<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">JCDSA</journal-id><journal-title-group><journal-title>Journal of Cosmetics, Dermatological Sciences and Applications</journal-title></journal-title-group><issn pub-type="epub">2161-4105</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jcdsa.2021.112013</article-id><article-id pub-id-type="publisher-id">JCDSA-109714</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  Potential of Natural Killer Cell Enriched Conditioned Media for Skin Care and Anti-Aging
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dong</surname><given-names>Soo Kim</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dong</surname><given-names>Ju Kim</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Hyun</surname><given-names>Pyo Kim</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sung</surname><given-names>Hwan Hwang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jung</surname><given-names>Hwa Kang</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Research &amp;amp; Development, IMMUNISBIO CO. Ltd., B2, International ST. Mary’s Hospital MTP Mall, Seo-gu, Incheon, Korea</addr-line></aff><pub-date pub-type="epub"><day>14</day><month>04</month><year>2021</year></pub-date><volume>11</volume><issue>02</issue><fpage>123</fpage><lpage>139</lpage><history><date date-type="received"><day>28,</day>	<month>April</month>	<year>2021</year></date><date date-type="rev-recd"><day>5,</day>	<month>June</month>	<year>2021</year>	</date><date date-type="accepted"><day>8,</day>	<month>June</month>	<year>2021</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Natural killer (NK) cell is a type of immune cell and is known to be particularly responsible for innate immunity such as anti-cancer immunity, defense mechanisms against infections, and secretion of various cytokines and chemokines for increasing recruitment of other immune cells. In this study, we investigated the potentials of NK-enriched lymphocytes (NKEL) conditioned media (CM) on skin care for cosmeceutical compositions. Various cytokines of NKEL CM can improve wound healing through epithelial-mesenchymal transition (EMT) by increasing KLKs (kallikreins) and reduce metalloproteinase (MMP)-1 and MMP-2 to inhibit wrinkle formation. Our results suggest that NKEL CM which has various cytokines promotes up-regulation of cell migration and KLKs and down-regulation of MMP-1 and MMP-2 by stimulating HaCaT keratinocytes migration. Therefore, NKEL CM can be used as a cosmetic composition that can play a role in skin regeneration and anti-aging.
 
</p></abstract><kwd-group><kwd>Natural Killer Cell</kwd><kwd> NKEL</kwd><kwd> Skin Care</kwd><kwd> Wound Healing</kwd><kwd> Anti-Aging</kwd><kwd> KLKs</kwd><kwd> MMPs</kwd><kwd> EMT</kwd><kwd> Conditioned Media</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>With the improvement of living standards and the increased demand for beauty, interest in skin beauty is increasing day by day [<xref ref-type="bibr" rid="scirp.109714-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref2">2</xref>]. In response to these demands, researchers are working on finding new, more effective, bioactive, and biocompatible anti-aging compounds in the pharmaceutical and cosmeceutical field [<xref ref-type="bibr" rid="scirp.109714-ref3">3</xref>]. Among them, methods to cope with the aging of the human body are being sought. The aging phenomenon is an inevitable process that occurs when the growth and development of the body stops, and it means changes in body composition and function of each organ [<xref ref-type="bibr" rid="scirp.109714-ref4">4</xref>].</p><p>The skin is the outermost organ in the body and has the main function of physically and chemically protecting the body, which includes protection from the outside, prevention of moisture loss, and retention of moisture [<xref ref-type="bibr" rid="scirp.109714-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref6">6</xref>]. All of these functions are performed by the stratum corneum [<xref ref-type="bibr" rid="scirp.109714-ref6">6</xref>]. The skin is simply composed of the epidermis and the dermis from the outermost. Among them, the epidermis, which is directly exposed to the external environment, is mainly composed of keratinocytes and is only about 0.05 - 1.5 mm. Keratinocytes continue