Skip to main content
Tzu-Chi Medical Journal logoLink to Tzu-Chi Medical Journal
. 2026 Mar 30;38(3):340–349. doi: 10.4103/tcmj.TCMJ-D-25-00056

Protective effect of blemish balm cream containing flesh of Salak Pondoh (Salacca zalacca [Gaert.] Voss) fruit extract against ultraviolet B-induced photoaging

Wahyu Widowati a,*, Dani Dani a, Vera Vera a, Fadhilah Haifa Zahiroh b
PMCID: PMC13367607  PMID: 42453519

ABSTRACT

Objectives:

Ultraviolet (UV) light, particularly ultraviolet B (UVB), is a major external factor that accelerates skin aging by generating reactive oxygen species (ROS), which damage skin cells and biological molecules. The flesh of snake fruit (Salacca zalacca) contains compounds that may help neutralize ROS and protect the skin from premature aging. This research investigates the protective effects of a Blemish Balm (BB) cream formulated with S. zalacca fruit extract against UVB-induced photoaging.

Materials and Methods:

S. zalacca flesh extract (SFE) was formulated with various ingredients, resulting in the BB cream containing SFE (BBSFE). Antioxidant and antiaging in vitro assays were measured by H2O2 scavenging, ferric reducing antioxidant power (FRAP), collagenase, and tyrosinase inhibition activities on SFE and BBSFE. Male mice (Mus musculus L.) were used as a UVB-induced photoaging model by shaving the dorsal skin and exposing it to UVB irradiation twice daily for 14 days, except for the negative control. The treated mice were smeared with BBSFE once and twice daily for 14 days. Hematoxylin-eosin staining is used to detect collagen fiber damage and inflammation. An immunohistochemistry (IHC) assay was used to analyze the p53, MMP-2, MMP-13, and COL4A1 protein expression. Quantitative real-time reverse transcription polymerase chain reaction assay was used to analyze the transforming growth factor-β1 (Tgf-β1), interleukin (Il)10, and Il18 gene expression.

Results:

BBSFE shows strong antioxidant and antiaging effects by inhibiting FRAP, H2O2, collagenase, and tyrosinase. It enhances collagen levels, reduces skin inflammation, downregulates p53, MMP-2, MMP-13, and Il18, and upregulates COL4A1, Tgf-β1, and Il10 in mice skin.

Conclusion:

BBSFE has potential as an antiaging agent in vitro and in vivo studies.

KEYWORDS: Antiaging, Antioxidant, Blemish balm cream, Photoaging, Salacca zalacca (Gaert.) Voss

INTRODUCTION

Aging is a physiological process characterized by functional decline and structural changes in cells and tissues. Skin aging is the most visible form due to the skin’s position as the outermost organ. Among external factors, ultraviolet (UV) exposure is the most significant contributor to skin aging [1]. UV rays penetrate the skin and generate reactive oxygen species (ROS), which are highly reactive and damaging. Histologically, ROS effects are visible in the dermis through collagen fiber degradation [2]. Collagen, a key component of the extracellular matrix (ECM), contributes to skin strength and elasticity. ROS can upregulate collagenase activity, leading to collagen degradation and wrinkle formation [3]. UV exposure also stimulates melanin production, causing hyperpigmentation through tyrosinase activity, the key enzyme in melanogenesis [4].

ROS further activate signaling pathways that promote inflammation, skin damage, aging, and even cancer [5]. Key affected molecules include p53, matrix metalloproteinases (MMPs), transforming growth factor-β1 (TGF-β1), and interleukins (ILs). p53 mediates keratinocyte apoptosis following mitochondrial DNA damage [6]. UV also stimulates MMP synthesis via TNF-α release by keratinocytes and fibroblasts, contributing to inflammation and aging [7]. MMPs include stromelysins (MMP-3, -10, and -11), gelatinases (MMP-2 and -9), and collagenases (MMP-1, -8, -13) [8], and can suppress collagen-producing proteins like COL4A1 [9]. ROS also activate MAPK signaling (p38, JNK, and ERK), increasing AP-1 expression, which inhibits TGF-β1 regulation and alters skin structure [10]. In addition, ROS stimulates IL-18 expression [11] while reducing IL-10 expression [12].

Blemish balm cream is a multifunctional cosmetic product providing moisturization and UV protection [13,14]. Consumers increasingly demand natural antiaging products due to safety and environmental concerns [15,16]. The flesh of Salacca zalacca (snake fruit) cultivar Pondoh is rich in phenolics and flavonoids, with superior antioxidant capacity compared to other cultivars [17]. Extracts from its peel show antiaging activity [18], yet the antioxidant potential of flesh extract in BB cream formulations remains unexplored. This study evaluates blemish balm cream containing S. zalacca flesh extract (BBSFE) through in vitro assays (H2O2 scavenging, ferric reducing antioxidant power [FRAP], collagenase, and tyrosinase inhibition) and in vivo molecular analysis targeting p53, MMP-2, MMP-13, COL4A1, Tgf-β1, Il10, and Il18.

MATERIALS AND METHODS

Ethical approval

This study was approved by the Ethical Committee of iRATco Veterinary Laboratory Services, Bogor, Indonesia (No: 4.2.003-1/KEHI/IX/2022).

Preparation of blemish balm cream containing Salacca zalacca flesh extract

Salacca zalacca fruits were collected in Bogor, West Java, Indonesia and identified by the Biology Department, Bandung Institute of Technology. The fruits were cleaned, deseeded, dried, and ground into powder, then extracted with 70% ethanol. The extract was filtered and evaporated to form a paste, followed by lactose addition [19]. S. zalacca flesh extract (SFE) was processed under GMP by PT FAST (Depok, Indonesia) (CoA No. Batch 001.11.23.ERTL.01) [20]. The BB cream formulation (BBSFE) was produced by CV SKINSOL, West Java, Indonesia, by incorporating SFE into a base BB cream (BBBC) consisting of standard cosmetic ingredients. BBBC served as the vehicle control, whereas 3W Clinic sunscreen (EAN 8809192574892) was used as a comparator [19].

Ferric reducing antioxidant power assay

The antioxidant capacity was evaluated using a modified FRAP protocol [21]. Sample solutions (0–1000 μg/mL) of SFE, BBSFE, and BBBC were mixed with FRAP reagent (TPTZ and ferric chloride hexahydrate) and incubated for 30 min at 37°C. Absorbance was measured at 595 nm using a microplate reader.

