New Formulations of Acyclothymidine Dinucleosides Reduce Damaging Effects of Ultraviolet Radiation in an Ex Vivo Skin Model

November 2024 | Volume 23 | Issue 11 | 953 | Copyright © November 2024


Published online October 29, 2024

doi:10.36849/JDD.8420

Abbas Raza PhDa, Christine Dreis BSa, Leon Kircik MDb, Naiem T. Issa MD PhDc, Robert Vince PhDa

aCenter for Drug Design, Cosmetic Science and Product Innovation, College of Pharmacy, University of Minnesota, Minneapolis, MN
bIcahn School of Medicine at Mount Sinai, New York, NY; Indiana University School of Medicine, Indianapolis, IN;
Physicians Skin Care, PLLC Louisville, KY; DermResearch, PLLC Louisville, KY; Skin Sciences, PLLC Louisville, KY
cForefront Dermatology, Vienna, Virginia; Dr. Phillip Frost Department of Dermatology & Cutaneous Surgery,
University of Miami Miller School of Medicine, Miami, Florida; Department of Dermatology,
George Washington University School of Medicine and Health Sciences, Washington, DC

Abstract
The greatest risk factor for skin cancer is exposure to ultraviolet (UV) rays of the sun. Among the three types of solar radiation (UVA, UVB, UVC), UVB rays are most commonly associated with skin cancer. UVB exposure promotes the formation of cyclobutane pyrimidine dimers (CPDs) in the DNA of cells in the epidermal skin layers, which can lead to mutations as DNA repair machinery attempts to repair the damage. These mutations can lead directly to skin carcinogenesis. Previous studies in animal and in human ex vivo skin models have shown that topical application of acyclothymidine dinucleosides protects DNA from UV-induced damage by preventing the formation of CPDs and helps initiate repair through the activation of DNA repair enzymes. Here we review the biological evidence leading to the development and formulation of ProteXidineTM (Topix Pharmaceuticals, Inc., Amityville, NY), as a UV protective agent for topical human application. We also provide clinical data pertaining to four ProteXidineTM formulations (test materials 1-4) tested for their abilities to reduce CPDs in an ex vivo human skin tissue model.

J Drugs Dermatol. 2024;23(11):953-956. doi:10.36849/JDD.8420

INTRODUCTION

Despite numerous public warnings about protecting the skin against sun's UV exposure and extensive research into topical protective formulations, the incidence of melanoma and non-melanoma skin cancers continues to rise.1 However, UV exposure to skin can also lead to signs of aging, such as wrinkling and pigmentary disorders, including hyperpigmentation and photocarcinogenesis.2,3 For decades, researchers have been working on topical skincare products that contain DNA repair enzymes, and collagen or collagen-protecting components to protect skin against UV-induced damage and reduce signs of skin aging and carcinogenesis.4-6 As DNA repair machinery works to remove UV-induced DNA damage, mutations can be introduced into DNA. If these mutations occur in tumor-suppressive genes such as p53 or others, skin carcinogenesis can occur.7 Active DNA repair enzymes themselves have been formulated to initiate the DNA repair process more quickly and effectively than the natural repair proteins.8 There remains a need to explore alternative methods that can potentially mitigate the effects of sun exposure. This involves considering innovative solutions that offer protection against the harmful effects of sunlight, thereby broadening the approach to sun-related issues more comprehensively.

UV-exposed cells generate mutagenic photoproducts, primarily from absorbing radiation in the UVB range (280-320 nm). These include cyclobutane pyrimidine dimers (CPDs) and pyrimidine (6-4) photoproducts within the DNA of cells in the epidermal skin layers. CPDs, being slower to repair compared to (6-4) photoproducts, emerge as the key contributors to mutations in mammals.9 Current photoprotective agents work by absorbing, reflecting, or scattering UV radiation. However, their effectiveness is constrained by the production of potentially harmful photodegradation products for the skin.10-13

Previous research has shown that the dinucleotide pTpT, isolated from DNA, offers protection against UV-induced skin tumors in mice, including melanoma and non-melanoma skin cancer.14-16 However, these molecules have notable drawbacks, including instability, high production cost, and the complexity involved in their preparation and purification. We created a biomimetic