<?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.2023.132013</article-id><article-id pub-id-type="publisher-id">JCDSA-125663</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 Application of a Wine Extract in Skin Care: How to Benefit from the Antibacterial, Antioxidant and Elastase Inhibiting Properties
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Lisa-Marie</surname><given-names>Sittek</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Thomas</surname><given-names>Michael Schmidts</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>Peggy</surname><given-names>Schlupp</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff1"><addr-line>Novigo GmbH, Grünberg, Germany</addr-line></aff><pub-date pub-type="epub"><day>07</day><month>06</month><year>2023</year></pub-date><volume>13</volume><issue>02</issue><fpage>136</fpage><lpage>155</lpage><history><date date-type="received"><day>20,</day>	<month>March</month>	<year>2023</year></date><date date-type="rev-recd"><day>16,</day>	<month>June</month>	<year>2023</year>	</date><date date-type="accepted"><day>19,</day>	<month>June</month>	<year>2023</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>
 
 
  Since plant polyphenols have many beneficial properties on health, the aim of this study was to evaluate the potential use of a phenolic wine extract, a by-product of wine production, for skin care on HaCaT cells. In these studies, a significant reduction of reactive oxygen species formation in HaCaT cells and severe elastase inhibition was observed. In contrast, the wine extract caused a major increase in lipase activity. The extract showed no influence on cell proliferation, but an immunomodulatory effect on the release of the interleukins IL-6 and IL-8 was found. The phenolic wine extract demonstrated a strong activity against gram-positive and gram-negative pathogens, yeasts, and fungi. Overall, our results show that the investigated phenolic wine extract is a promising ingredient for anti-aging skin care, could contribute to the improvement of skin appearance and health, and may positively affect cellulite.
 
</p></abstract><kwd-group><kwd>Phenolic Wine Extract</kwd><kwd> Skin Care</kwd><kwd> HaCaT Cells</kwd><kwd> Elastase</kwd><kwd> Lipase</kwd><kwd> IL-6</kwd><kwd> IL-8</kwd><kwd> Cell Proliferation</kwd><kwd> Reactive Oxygen Species</kwd><kwd> Antimicrobial</kwd><kwd> Antimycotic</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The skin, the largest organ of the human body, fulfills a variety of active functions that predominantly protect the body from potential risks but also regulate physiological processes and transmit sensory impressions [<xref ref-type="bibr" rid="scirp.125663-ref1">1</xref>] . It protects the organism from mechanical, chemical, physical, and microbial influences and is in constant interaction with the entire organism [<xref ref-type="bibr" rid="scirp.125663-ref2">2</xref>] . The slightly acidic hydrolipidic film of the skin, with a pH value of approximately 5.5, provides ideal conditions for the physiological resident skin flora and thus prevents colonization with pathogenic microorganisms [<xref ref-type="bibr" rid="scirp.125663-ref3">3</xref>] . The skin is composed of three layers, with the outermost layer, the epidermis, consisting mainly of keratinocytes and representing the organism’s first immune barrier [<xref ref-type="bibr" rid="scirp.125663-ref4">4</xref>] . The keratinocytes located in the epidermis are capable of producing many different cytokines, growth factors, and complement factors, and are significantly involved in the wound healing process [<xref ref-type="bibr" rid="scirp.125663-ref5">5</xref>] . Moreover, the human skin also has an enormously valuable psychological function, as it significantly influences and defines our external appearance. With age, the changes in our skin become noticeable mainly through loss of elasticity, appearance of age spots, wrinkles, dyspigmentation, and dysfunction of wound healing and barrier function [<xref ref-type="bibr" rid="scirp.125663-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref7">7</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref8">8</xref>] . The most important alterations in aging skin occur at the level of dermal connective tissue, and are characterized by the loss of mature collagen and changes in the elastic network [<xref ref-type="bibr" rid="scirp.125663-ref9">9</xref>] . The degradative enzymes of this network include matrix metalloproteinases and elastases, which control important processes, such as wound healing and cell migration through the turnover of various extracellular matrix proteins [<xref ref-type="bibr" rid="scirp.125663-ref10">10</xref>] . However, excessive levels of these enzymes are a major cause of various skin disorders, including rapid skin aging [<xref ref-type="bibr" rid="scirp.125663-ref11">11</xref>] .</p><p>With skin aging, a fundamental distinction needs to be made between intrinsic, natural, and genetically caused skin aging and extrinsic skin aging [<xref ref-type="bibr" rid="scirp.125663-ref12">12</xref>] . Extrinsic skin aging is controlled by contact with the environment and its pollutants, one of the major influencing factors being UV radiation [<xref ref-type="bibr" rid="scirp.125663-ref13">13</xref>] . Both types of aging differ notably in terms of phenotype [<xref ref-type="bibr" rid="scirp.125663-ref14">14</xref>] , where extrinsic skin aging causes severe visible damage. In particular, extrinsic skin aging induces the formation of reactive oxygen species (ROS) [<xref ref-type="bibr" rid="scirp.125663-ref15">15</xref>] and degradation of endogenous antioxidants [<xref ref-type="bibr" rid="scirp.125663-ref16">16</xref>] , which may lead to enormous cellular damage and additionally affect the activity of matrix metalloproteinases [<xref ref-type="bibr" rid="scirp.125663-ref17">17</xref>] . This results in enhanced tissue degradation and slower regeneration.</p><p>As our most exposed organ, confronted with various external stimuli, it is necessary to protect our skin and its integrity, as well as its barrier function. In addition, it is desirable to keep the outer appearance as impeccable as possible and to counteract respectively prevent extrinsic skin aging by appropriate care.</p><p>Every year, tons of grapes are pressed for wine production worldwide, leaving behind a large amount of phenol-rich byproducts such as seeds, grape skins, and stems [<xref ref-type="bibr" rid="scirp.125663-ref18">18</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref19">19</xref>] . These by-products require a complex disposal process, as the contained polyphenols can destroy the sensitive balance of the ecosystem [<xref ref-type="bibr" rid="scirp.125663-ref20">20</xref>] . Since Polyphenols are considered to have health-promoting, anti-inflammatory, antimicrobial, and antioxidant properties, the by-products of wine production have great potential for use in skin care due to their high polyphenol content [<xref ref-type="bibr" rid="scirp.125663-ref21">21</xref>] .</p><p>In this work, a phenolic wine extract was investigated regarding its potential for skin care. Various in vitro assays were performed on HaCaT cells to evaluate its impact on inflammatory processes, pathogenic skin organisms, and potential protective properties with respect to skin aging. Additionally, the effect of the extract on the enzyme lipase was investigated.