H2O2 scavenging assay

Samples (60 μL) were mixed with 5 mM H2O2, (3 μL) and 1 mM ferrous ammonium sulfate (12 μL), then incubated at room temperature. After adding 1 mM 1,10-phenanthroline (75 μL), absorbance was read at 510 nm [22,23].

Collagenase inhibitory assay

Collagenase activity was measured using a modified method [24,25]. Samples (7.81–250 μg/mL) were mixed with collagenase enzyme, Tricine buffer, and FALGPA substrate, incubated at 37°C for 20 min, and read at 335 nm.

Tyrosinase inhibitory assay

Samples (3.13–100 μg/mL) were incubated with fungal tyrosinase enzyme and phosphate buffer (pH 6.8) at room temperature. After L-DOPA substrate addition, absorbance was measured at 470 nm [25,26].

Animal experimental design

Male DDY mice (10–11 weeks, 30–35 g) were housed under controlled conditions with food and water ad libitum. Animals were divided into six groups (n = 4): (I) negative control, (II) UVB-induced control, (III) vehicle control (BBBC), (IV–V) BBSFE-treated (once or twice daily), and (VI) comparator (3W Clinic sunscreen). Prior to treatment, mice were shaved and UVB-induced for 14 days (twice daily), followed by cream application for 14 days [27]. BBSFE cream was applied topically in a thin layer, and the mice were monitored to minimize removal due to grooming or licking, ensuring consistent exposure.

Skin collection and termination

On day 15, mice were sacrificed via cervical dislocation. Skin samples were collected, fixed in 10% formalin for histology and immunohistochemistry (IHC), and stored in 0.9% NaCl at –80°C for quantitative real-time reverse transcription polymerase chain reaction (qRT-PCR) [28].

Histopathological assay

Skin samples were processed through dehydration, xylene clearing, and paraffin embedding. Sections (5 μm) were stained with hematoxylin-eosin and analyzed using light microscopy and ImageJ for collagen and inflammation quantification [29].

Immunohistochemistry

Paraffin-embedded sections (5 μm) underwent antigen retrieval, peroxidase blocking, and primary antibody incubation with anti-p53, COL4A1, MMP-2, and MMP-13 (Elabsci) overnight. Detection was conducted using biotinylated secondary antibodies and DAB chromogen. ImageJ software was used for analysis [20].

qRT-PCR analysis of Tgf-β1, Il10 and Il8 gene expression

RNA was extracted using Tri Reagent and purified with Direct-zol RNA MiniPrep. cDNA was synthesized using iScript Reverse Transcription Supermix, and qRT-PCR was conducted using SSOFAST EvaGreen Supermix on a real-time PCR system. Gene expression of Tgf-β1, Il10, and Il18 was normalized to β-actin [30].

Statistical analysis

Data were tested for normality. Parametric data were analyzed with analysis of variance followed by Tukey or Dunnett’s T3 post hoc tests. Nonparametric data were analyzed using Kruskal–Wallis and Mann–Whitney U tests. Significance was set at P < 0.05 [31].

RESULTS

Antioxidant and antiaging activity of blemish balm cream containing Salacca zalacca flesh extract

The antioxidant capacity of SFE, BBSFE, and BBBC was assessed using FRAP and H2O2, scavenging assays [Figure 1a and b and Supplementary Table 1]. At the highest concentration, BBSFE showed the strongest FRAP reducing capacity (84.62%) and H2O2 scavenging activity (IC50 = 98.73 μg/mL), compared to SFE (FRAP 64.92%, IC50 = 139.67 μg/mL) and BBBC (FRAP 7.63%, IC50 = 2812.77 μg/mL). These results suggest BBSFE possesses superior antioxidant activity.

Figure 1.

Figure 1

Effect of various concentrations of Salacca zalacca flesh extract (SFE), blemish balm cream containing SFE (BBSFE), and base blemish balm cream (BBBC) on (a) ferric reducing antioxidant power (FRAP) activity, (b) H2O2 scavenging activity, (c) collagenase inhibitory activity, and (d) tyrosinase inhibitory activity. SFE, BBSFE, and BBBC were diluted in DMSO to reach the final concentrations. All experiments were conducted in triplicate

The antiaging potential was evaluated through collagenase and tyrosinase inhibitory assays [Figure 1c and d]. BBSFE demonstrated the strongest collagenase inhibition (IC50 = 70.93 μg/mL), outperforming SFE (113.52 μg/mL) and BBBC (361.90 μg/mL). Tyrosinase inhibition was also highest in BBSFE (IC50 =36.15 μg/mL), followed by SFE (43.74 μg/mL) and BBBC (157.56 μg/mL). These findings highlight the superior antiaging activity of BBSFE compared to SFE and BBBC.

Effect of blemish balm cream containing Salacca zalacca flesh extract on skin histopathology in aging mice model

UVB induction led to reduced collagen proportion and mild inflammation in mouse skin, characterized by diminished collagen fibers and immune cell infiltration [Figure 2a]. BBSFE treatment twice daily (BBSFEII) significantly increased collagen proportion (64.32%) compared to the positive control (45.30%), nearly matching the sunscreen comparator (65.92%) [Figure 2b]. Inflammation scores showed mild inflammation (score 1) in the positive group. BBSFEII reduced inflammation to score 0.5, slightly higher than the sunscreen group (score 0.25), indicating a moderate anti-inflammatory effect [Figure 2c].

Figure 2.

Figure 2

Effects of blemish balm cream containing SFE on skin histopathology in aging mice model. (a) Skin histopathology, (b) Collagen proportion, (c) Inflammation score. *Data are presented as the mean and standard deviation over four replications. NC: Negative control, PC: Positive control, VC: Vehicle control (BBBC), BBSFEI: treatment with BBSFE 1x topically, BBSFEII: treatment with BBSFE 2x topically, CC: Comparator control (sunscreen cream). The differences in letters (a and b) for collagen proportion (%) show a significant difference between the treatment based on Tukey’s HSD post hoc test (P < 0.05) test. According to the Mann–Whitney U test (P < 0.05), the differences in the letters (a, ab, and b) for the inflammation score indicated significant differences between treatments. Letters are assigned according to statistical grouping from the lowest to highest values and not according to the identity of the control group

Effect of blemish balm cream containing Salacca zalacca flesh extract on p53, MMP-2, MMP-13, and COL4A1 expression of skin in aging model mice

Immunohistochemistry (IHC) staining revealed that UVB exposure increased p53 expression in the epidermis, as evidenced by dense brown cytoplasmic staining [Figure 3a]. BBSFEII reduced p53 expression (1.24%) compared to the positive control (1.96%) and approached the level seen in the sunscreen group (0.76%) [Figure 3b], suggesting its potential to attenuate DNA damage signaling.

