Sunscreen. Chan Lap Kwan, Angus 11 th December, 2009

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Sunscreen Chan Lap Kwan, Angus 11 th December, 2009

Outline 1. Reasons for using sunscreen 2. Health care of sunscreen 3. Active ingredients of sunscreen 4. Grading system of sunscreen 5. Conclusion

Ultraviolet (UV) Electromagnetic radiation with wavelength ranges from 10 to 400nm Bands: UVA, UVB and UVC 98.7% of UV radiation is blocked by the y atmosphere s ozone layer

Prolonged exposure to UV As a defense against UV radiation, the amount of the brown pigment melanin in the skin increases when exposed to moderate (depending on skin type) levels of radiation; this is commonly known as a sun tan. The purpose of melanin is to absorb UV radiation and dissipate the energy as harmless heat, blocking the UV from damaging skin tissue.

Effect of UVB UVB yields a tan that takes roughly 2 days to develop because it stimulates the body to produce more melanin UVB can cause erythema (sunburn) basal and squamous cell carcinomas are predominantly a result of direct damage to the DNA by interaction with UVB (solar wavelengths 280-320 nm)

Effect of UVA UVA (320-400nm) gives a quick tan that lasts for days by oxidizing melanin that was already present and triggers the release of the melanin from melanocytes UVA interacts indirectly with the DNA by producing free radicals and reactive oxygen species (ROS) leading to DNA, cell and tissue damage causes skin premature aging and increase the rate of melanoma

Sunscreen Sunscreen is a lotion, spray, gel or other topical product that t absorbs b or reflects sun s UV Primarily designed to prevent UVB associated burning and damages The increasingly recognized role of UVA in aging, and possibly melanoma, highlights the need to include UVA screens

Category of sunscreen products Chemical absorbers usually aromatic molecules conjugated with carbonyl groups structure can absorb high-energy gy UV rays excited to a higher energy state then release lower energy wavelength radiation thus preventing UV from reaching the skin

Chemical UVB UVA II UVA I (290-320nm) (320-340nm) 340nm) (340-400nm) 400nm) Aminobenzoic acid derivatives PABA Partial None None Glyceryl l PABA Partial None None Padimate O Partial None None Roxadimate Complete Partial None Benzophenones Dioxybenzone Complete Complete Partial Oxybenzone Complete Complete Partial Sulisonbenzone Complete Complete Partial Cinnamates Octocrylene Complete Complete Partial Octyl methoxycinnamate Complete None None Salicylates Homosalate Partial None None Ethylhexyl salicylate Complete None None Trolamine salicylate Complete None None

Category of sunscreen products Physical blockers reflect or scatter UV radiation act on all wavelengths of UV radiation common active ingredients are titanium dioxide and zinc oxide

Measurement of sunscreen protection 1. UVB - Sun Protection Factor (SPF) 2. UVA PPD, PA(+) and Boot s Star

Sun Protection Factor (SPF) the amount of UV radiation required to cause sunburn on skin with the sunscreen on, relative to the amount required without the sunscreen Dosage in laboratory tesing: 2mg/cm2 Exponential correlation with SPF

Sun Protection Factor (SPF) Sun Protection Factor Proportion of UVB blocked SPF 10 90.00% SPF 15 93.00% SPF 20 95.00% SPF 30 96.70% SPF 50+ >98.30%

Sun Protection Factor (SPF) factors affected the effectiveness of a sunscreen 1. The skin type of the user. 2. The amount applied and frequency of re-application. 3. Activities in which one engages. 4. Time of day and season. 5. Percentage of UV reflected or scattered by the environment. 6. Amount of sunscreen the skin has absorbed

Persistent Pigment Darkening (PPD) a method of measuring UVA protection, similar to the SPF method of measuring UVB light protection Instead of measuring reddening of the skin, the PPD method uses UVA radiation to cause a persistent darkening or tanning of the skin

Japanese measurement of UVA protection PA (+) - Japanese measurement of UVA protection: ti PA stands for Protection ti grade of UVA. The PPD method with its classification PA+, PA++, PA+++ is popular all over Asia.

PA vs PPD PA PPD Protection level PA+ PPD 2-4 Low PA++ PPD 4-6 Moderate PA+++ PPD 6-8 High

Boots Star Rating System (UK) The sunscreen manufacturer and retailer Boots developed d and enforced the Boots Star Rating System based on Diffey s UVA/UVB ratio. The criterion for the recently introduced 5-star rating, given by a UVA/UVB ratio > 0.91, comes closest to uniform UV protection.

Boots Star Rating System (UK) UVA/UV B 0 to 0.2 0.21 to 0.4 0.41 to 0.6 0.61 to 0.8 0.81 to 0.9 > 0.91 Boots None * ** *** **** ***** Stars Catagory none Minimum Moderat e Good Superior Ultra

Reminders of using sunscreen The activities that you re going The dosage applied Frequency of reapplicaiton Higher SPF and PPD is usually preferable

Conclusion Protect your skin from harmful UV by picking the right sunscreen Use the sunscreen correctly for better protection Physical blockers are better choices though it has poorer cosmetic appearance A better UVA grading system will help us to choose a better sunscreen

References 1. Linge C: Relevance of in vitro melanocytic cell studies to the understanding of melanoma. Cancer Surveys 26:71-87, 1996 2. Moan J, Dahlback A, Setlow RB: Epidemiological support for an hypothesis for melanoma induction indicating a role for UVA radiation. Photochem Photobiol 70:243-247, 1999 3. Hanson, KM; Gratton, E; Bardeen, CJ. "Sunscreen enhancement of UV-induced reactive oxygen species in the skin". Free Radical Biology and Medicine 11 (8): 1205, 2006. 4. Rachel Haywood, PeterWardman, Roy Sanders, and Claire Linge. Sunscreens Inadequately Protect Against Ultraviolet-A-Induced Free Radicals in Skin: Implications for Skin Aging and Melanoma. The Journal of Investigative Dermatology. 121( 4)862-868.2003

Q & A