to divide and differentiate, move to the granular layer and stratum corneum, create intracellular lipid, and form a protective film [<xref ref-type="bibr" rid="scirp.109714-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref8">8</xref>]. Keratinocytes formed in the stratum corneum are eliminated by various protein enzymes, and in this process, various proteins and lipids are produced [<xref ref-type="bibr" rid="scirp.109714-ref8">8</xref>]. As aging progresses, skin cells gradually lose their function [<xref ref-type="bibr" rid="scirp.109714-ref9">9</xref>]. Keratinocytes produce keratin at the outermost part of the skin through the final differentiation stage and maintain the skin protective function [<xref ref-type="bibr" rid="scirp.109714-ref10">10</xref>]. However, if dead skin cells accumulate in the skin due to the slowing of skin turnover due to aging, it can cause fine wrinkles and lower immune function [<xref ref-type="bibr" rid="scirp.109714-ref11">11</xref>]. Therefore, proper exfoliation can also be important in preventing skin aging.</p><p>KLKs encoded by the largest contiguous cluster of protease genes in the human genome are secreted serine proteases with various physiological roles [<xref ref-type="bibr" rid="scirp.109714-ref12">12</xref>]. The KLK protease is now known to be involved in mechanistic pathways that regulate skin desquamation, tooth enamel formation, kidney function, seminal liquefaction, synaptic neural plasticity, and brain function [<xref ref-type="bibr" rid="scirp.109714-ref13">13</xref>]. One of the most intensively studied organs for KLK function is the skin [<xref ref-type="bibr" rid="scirp.109714-ref14">14</xref>]. The most well-known role of KLKs in the skin is related to the detachment of keratinocytes from the stratum corneum. In particular, it is known that KLK5 and KLK7 are highly associated with desquamation [<xref ref-type="bibr" rid="scirp.109714-ref15">15</xref>]. KLKs operate as proteolytic cascades and, in the skin, KLK5 is believed to be the main activator of the cascade. KLK5 can be autoactivated, and its activity is restricted from deeper stratum corneum to stratum granulosum. When activated, KLK5 converts both proKLK6 and proKLK14 to active forms through proteolytic cleavage [<xref ref-type="bibr" rid="scirp.109714-ref16">16</xref>].</p><p>MMPs are proteinases closely related to ECM remodeling [<xref ref-type="bibr" rid="scirp.109714-ref17">17</xref>]. Their family can not only degrade all kinds of ECM proteins but also process a number of bioactive molecules [<xref ref-type="bibr" rid="scirp.109714-ref18">18</xref>]. ECM is degraded by various proteinases, of which MMP-1 is known to be mainly involved in collagen turnover [<xref ref-type="bibr" rid="scirp.109714-ref19">19</xref>]. MMPs are enzymes that play an important role in various destructive processes, including inflammation, tumor invasion, and skin aging [<xref ref-type="bibr" rid="scirp.109714-ref20">20</xref>]. Up-regulation of MMPs in the dermal fibroblast induces the degradation of collagen and other ECM proteins [<xref ref-type="bibr" rid="scirp.109714-ref21">21</xref>]. MMP-1 primarily degrades Type I and II collagens and is closely related to skin aging because it secondarily degrades collagen primarily decomposed by gelatinases MMP-2 and MMP-9 [<xref ref-type="bibr" rid="scirp.109714-ref22">22</xref>]. Therefore, the association of aging can be seen through the measurement of MMP concentration or expression.</p><p>NK cells are a type of immune cell and are known to be particularly responsible for innate immunity [<xref ref-type="bibr" rid="scirp.109714-ref23">23</xref>]. NK cells are responsible for not only anti-cancer immunity but also defense mechanisms against infections such as viruses and bacteria by receptor-ligand interaction without stimulation of specific antigens [<xref ref-type="bibr" rid="scirp.109714-ref24">24</xref>]. The cytotoxicity of NK cell and various cytokines and chemokines secreted by the cells play a role in the elimination of infected cells by increasing the recruitment of other immune cells [<xref ref-type="bibr" rid="scirp.109714-ref25">25</xref>].</p><p>The regulation of skin desquamation and anti-wrinkle is associated with changes in various conditions.