INTRODUCTION
The importance of growth factors and cytokines in wound healing has been well established1; mechanistic insights from this research have also been leveraged to understand of the roles of these growth factors in skin rejuvenation.
2 The cell lysate of cultured human fetal fibroblasts (PSP®; by NEOCUTIS, Merz North America, Inc.) is a foundational
technology that has enabled incorporation of growth factors and cytokines into topical skincare products.3 tabSeveral clinical studies have shown that topical PSP use reduces the appearance
of wrinkles around the eyes, mouth and nasolabial areas and may help to improve skin texture.2,3
Further development of skin rejuvenation technologies for topical
use has been stimulated by an increased understanding of the role of the extracellular matrix (ECM) in skin aging. The ECM plays an important role in the regulation of many tissue functions, including the coordination of biochemical and biomechanical
signals required for tissue maintenance and repair.4 The dermal ECM is composed of mainly 5 key components that have been established to influence skin aging: collagens I, III, and VII; elastin; and hyaluronic acid.4,5 Collagen proteins form three-dimensional networks that support the structure, integrity,
and function of the skin and are highly abundant (~90% of the dry weight of the dermis).4 Elastin is produced by skin fibroblasts
and is the principal protein constituent of elastic fibers,
which help the skin to resist sagging or loss of firmness.6,7 Hyaluronic acid (HA) is important for moisture retention and provides volume and firmness in the dermis.8
Intrinsic (chronological) and extrinsic (environmental) aging can cause defects in these key components of ECM, leading to visible consequences for the skin, such as fine lines and wrinkles; loss of volume, firmness and elasticity; and increased skin roughness, dullness, and dryness.7 Daily exposure to environmental
stresses (eg, sun exposure, smoking, pollution) often accelerates these effects.9,10 Skin degradation results in the formation of peptide fragments through proteolysis of ECM proteins. These naturally occurring fragments are called matrikines, which are low molecular weight peptides that exert effects similar to growth factors and cytokines.11,12
Recently a novel technology has been developed to promote key components of the ECM repair processes through the topical
application of specific matrikines; micro-protein complex technology (MPCâ„¢ by NEOCUTIS, Merz North America, Inc) includes a proprietary blend of 3 select matrikines and matrikine-
like oligopeptides designed to address the visible signs of skin aging by targeting the ECM. Because matrikines are much smaller than growth factors, they penetrate the skin faster and are more easily absorbed than traditional cytokines and growth