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Wine Extract and Sample Preparation</title><p>The wine extract used in this study was provided by Fattoria La Vialla (Arezzo, Italy) and the composition of the batch was provided by a certificate of analysis (<xref ref-type="table" rid="table1">Table 1</xref>). Phenol-rich wine extract is a by-product of wine production and contains 13% ethanol. To obtain the extract, the separation of the stems and pressing of the grapes were followed by a twelve-day maceration at 26˚C. The liquid supernatant was then decanted for wine production. The residue (skin</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Quantification of the ingredients in the wine extract according to the certificate of analysis provided by the manufacturer Fattoria La Vialla</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Ingredient</th><th align="center" valign="middle" >Concentration [mg/L]</th></tr></thead><tr><td align="center" valign="middle" >Caffeic acid</td><td align="center" valign="middle" >3.344</td></tr><tr><td align="center" valign="middle" >Coumaric acid</td><td align="center" valign="middle" >0.931</td></tr><tr><td align="center" valign="middle" >Ferulic acid</td><td align="center" valign="middle" >0.477</td></tr><tr><td align="center" valign="middle" >Gallic acid</td><td align="center" valign="middle" >29.557</td></tr><tr><td align="center" valign="middle" >Caffeoyl tartaric acid</td><td align="center" valign="middle" >67.953</td></tr><tr><td align="center" valign="middle" >Cumaryl tartaric acid</td><td align="center" valign="middle" >14.003</td></tr><tr><td align="center" valign="middle" >Ferulitartaric acid</td><td align="center" valign="middle" >8.791</td></tr><tr><td align="center" valign="middle" >Quercetin-3-O-glucoside</td><td align="center" valign="middle" >6.033</td></tr><tr><td align="center" valign="middle" >Quercetin-3-O-galattoside</td><td align="center" valign="middle" >1.979</td></tr><tr><td align="center" valign="middle" >Quercetin-3-O-glucuronide</td><td align="center" valign="middle" >15.240</td></tr><tr><td align="center" valign="middle" >Quercetin-3-O-rutinoside</td><td align="center" valign="middle" >&lt;0.050</td></tr><tr><td align="center" valign="middle" >Isorhamnetin</td><td align="center" valign="middle" >0.153</td></tr><tr><td align="center" valign="middle" >Kaempferol</td><td align="center" valign="middle" >0.067</td></tr><tr><td align="center" valign="middle" >Myricetin</td><td align="center" valign="middle" >0.086</td></tr><tr><td align="center" valign="middle" >Quercetin</td><td align="center" valign="middle" >10.933</td></tr><tr><td align="center" valign="middle" >trans-Resveratrol</td><td align="center" valign="middle" >24.202</td></tr><tr><td align="center" valign="middle" >(−) Epicatechin</td><td align="center" valign="middle" >28.120</td></tr><tr><td align="center" valign="middle" >(+) Catechin</td><td align="center" valign="middle" >92.035</td></tr><tr><td align="center" valign="middle" >Procyanidin B1</td><td align="center" valign="middle" >42.673</td></tr><tr><td align="center" valign="middle" >Procyanidin B2</td><td align="center" valign="middle" >33.947</td></tr></tbody></table></table-wrap><p>and seeds) called wine pomace, plus a small amount of remaining liquid was squeezed, and the obtained liquid was filtered (0.2 &#181;m, ceramic membrane). This filtrate, a phenol-rich wine extract, was used in the following studies. Prior to use, the extract was sonicated for 10 min, centrifuged at 500 x g for 20 s, and filtrated (0.2 &#181;m). For all in vitro assays, final dilutions were prepared with cell growth medium for HaCaT cells (Dulbecco’s modified Eagle medium with stable glutamine and sodium pyruvate with a glucose concentration of 1 g/L supplemented with 10% Fetal Bovine Serum, Capricorn Scientific, Ebsdorfergrund, Germany).</p></sec><sec id="s2_2"><title>2.2. Cultivation of HaCaT-Cells</title><p>Human adult low calcium high temperature keratinocytes (HaCaT) obtained from AddexBio (San Diego, CA, USA) were cultured at 37˚C and 8.5% CO<sub>2</sub> in Dulbecco’s modified Eagle medium with stable glutamine and sodium pyruvate (Capricorn Scientific, Ebsdorfergrund, Germany) with a glucose concentration of 1 g/L supplemented with 10% Fetal Bovine Serum (Capricorn Scientific, Ebsdorfergrund, Germany).</p></sec><sec id="s2_3"><title>2.3. Cell Viability Assay</title><p>The effect of the wine extract on the viability of HaCaT cells was determined by 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium (MTT) assay in accordance with Mosmann [<xref ref-type="bibr" rid="scirp.125663-ref22">22</xref>] . HaCaT cells were seeded in 96-well plates (40,000 cells per well) and incubated overnight at 37˚C and 8.5% CO<sub>2</sub>. Cells, were then washed with phosphate-buffered saline (PBS), and the samples were applied for 24 h (100 &#181;L) respectively 48 h (200 &#181;L). After sample incubation, 0.25 mg/mL MTT (VWR International, Radnor, PA, USA) in cell growth medium was added, and the plate was incubated at 37˚C for 1 hour. Subsequently, the MTT solution was removed, and cells were lysed with dimethyl sulfoxide (Merck KgaA, Darmstadt, Germany) while shaking at 300 rpm for 1 hour. Finally, the absorbance was measured at 570 nm and 650 nm (reference wavelength) using Synergy<sup>TM</sup> HTX multi-mode microplate reader with the software Gen5<sup>TM</sup> 2.07 (BioTek Instruments Inc., Winooski, VT, USA). Results are shown in relation to the untreated control (incubated with cell culture medium or incubated with 1.3% ethanol in medium), and dimethyl sulfoxide served as blank value. All experiments were performed in three independent runs with six replicates.</p></sec><sec id="s2_4"><title>2.4. Cell Proliferation Assay</title><p>To study the effect of wine extract on cell proliferation, 20,000 HaCaT cells per well were seeded in a 96-well plate, and after 24 h incubation at 37˚C and 8.5% CO<sub>2</sub>, the cultivation medium containing only 0.05% Fetal Bovine Serum was applied. After a further 24-hour incubation period, the different dilutions of the wine extract (prepared with serum-free growth medium) were applied. As controls, cells were treated with 0.02 ng/mL epidermal growth factor in serum-free growth medium (positive control) and with serum-free medium only (negative control). Cells were incubated with the corresponding samples for 24 h (100 &#181;L) respectively 48 h (200 &#181;L) at 37˚C and 8.5% CO<sub>2</sub>. At the end of incubation, MTT assay was performed in accordance to the cell viability assay. Subsequently, cell viability was calculated in relation to the untreated control (incubation with serum-free medium). The experiments were performed in three independent runs, each with six replicates.</p></sec><sec id="s2_5"><title>2.5. Anti-Inflammatory Assay in Vitro</title><p>HaCaT cells were cultured in 24-well plates (20,000 cells per well) in 1 mL growth medium for 24 h at 37˚C and 8.5% CO<sub>2</sub>. Cells were then washed with PBS, and the samples were applied for 24 h (0.5 mL), and 48 h (1 mL). The inflammatory response was induced by the co-application of 10 ng/mL TNF-α (R&amp;D Systems, Wiesbaden, Germany), and the anti-inflammatory drug hydrocortisone (10<sup>−</sup><sup>6</sup> M, Sigma Aldrich, St. Louis, MO, USA) was used as the positive control. At the end of incubation, cell-free supernatants were collected, and the concentrations of Interleukin-6 (IL-6, Thermo Fisher Scientific, Waltham, MA, USA) and Interleukin-8 (IL-8, R&amp;D Systems Inc. Minneapolis, MN, USA) were determined using commercial ELISA kits according to the manufacturer’s protocols without adaptions. The absorbance was measured at 450 nm and 570 nm (reference wavelength) using Synergy<sup>TM</sup> HTX multi-mode microplate reader with the software Gen5<sup>TM</sup> 2.07 (BioTek Instruments Inc., Winooski, VT, USA), and the results were calculated using four-parameter logistic regression in GraphPad Prism&#174; v8.3.0 (538) (San Diego, CA, USA). Results are shown in relation to the untreated control. All experiments were performed in three independent runs with three replicates.</p></sec><sec id="s2_6"><title>2.6. Reactive Oxygen Species Assay in Vitro</title><p>To determine the antioxidative activity of the extract 40,000 HaCaT cells per well were seeded in a black 96-well plate with a clear bottom (Corning Life Science, Tewksbury, MA, USA) and incubated overnight at 37˚C and 8.5% CO<sub>2</sub>. In this particular experiment, a growth medium without phenol red was used (Capricorn Scientific, Ebsdorfergrund, Germany). Cells were washed twice with PBS, and 100 &#181;L of the samples containing 50 &#181;M 2,7-dichlorodihydrofluorescein diacetate (DCFH<sub>2</sub>-DA, Sigma-Aldrich, St. Louis, MO, USA) were applied for 30 min (37˚C). The application of 100 &#181;L H<sub>2</sub>O<sub>2</sub> (100 &#181;M; Sigma-Aldrich, St. Louis, MO, USA) for 45 min (37˚C and 8.5% CO<sub>2</sub>) was done after another washing step with PBS. A final washing step with PBS was carried out before measuring the fluorescence intensity (FLU, ex./em. 485/528 nm) with the Synergy<sup>TM</sup> HTX (BioTek Instruments Inc., Winooski, VT, USA) using the following measuring parameters 100 &#181;L of phosphate buffer, area scan with 5x5 measuring points, bottom read. The DCFH<sub>2</sub> radical scavenging activity was calculated based on Equation (1). All experiments were performed in three independent runs with three replicates.