</p><p>In this study, the cosmeceutical effect of NKEL CM was confirmed by analyzing the roles in HaCaT keratinocytes. When an imbalance occurs in the formation and dropout of dead skin cells, it can adversely affect not only the aging of the skin but also the cosmetic aspects. The NKEL CM secretes various cytokines in addition to direct immune activity, so the effect of this on the viability of HaCaT keratinocytes was evaluated. Additionally, the effect on cell migration was verified through NKEL CM treatment and the alteration of E-cadherin, an EMT marker, was observed.</p><p>And, it was confirmed whether these changes were due to either KLK or MMP closely related to skin health and aging.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Materials</title><p>Dulbecco’s modified Eagle’s medium (DMEM), Penicillin-streptomycin solution, and fetal bovine serum (FBS) were purchased from Gibco (Life technologies Korea, Seoul, Korea). 3-(4,5-dimethylthiazolyl-2)-2,5-diphenyltetrazolium bromide (MTT), bicinchoninic acid (BCA) solution, fluorescein isothiocyanate (FITC)-conjugated secondary antibody, sodium dodecyl sulfate (SDS), Dimethyl sulfoxide (DMSO) was obtained through Sigma-Aldrich (St. Louis, MO, USA). Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was obtained from Santa-Curz Biotechnology (Santa Cruz, CA, USA). E-cadherin, MMP-1, and MMP-2 antibodies were obtained through Cell Signaling Technology (Danvers, MA, USA). Enhanced chemiluminescence (ECL) reagents were obtained through GE Healthcare BIO-Sciences (Piscataway, NJ, USA). NK sol (IMMUNISBIO. Co. Ltd., Incheon, Korea).</p></sec><sec id="s2_2"><title>2.2. Cell Culture</title><p>HaCaT cells (ATCC 12192), spontaneously immortalized human keratinocyte line was cultured in DMEM (full medium) supplemented with 10% (v/v) FBS, 100 m/L penicillin, and 100 μg/mL streptomycin at 37˚C and 5% CO<sub>2</sub>. Additionally, cells were cultured with 1% FBS DMEM 24 hours before treatment with conditioned media.</p></sec><sec id="s2_3"><title>2.3. NK Cells Isolated PBMC and Conditioned Media Preparation</title><p>PBMCs isolated from blood were washed with normal saline, and the cell suspension was centrifuged at 400 g for 10 min. The obtained cells were cultured for 2 days at 37˚C and 5% CO<sub>2</sub> in KBM502 media containing NK sol (IMMUNISBIO. Co. Ltd.) with 2.0 &#215; 10<sup>7</sup> cells/flask. After this, subculture was performed at intervals of 2 - 3 days. After culturing for 14 days, NK cells were centrifuged at 400 g to remove the cells, and the supernatant was obtained to obtain NKEL CM.</p></sec><sec id="s2_4"><title>2.4. Flow Cytometry</title><p>For NK cell staining, cells were harvested and washed, centrifuged at 350 g for 5 min, and resuspended in ice-cold FACS buffer. Flow-cytometric analysis of surface expression of CD3, CD16, CD56 molecules was performed after 30 min incubation at 4˚C in presence of saturating concentrations of antibodies. Wash and staining cells were analyzed FACS analysis for NK portion by BD Accuri<sup>TM</sup> C6 Plus.</p></sec><sec id="s2_5"><title>2.5. Cytokine Array</title><p>The conditioned media obtained from NK cell culture were analyzed according to Raybiotech’s kit manual. Briefly, each membrane was blocked at room temperature and reacted overnight at 4˚C with the sample and Human Cytokine Array Detection Antibody Cocktail. After washing, it was reacted with Streptavidin-HRP solution at room temperature for 30 min. Then, the membrane was reacted with a Chemi Reagent mix, and the spot was analyzed using Davinch-chemidoc (Davinch-K, Seoul, Korea).</p></sec><sec id="s2_6"><title>2.6. Cell Proliferation Assay</title><p>HaCaT cells were cultured in a full medium for 24 hours in 96-well plates at 8.0 &#215; 10<sup>3</sup> cells/well. After that, cells were incubated for 24 hours in 1% FBS DMEM. Then, the cells were treated with various concentrations of NKEL CM based on 1% FBS DMEM and cultured for 24 hours, followed by MTT assay to measure the viability of the cells. Briefly, 10 &#181;L of MTT solution (5 mg/mL in phosphate-buffered saline) was treated in each well of a 96-well plate and incubated for 4 hours at 37˚C. The formed formazan was dissolved in 200 &#181;L of DMSO and absorbance was measured at 560 nm.