Figure 3.

Figure 3

Effect of blemish balm cream containing SFE on p53, MMP-2, MMP-13, COL4A1 protein expression in aging mice model. (a) Skin histopathology of p53 protein expression, (b) p53 protein expression, (c) Skin histopathology of MMP-2 protein expression, (d) MMP-2 protein expression, (e) Skin histopathology of MMP-13 protein expression, (f) MMP-13 protein expression, (g) Skin histopathology of COL4A1 protein expression, (h) COL4A1 protein expression. *Data are presented as the mean and standard deviation over four replications. NC: Negative control, PC: Positive control, VC: Vehicle control (BBBC); BBSFEI: treatment with BBSFE 1 × topically, BBSFEII: Treatment with BBSFE 2 × topically, CC: Comparator control (sunscreen cream). The differences in letters indicated significant differences between treatments based on the Tukey HSD post hoc test (P < 0.05). Groups sharing the same letter are not significantly different, whereas groups with different letters differ significantly (P < 0.05). Letters are assigned according to statistical grouping from the lowest to the highest values, and not according to the identity of the control group

MMP-2 expression was elevated in UVB-induced mice (16.36%). BBSFEII significantly reduced MMP-2 levels (12.39%), even lower than the sunscreen comparator (12.89%) [Figure 3c and d]. Similarly, MMP-13 expression decreased with BBSFEII treatment (0.68%) versus the positive control (0.96%) and was slightly lower than the sunscreen group (0.73%) [Figure 3e and f], indicating inhibition of ECM degradation. COL4A1, a collagen-synthesizing protein, was significantly upregulated by BBSFEII (13.17%) compared to the positive control (7.04%), with values close to the sunscreen group (12.66%) [Figure 3g and h]. This suggests enhanced skin structural protein synthesis by BBSFE.

Effect of BBSFE on Tgf-β1, Il10, and Il18 gene expression in aging mice model

Gene expression analysis showed that BBSFEII significantly upregulated Tgf-β1 (0.79) and Il10 (0.83) mRNA levels compared to the positive control (0.51 and 0.45, respectively), approaching those of the sunscreen comparator (0.85 for Il10) [Figure 4a and b]. These results suggest that BBSFE promotes antiaging and anti-inflammatory gene expression. Conversely, BBSFEII significantly downregulated pro-inflammatory Il18 expression (2.29) compared to the UVB group (6.23) [Figure 4c], indicating reduced inflammation at the molecular level. Overall, these results suggest that BBSFE modulates gene expression associated with inflammation and aging, providing both protective and reparative effects in UVB-induced skin aging.

Figure 4.

Figure 4

Effect of blemish balm cream containing SFE on (a) Tgf-β1, (b) Il10, and (c) Il18 gene expression in aging mice model. *Data are represented as the mean and standard deviation over four replications. NC: Negative control, PC: Positive control, VC: Vehicle control (BBBC), BBSFEI: Treatment with BBSFE 1x topically, BBSFEII: Treatment with BBSFE 2x topically, CC: comparator control (sunscreen cream). Different letters above the bars indicate significant differences between groups according to Tukey’s HSD post hoc test (P < 0.05). Groups sharing the same letter are not significantly different, whereas groups with different letters differ significantly (P < 0.05). Letters are assigned according to statistical grouping from the lowest to the highest values, and not according to the identity of the control group

DISCUSSION

Premature skin aging is mainly driven by ultraviolet B (UVB) exposure, which generates excessive ROS. These ROS act as signaling molecules that activate upstream pathways such as MAPK (ERK, JNK, p38) and NF-κB. The activation of these pathways leads to increased expression of p53, MMPs, and pro-inflammatory cytokines such as IL-18, while simultaneously suppressing protective regulators including COL4A1, TGF-β1, and IL-10. The imbalance between these pro-aging and anti-aging mediators results in collagen degradation, elastin loss, inflammation, apoptosis, and accumulation of senescent cells, all of which contribute to the visible signs of photoaging [32].

Managing skin aging, especially in sun-exposed areas like the face, is critical as it reflects age-related physiological changes. BB cream has emerged as a multifunctional topical product serving both cosmetic and antiaging purposes [14]. Incorporating S. zalacca fruit flesh extract into BB cream offers promising potential due to its phytochemicals – polyphenols, tannins, flavonoids, and monoterpenoids – which act as antioxidants and antiaging agents by protecting skin from oxidative and photodamage [2]. Supporting this, LC-MS/MS analysis of S. zalacca extract reported in our previous study demonstrated the presence of chlorogenic acid, epicatechin, naringenin, and apigenin as major constituents [25]. These compounds are known to possess strong antioxidant and antiaging properties, further reinforcing the potential of BBSFE in topical formulations [33].

This study demonstrates that BBSFE possesses strong antioxidant activity, evident from its H2O2 scavenging and FRAP reducing capacity. This is attributed to its flavonoid content, known to neutralize ROS through hydrogen donation and free radical scavenging [22]. The flavonoids in BBSFE also show potent FRAP reducing capacity, falling into the high antioxidant category with IC50 values <50 μg/mL [34]. This activity stems from the ability of antioxidants to reduce Fe3+ to Fe2+ by donating electrons [35]. Supporting this, our previous study in UV-induced human fibroblast cells as photoaging cell model demonstrated that S. zalacca extract upregulated the antioxidant gene GPX-1 and reduced the oxidative DNA damage marker 8-OHdG, while also lowering apoptosis, confirming its cellular antioxidant potential [33]. The relevance of these assays can be explained as follows: the H2O2 scavenging activity of BBSFE, which reflects direct ROS neutralization [22], is consistent with our previous findings showing increased GPX-1 expression in UV-induced fibroblasts [33]. Similarly, the strong reducing capacity demonstrated by the FRAP assay [34,35] aligns with the observed reduction of 8-OHdG levels [33], since enhanced electron-donating potential can limit oxidative DNA damage. Together, these findings indicate that the antioxidant effects of BBSFE observed in chemical assays are mechanistically connected to its protective role at the cellular level.