</p><p>DCFH 2 radicalscavengingactivity(%) = 1 0 0 &#215; F L U c o n t r o l − F L U s a m p l e F L U c o n t r o l (1)</p></sec><sec id="s2_7"><title>2.7. Assessment of the Antimicrobial and Antimycotic Properties</title><p>The antimicrobial and antimycotic properties of the extract were evaluated in a suspension test according to DIN EN ISO 11930:2019-04 [<xref ref-type="bibr" rid="scirp.125663-ref23">23</xref>] . In the test procedure, the effect on the pathogens Staphylococcus epidermidis, Propionibacterium acnes, Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans, and Aspergillus brasiliensis was investigated. For this method, the undiluted extract was inoculated with the individual microorganisms, a bacterial concentration between 10<sup>5</sup> and 10<sup>6</sup> CFU/g and a mold concentration between 10<sup>4</sup> and 10<sup>5</sup> CFU/g. These samples were incubated at 22.5˚C &#177; 2.5˚C, and growth control was performed immediately after inoculation, i.e., after one, two, and three weeks of incubation by determining the colony-forming units (CFU). CFU were used to calculate the logarithmic reduction rate (log10) for the respective pathogen. The method was performed in three independent experimental runs.</p></sec><sec id="s2_8"><title>2.8. Elastase Inhibition Assay</title><p>The elastase inhibitory activity was determined following Bieth et al. [<xref ref-type="bibr" rid="scirp.125663-ref24">24</xref>] , whereby the assay was adapted to a 96-well plate format. Into each Well 120 &#181;L of 100 mM Tris-HCl buffer (pH 8.0), 20 &#181;L of 0.175 U/mL elastase (Sigma Aldrich, St. Louis, MO, USA), and 20 &#181;L of the sample were added. For the negative control, the sample volume was supplemented with buffer, and for the positive control, 20 &#181;L of 5.85 &#181;g/mL elastinal (Merck Millipore, Burlington, MA, USA) replaced the sample. After incubation for 30 min at 25˚C and 300 rpm (orbital shaker), 40 &#181;L of 8.75 mM N-succinyl-Ala-Ala-p-nitroanilide was added, and absorbance at 410 nm for 30 min (20 s intervals, 25˚C) was measured (Synergy<sup>TM</sup> HTX multi-mode microplate reader with the software Gen5<sup>TM</sup> 2.07, BioTek Instruments Inc., Winooski, VT, USA). 140 &#181;L Tris-HCl buffer with 20 &#181;L sample, and 40 &#181;L substrate served as blank. The relative inhibition activity was determined according to Equation (2).</p><p>e l a s t a s e   i n h i b i t i o n ( % ) = 1 0 0 &#215; s l o p e n e g a t i v e c o n t r o l − s l o p e s a m p l e s l o p e n e g a t i v e c o n t r o l (2)</p><p>After subtracting the blank value, the slope (up to 5 min after the addition of the substrate) was determined in the linear range of the curve. Based on these results, the half maximal inhibitory concentration (IC<sub>50</sub>) was calculated using GraphPad Prism&#174; v8.3.0 (538) (San Diego, CA, USA). The experiment was performed three times with three replicates.</p></sec><sec id="s2_9"><title>2.8. Lipase Activity Assay</title><p>The lipase activity was quantified by a colorimetric enzyme assay in 96-well plate format. Into each well 120 &#181;L of 200 mM Tris-HCl buffer (pH 8.5), 20 &#181;L of 1 mg/mL lipase (Sigma Aldrich, St. Louis, MO, USA) and 20 &#181;L of sample were added. For the negative control, the sample volume was supplemented with buffer, and for positive control 20 &#181;L of 0.5 &#181;g/mL tetrahydrolipstatin (Santa Cruz Biotechnology, Dallas, TX, USA) replaced the sample. After incubation for 30 min at 37˚C and 300 rpm (orbital shaker), 40 &#181;L of 6.5 mM 4-nitrophenyl octanoate was added and absorbance was measured at 410 nm for 60 min (20 s intervals, 37˚C) using the Synergy<sup>TM</sup> HTX multi-mode microplate reader with the software Gen5<sup>TM</sup> 2.07 (BioTek Instruments Inc., Winooski, VT, USA). 140 &#181;L Tris-HCl buffer, 20 &#181;L sample and 40 &#181;L substrate served as blank. The relative lipase activity was determined according to Equation (3).</p><p>l i p a s e   a c t i v i t y ( % ) = 1 0 0 &#215; s l o p e s a m p l e s l o p e n e g a t i v e c o n t r o l (3)</p><p>After subtracting the blank value, the slope of the curve was calculated at time 26.55 min. The experiment was performed three times with three replicates.</p></sec><sec id="s2_10"><title>2.9. Statistical Analysis</title><p>Data are given as arithmetic mean values &#177; standard deviation. To verify statistically significant differences between the mean values of different groups, a two-way ANOVA followed by a Dunnett test was carried out. Thus, p ≤ 0.05 is considered to indicate a significant difference. Statistical analysis was performed using GraphPad Prism&#174; v8.3.0 (538) (San Diego, CA, USA).</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Wine Extract Modulates the Immune Response of HaCaT Cells after Stimulation with TNF-α</title><p>The influence of the wine extract in different dilutions on HaCaT cell viability was examined by MTT assay over 24 h and 48 h to identify which dilutions are suitable for the following in vitro experiments. In relation to the untreated control, cells treated with the wine extract exhibited viabilities ranging from 67.60% &#177; 3.93% (1:10 dilution, 24 h) to 112.72% &#177; 6.05% (1:500 dilution, 48 h). Based on the results (<xref ref-type="fig" rid="fig1">Figure 1</xref>), the dilutions 1:100 and 1:200 were selected for immunomodulation studies.</p><p>An initial increase in IL-6 and IL-8 release after 24 hours with simultaneous application of TNF-α and the samples was followed by a decrease in IL release at 48 hours at both concentrations (<xref ref-type="fig" rid="fig2">Figure 2</xref>). Compared to the untreated control, IL-6 release was even reduced by 14.27% &#177; 5.44% (1:200 dilution) after 48 hours. Interleukine-8 was secreted to a higher extent when incubation with both samples (1:100: 34.09% &#177; 5.90% 24 h, 20.47% &#177; 8.91% 48 h, 1:200: 29.23% &#177; 16.37% 24 h, 19.75% &#177; 15.46% 48 h). As expected, the anti-inflammatory drug hydrocortisone (positive control) resulted in decreased release of both interleukins.</p></sec><sec id="s3_2"><title>3.2. Wine Extract Does Not Affect the Proliferation of HaCaT Cells</title><p>Studies on the proliferation of HaCaT cells showed no enhancing effect of the wine extract after 24 and 48 hours, respectively (<xref ref-type="fig" rid="fig3">Figure 3</xref>). Cell viability ranges from 83% to 100% after treatment with the wine extract in serum-free medium. In comparison, the epidermal growth factor (EGF), positive control, showed a time-dependent and significant increase in cell viability and, consequently, a proliferation-promoting effect. Cell viability of HaCaT cells was 145.51% &#177; 8.51% (24 h) and 208.96% &#177; 13.43% (48 h), respectively, after treatment with EGF compared to the untreated control.</p></sec><sec id="s3_3"><title>3.3. Wine Extract Inhibits the Growth of Selected Pathogenic Skin Organisms</title><p>To evaluate the antimicrobial potential of the wine extract, the antifungal and antibacterial properties were investigated with regard to various pathogenic organisms. In this case, it was shown that the colony-forming units of the bacteria E. coli, S. aureus, S. epidermidis, P. acnes, and P. aeruginosa were reduced by 99.99% after an incubation period of 7 days (<xref ref-type="table" rid="table2">Table 2</xref>). After 28 days, a 99.9% reduction was observed in all organisms tested.