</p></sec><sec id="s2_7"><title>2.7. Scratch Cell Migration Assay</title><p>A scratch cell migration assay was performed to measure the migration of HaCaT keratinocytes by NKEL CM. For the in vitro cell migration assay, the method summarized by Calvin R. Justus, Nancy Leffler, Maria Ruiz-Echevarria, and Li V. Yang was referenced [<xref ref-type="bibr" rid="scirp.109714-ref26">26</xref>]. Cells were treated with various concentrations of NKEL CM based on 1% FBS DMEM and cultured for 24 hours, resulting in a confluence of 95% to 100%. A straight scratch was made with a 200 &#181;L plastic pipetted tip and washed with PBS to remove cell debris. Then, HaCaT keratinocytes were cultured in fresh media. The picture data were photographed using an Olympus CKX41 microscope and an IMT cam 3 digital camera (Olympus Corp, Tokyo, Japan) after 24 hours. The cell migration rate was measured using ImageJ software, and the area reduction rate of the cell-free area was calculated.</p></sec><sec id="s2_8"><title>2.8. Western Blot</title><p>Whole cell lysate is a radioimmunoprecipitation assay (RIPA) lysis buffer containing protease/phosphatase inhibitor cocktail (150 mM NaCl, 1% Triton X-100, 0.5% sodium deoxycholate, 0.1% SDS, 50 mM Tris HCl, pH 8.0). After that, the protein concentration was measured using a BCA reagent. Briefly, media protein or lysate protein was separated by 10% SDS-polyacrylamide gel electrophoresis (SDS-PAGE) gel and transferred to a polyvinylidene fluoride membrane. Protein transferred membrane was treated with 5% skim milk (in Tris-buffered saline containing 0.1% Tween-20) to block non-specific binding. The blocked membrane was reacted overnight at 4˚C with the primary antibody diluted with 5% skim milk of an appropriate concentration. Then, the horseradish peroxidase-conjugated secondary antibody was reacted at room temperature for 2 hours and detected using an ECL reagent. The detected band was quantified densitometrically through ImageJ software.</p></sec><sec id="s2_9"><title>2.9. Immunofluorescence Staining of E-Cadherin</title><p>HaCaT cells were cultured at 95% to 100% confluence on glass coverslips in a 6 well-plate. After 24 hours of treatment with various concentrations of NKEL CM in 1% FBS DMEM, linear scratches were applied to the cell monolayer using a 200 μL plastic pipette tip. Washed with PBS and incubated for 24 hours in fresh media. The cells of the cover glass were washed with ice-cold PBS and fixed (pH 7.4) for 10 minutes with 4% paraformaldehyde. Then, it was incubated for 30 min with 1% bovine serum albumin in PBS with 0.1% tween 20. The reaction was carried out at 4˚C for 12 hours using E-cadherin antibody, and at room temperature using FITC-conjugated secondary antibody for 2 hours. FITC fluorescence images were obtained using a LEICA DMi8 fluorescence microscope (Leica Microsystems, Wetzlar, Germany).</p></sec><sec id="s2_10"><title>2.10. Statistical Analysis</title><p>Statistical analyses were performed using the student’s t-test. A p-value &lt; 0.05 was considered significant for all tests. The results were expressed as the means &#177; standard deviations. All experiments were performed at least in triplicate.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. NK Cell and CM Analysis</title><p>PBMCs isolated from the blood of a healthy donor were cultured with treated NK sol in KBM502 for 14 days, and the phenotype of the cultured cells was analyzed. NK cells can be identified by the presence of CD16, CD56, and the absence of CD3 (CD3− CD16+ CD56+). T cells express CD3 (CD3+) and NKT cells express CD3, CD16, and CD56 that share the function and phenotypes of NK and T cells (CD3+ CD16+ CD56+). The proportion of lymphocytes before and after culture is shown in <xref ref-type="fig" rid="fig1">Figure 1</xref>. The proportion of NKT, T, and NK cells in PBMCs before culture were 10.0%, 51.0%, and 24.8%, respectively (<xref ref-type="fig" rid="fig1">Figure 1</xref>(a)). In order to confirm the effect of NK sol, PBMCs were cultured with and without NK sol, and the proportion of cells was investigated. The proportion of NK cells did not increase in the absence of NK sol (<xref ref-type="fig" rid="fig1">Figure 1</xref>(b)), but increased to 97.1% in the presence of NK sol (<xref ref-type="fig" rid="fig1">Figure 1</xref>(c)). It was confirmed through cytokine array that MIP-1α/β, CCL5 (RANTES), GM-CSF, IFN-γ, IL-5, IL-8, IL-13, and MIF significantly increased (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p></sec><sec id="s3_2"><title>3.2. The Effect of NKEL CM on the Viability of HaCaT Keratinocytes</title><p>We performed MTT assay to confirm the effect of NKEL CM on the viability of HaCaT cells. When the culture of PBMC treated with NK sol is completed, more than 90% of NK cells were obtained, and the culture medium was treated with HaCaT keratinocytes at a concentration of 0.5% to 20%. The number of HaCaT keratinocytes treated with NKEL CM decreased slightly at the concentration of 20% (93.07% &#177; 11.89%, p &lt; 0.01), but there was no change in viability at concentrations below that (<xref ref-type="fig" rid="fig3">Figure 3</xref>). These results show that NKEL CM has no significant cytotoxicity in keratinocytes.</p></sec><sec id="s3_3"><title>3.3. The Effect of NKEL CM on the Migration and EMT of HaCaT Keratinocytes</title><p>Cell migration is an essential process in wound healing. To protect the skin barrier, cell migration occurs continuously, and EMT occurs essentially in keratinocytes. EMT is achieved by regulating the expression and activity of various enzymes (i.e. KLKs, MMPs) and transcription factors (i.e. snail, Twist) through signaling pathways. E-cadherin is a cell adherent junction protein as an EMT marker. The E-cadherin of keratinocytes treated with NKEL CM was reduced concentration dependently, which means that NKEL CM allows the motility and migration of cells by affecting the expression of E-cadherin (<xref ref-type="fig" rid="fig4">Figure 4</xref>(a)). The 1% NKEL CM treated group decreased by 0.48 &#177; 0.25 (p &lt; 0.05) times compared to control, and 0.37 &#177; 0.37 (p &lt; 0.005) times in the 5% NKEL CM treated group, respectively (<xref ref-type="fig" rid="fig4">Figure 4</xref>(b)).</p><p>A scratch cell migration assay was performed to determine the cell migration effect of NKEL CM on HaCaT keratinocytes. NKEL CM was pretreated on the keratinocyte monolayer, and the reduction rate of the scratch area was calculated as the time zone area. As shown in the results, cell migration was increased as the concentration of NKEL CM escalated (<xref ref-type="fig" rid="fig5">Figure 5</xref>(a)). Cell migration rate increased to 139.14% &#177; 5.32% (p &lt; 0.05) when the concentration of NKEL CM was 1%, and 187.15% &#177; 8.63% (p &lt; 0.005) when it was 5%, respectively (<xref ref-type="fig" rid="fig5">Figure 5</xref>(b)).</p><p>Based on these results, it was confirmed that treatment with NKEL CM promotes EMT of HaCaT keratinocytes and cell migration.</p></sec><sec id="s3_4"><title>3.4. The Effect of NKEL CM on the Expression of KLK5 and KLK7 in HaCaT Keratinocytes</title><p>In the skin epidermis, keratinocytes form an external barrier and are tightly bound. The stratum corneum formed through keratinization continues to separate from the skin surface. One of the enzymes that play an important role in the</p><p>elimination of the stratum corneum is known as KLKs. KLKs have numerous putative extracellular matrix (ECM) substrates [<xref ref-type="bibr" rid="scirp.109714-ref16">16</xref>]. Therefore, the increased expression of KLKs affects cell migration. Among them, KLK5 and KLK7 show similar proteolytic efficacy, and they take ECM proteins such as fibronectin, integrin, corneodesmosin, E-cadherin, and cell adherent junction proteins as substrates [<xref ref-type="bibr" rid="scirp.109714-ref27">27</xref>].</p><p>The expression levels of KLK5 and KLK7 were measured in the NKEL CM treated HaCaT keratinocytes (<xref ref-type="fig" rid="fig6">Figure 6</xref>). KLK5 showed a fold value of 1.21 &#177; 0.04 (p &lt; 0.005) and 1.47 &#177; 0.05 (p &lt; 0.001) in the NKEL CM 1% and 5% treatment group respectively (<xref ref-type="fig" rid="fig6">Figure 6</xref>(a)). KLK7 showed a fold value of 1.16 &#177; 0.04 and 1.47 &#177; 0.03 (p &lt; 0.001) in the NKEL CM 1% and 5% treatment group respectively (<xref ref-type="fig" rid="fig6">Figure 6</xref>(b)). The increased expression of KLKs in NKEL CM treatment groups promotes cell migration and results in a decrease in cell adherent, cell junction proteins such as E-cadherin.