICAL OPPORTUNITY MAY LIE IN ALTERING SIRTUIN ACTIVATION TO DELAY THE DEVELOPMENT OF THESE SIGNS IN THE FIRST PLACE Studies have shown that humans have several different sirtuins, named SIRT1 (silent mating type information regulation 2 homolog 1) through SIRT7 (Michan and Sinclair, 2009). SIRT1 in particular has many of the properties of its yeast counterpart that helps control longevity (Michan and Sinclair, 2009). In skin cells, sirtuins act as a “youth switch;” when the switch is on SIRT1 helps skin cells repair the appearance of damage and boosts the production of important proteins for maintaining a youthful-looking state. When the switch is off and SIRT1 activity is low, skin cells cannot combat environmental stress to repair damage, and the production of those important proteins is reduced. Figure 5. Structure of human SIRT1. Modified from Autiero et al. 2008. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 7 FINE-TUNING SIRTUINS TO IMPACT SKIN CELLS Approximately four years ago, ARTISTRY™ scientists became excited by the idea that certain ingredients might help delay skin cell senescence and death by impacting SIRT1 activation. While the idea worked in theory, there were problems with the most popular ingredient - resveratrol itself. First, it is not a particularly stable compound. Second, skin cells don’t seem to absorb it readily. And third, resveratrol is difficult to add to skin care formuations. This led the researchers to search out other, more stable, “longevity boosters,” that would activate SIRT1 in skin cells. The scientists analyzed many ingredients in their pursuit, but the most effective, stable and safe ingredient they found came from an extract of the leaves of a Mediterranean plant called myrtle, a flowering shrub native to southern Europe and northern Africa (Figure 6). In ancient Greece and Rome, myrtle essential oil was used to prepare "angel water," which was said to restore freshness and youth to the skin. Scientific experiments by ARTISTRY scientists support the notion that this hydrolyzed myrtle extract, dubbed LifeSirt, helps to delay the signs of aging in skin. First, LifeSirt enhanced the longevity of fibroblasts—the skin cells that make collagen and elastin—under in vitro conditions that mimicked the oxidative damage of aging (Figure 7). This experiment revealed that LifeSirt helped cells resist environmental damage by boosting their internal repair mechanisms. Second, in vitro experiments showed that LifeSirt increased the activity of genes that code for certain youth proteins in skin cells by 280 percent* (Figure 8). As a group, youth proteins are those that help maintain the elasticity and plumpness of young-looking skin. Although youth proteins normally decline with age, this finding suggested that LifeSirt can boost some of these proteins, even in aging skin. With these experiments, ARTISTRY scientists have found that the combined impact of LifeSirt on skin cells may be more effective than that of resveratrol. The benefit of SIRT1 activation with LifeSirt is seen both in cells of the epidermis, through increased cell turnover/cell rejuvenation, and in cells of the dermis, through increased production of matrix components. All together, the evidence supports the idea that the inclusion of LifeSirt in skin care products will help extend the youthful look of skin and delay the signs of aging†. * Figure 6. Mediterranean myrtle. Based on in vitro gene expression assays † Based on in vitro oxidative stress assays FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 8 Figure 7. LifeSirt increases the longevity of skin cells under oxidative stress†. Figure 8. Youth proteins (green) are abundant in young skin cells (top left) but lacking in aged skin cells (top right). Cells that have been aged in vitro (bottom) produce more youth proteins after treatment with LifeSirt. In discussions with the Artistry Scientific Advisory Board, representing academics, scientists, dermatologists, and other key leaders in the field of anti-aging skin care, the board agreed that sirtuin research has great potential to positively impact skin cells, and thus delay the signs of aging. They recommended that younger women—those in their upper 20s to 45—could best use this technology to maintain their youthful appearance and keep it looking that way longer. By leveraging LifeSirt to positively impact their skin cells, their skin could remain in a younger state (Figure 9) and delay the appearance of the signs of aging†. † Based on in vitro oxidative stress assays FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 9 Figure 9. SIRT1 helps middle-aged skin remain in a youthful state. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 10 GLOSSARY Collagen – The structural proteins of the skin that give it strength, elasticity, and firmness. Dermis – The layer of the skin that forms the cushion of the skin and comprises collagen, elastin and other extracellular matrix proteins. Elastin – Protein that accounts for the elasticity of structures such as the skin, blood vessels, heart, lungs, intestines, tendons and ligaments. Epidermis – The protective outer layer of cells that make up the barrier of the skin. Hypodermis – See subcutaneous layer. In vitro – A method to perform experiments such as testing efficacy of a product or ingredient using cells or tissues outside the body in an artificial environment. Keratinocyte – The main epidermal cell type, which produces keratin. Procollagen – A helical protein that is the precursor of collagen. Sirtuins – Natural youth proteins shown to strengthen and extend the lifespan of skin cells. Extracellular matrix – The layer consisting mainly of proteins and chains of sugars (polysaccharides) that form a sheet underlying cells. Substances within are produced by cells in the vicinity, especially fibroblasts. Subcutaneous tissue – The deepest layer of the skin, containing connective tissue, sweat glands, blood vessels, and cells that store fat. Fibroblast – A common cell type found in the dermis that secretes collagen and other matrix molecules. Youth Proteins – Proteins that encourage youthfulness in skin cells, for instance by boosting collagen levels. Glycosaminoglycans – A class of various conformations of long-chain carbohydrates that are important to the make-up of the extracellular matrix in the dermis. Hyaluronic acid – A particular type of glycosaminoglycan (GAG) found in the extracellular matrix and other parts of the body. Due to its strong ability to bind water, it helps lubricate tissues such as the skin. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 11 BIBLIOGRAPHY Autiero I, Costantini S, Colonna G. 2008. PLoS One. 4(10):e7350. Bastianetto S et al. 2010. Protective Action of Resveratrol in Human Skin: Possible Involvement of Specific Receptor Binding Sites. PLoS ONE . 5(9): e12935. Lim, D-S, et al. 2008. The potential for non-invasive study of mummies: valudation of the use of computerized tomography by post factum dissection and histological examination of a 17th century female mummy. J. Anat. 213(4): 482-495. Lodish, H et al. 2000. Molecular Cell Biology. (4th Ed). p.8-9. Blander, G., Guarente, L. 2004. The Sir2 Family Of Protein Deacetylases. Annu Rev Biochem. 73:417-35. Catalgol, B., et al. 2012. Resveratrol: French paradox revisited. Front Pharmacol. 3:141. Martini, FH, and Nath, JL. 2009. Fundamentals of Anatomy & Physiology. (8th ed.). p.158. Michan, S., Sinclair, D. 2007. Sirtuins in mammals: insights into their biological function. Biochem J. 404(1): 1–13. Fisher, G.J., Varani, J., and Voorhees, J.J. 2008. Looking older: Fibroblast collapse and therapeutic implications. Arch Dermatol. 144: 666–672. North, B.J., Verdin, E. 2004. Sirtuins: Sir2-related NADdependent protein deacetylases. Genome Biol. 5(5):224. Haigis MC, Sinclair DA. 2010. Mammalian Sirtuins: Biological Insights and Disease Relevance. Annu Rev Pathol. 5: 253– 295. Salimen, A., et al. 2008. Activation of innate immunity system during aging: NF-kB signaling is the molecular culprit of inflamm-aging. Ageing Res Rev. 7(2):83-105. Hwang, KA, et al. 2011. Molecular Mechanisms and In Vivo Mouse Models of Skin Aging Associated with Dermal Matrix Alterations. Lab Anim Res. 27(1): 1-8. Sinclair, D.A., Guarente, L. 1997. Extrachromosomal rDNA circles--a cause of aging in yeast. Cell. 91(7):1033-42. Kaeberlein, M., et al. 1999. The SIR2/3/4 complex and SIR2 alone promote longevity in Saccharomyces cerevisiae by two different mechanisms. Genes Dev. 13(19): 2570-2580. Starr C., and McMillan, B. 2008. Human Biology. (8th ed). Brooks/Cole. p.78. FOR INTERNAL AMWAY EMPLOYEE USE ONLY. NOT TO BE USED FOR ADVERTISING, DISTRIBUTOR EDUCATION, LITERATURE OR MARKETING MATERIALS. SUBJECT TO LOCAL LEGAL AND TECH REG REVIEW. 12