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Reduction of viable organisms caused by the wine extract after 7 d, 14 d, and 28 d of incubation. The experimental set-up followed the suspension method by inoculating the undiluted extract with the specified microorganisms (colony-forming units, CFU/g)</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Microorganism</th><th align="center" valign="middle"  rowspan="2"  >CFU/g</th><th align="center" valign="middle"  colspan="3"  >Reduction [%]</th></tr></thead><tr><td align="center" valign="middle" >7 d</td><td align="center" valign="middle" >14 d</td><td align="center" valign="middle" >28 d</td></tr><tr><td align="center" valign="middle" >A. brasiliensis</td><td align="center" valign="middle" >4.6 &#215; 10<sup>4</sup></td><td align="center" valign="middle" >&lt;90.0</td><td align="center" valign="middle" >&gt;99.0</td><td align="center" valign="middle" >&gt;99.9</td></tr><tr><td align="center" valign="middle" >C. albicans</td><td align="center" valign="middle" >3.0 &#215; 10<sup>4</sup></td><td align="center" valign="middle" >&gt;99.9</td><td align="center" valign="middle" >&gt;99.9</td><td align="center" valign="middle" >&gt;99.9</td></tr><tr><td align="center" valign="middle" >E. coli</td><td align="center" valign="middle" >1.7 &#215; 10<sup>5</sup></td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td></tr><tr><td align="center" valign="middle" >S. aureus</td><td align="center" valign="middle" >1.7 &#215; 10<sup>5</sup></td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td></tr><tr><td align="center" valign="middle" >S. epidermidis</td><td align="center" valign="middle" >5.0 &#215; 10<sup>5</sup></td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td></tr><tr><td align="center" valign="middle" >P. acnes</td><td align="center" valign="middle" >1.2 &#215; 10<sup>5</sup></td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td></tr><tr><td align="center" valign="middle" >P. aeruginosa</td><td align="center" valign="middle" >1.7 &#215; 10<sup>5</sup></td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td><td align="center" valign="middle" >&gt;99.99</td></tr></tbody></table></table-wrap></sec><sec id="s3_4"><title>3.4. Wine Extract Reduces Formation of Reactive Oxygen Species and Inhibits the Tissue-Degrading Enzyme Elastase</title><p>To investigate the effect of the wine extract on the formation of reactive oxygen species in HaCaT cells, an in vitro assay based on the intracellular transformation of the DCFH<sub>2</sub>-DA dye was used. The formation of ROS was induced by treating the cells with H<sub>2</sub>O<sub>2</sub>, and ascorbic acid (100 &#181;M) served as a positive control. The wine extract was applied in the dilution 1:10, 1:20, and 1:40 in growth medium without phenol red. The wine extract reduces intracellular ROS formation in a concentration-dependent manner, and the 1:10 dilution leads to a stronger reduction of ROS compared to ascorbic acid (<xref ref-type="fig" rid="fig4">Figure 4</xref>). The wine extract led to a reduction of free radicals by 49.35% &#177; 5.21% (1:10), 12.13% &#177; 4.39% (1:20), and 9.30% &#177; 2.82% (1:40), respectively.</p><p>The studies on the potential of the extract to inhibit the tissue-degrading enzyme elastase showed a concentration-dependent effect, too. Different dilutions of the wine extract led to an overall inhibition of elastase of up to 78.31% &#177; 2.51% (<xref ref-type="fig" rid="fig5">Figure 5</xref>). Further dilutions demonstrate inhibition of 62.74% &#177; 5.91% (5% extract), 45.34% &#177; 2.04% (2.5% extract), 23.33% &#177; 7.02% (0.625% extract), 19.64% &#177; 1.46% (0.3125% extract) and 16.84% &#177; 2.12% (0.15625% extract). The mean inhibitory concentration (IC<sub>50</sub>) with respect to the enzyme elastase was found at a wine extract concentration of 3.87% &#177; 1.37%. The included inhibitor elastinal indicates an inhibition of elastase of 57.22% &#177; 0.60%.</p></sec><sec id="s3_5"><title>3.5. Wine Extract Influences Lipase Activity</title><p>Studies on the modulation of the lipase enzyme activity showed an increase in enzymatic activity after incubation with the wine extract (<xref ref-type="fig" rid="fig6">Figure 6</xref>). The wine extract enhances the conversion of lipase up to 69.18% &#177; 6.57% (10% extract). This concentration-dependent effect decreases up to a lipase activity of 114.40% &#177; 1.09% with a concentration of 0.15628% wine extract. The included inhibitor orlistat showed the expected inhibition of lipase.</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>In the present work, the potential of a wine extract with a high content of polyphenols was investigated. Polyphenols occur in plants, especially in the peels of fruits and leaves, as metabolic products of secondary metabolism and contribute to their taste or appearance, e.g. as colorants, fragrances, or aromatic substances [<xref ref-type="bibr" rid="scirp.125663-ref25">25</xref>] . Since wine polyphenols have numerous beneficial properties and can act antimicrobial [<xref ref-type="bibr" rid="scirp.125663-ref26">26</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref27">27</xref>] , anti-inflammatory [<xref ref-type="bibr" rid="scirp.125663-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref29">29</xref>] , and antioxidant [<xref ref-type="bibr" rid="scirp.125663-ref30">30</xref>] , the potential of this wine extract for skin care was investigated. The main components of the evaluated wine extract are catechin, caffeoyl tartaric acid, procyanidin, gallic acid, epicatechin, resveratrol, and quercetins (<xref ref-type="table" rid="table1">Table 1</xref>). These ingredients have also been identified in other pomace, seed, or skin-based wine extracts [<xref ref-type="bibr" rid="scirp.125663-ref31">31</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref32">32</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref33">33</xref>] .</p><p>To examine a possible immunomodulatory effect of the extract, the release of the interleukins IL-6 and IL-8 was studied after stimulation with TNF-α at two time points. Both cytokines play a significant role in various inflammatory skin diseases such as psoriasis [<xref ref-type="bibr" rid="scirp.125663-ref34">34</xref>] or atopic dermatitis [<xref ref-type="bibr" rid="scirp.125663-ref35">35</xref>] and are pro-inflammatory interleukins that are additionally involved in wound healing [<xref ref-type="bibr" rid="scirp.125663-ref36">36</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref37">37</xref>] . The wine extract increased the release of IL-8 over the period of study, whereas IL-6 release was reduced after 48 h (<xref ref-type="fig" rid="fig2">Figure 2</xref>). The observed decrease in IL-6 release may be attributed to the containing resveratrol. Wang et al. [<xref ref-type="bibr" rid="scirp.125663-ref38">38</xref>] previously demonstrated that resveratrol reduces the secretion of interleukin-6 in HaCaT cells pre- and post-transcriptionally. In vivo, the application of this substance also significantly reduced IL-6 release in severe burns [<xref ref-type="bibr" rid="scirp.125663-ref39">39</xref>] . Additionally, several studies have reported that catechin [<xref ref-type="bibr" rid="scirp.125663-ref40">40</xref>] and procyanidin [<xref ref-type="bibr" rid="scirp.125663-ref41">41</xref>] , both components of the investigated wine extract, can reduce pro-inflammatory cytokines. The glucocorticoid hydrocortisone, an anti-inflammatory drug, reduced the release of IL-6 and IL-8 in HaCaT cells in our experiments, which is in accordance with other studies [<xref ref-type="bibr" rid="scirp.125663-ref42">42</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref43">43</xref>] .</p><p>The demonstrated, stimulating effect of the positive control EGF (<xref ref-type="fig" rid="fig3">Figure 3</xref>) on the proliferation of HaCaT cells is similar to the results of Liang et al. [<xref ref-type="bibr" rid="scirp.125663-ref44">44</xref>] . In their studies, higher EGF concentration (20 ng/mL) also led to increased HaCaT proliferation of approximately 200% after 48 h. No effect on cell proliferation was observed with the investigated wine extract. The contained phenolic acids, such as gallic acid, have already shown anti-proliferative effects in vitro, especially on cancer cells [<xref ref-type="bibr" rid="scirp.125663-ref45">45</xref>] . Similar effects are reported about resveratrol [<xref ref-type="bibr" rid="scirp.125663-ref46">46</xref>] , a reduced proliferation of cancer cells, and inhibition of the proliferation of human keratinocytes. Anti-proliferative properties of various wine extracts have already been demonstrated in vitro with different cell types [<xref ref-type="bibr" rid="scirp.125663-ref47">47</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref48">48</xref>] .