</p></sec><sec id="s3_5"><title>3.5. The Effect of NKEL CM on the Expression of MMP-1 and MMP-2 in HaCaT Keratinocytes</title><p>MMP-1 and MMP-2 are not only known enzymes that are deeply involved in tissue repair, but are also known to be involved in wrinkle production. The expression levels of MMP-1 and MMP-2 were measured in HaCaT keratinocytes treated with NKEL CM, and NKEL CM seemed to decrease those of MMP-1 and MMP-2 in both media and cell lysates (<xref ref-type="fig" rid="fig7">Figure 7</xref>).</p><p>For MMP-1, the 5% media treated group decreased by 0.78 &#177; 0.006 (p &lt; 0.001) times compared to control, and 0.69 &#177; 0.02 (p &lt; 0.001) and 0.78 &#177; 0.03 (p &lt; 0.001) times in the 1% and 5% lysate treated group, respectively (<xref ref-type="fig" rid="fig7">Figure 7</xref>(a)).</p><p>In the case of MMP-2, media showed a fold value of 0.79 &#177; 0.06 (p &lt; 0.05) compared to control in the NKEL CM 5% treatment group. And in the case of lysate, 0.43 &#177; 0.06 (p &lt; 0.05) compared to control in the NKEL CM 1% treatment group, and 5% of treatment groups showed 0.23 &#177; 0.04 (p &lt; 0.001) results (<xref ref-type="fig" rid="fig7">Figure 7</xref>(b)). These results show that NKEL CM decreases the expression levels of MMP-1 and MMP-2, and it can be said to mean that it inhibits aging in skin beauty through the anti-wrinkle effect.</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>The process of aging occurs in all organs of the body, and the skin also ages as it ages. Skin wrinkles are the most important and common symptom of aging skin and are commonly used as a standard for determining the degree of aging [<xref ref-type="bibr" rid="scirp.109714-ref28">28</xref>]. The causes of skin aging are not only endogenous factors that progress over time, but also exogenous factors that can be controlled such as smoking, excessive drinking, malnutrition, and chronic exposure to sunlight. By avoiding the cause of exogenous factors, it is possible to slow skin aging and the formation of skin wrinkles resulting from it, even if it cannot be stopped [<xref ref-type="bibr" rid="scirp.109714-ref29">29</xref>].</p><p>NK cell is a type of innate immune cell that not only removes abnormal cells such as cancer cells or virus-infected cells, but also secretes various substances such as cytokine to affect surrounding cells [<xref ref-type="bibr" rid="scirp.109714-ref30">30</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref31">31</xref>]. Recently, as life expectancy has increased, there is a growing concern for health and beauty, and so is interested in the role of immune cells [<xref ref-type="bibr" rid="scirp.109714-ref32">32</xref>]. Although it is difficult to avoid skin damage and aging due to external stimulation, many attempts have been made to slow it down by controlling the function of skin cells [<xref ref-type="bibr" rid="scirp.109714-ref33">33</xref>]. The role of immune cells against such skin damage and aging is known, but the role of NKEL CM has not yet been identified. This study shows the results to clarify the role of this NKEL CM on skin. NKEL CM includes various cytokines are contained in NKEL CM as shown in <xref ref-type="fig" rid="fig2">Figure 2</xref>. These cytokines are known to be related to wound healing by causing cell migration and EMT, and can play a role in desquamation through the increase of KLKs [<xref ref-type="bibr" rid="scirp.109714-ref34">34</xref>] - [<xref ref-type="bibr" rid="scirp.109714-ref40">40</xref>].</p><p>The stratum corneum produced by keratinization continues to fall off from the skin, but in aging skin, it takes longer [<xref ref-type="bibr" rid="scirp.109714-ref41">41</xref>]. Therefore, the deteriorated function of keratinocytes in aging skin may be responsible for thickening of the stratum corneum, causing fine wrinkles and rough skin [<xref ref-type="bibr" rid="scirp.109714-ref42">42</xref>]. One of the enzymes that play an important role in the elimination of the stratum corneum is known as KLK [<xref ref-type="bibr" rid="scirp.109714-ref43">43</xref>]. KLKs are serine proteases with trypsin- or chymotrypsin-like activity and have numerous putative extracellular matrix (ECM) substrates [<xref ref-type="bibr" rid="scirp.109714-ref43">43</xref>]. Several KLKs are expressed in the epidermis of the skin and they are crucially involved in the regulation of skin desquamation [<xref ref-type="bibr" rid="scirp.109714-ref16">16</xref>]. In HaCaT cells treated with NKEL CM, the expression level of KLK increased.