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      A survey on the cosmetic use of injectable polynucleotide: The pattern of practice among Korean Dermatologists

      1 , 2 , 3 , 4 , 4
      Journal of Cosmetic Dermatology
      Wiley

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          Abstract

          Background

          Skin boosters denote injectables that promote global improvement of the skin which includes skin texture, elasticity, hydration, and overall appearance. Polynucleotide (PN) products have become popular, but there is surprisingly little guidance on their use. We aimed to maximize the safety and efficacy of injectable PN by providing information on their pattern of practice among board‐certified dermatologists.

          Methods

          A total of 235 Korean board‐certified dermatologists familiar with skin boosters participated in a survey which questioned the participant's years of practice, selection of skin boosters in one's clinic, and range of lasers and light sources as well as skin care devices that are available. For those who use PN, one was asked to check all its aesthetic indications, mode of delivery, injection depth, treatment interval as well as options for combined therapy.

          Results

          Seventy‐one percent of the survey participants had at least 5 years of professional experience as a board‐certified dermatologist, and among the different skin boosters, 88% replied that they practiced PN injection. The top six indications for PN were fine lines on the cheek followed by infraorbital fine lines, periorbital fine lines, uneven skin texture, dry skin, and fine lines on the forehead. Many opted for a 33G needle and the serial puncture technique targeting the dermis. A total of three sessions of PN injection spaced 4 weeks apart is most often recommended. 79 percent of PN users blended PN injection with lasers and light therapy with the most popular being radiofrequency (non‐invasive, needle RF) and high‐intensity focused ultrasound (HIFU).

          Conclusion

          PN is a skin booster which is widely practiced among Korean dermatologists. According to our survey, the best indication of PN is facial fine lines, and as such PN injection is often repeated and combined with a variety of non‐surgical rejuvenation procedures. We hope our data help dermatologists better understand and utilize PN injection.

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          Most cited references18

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          Pharmacological Activity and Clinical Use of PDRN

          PDRN is a proprietary and registered drug that possesses several activities: tissue repairing, anti-ischemic, and anti-inflammatory. These therapeutic properties suggest its use in regenerative medicine and in diabetic foot ulcers. PDRN holds a mixture of deoxyribonucleotides with molecular weights ranging between 50 and 1,500 KDa, it is derived from a controlled purification and sterilization process of Oncorhynchus mykiss (Salmon Trout) or Oncorhynchus keta (Chum Salmon) sperm DNA. The procedure guarantees the absence of active protein and peptides that may cause immune reactions. In vitro and in vivo experiments have suggested that PDRN most relevant mechanism of action is the engagement of adenosine A2A receptors. Besides engaging the A2A receptor, PDRN offers nucleosides and nucleotides for the so called “salvage pathway.” The binding to adenosine A2A receptors is a unique property of PDRN and seems to be linked to DNA origin, molecular weight and manufacturing process. In this context, PDRN represents a new advancement in the pharmacotherapy. In fact adenosine and dipyridamole are non-selective activators of adenosine receptors and they may cause unwanted side effects; while regadenoson, the only other A2A receptor agonist available, has been approved by the FDA as a pharmacological stress agent in myocardial perfusion imaging. Finally, defibrotide, another drug composed by a mixture of oligonucleotides, has different molecular weight, a DNA of different origin and does not share the same wound healing stimulating effects of PDRN. The present review analyses the more relevant experimental and clinical evidences carried out to characterize PDRN therapeutic effects.
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            Effect of polydeoxyribonucleotides on human fibroblasts in primary culture.

            The effects of a mixture of oligo- and polydeoxyribonucleotides (PDRN) on the growth and protein secretion of cultured human skin fibroblasts were investigated. Both intact and DNAase-digested PDRN stimulated cell proliferation to a similar extent. When cultured fibroblasts were incubated with radioactive amino acids in the presence of intact or digested PDRN the incorporation of the tracer into secreted proteins increased significantly. This stimulation appears to be specific for certain protein components, including fibronectin. These results are interpreted assuming that PDRN and the nucleotides and nucleosides resulting from its degradation, can act as signal transducers or, alternatively, can be internalized and utilized to provide purine and pyrimidine rings for the salvage pathways.
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              Polydeoxyribonucleotides enhance the proliferation of human skin fibroblasts: Involvement of A2 purinergic receptor subtypes

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                Author and article information

                Contributors
                Journal
                Journal of Cosmetic Dermatology
                J of Cosmetic Dermatology
                Wiley
                1473-2130
                1473-2165
                April 2024
                December 13 2023
                April 2024
                : 23
                : 4
                : 1243-1252
                Affiliations
                [1 ] Leaders Aesthetic Laser and Cosmetic Surgery Center Seoul Korea
                [2 ] Sungkyunkwan University School of Medicine Gyeonggi‐do Korea
                [3 ] Nature Dermatology Clinic Seoul Korea
                [4 ] Department of Dermatology, College of Medicine, Incheon St. Mary's Hospital The Catholic University of Korea Seoul Korea
                Article
                10.1111/jocd.16125
                38093498
                15e15c05-1bb9-419e-8a80-359491f9d852
                © 2024

                http://creativecommons.org/licenses/by/4.0/

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