</p><p>Screening of the antimicrobial and antimycotic properties of the wine extract revealed a strong reduction in the colony-forming units of microorganisms. The wine extract was effective against gram-positive and gram-negative bacteria, yeasts, and fungi (<xref ref-type="table" rid="table2">Table 2</xref>). These profound antimicrobial and antimycotic effects are caused by the ingredients catechin [<xref ref-type="bibr" rid="scirp.125663-ref49">49</xref>] , resveratrol [<xref ref-type="bibr" rid="scirp.125663-ref50">50</xref>] , quercetin [<xref ref-type="bibr" rid="scirp.125663-ref51">51</xref>] and caffeoyl tartaric acid [<xref ref-type="bibr" rid="scirp.125663-ref52">52</xref>] . Due to these properties, the wine extract could inhibit or prevent the growth and colonization of pathogenic microorganisms on the skin. Since these pathogens are frequently associated with inflammatory skin diseases [<xref ref-type="bibr" rid="scirp.125663-ref53">53</xref>] and chronic wound infections [<xref ref-type="bibr" rid="scirp.125663-ref54">54</xref>] , the use of wine extract may have a positive effect on microbiome balance.</p><p>To address the possible application of the wine extract in anti-aging products, two important components of skin aging, formation of reactive oxygen species and influence on the enzyme elastase, were investigated. Skin cells are permanently exposed to reactive oxygen species generated either by cell metabolism [<xref ref-type="bibr" rid="scirp.125663-ref55">55</xref>] or by external stimuli such as UV radiation [<xref ref-type="bibr" rid="scirp.125663-ref56">56</xref>] . If insufficient antioxidant substances are present in cells, excess reactive oxygen species due to oxidative stress [<xref ref-type="bibr" rid="scirp.125663-ref57">57</xref>] can activate signaling pathways of skin aging, trigger inflammation, or lead to apoptosis [<xref ref-type="bibr" rid="scirp.125663-ref58">58</xref>] . The investigated wine extract reduced ROS formation in a concentration-dependent manner (<xref ref-type="fig" rid="fig4">Figure 4</xref>). In fact, less ROS were produced compared to the well-known antioxidant ascorbic acid. This observation is particularly due to the substances resveratrol [<xref ref-type="bibr" rid="scirp.125663-ref59">59</xref>] , procyanidin [<xref ref-type="bibr" rid="scirp.125663-ref60">60</xref>] , and quercetin [<xref ref-type="bibr" rid="scirp.125663-ref61">61</xref>] . Studies by Perra et al. [<xref ref-type="bibr" rid="scirp.125663-ref32">32</xref>] and Maluf et al. [<xref ref-type="bibr" rid="scirp.125663-ref62">62</xref>] also demonstrated the antioxidant activity of various wine extracts in a fibroblast mouse cell line (3T3), in which similar ingredients were found.</p><p>In addition to ROS, the enzyme elastase is a major contributor to skin aging. This enzyme is responsible for the cleavage of elastin, an important protein in the extracellular matrix, that is essential for the firmness and elasticity of the skin [<xref ref-type="bibr" rid="scirp.125663-ref63">63</xref>] . We observed that our wine extract inhibited the activity of elastase in a concentration-dependent manner up to approximately 80% (<xref ref-type="fig" rid="fig5">Figure 5</xref>); this was confirmed by other studies on wine extracts [<xref ref-type="bibr" rid="scirp.125663-ref64">64</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref65">65</xref>] . These inhibitory properties can probably be attributed to the presence of quercetin and gallic acid. Moreira et al. [<xref ref-type="bibr" rid="scirp.125663-ref66">66</xref>] demonstrated in an elastase inhibition assay that the mixture of these two substances and ellagic acid leads to a concentration-dependent inhibition of elastase. These results, as well as the data obtained in our experiments, highlight the potential of our wine extract in terms of its use in anti-aging skin care.</p><p>Moreover, the influence of the wine extract on the enzyme lipase was investigated, too. A concentration-dependent increase in lipase activity was observed (<xref ref-type="fig" rid="fig6">Figure 6</xref>). Lipase is an important lipolytic enzyme that cleaves intracellular lipids into fatty acids and glycerol, resulting in free fatty acids that can be excreted by the cells [<xref ref-type="bibr" rid="scirp.125663-ref67">67</xref>] . Due to the strong increase of lipase activity by the wine extract, a positive effect on cellulite reduction is possible. Cellulite can be caused by various factors, but it has been found that inflammation of connective tissue is often present and there is an imbalance between lipolysis and lipogenesis in the adipocytes [<xref ref-type="bibr" rid="scirp.125663-ref68">68</xref>] . Consequently, the amount of triglycerides stored in adipocytes increases, causing them to become larger. By activating intracellular lipolysis, triglycerides could be discharged from the cells again, causing them to reduce in size and thus have a positive effect on cellulite.</p><p>This work has shown that the wine extract as a by-product of wine production has numerous positive properties that could be used, particularly in skin care, without time-consuming and cost-intensive processing steps, thus representing a very sustainable resource. Nevertheless, the next step should be to develop a suitable cosmetic formulation for dermal application and to verify the investigations by in vivo studies. It is important to note that the wine extract is a mixture of a variety of ingredients whose individual effects have not yet been fully elucidated to date. Therefore, it would be of particular interest to further analyze the mixture with regard to the individual components and their effects in future studies. However, synergistic effects cannot be ruled out either. For the subsequent use of the plant extract, the influences of the cultivation and the processing procedure should be considered, as these can significantly affect the polyphenol composition of the extract and thus the desired effects. Luță et al. [<xref ref-type="bibr" rid="scirp.125663-ref69">69</xref>] showed that the use of biofertilizers and phytosociological cultivation increased the polyphenol content in the leaves of peppermint and lemon balm and altered the content of the individual components, which ultimately changes the antioxidant potential of the extracts. It has also been shown in red wines that the different cultivation parameters have an impact on the total and individual polyphenol concentration, highlighting the need to take cultivation parameters into account when using plant extracts [<xref ref-type="bibr" rid="scirp.125663-ref70">70</xref>] .</p><p>To date, the potential use of wine extracts as ingredients for various applications has been the subject of numerous studies. In this context, different extracts have been investigated regarding partial aspects relevant to their use in skin care, such as antioxidant [<xref ref-type="bibr" rid="scirp.125663-ref33">33</xref>] and antibacterial [<xref ref-type="bibr" rid="scirp.125663-ref71">71</xref>] properties, as well as influencing the activity of various enzymes [<xref ref-type="bibr" rid="scirp.125663-ref64">64</xref>] [<xref ref-type="bibr" rid="scirp.125663-ref72">72</xref>] . These extracts were often obtained by further extractions and processing steps of seeds [<xref ref-type="bibr" rid="scirp.125663-ref31">31</xref>] , stems [<xref ref-type="bibr" rid="scirp.125663-ref64">64</xref>] or skins [<xref ref-type="bibr" rid="scirp.125663-ref32">32</xref>] . In our study, we have shown that the wine extract, a by-product of wine production, already possesses numerous beneficial properties that can be useful in skin care without extensive further processing of the wine pomace. This demonstrates the high economic and environmental efficiency when used in dermal formulations, for example. Furthermore, with our studies on dermal HaCaT cells, we present a holistic analysis of a wine extract highlighting many different aspects and properties, thus emphasizing the enormous benefits for skin care.</p></sec><sec id="s5"><title>5. Conclusion</title><p>This study demonstrates the potential of polyphenol-rich wine extract, a by-product of wine production, for use in skin care. Due to the positive influence of the investigated wine extract on elastase inhibition as well as the reduction of reactive oxygen species, it could prevent skin aging. Additionally, the wine extract has been shown to inhibit the growth of pathogenic organisms, potentially supporting a healthy skin microbiome. Furthermore, it was shown that the enzyme lipase is strongly affected by the investigated wine extract, hence lipolysis may be regulated.