</p><p>Wound healing can be described simply as an inflammatory reaction, proliferation, and remodeling [<xref ref-type="bibr" rid="scirp.109714-ref44">44</xref>]. During wound healing, cell migration to the wound site is indispensable, and if this step is not done properly, scars are formed, which may adversely affect beauty [<xref ref-type="bibr" rid="scirp.109714-ref45">45</xref>]. HaCaT cells treated with NKEL CM did not significantly affect cell viability as a result of MTT assay, but the migration rate increased. Moreover, the EMT that essentially occurs when cell migration occurs at the wound site was confirmed through E-cadherin, an EMT marker [<xref ref-type="bibr" rid="scirp.109714-ref46">46</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref47">47</xref>]. E-cadherin connects cells by forming a cell-cell adherent junction [<xref ref-type="bibr" rid="scirp.109714-ref48">48</xref>]. When EMT occurs, the expression level of E-cadherin decreases [<xref ref-type="bibr" rid="scirp.109714-ref49">49</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref50">50</xref>]. In our experimental results, it was shown that the intensity of E-cadherin decreased in a concentration-dependent manner in HaCaT cells treated with NKEL CM. These results show that NKEL CM treatment causes EMT of HaCaT cells, allowing keratinocytes to move towards the wound.</p><p>When aging occurs, the collagen that acts as a basic component of the extracellular matrix that supports the structure of the skin, hardens or slows down to be synthesized and accelerates decomposition [<xref ref-type="bibr" rid="scirp.109714-ref51">51</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref52">52</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref53">53</xref>]. This change in collagen due to that aging is one of the main causes of wrinkle formation [<xref ref-type="bibr" rid="scirp.109714-ref33">33</xref>]. MMPs are known to be largely involved in wrinkle formation [<xref ref-type="bibr" rid="scirp.109714-ref22">22</xref>]. MMP-1 and MMP-2 mainly take collagen and gelatin as substrates, respectively [<xref ref-type="bibr" rid="scirp.109714-ref54">54</xref>] [<xref ref-type="bibr" rid="scirp.109714-ref55">55</xref>]. Our results showed that the expression levels of MMP-1 and MMP-2 were decreased in HaCaT cells treated with NKEL CM, which means that NKEL CM can have an anti-wrinkle effect by downregulating MMP-1 and -2.</p><p>We have also shown that NKEL CM contains a variety of cytokines, which increases the cell migration [<xref ref-type="bibr" rid="scirp.109714-ref56">56</xref>] - [<xref ref-type="bibr" rid="scirp.109714-ref62">62</xref>]. Furthermore, it was shown that NKEL CM increased the expression of KLKs and cell migration of HaCaT keratinocytes through EMT.</p><p>Overall, our data show that various cytokine mixtures in NKEL CM improved exfoliation control and cell migration by regulating the expression of KLKs, and improved wrinkles by reducing the expression of MMP. Considering the effects of NKEL CM such as removing unnecessary dead skin cells, controlling cell migration, activating skin turnover, and inhibiting collagen degradation, this strongly suggests that it is valuable as a cosmetic composition that has an effect on improving skin condition and preventing aging. However, our study has a limitation in that the efficacy of NKEL CM was only verified at the cellular level. Thus, it is considered that the mechanism of action of NKEL CM and efficacy verification through in vivo experiments are necessary for future studies.</p></sec><sec id="s5"><title>Acknowledgements</title><p>This work was supported by the IMMUNISBIO. Co., Ltd.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s7"><title>Cite this paper</title><p>Kim, D.S., Kim, D.J., Kim, H.P., Hwang, S.H. and Kang, J.H. (2021) Potential of Natural Killer Cell Enriched Conditioned Media for Skin Care and Anti-Aging. Journal of Cosmetics, Dermatological Sciences and Applications, 11, 123-139. https://doi.org/10.4236/jcdsa.2021.112013</p></sec></body><back><ref-list><title>References</title><ref id="scirp.109714-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Global Insight, Inc. (2009) A Study of the European Cosmetics Industry (2007). 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