BBSFE also exhibits significant antiaging potential through inhibition of collagenase and tyrosinase activities. Its collagenase inhibition may be influenced by flavonols, which have shown strong inhibitory effects on collagen-degrading enzymes [36]. By suppressing collagenase, BBSFE helps preserve ECM integrity and prevent wrinkle formation. The tyrosinase inhibition is likely due to the flavonoid structure, which is effective in blocking melanogenesis [37], thereby reducing hyperpigmentation associated with photoaging. BBSFE’s superior performance compared to SFE and BBBC may be due to the presence of additional active agents such as glutathione, titanium dioxide, and niacinamide, which synergistically enhance its antioxidant and antiaging activity. Collectively, these findings suggest that BBSFE interferes with key enzymatic processes, including collagen degradation and melanogenesis, thereby protecting against ROS-induced premature aging, hyperpigmentation, and structural skin damage.

Histological assessment in a UVB-induced aging mouse model shows that UVB exposure leads to collagen degradation and dermal inflammation [38]. Mechanistically, these effects are mediated by ROS-induced activation of Nuclear Factor Kappa B (NF-κB) signaling, which upregulates inflammatory cytokines and MMPs, thereby driving ECM breakdown. BBSFE application – especially twice daily – significantly preserves collagen structure and reduces inflammation. This protective effect is likely due to the extract’s polyphenol content, which neutralizes ROS and suppresses NF-κB-mediated inflammatory responses [39,40]. S. zalacca extract has also been shown to neutralize H2O2 and inhibit collagenase and elastase activity, contributing to ECM stability and collagen maintenance [33].

ROS can induce p53 overexpression in the epidermis, a key factor in photoaging that triggers apoptosis and skin thinning [41,42]. In this study, p53 levels increased significantly in the UVB-exposed control group. BBSFE application markedly reduced p53 expression, possibly due to its antioxidant constituents such as polyphenols and flavonoids, which can counter oxidative stress and modulate apoptotic signaling [43]. Beyond its role as a marker of oxidative stress, p53 acts as a transcriptional regulator of downstream effectors, which mediate cell cycle arrest and apoptosis [44]. By attenuating ROS-induced p53 activation, BBSFE may prevent excessive keratinocyte apoptosis and the accumulation of senescent cells, thereby preserving epidermal structure and delaying photoaging.

UV-induced ROS also activates MMPs via NF-κB and AP-1 signaling, particularly MMP-2, which degrades type IV collagen and contributes to wrinkle formation [45,46]. ROS is known to activate upstream signaling cascades, particularly MAPK (ERK, JNK, and p38) and NF-κB, which subsequently induce AP-1 activity and MMP expression, leading to collagen breakdown [47]. The observed reduction of MMP-2 by BBSFE suggests that the extract may indirectly modulate these pathways, thereby preventing ECM degradation. Elevated MMP-2 expression was observed in UVB-exposed mice. BBSFE application effectively reduced MMP-2 levels, comparable to or slightly lower than the sunscreen comparator. The reduction in MMP-2 is likely due to the polyphenolic content of the extract, which is known to inhibit MMP activity and support wound healing [48,49].

Similarly, MMP-13, which degrades type II collagen and contributes to ECM breakdown and skin carcinogenesis, was overexpressed in the UVB-exposed group [50,51]. MMP-13 expression is largely regulated by ROS-sensitive pathways, including MAPK and NF-κB/AP-1 signaling, which promote transcription of collagen-degrading enzymes. By suppressing oxidative stress, BBSFE may attenuate the activation of these upstream cascades, thereby limiting MMP-13 transcriptional upregulation. This mechanism not only prevents ECM breakdown but may also reduce the risk of UV-induced skin carcinogenesis associated with chronic MMP-13 overexpression. BBSFE treatment significantly downregulated MMP-13, possibly due to flavonoids that neutralize ROO• and NO• radicals, thus preventing MMP overactivation [52]. Taken together, these findings suggest that BBSFE preserves dermal structure by modulating ROS-driven MAPK/NF-κB signaling and suppressing MMP-mediated collagen degradation.

COL4A1, an essential component for collagen synthesis and basement membrane integrity, is often suppressed under UV stress through MMP-mediated degradation. UVB exposure reduced COL4A1 expression, whereas BBSFE application significantly restored its levels, comparable to sunscreen. Flavonoids in S. zalacca likely contribute to this effect by both inhibiting MMPs and upregulating COL4A1 gene expression, as supported by other in vitro findings [53,54]. This restoration of COL4A1 suggests that BBSFE not only prevents collagen degradation but also supports membrane stability, thereby maintaining dermal–epidermal integrity under UV stress.

UV-induced ROS also inhibits TGF-β1 expression, a key regulator of skin regeneration and collagen production [10]. In this study, the BBSFE application reversed UV-induced suppression of Tgf-β1. This effect may be mediated by the presence of polyphenols in the extract, which have been shown to activate the TGF-β1 pathway in aged fibroblasts and enhance ECM protein synthesis [55,56]. By restoring TGF-β1 signaling, BBSFE helps sustain collagen transcription and promote ECM remodeling, thereby counteracting one of the major mechanisms of UVB-induced photoaging.

IL-10 is a key anti-inflammatory cytokine that suppresses pro-inflammatory mediators and helps maintain immune homeostasis in the skin [57]. UVB exposure reduced IL-10 expression in the UVB-exposed control group. BBSFE significantly restored Il10 levels, which can be attributed to anti-inflammatory phytochemicals in S. zalacca, including chlorogenic acid [58,59]. Chlorogenic acid has been shown to increase IL-10 expression, thereby helping mitigate ROS-induced inflammation [60]. Increased IL-10 may further inhibit NF-κB activation, thereby reducing downstream expression of pro-inflammatory cytokines and protecting against UVB-induced cutaneous inflammation.