</p></sec><sec id="s6"><title>Acknowledgments</title><p>The authors would like to acknowledge the financial support by Gianni Lo Franco, Antonio Lo Franco and Bandino Lo Franco (Fattoria la Vialla, Italy; fattoria@lavialla.it) and the samples provided.</p></sec><sec id="s7"><title>Conflicts of Interest</title><p>The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results.</p></sec><sec id="s8"><title>Cite this paper</title><p>Sittek, L.-M., Schmidts, T.M. and Schlupp, P. (2023) Potential Application of a Wine Extract in Skin Care: How to Benefit from the Antibacterial, Antioxidant and Elastase Inhibiting Properties. Journal of Cosmetics, Dermatological Sciences and Applications, 13, 136-155. https://doi.org/10.4236/jcdsa.2023.132013</p></sec></body><back><ref-list><title>References</title><ref id="scirp.125663-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Goebeler, M. and Hamm, H. (2017) Basiswissen Dermatologie. Springer Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-52811-2</mixed-citation></ref><ref id="scirp.125663-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Fritsch, P. and Thomas, S. (2018) Dermatologie Venerologie. Springer, Berlin. https://doi.org/10.1007/978-3-662-53647-6</mixed-citation></ref><ref id="scirp.125663-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Worret, W.-I. (2004) Kosmetische Dermatologie. In: Fallstricke und Fehlerquellen in der Dermatologie, Springer, Vienna, 265-274. https://doi.org/10.1007/978-3-7091-0577-1_14</mixed-citation></ref><ref id="scirp.125663-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Salmon, J.K., Armstrong, C.A. and Ansel, J.C. (1994) The Skin as an Immune Organ. The Western Journal of Medicine, 160, 146-152.</mixed-citation></ref><ref id="scirp.125663-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Piktel, E., et al. (2019) Inhibition of Inflammatory Response in Human Keratinocytes by Magnetic Nanoparticles Functionalized with PBP10 Peptide Derived from the PIP2-Binding Site of Human Plasma Gelsolin. Journal of Nanobiotechnology, 17, Article No. 22. https://doi.org/10.1186/s12951-019-0455-5</mixed-citation></ref><ref id="scirp.125663-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Ghadially, R., Brown, B.E., Sequeira-Martin, S.M., Feingold, K.R. and Elias, P.M. (1995) The Aged Epidermal Permeability Barrier. Structural, Functional, and Lipid Biochemical Abnormalities in Humans and a Senescent Murine Model. The Journal of Clinical Investigation, 95, 2281-2290. https://doi.org/10.1172/JCI117919</mixed-citation></ref><ref id="scirp.125663-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Leyden, J.J. (1990) Clinical Features of Ageing Skin. British Journal of Dermatology, 122, 1-3. https://doi.org/10.1111/j.1365-2133.1990.tb16118.x</mixed-citation></ref><ref id="scirp.125663-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Braverman, I.M. and Fonferko, E. (1982) Studies in Cutaneous Aging: I. The Elastic Fiber Network. Journal of Investigative Dermatology, 78, 434-443. https://doi.org/10.1111/1523-1747.ep12507866</mixed-citation></ref><ref id="scirp.125663-ref9"><label>9</label><mixed-citation publication-type="book" xlink:type="simple">Thakur, R., Batheja, P., Kaushik, D. and Michniak, B. (2009) Chapter 4-Structural and Biochemical Changes in Aging Skin and Their Impact on Skin Permeability Barrier. In: Dayan, N., Ed., Skin Aging Handbook, Elsevier, Amsterdam, 55-90. https://doi.org/10.1016/B978-0-8155-1584-5.50008-9</mixed-citation></ref><ref id="scirp.125663-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Nagase, H., Visse, R. and Murphy, G. (2006) Structure and Function of Matrix Metalloproteinases and TIMPs. Cardiovascular Research, 69, 562-573. https://doi.org/10.1016/j.cardiores.2005.12.002</mixed-citation></ref><ref id="scirp.125663-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Sárdy, M. (2009) Role of Matrix Metalloproteinases in Skin Ageing. Connective Tissue Research, 50, 132-138. https://doi.org/10.1080/03008200802585622</mixed-citation></ref><ref id="scirp.125663-ref12"><label>12</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Bergfeld</surname><given-names> W.F. </given-names></name>,<etal>et al</etal>. (<year>1997</year>)<article-title>The Aging Skin</article-title><source> International Journal of Fertility and Women’s Medicine</source><volume> 42</volume>,<fpage> 57</fpage>-<lpage>66</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.125663-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Matsumura, Y. and Ananthaswamy, H.N. (2004) Toxic Effects of Ultraviolet Radiation on the Skin. Toxicology and Applied Pharmacology, 195, 298-308. https://doi.org/10.1016/j.taap.2003.08.019</mixed-citation></ref><ref id="scirp.125663-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Wurm, E.M.T., Longo, C., Curchin, C., Soyer, H.P., Prow, T.W. and Pellacani, G. (2012) In Vivo Assessment of Chronological Ageing and Photoageing in Forearm Skin Using Reflectance Confocal Microscopy. British Journal of Dermatology, 167, 270-279. https://doi.org/10.1111/j.1365-2133.2012.10943.x</mixed-citation></ref><ref id="scirp.125663-ref15"><label>15</label><mixed-citation publication-type="book" xlink:type="simple">de Jager, T.L., Cockrell, A.E. and Du Plessis, S.S. (2017) Ultraviolet Light Induced Generation of Reactive Oxygen Species. In: Ahmad, S., Ed., Ultraviolet Light in Human Health, Diseases and Environment, Advances in Experimental Medicine and Biology, Vol. 996, Springer, Cham, 15-23. https://doi.org/10.1007/978-3-319-56017-5_2</mixed-citation></ref><ref id="scirp.125663-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Yamamoto, Y. (2001) Role of Active Oxygen Species and Antioxidants in Photoaging. Journal of Dermatological Science, 27, 1-4. https://doi.org/10.1016/S0923-1811(01)00120-7</mixed-citation></ref><ref id="scirp.125663-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Bharadvaja, N., Gautam, S. and Singh, H. (2022) Natural Polyphenols: A Promising Bioactive Compounds for Skin Care and Cosmetics. Molecular Biology Reports, 50, 1817-1828. https://doi.org/10.1007/s11033-022-08156-9</mixed-citation></ref><ref id="scirp.125663-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Spinei, M. and Oroian, M. (2021) The Potential of Grape Pomace Varieties as a Dietary Source of Pectic Substances. Foods, 10, Article 867. https://doi.org/10.3390/foods10040867</mixed-citation></ref><ref id="scirp.125663-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Nigam, P.S.-N. and Pandey, A. (2009) Biotechnology for Agro-Industrial Residues Utilisation. Springer, Dordrecht.</mixed-citation></ref><ref id="scirp.125663-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Lee, S.Y., et al. (2010) Treatment of Phenol-Contaminated Soil by Corynebacterium Glutamicum and Toxicity Removal Evaluation. Journal of Hazardous Materials, 182, 937-940. https://doi.org/10.1016/j.jhazmat.2010.06.092</mixed-citation></ref><ref id="scirp.125663-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Kalli, E., Lappa, I., Bouchagier, P., Tarantilis, P.A. and Skotti, E. (2018) Novel Application and Industrial Exploitation of Winery By-Products. Bioresources and Bioprocessing, 5, Article No. 46. https://doi.org/10.1186/s40643-018-0232-6</mixed-citation></ref><ref id="scirp.125663-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Mosmann, T. (1983) Rapid Colorimetric Assay for Cellular Growth and Survival: Application to Proliferation and Cytotoxicity Assays. Journal of Immunological Methods, 65, 55-63. https://doi.org/10.1016/0022-1759(83)90303-4</mixed-citation></ref><ref id="scirp.125663-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">International Organization for Standardization (2019) DIN EN ISO 11930 Cosmetics-Microbiology-Evaluation of the Antimicrobial Protection of a Cosmetic Product (ISO/DIS 11930:2019) Beuth, Berlin.</mixed-citation></ref><ref id="scirp.125663-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Bieth, J., Spiess, B. and Wermuth, C.G. (1974) The Synthesis and Analytical Use of a Highly Sensitive and Convenient Substrate of Elastase. Biochemical Medicine, 11, 350-357. https://doi.org/10.1016/0006-2944(74)90134-3</mixed-citation></ref><ref id="scirp.125663-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Ferrazzano, G.F., Amato, I., Ingenito, A., Zarrelli, A., Pinto, G. and Pollio, A. (2011) Plant Polyphenols and Their Anti-Cariogenic Properties: A Review. Molecules, 16, 1486-1507. https://doi.org/10.3390/molecules16021486</mixed-citation></ref><ref id="scirp.125663-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Daglia, M., et al. (2007) Antibacterial Activity of Red and White Wine against Oral Streptococci. Journal of Agricultural and Food Chemistry, 55, 5038-5042. https://doi.org/10.1021/jf070352q</mixed-citation></ref><ref id="scirp.125663-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Papadopoulou, C., Soulti, K. and Roussis, I.G. (2005) Potential Antimicrobial Activity of Red and White Wine Phenolic Extracts against Strains of Staphylococcus aureus, Escherichia coli and Candida albicans. Food Technology and Biotechnology, 43, 41-46.</mixed-citation></ref><ref id="scirp.125663-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Castilla, P., et al. (2006) Concentrated Red Grape Juice Exerts Antioxidant, Hypolipidemic and Antiinflammatory Effects in both Hemodialysis Patients and Healthy Subjects. The American Journal of Clinical Nutrition, 84, 252-262. https://doi.org/10.1093/ajcn/84.1.252</mixed-citation></ref><ref id="scirp.125663-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Chacón, M.R., et al. (2009) Grape-Seed Procyanidins Modulate Inflammation on Human Differentiated Adipocytes in Vitro. Cytokine, 47, 137-142. https://doi.org/10.1016/j.cyto.2009.06.001</mixed-citation></ref><ref id="scirp.125663-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Rubilar, M., Pinelo, M., Shene, C., Sineiro, J. and Nu&amp;#241;ez, M.J. (2007) Separation and HPLC-MS Identification of Phenolic Antioxidants from Agricultural Residues: Almond Hulls and Grape Pomace. Journal of Agricultural and Food Chemistry, 55, 10101-10109. https://doi.org/10.1021/jf0721996</mixed-citation></ref><ref id="scirp.125663-ref31"><label>31</label><mixed-citation publication-type="other" xlink:type="simple">Rafique, M., et al. (2021) Development of Grape Seed Extract Based Formulations by Using Non-Invasive Biophysical Technique and Its Impact on Skin Aging. Pakistan Journal of Pharmaceutical Sciences, 34, 1621-1628.</mixed-citation></ref><ref id="scirp.125663-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">Perra, M., et al. (2021) Extraction of the Antioxidant Phytocomplex from Wine-Making by-Products and Sustainable Loading in Phospholipid Vesicles Specifically Tailored for skin Protection. Biomedicine &amp; Pharmacotherapy, 142, Article ID: 111959. https://doi.org/10.1016/j.biopha.2021.111959</mixed-citation></ref><ref id="scirp.125663-ref33"><label>33</label><mixed-citation publication-type="other" xlink:type="simple">Emmulo, E., Ceccantoni, B., Bellincontro, A, and Mencarelli, F. (2021) Use of Water and Ethanol Extracts from Wine Grape Seed Pomace to Prepare an Antioxidant Toothpaste. Journal of the Science of Food and Agriculture, 101, 5813-5818. https://doi.org/10.1002/jsfa.11232</mixed-citation></ref><ref id="scirp.125663-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">Arican, O., Aral, M., Sasmaz, S. and Ciragil, P. (2005) Serum Levels of TNF-α, IFN-γ, IL-6, IL-8, IL-12, IL-17 and IL-18 in Patients with Active Psoriasis and Correlation with Disease Severity. Mediators of inflammation, 2005, Article ID: 201561. https://doi.org/10.1155/MI.2005.273</mixed-citation></ref><ref id="scirp.125663-ref35"><label>35</label><mixed-citation publication-type="other" xlink:type="simple">Kimata, H. and Lindley, I. (1994) Detection of Plasma Interleukin-8 in Atopic Dermatitis. Archives of Disease in Childhood, 70, 119-122. https://doi.org/10.1136/adc.70.2.119</mixed-citation></ref><ref id="scirp.125663-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">Johnson, B.Z., Stevenson, A.W., Prêle, C.M., Fear, M.W. and Wood, F.M. (2020) The Role of IL-6 in Skin Fibrosis and Cutaneous Wound Healing. Biomedicines, 8, Article 101. https://doi.org/10.3390/biomedicines8050101</mixed-citation></ref><ref id="scirp.125663-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">Engelhardt, E., Toksoy, A., Goebeler, M., Debus, S., Br&amp;#246;cker, E.-B. and Gillitzer, R. (1998) Chemokines IL-8, GROα, MCP-1, IP-10 and Mig Are Sequentially and Differentially Expressed During Phase-Specific Infiltration of Leukocyte Subsets in Human Wound Healing. The American Journal of Pathology, 153, 1849-1860. https://doi.org/10.1016/S0002-9440(10)65699-4</mixed-citation></ref><ref id="scirp.125663-ref38"><label>38</label><mixed-citation publication-type="other" xlink:type="simple">Wang, X. and Zhang, Y. (2018) Resveratrol Alleviates LPS-Induced Injury in Human Keratinocyte Cell Line HaCaT by Up-Regulation of miR-17. Biochemical and Biophysical Research Communications, 501, 106-112. https://doi.org/10.1016/j.bbrc.2018.04.184</mixed-citation></ref><ref id="scirp.125663-ref39"><label>39</label><mixed-citation publication-type="other" xlink:type="simple">Tao, K., et al. (2015) Effects of Resveratrol on the Treatment of Inflammatory Response Induced by Severe Burn. Inflammation, 38, 1273-1280. https://doi.org/10.1007/s10753-014-0097-6</mixed-citation></ref><ref id="scirp.125663-ref40"><label>40</label><mixed-citation publication-type="other" xlink:type="simple">Nakanishi, T., Mukai, K., Yumoto, H., Hirao, K., Hosokawa, Y. and Matsuo, T. (2010) Anti-Inflammatory Effect of Catechin on Cultured Human Dental Pulp Cells Affected by Bacteria-Derived Factors. European Journal of Oral Sciences, 118, 145-150. https://doi.org/10.1111/j.1600-0722.2010.00714.x</mixed-citation></ref><ref id="scirp.125663-ref41"><label>41</label><mixed-citation publication-type="other" xlink:type="simple">Terra, X., et al. (2009) Grape-Seed Procyanidins Prevent Low-Grade Inflammation by Modulating Cytokine Expression in Rats Fed a High-Fat Diet. The Journal of Nutritional Biochemistry, 20, 210-218. https://doi.org/10.1016/j.jnutbio.2008.02.005</mixed-citation></ref><ref id="scirp.125663-ref42"><label>42</label><mixed-citation publication-type="other" xlink:type="simple">Kong, L., et al. (2015) Icariin Inhibits TNF-α/IFN-γ Induced Inflammatory Response via Inhibition of the Substance P and p38-MAPK Signaling Pathway in Human Keratinocytes. International Immunopharmacology, 29, 401-407. https://doi.org/10.1016/j.intimp.2015.10.023</mixed-citation></ref><ref id="scirp.125663-ref43"><label>43</label><mixed-citation publication-type="other" xlink:type="simple">W&amp;#246;lfle, U., Hoffmann, J., Haarhaus, B., Mittapalli, R.V. and Schempp, C.M. (2017) Anti-Inflammatory and Vasoconstrictive Properties of Potentilla Erecta—A Traditional Medicinal Plant from the Northern Hemisphere. Journal of Ethnopharmacology, 204, 86-94. https://doi.org/10.1016/j.jep.2017.03.058</mixed-citation></ref><ref id="scirp.125663-ref44"><label>44</label><mixed-citation publication-type="other" xlink:type="simple">Liang, P., et al. (2008) The Role of Peroxisome Proliferator-Activated Receptor-β/δ in Epidermal Growth Factor-Induced HaCaT Cell Proliferation. Experimental Cell Research, 314, 3142-3151. https://doi.org/10.1016/j.yexcr.2008.06.013</mixed-citation></ref><ref id="scirp.125663-ref45"><label>45</label><mixed-citation publication-type="other" xlink:type="simple">Kampa, M., et al. (2004) Antiproliferative and Apoptotic Effects of Selective Phenolic Acids on T47D Human Breast Cancer Cells: Potential Mechanisms of Action. Breast Cancer Research, 6, Article No. R63. https://doi.org/10.1186/bcr752</mixed-citation></ref><ref id="scirp.125663-ref46"><label>46</label><mixed-citation publication-type="other" xlink:type="simple">Holian, O. and Walter, R. (2001) Resveratrol Inhibits the Proliferation of Normal Human Keratinocytes in Vitro. Journal of Cellular Biochemistry, 81, 55-62. https://doi.org/10.1002/jcb.1085</mixed-citation></ref><ref id="scirp.125663-ref47"><label>47</label><mixed-citation publication-type="other" xlink:type="simple">Tenta, R., et al. (2017) Antiproliferative Effects of Red and White Wine Extracts in PC-3 Prostate Cancer Cells. Nutrition and Cancer, 69, 952-961. https://doi.org/10.1080/01635581.2017.1340489</mixed-citation></ref><ref id="scirp.125663-ref48"><label>48</label><mixed-citation publication-type="other" xlink:type="simple">Matito, C., Mastorakou, F., Centelles, J.J., Torres, J.L. and Cascante, M. (2003) Antiproliferative Effect of Antioxidant Polyphenols from Grape in Murine Hepa-1c1c7. European Journal of Nutrition, 42, 43-49. https://doi.org/10.1007/s00394-003-0398-2</mixed-citation></ref><ref id="scirp.125663-ref49"><label>49</label><mixed-citation publication-type="other" xlink:type="simple">Veluri, R., Weir, T.L., Bais, H.P., Stermitz, F.R. and