In contrast, IL-18 is a pro-inflammatory cytokine associated with skin damage and premature aging due to its role in activating NF-κB and IFN-γ pathways [61,62]. UV exposure significantly upregulated IL-18 expression, while BBSFE application reversed this effect. The flavonoid content in BBSFE likely contributes to Il18 suppression by modulating cytokine pathways and reducing ROS levels [63,64]. By downregulating IL-18, BBSFE may attenuate NF-κB-mediated transcription of pro-inflammatory mediators, thereby limiting chronic inflammation and protecting skin structure during UV-induced photoaging.

UVB-induced ROS plays a central role in photoaging by causing oxidative damage at multiple cellular levels. ROS triggers mitochondrial DNA damage and nuclear DNA fragmentation, leading to oxidative stress and p53 activation, which subsequently promote apoptosis and epidermal thinning. ROS also induce lipid peroxidation, which exacerbates cellular stress. In parallel, ROS activates NF-κB signaling, resulting in increased IL-18 and decreased IL-10 expression, thereby amplifying inflammation. Moreover, ROS stimulates AP-1 activity, leading to MMP-2 and MMP-13 overexpression, degradation of COL4A1, and subsequent collagen loss. Collectively, these events culminate in ECM breakdown, inflammation, apoptosis, and premature skin aging. BBSFE counteracts these processes by directly scavenging ROS, inhibiting oxidative stress, and modulating inflammatory and collagen-degrading pathways, thereby preserving dermal structure and delaying photoaging [Figure 5].

Figure 5.

Figure 5

Proposed mechanisms of blemish balm cream containing S. zalacca flesh extract (BBSFE) as antiaging potential. UVB-induced ROS drive DNA damage, oxidative stress, inflammation, apoptosis, and collagen degradation, culminating in premature skin aging (black arrows). BBSFE counteracts these processes by scavenging ROS, reducing oxidative stress and inflammation, and restoring collagen-related proteins and cytokines (red arrows)

The limitation of this study is the absence of an in vivo group treated with SFE alone. Although the BB base was included as a vehicle control to account for formulation effects, the lack of an SFE-only group makes it difficult to fully distinguish the extract’s specific role. Another limitation relates to the animal experimental design. Although mice were monitored to minimize removal of the cream due to grooming or licking, the actual degree of percutaneous absorption was not measured, and cream reduction cannot be completely excluded. Moreover, the RNA preservation method used may have affected sample integrity and contributed to variability in the expression of TGF-β1, IL-10, and IL-18, as tissues were promptly processed after collection and stored only briefly in 0.9% NaCl at − 80°C before RNA extraction, yet the lack of a cryoprotectant buffer could still pose a risk of partial RNA degradation. In addition, upstream signaling pathways such as MAPK (ERK, JNK, p38) and NF-κB, which are known to be involved in UVB-induced photoaging, were not specifically investigated. Future studies should incorporate an SFE-only treatment group, direct skin permeation assays, formulation optimization, or protective measures such as occlusive application and collars to validate dermal delivery, exclude potential confounding factors, optimized RNA preservation techniques using cryoprotectant-based solutions to ensure more reliable transcript stability, and analyze these signaling cascades to provide more definitive mechanistic insights into the anti-photoaging effects of BBSFE.

CONCLUSION

BBSFE has an antioxidant and antiaging activity by in vitro assay. Applying BBSFE on the mice skin twice daily can increase the proportion of collagen and minimize inflammation in the mice skin. In addition, BBSFE can also reduce the p53, MMP-2, MMP-13, and Il18 expression and increase the expression of COL4A1, Tgf-β1, and Il10. BBSFE has the potential as an antiaging product by providing protection to the face from premature aging due to UV exposure.

Data availability statement

All data generated or analyzed during this study are included in this published article (and its supplementary information files).

Conflicts of interest

There are no conflicts of interest.

Acknowledgments

The authors would like to thank Aretha Medika Utama, Biomolecular and Biomedical Research Center, Bandung, Indonesia, for providing research methodology and laboratory facilities. We are grateful to IratCo, Bogor, Indonesia, for supporting animal facilities, CV Skinsol Padalarang, for processing BB cream, and PT FAST, Depok, West Java, for processing the extract of S. zalacca flesh extract. We acknowledge the contributions of Adilah Hafizha Nur Sabrina, Syifa Indah Suci Ati, Vini Ayuni, and Ruth Meiraning Tyas from Universitas Pendidikan Indonesia, Bandung, West Java, Indonesia.

SUPPLEMENTARY MATERIAL

Supplementary Table 1.

The IC50 value of ferric reducing antioxidant power activity, H2O2 scavenging, collagenase inhibition, and tyrosinase inhibition activity of Salacca zalacca flesh extract, Blemish Balm Cream containing Salacca zalacca flesh extract, dan base Blemish Balm cream

Assays Sample Equation R2 IC50 (μg/mL)
FRAP activity SFE y=1.0188x +14.667 0.99 34.68
BBSFE y=1.6537x +35.997 0.99 28.06
BBBC y=0.3944x −10.185 0.91 152.60
H2O2 scavenging SFE y=0.0814x +38.631 0.99 139.67
BBSFE y=0.1116x +38.982 0.99 98.73
BBBC y=0.0189x −3.1613 0.79 2812.77
Collagenase inhibition SFE y=0.1954x +27.819 0.99 113.52
BBSFE y=0.2198x + 34.409 0.99 70.93
BBBC y=0.3176x −64.939 0.97 361.90
Tyrosinase inhibition SFE y=0.4373x + 30.871 0.99 43.74
BBSFE y=0.6817x + 25.356 0.99 36.15
BBBC y=0.5378x −34.738 0.91 157.56

BBBC: Base Blemish Balm cream, SFE: Salacca zalacca flesh extract, BBSFE: Blemish Balm Cream containing SFE, FRAP: Ferric reducing antioxidant power, IC50: Half maximal inhibitory concentration

Funding Statement

This research was funded by Maranatha Christian University (No. 013/SK/ADD/UKM/III/2023), Bandung, Indonesia.

REFERENCES

  • 1.Krutmann J, Bouloc A, Sore G, Bernard BA, Passeron T. The skin aging exposome. J Dermatol Sci. 2017;85:152–61. doi: 10.1016/j.jdermsci.2016.09.015. [DOI] [PubMed] [Google Scholar]
  • 2.Feng XX, Yu XT, Li WJ, Kong SZ, Liu YH, Zhang X, et al. Effects of topical application of patchouli alcohol on the UV-induced skin photoaging in mice. Eur J Pharm Sci. 2014;63:113–23. doi: 10.1016/j.ejps.2014.07.001. [DOI] [PubMed] [Google Scholar]
  • 3.Cruz AM, Gonçalves MC, Marques MS, Veiga F, Paiva-Santos AC, Pires PC. In vitro models for anti-aging efficacy assessment: A critical update in dermocosmetic research. Cosmetics. 2023;10:66. [Google Scholar]
  • 4.Mine M, Mizuguchi H, Takayanagi T. Kinetic analyses of two-steps oxidation from l-tyrosine to l-dopaquinone with tyrosinase by capillary electrophoresis/dynamic frontal analysis. Anal Biochem. 2022;655:114856. doi: 10.1016/j.ab.2022.114856. [DOI] [PubMed] [Google Scholar]
  • 5.Chen X, Yang C, Jiang G. Research progress on skin photoaging and oxidative stress. Postepy Dermatol Alergol. 2021;38:931–6. doi: 10.5114/ada.2021.112275. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 6.Bai GL, Wang P, Huang X, Wang ZY, Cao D, Liu C, et al. Rapamycin protects skin fibroblasts from UVA-induced photoaging by inhibition of p53 and phosphorylated HSP27. Front Cell Dev Biol. 2021;9:633331. doi: 10.3389/fcell.2021.633331. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 7.Chandran P, Netha S, Sudheer Khan S. Effect of humic acid on photocatalytic activity of ZnO nanoparticles. J Photochem Photobiol B. 2014;138:155–9. doi: 10.1016/j.jphotobiol.2014.05.013. [DOI] [PubMed] [Google Scholar]
  • 8.Gkouveris I, Nikitakis NG, Aseervatham J, Rao N, Ogbureke KU. Matrix metalloproteinases in head and neck cancer: Current perspectives. Metalloproteinases Med. 2017;4:47. [Google Scholar]
  • 9.Jabłońska-Trypuć A, Pankiewicz W, Czerpak R. Traumatic acid reduces oxidative stress and enhances collagen biosynthesis in cultured human skin fibroblasts. Lipids. 2016;51:1021–35. doi: 10.1007/s11745-016-4174-5. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 10.Rinnerthaler M, Bischof J, Streubel MK, Trost A, Richter K. Oxidative stress in aging human skin. Biomol. 2015;5:545–89. doi: 10.3390/biom5020545. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Gao C, Chen H, Niu C, Hu J, Cao B. Protective effect of Schizandrin B against damage of UVB irradiated skin cells depend on inhibition of inflammatory pathways. Bioengineered. 2017;8:36–44. doi: 10.1080/21655979.2016.1227572. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 12.Milliken SV, Wassall H, Lewis BJ, Logie J, Barker RN, Macdonald H. Effects of ultraviolet light on human serum 25-hydroxyvitamin D and systemic immune function. J Allergy Clin Immunol. 2012;129:1554–61. doi: 10.1016/j.jaci.2012.03.001. [DOI] [PubMed] [Google Scholar]
  • 13.Rohmani S, Desi BA, Wardhani WD. Potassium-azeloyl-diglycinate BB-cream formulation with triethanolamine variation, and its effects on in vitro SPF stability and values. J Adv Pharm Educ Res. 2022;12:1–8. [Google Scholar]
  • 14.Couteau C, Paparis E, Coiffard LJ. BB creams and their photoprotective effect. Pharm Dev Technol. 2016;21:39–42. doi: 10.3109/10837450.2014.965322. [DOI] [PubMed] [Google Scholar]
  • 15.Jesumani V, Du H, Aslam M, Pei P, Huang N. Potential use of seaweed bioactive compounds in skincare-a review. Mar Drugs. 2019;17:688. doi: 10.3390/md17120688. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 16.Chaikul P, Sripisut T, Chanpirom S, Ditthawutthikul N. Anti-skin aging activities of green tea (Camellia sinensis (L) Kuntze) in B16F10 melanoma cells and human skin fibroblasts. Eur J Integr Med. 2020;40:101212. [Google Scholar]
  • 17.Rohaeti E, Fauzi MR, Batubara I. Inhibition of a-glucosidase, total phenolic content and flavonoid content on skin fruit and flesh extracts of some varieties of snake fruits. IOP Conf Ser Earth Environ Sci. 2017;58:012066. [Google Scholar]
  • 18.Girsang E, Ginting CN, Lister I, Widowati W, Wibowo SH, Perdana FS, et al. In silico analysis of phytochemical compound found in snake fruit (Salacca zalacca) peel as anti-aging agent. Thai J Pharm Sci. 2019;43:105–9. [Google Scholar]
  • 19.Huynh NT, Cuong QN, Tran TM, Nguyen TT, Bui TB, De Tran Q. Water-in-silicone emulsion – The approach to an ideal BB cream. Indian J Pharm Educ Res. 2022;56:372–86. [Google Scholar]
  • 20.Widowati W, Darsono L, Lucianus J, Setiabudi E, Obeng SS, Stefani S, et al. Butterfly pea flower (Clitoria ternatea L.) extract displayed antidiabetic effect through antioxidant, anti-inflammatory, lower hepatic GSK-3b, and pancreatic glycogen on diabetes mellitus and dyslipidemia rat. J King Saud Univ Sci. 2023;35:102579. [Google Scholar]
  • 21.Widowati W, Janeva BW, Nadya S, Amalia A, Arumwardana S, Kusuma HS, et al. Antioxidant and antiaging activities of Jasminum sambac extract, and its compounds. J Rep Pharm Sci. 2018;7:270. [Google Scholar]
  • 22.Prahastuti S, Hidayat M, Hasianna ST, Widowati W, Amalia A, Yusepany DT, et al. Antioxidant potential ethanolic extract of Glycine max (L.) Merr. var. Detam and daidzein. J Phys Conf Ser 2019. 1374:012020. [Google Scholar]
  • 23.Widowati W, Wargasetia TL, Marthania M, Hanifa TS, Zakaria TM, Gunadi MS, et al. Antioxidant properties of TeNan herbal tea formulation “Telang (Clitoria ternatea) and Pineapple (Ananas comosus)”. Med J Brawijaya. 2022;32:87–93. [Google Scholar]
  • 24.Widodo WS, Widowati W, Ginting CN, Lister I, Armansyah A, Girsang E. Comparison of antioxidant and anti-collagenase activity of genistein and epicatechin. Pharm Sci Res. 2019;6:6. [Google Scholar]
  • 25.Girsang E, Lister IN, Ginting CN, Bethasari M, Amalia A, Widowati W. Comparison of antiaging and antioxidant activities of protocatechuic and ferulic acids. Mol Cell Biomed Sci. 2020;4:68–75. [Google Scholar]
  • 26.Girsang E, Lister IN, Ginting CN, Sholihah IA, Raif MA, Kunardi S, et al. Antioxidant and antiaging activity of rutin and caffeic acid. Pharmaciana. 2020;10:147–56. [Google Scholar]
  • 27.Wahyuni IS, Sufiawati I, Nittayananta W, Levita J. Anti-inflammatory activity and wound healing effect of Kaempferia galanga L. rhizome on the chemical-induced oral mucosal ulcer in Wistar rats. J Inflamm Res. 2022;15:2281–94. doi: 10.2147/JIR.S359042. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 28.Hong S, Cha KH, Park JH, Jung DS, Choi JH, Yoo G, et al. Cinnamic acid suppresses bone loss via induction of osteoblast differentiation with alteration of gut microbiota. J Nutr Biochem. 2022;101:108900. doi: 10.1016/j.jnutbio.2021.108900. [DOI] [PubMed] [Google Scholar]
  • 29.Laksmitawati DR, Noor SU, Sumiyati Y, Hartanto A, Widowati W, Pratami DK. The effect of mesenchymal stem cell-conditioned medium gel on burn wound healing in rat. Vet World. 2022;15:841–7. doi: 10.14202/vetworld.2022.841-847. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Widowati W, Darsono L, Suherman J, Afifah E, Rizal R, Arinta Y, et al. Regulation of adipogenesis and key adipogenic gene expression by mangosteen pericarp extract and xanthones in 3T3-L1 cells. Biotropia Southeast Asian J Trop Biol. 2020;27:14–21. [Google Scholar]
  • 31.Hidayat M, Prahastuti S, Afifah E, Widowati W, Yusuf M, Hasan K. The role of green peas protein hydrolysate in TGF/SMAD signaling to prevent renal fibrosis. J King Saud Univ Sci. 2022;34:101920. [Google Scholar]
  • 32.Cavinato M, Waltenberger B, Baraldo G, Grade CV, Stuppner H, Jansen-Dürr P. Plant extracts and natural compounds used against UVB-induced photoaging. Biogerontology. 2017;18:499–516. doi: 10.1007/s10522-017-9715-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 33.Widowati W, Dani D, Vera V, Wargasetia TL, Rahardja F, Tih F, et al. Salacca zalacca extract's antiaging effect on aging genes, protein levels, and apoptosis in UV-induced fibroblast cells. J Taibah Univ Med Sci. 2025;20:349–58. doi: 10.1016/j.jtumed.2025.05.005. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 34.Syakri S, Syahrana NA, Ismail A, Tahir KA, Masri A. A review: Testing antioxidant activity on Kawista plants (Limonia acidissima L.) in Indonesia. Open Access Maced J Med Sci. 2021;9:281–7. [Google Scholar]
  • 35.Makkiyah FA, Rahmi EP, Susantiningsih T, Marliani N, Arista RA, Nurcholis W. Optimization of Graptophyllum pictum leaves extraction using a simplex centroid design focused on extracting flavonoids with antioxidant activity. J Appl Pharm Sci. 2023;13:214–21. [Google Scholar]
  • 36.Srisuksomwong P, Kaenhin L, Mungmai L. Collagenase and tyrosinase inhibitory activities and stability of facial cream formulation containing cashew leaf extract. Cosmetics. 2023;10:17. [Google Scholar]
  • 37.Şöhretoğlu D, Sari S, Barut B, Özel A. Tyrosinase inhibition by some flavonoids: Inhibitory activity, mechanism by in vitro and in silico studies. Bioorg Chem. 2018;81:168–74. doi: 10.1016/j.bioorg.2018.08.020. [DOI] [PubMed] [Google Scholar]
  • 38.Seol JE, Ahn SW, Seol B, Yun HR, Park N, Kim HK, et al. Echinochrome A protects against ultraviolet B-induced photoaging by lowering collagen degradation and inflammatory cell infiltration in hairless mice. Mar Drugs. 2021;19:550. doi: 10.3390/md19100550. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 39.Nakamura Y, Ishii T, Abe N, Murata Y. Thiol modification by bioactivated polyphenols and its potential role in skin inflammation. Biosci Biotechnol Biochem. 2014;78:1067–70. doi: 10.1080/09168451.2014.905190. [DOI] [PubMed] [Google Scholar]
  • 40.Potapovich AI, Kostyuk VA, Kostyuk TV, de Luca C, Korkina LG. Effects of pre- and post-treatment with plant polyphenols on human keratinocyte responses to solar UV. Inflamm Res. 2013;62:773–80. doi: 10.1007/s00011-013-0634-z. [DOI] [PubMed] [Google Scholar]
  • 41.Seebode C, Lehmann J, Emmert S. Photocarcinogenesis and skin cancer prevention strategies. Anticancer Res. 2016;36:1371–8. [PubMed] [Google Scholar]
  • 42.Kim J, Nakasaki M, Todorova D, Lake B, Yuan CY, Jamora C, et al. p53 induces skin aging by depleting Blimp1+sebaceous gland cells. Cell Death Dis. 2014;5:e1141. doi: 10.1038/cddis.2014.87. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 43.Gorinstein S, Poovarodom S, Leontowicz H, Leontowicz M, Namiesnik J, Vearasilp S, et al. Antioxidant properties and bioactive constituents of some rare exotic Thai fruits and comparison with conventional fruits: In vitro and in vivo studies. Food Res Int. 2011;44:2222–32. [Google Scholar]
  • 44.Andriyani S, Rujitoningtyas K, Wigati HU, Amalina ND. The potential of Moringa leaf extract to prevent aging targeted cellular senescence. Int J Cell Biomed Sci. 2023;1:76–85. [Google Scholar]
  • 45.Waldera Lupa DM, Kalfalah F, Safferling K, Boukamp P, Poschmann G, Volpi E, et al. Characterization of Skin Aging-Associated Secreted Proteins (SAASP) produced by dermal fibroblasts isolated from intrinsically aged human skin. J Invest Dermatol. 2015;135:1954–68. doi: 10.1038/jid.2015.120. [DOI] [PubMed] [Google Scholar]
  • 46.Choi SI, Jung TD, Cho BY, Choi SH, Sim WS, Han X, et al. Anti-photoaging effect of fermented agricultural by-products on ultraviolet B-irradiated hairless mouse skin. Int J Mol Med. 2019;44:559–68. doi: 10.3892/ijmm.2019.4242. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 47.Pittayapruek P, Meephansan J, Prapapan O, Komine M, Ohtsuki M. Role of matrix metalloproteinases in photoaging and photocarcinogenesis. Int J Mol Sci. 2016;17:868. doi: 10.3390/ijms17060868. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 48.Nazir Y, Linsaenkart P, Khantham C, Chaitep T, Jantrawut P, Chittasupho C, et al. High efficiency in vitro wound healing of Dictyophora indusiata extracts via anti-inflammatory and collagen stimulating (MMP-2 Inhibition) mechanisms. J Fungi (Basel) 2021;7:1100. doi: 10.3390/jof7121100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 49.Gam DH, Park JH, Kim JH, Beak DH, Kim JW. Effects of Allium sativum Stem extract on growth and migration in melanoma cells through inhibition of VEGF, MMP-2, and MMP-9 genes expression. Molecules. 2021;27:21. doi: 10.3390/molecules27010021. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 50.Sbardella D, Fasciglione GF, Gioia M, Ciaccio C, Tundo GR, Marini S, et al. Human matrix metalloproteinases: An ubiquitarian class of enzymes involved in several pathological processes. Mol Aspects Med. 2012;33:119–208. doi: 10.1016/j.mam.2011.10.015. [DOI] [PubMed] [Google Scholar]
  • 51.Ciurea ME, Cernea D, Georgescu CC, Cotoi OS, Pătraşcu V, Pârvănescu H, et al. Expression of CXCR4, MMP-13 and b-catenin in different histological subtypes of facial basal cell carcinoma. Rom J Morphol Embryol. 2013;54:939–51. [PubMed] [Google Scholar]
  • 52.Ronsisvalle S, Panarello F, Longhitano G, Siciliano EA, Montenegro L, Panico A. Natural flavones and flavonols: Relationships among antioxidant activity, glycation, and metalloproteinase inhibition. Cosmetics. 2020;7:71. [Google Scholar]
  • 53.Huber KL, Fernández JR, Webb C, Rouzard K, Healy J, Tamura M, et al. AGSE: A novel grape seed extract enriched for PP2A activating flavonoids That combats oxidative stress and promotes skin health. Molecules. 2021;26:6351. doi: 10.3390/molecules26216351. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 54.Haleagrahara N, Hodgson K, Miranda-Hernandez S, Hughes S, Kulur AB, Ketheesan N. Flavonoid quercetin-methotrexate combination inhibits inflammatory mediators and matrix metalloproteinase expression, providing protection to joints in collagen-induced arthritis. Inflammopharmacology. 2018;26:1219–32. doi: 10.1007/s10787-018-0464-2. [DOI] [PubMed] [Google Scholar]
  • 55.Lephart ED, Sommerfeldt JM, Andrus MB. Resveratrol: Influences on gene expression in human skin. J Func Foods. 2014;10:377–84. [Google Scholar]
  • 56.Shin S, Lee JA, Son D, Park D, Jung E. Anti-skin-aging activity of a standardized extract from Panax ginseng leaves in vitro and in human volunteer. Cosmetics. 2017;4:18. [Google Scholar]
  • 57.Dagdeviren S, Jung DY, Friedline RH, Noh HL, Kim JH, Patel PR, et al. IL-10 prevents aging-associated inflammation and insulin resistance in skeletal muscle. FASEB J. 2017;31:701–10. doi: 10.1096/fj.201600832R. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 58.Mazumdar P, Pratama H, Lau SE, Teo CH, Harikrishna JA. Biology, phytochemical profile and prospects for snake fruit: An antioxidant-rich fruit of South East Asia. Trends Food Sci Technol. 2019;91:147–58. [Google Scholar]
  • 59.Girsang E, Lister IN, Ginting CN, Khu A, Samin B, Widowati W, et al. Chemical constituents of snake fruit (Salacca zalacca (Gaert.) Voss) peel and in silico anti-aging analysis. Mol Cell Biomed Sci. 2019;3:122–8. [Google Scholar]
  • 60.Chauhan PS, Satti NK, Sharma P, Sharma VK, Suri KA, Bani S. Differential effects of chlorogenic acid on various immunological parameters relevant to rheumatoid arthritis. Phytother Res. 2012;26:1156–65. doi: 10.1002/ptr.3684. [DOI] [PubMed] [Google Scholar]
  • 61.Zhang S, Duan E. Fighting against skin aging: The way from bench to bedside. Cell Transplant. 2018;27:729–38. doi: 10.1177/0963689717725755. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 62.Lee JH, Cho DH, Park HJ. IL-18 and cutaneous inflammatory diseases. Int J Mol Sci. 2015;16:29357–69. doi: 10.3390/ijms161226172. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 63.Lim H, Heo MY, Kim HP. Flavonoids: Broad spectrum agents on chronic inflammation. Biomol Ther (Seoul) 2019;27:241–53. doi: 10.4062/biomolther.2019.034. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 64.Wu P, Iwahashi H, Xie HH, Wang Y, Zhou YY, Kiso A, et al. Star fruit extract and C-glycosylated flavonoid components have potential to prevent air pollutant-induced skin inflammation and premature aging. Nat Prod Bioprospect. 2022;12:13. doi: 10.1007/s13659-022-00336-1. [DOI] [PMC free article] [PubMed] [Google Scholar]

Associated Data

This section collects any data citations, data availability statements, or supplementary materials included in this article.

Data Availability Statement

All data generated or analyzed during this study are included in this published article (and its supplementary information files).


Articles from Tzu-Chi Medical Journal are provided here courtesy of Wolters Kluwer -- Medknow Publications

RESOURCES