Vivanco, J.M. (2004) Phytotoxic and Antimicrobial Activities of Catechin Derivatives. Journal of Agricultural and Food Chemistry, 52, 1077-1082. https://doi.org/10.1021/jf030653+</mixed-citation></ref><ref id="scirp.125663-ref50"><label>50</label><mixed-citation publication-type="other" xlink:type="simple">Paulo, L., Ferreira, S., Gallardo, E., Queiroz, J.A. and Domingues, F. (2010) Antimicrobial Activity and Effects of Resveratrol on Human Pathogenic Bacteria. World Journal of Microbiology and Biotechnology, 26, 1533-1538. https://doi.org/10.1007/s11274-010-0325-7</mixed-citation></ref><ref id="scirp.125663-ref51"><label>51</label><mixed-citation publication-type="other" xlink:type="simple">Oliveira, V.M., et al. (2016) Quercetin and Rutin as Potential Agents Antifungal against Cryptococcus Spp. Brazilian Journal of Biology, 76, 1029-1034. https://doi.org/10.1590/1519-6984.07415</mixed-citation></ref><ref id="scirp.125663-ref52"><label>52</label><mixed-citation publication-type="other" xlink:type="simple">Ravn, H., Andary, C., Kovács, G. and M&amp;#248;lgaard, P. (1989) Caffeic Acid Esters as in Vitro Inhibitors of Plant Pathogenic Bacteria and Fungi. Biochemical Systematics and Ecology, 17, 175-184. https://doi.org/10.1016/0305-1978(89)90076-8</mixed-citation></ref><ref id="scirp.125663-ref53"><label>53</label><mixed-citation publication-type="other" xlink:type="simple">Ruocco, E., Donnarumma, G., Baroni, A. and Tufano, M.A. (2007) Bacterial and Viral Skin Diseases. Dermatologic Clinics, 25, 663-676. https://doi.org/10.1016/j.det.2007.06.008</mixed-citation></ref><ref id="scirp.125663-ref54"><label>54</label><mixed-citation publication-type="other" xlink:type="simple">Gj&amp;#248;dsb&amp;#248;l, K., Christensen, J.J., Karlsmark, T., J&amp;#248;rgensen, B., Klein, B.M. and Krogfelt, K.A. (2006) Multiple Bacterial Species Reside in Chronic Wounds: A Longitudinal Study. International Wound Journal, 3, 225-231. https://doi.org/10.1111/j.1742-481X.2006.00159.x</mixed-citation></ref><ref id="scirp.125663-ref55"><label>55</label><mixed-citation publication-type="other" xlink:type="simple">Polj&amp;#248;ak, B., Dahmane, R.G. and Godi&amp;#263;, A. (2012) Intrinsic Skin Aging: The Role of Oxidative Stress. Acta Dermatovenerologica Alpina Pannonica et Adriatica, 21, 33-36.</mixed-citation></ref><ref id="scirp.125663-ref56"><label>56</label><mixed-citation publication-type="other" xlink:type="simple">Masaki, H., Atsumi, T. and Sakurai, H. (1995) Detection of Hydrogen Peroxide and Hydroxyl Radicals in Murine Skin Fibroblasts under UVB Irradiation. Biochemical and Biophysical Research Communications, 206, 474-479. https://doi.org/10.1006/bbrc.1995.1067</mixed-citation></ref><ref id="scirp.125663-ref57"><label>57</label><mixed-citation publication-type="other" xlink:type="simple">Kim, M.-J., et al. (2014) Anti-Photoaging Effect of Aaptamine in UVB-Irradiated Human Dermal Fibroblasts and Epidermal Keratinocytes. Journal of Asian Natural Products Research, 16, 1139-1147. https://doi.org/10.1080/10286020.2014.983092</mixed-citation></ref><ref id="scirp.125663-ref58"><label>58</label><mixed-citation publication-type="other" xlink:type="simple">Redza-Dutordoir, M. and Averill-Bates, D.A. (2016) Activation of Apoptosis Signalling Pathways by Reactive Oxygen Species. Biochimica et Biophysica Acta (BBA)-Molecular Cell Research, 1863, 2977-2992. https://doi.org/10.1016/j.bbamcr.2016.09.012</mixed-citation></ref><ref id="scirp.125663-ref59"><label>59</label><mixed-citation publication-type="other" xlink:type="simple">Jagdeo, J., et al. (2010) Dose-Dependent Antioxidant Function of Resveratrol Demonstrated via Modulation of Reactive Oxygen Species in Normal Human Skin Fibroblasts In Vitro. JDD: Journal of Drugs in Dermatology, 9, 1523-1526.</mixed-citation></ref><ref id="scirp.125663-ref60"><label>60</label><mixed-citation publication-type="other" xlink:type="simple">Chen, L., et al. (2018) The Antioxidant Procyanidin Reduces Reactive Oxygen Species Signaling in Macrophages and Ameliorates Experimental Colitis in Mice. Frontiers in Immunology, 8, Article 1910. https://doi.org/10.3389/fimmu.2017.01910</mixed-citation></ref><ref id="scirp.125663-ref61"><label>61</label><mixed-citation publication-type="other" xlink:type="simple">Kim, G.-N. and Jang, H.-D. (2009) Protective Mechanism of Quercetin and Rutin Using Glutathione Metabolism on H2O2-Induced Oxidative Stress in HepG2 Cells. Annals of the New York Academy of Sciences, 1171, 530-537. https://doi.org/10.1111/j.1749-6632.2009.04690.x</mixed-citation></ref><ref id="scirp.125663-ref62"><label>62</label><mixed-citation publication-type="other" xlink:type="simple">Maluf, D.F., et al. (2018) Cytoprotection of Antioxidant Biocompounds from Grape Pomace: Further Exfoliant Phytoactive Ingredients for Cosmetic Products. Cosmetics, 5, Article 46. https://doi.org/10.3390/cosmetics5030046</mixed-citation></ref><ref id="scirp.125663-ref63"><label>63</label><mixed-citation publication-type="other" xlink:type="simple">Azmi, N., Hashim, P., Hashim, D.M., Halimoon, N. and Majid, N.M.N. (2014) Anti-Elastase, Anti-Tyrosinase and Matrix Metalloproteinase-1 Inhibitory Activity of Earthworm Extracts as Potential New Anti-Aging Agent. Asian Pacific Journal of Tropical Biomedicine, 4, S348-S352. https://doi.org/10.12980/APJTB.4.2014C1166</mixed-citation></ref><ref id="scirp.125663-ref64"><label>64</label><mixed-citation publication-type="other" xlink:type="simple">Leal, C., et al. (2020) Potential Application of Grape (Vitis vinifera L.) Stem Extracts in the Cosmetic and Pharmaceutical Industries: Valorization of a By-Product. Industrial Crops and Products, 154, Article ID: 112675. https://doi.org/10.1016/j.indcrop.2020.112675</mixed-citation></ref><ref id="scirp.125663-ref65"><label>65</label><mixed-citation publication-type="other" xlink:type="simple">Wittenauer, J., et al. (2015) Inhibitory Effects of Polyphenols from Grape Pomace Extract on Collagenase and Elastase Activity. Fitoterapia, 101, 179-187. https://doi.org/10.1016/j.fitote.2015.01.005</mixed-citation></ref><ref id="scirp.125663-ref66"><label>66</label><mixed-citation publication-type="other" xlink:type="simple">Moreira, L.C., et al. (2017) In Vitro Safety and Efficacy Evaluations of a Complex Botanical Mixture of Eugenia dysenterica DC. (Myrtaceae): Prospects for Developing a New Dermocosmetic Product. Toxicology in Vitro, 45, 397-408. https://doi.org/10.1016/j.tiv.2017.04.002</mixed-citation></ref><ref id="scirp.125663-ref67"><label>67</label><mixed-citation publication-type="other" xlink:type="simple">Papackova, Z. and Cahova, M. (2015) Fatty Acid Signaling: The New Function of Intracellular Lipases. International Journal of Molecular Sciences, 16, 3831-3855. https://doi.org/10.3390/ijms16023831</mixed-citation></ref><ref id="scirp.125663-ref68"><label>68</label><mixed-citation publication-type="other" xlink:type="simple">Khan, M.H., et al. (2010) Treatment of Cellulite: Part I. Pathophysiology. Journal of the American Academy of Dermatology, 62, 361-370. https://doi.org/10.1016/j.jaad.2009.10.042</mixed-citation></ref><ref id="scirp.125663-ref69"><label>69</label><mixed-citation publication-type="other" xlink:type="simple">Lu&amp;#539;&amp;#259;, E.A., et al. (2022) The Influence of Phytosociological Cultivation and Fertilization on Polyphenolic Content of Menthae and Melissae folium and Evaluation of Antioxidant Properties through in Vitro and in Silico Methods. Plants, 11, Article 2398. https://doi.org/10.3390/plants11182398</mixed-citation></ref><ref id="scirp.125663-ref70"><label>70</label><mixed-citation publication-type="other" xlink:type="simple">Artem, V., Antoce, A.O., Geana, E.-I. and Ionete, R.E. (2022) Study of the Impact of Vine Cultivation Technology on the Feteasca Neagra Wine Phenolic Composition and Antioxidant Properties. Journal of Food Science and Technology, 59, 1715-1726. https://doi.org/10.1007/s13197-021-05182-6</mixed-citation></ref><ref id="scirp.125663-ref71"><label>71</label><mixed-citation publication-type="other" xlink:type="simple">Tseng, A. and Zhao, Y. (2012) Effect of Different Drying Methods and Storage Time on the Retention of Bioactive Compounds and Antibacterial Activity of Wine Grape Pomace (Pinot Noir and Merlot). Journal of Food Science, 77, H192-H201. https://doi.org/10.1111/j.1750-3841.2012.02840.x</mixed-citation></ref><ref id="scirp.125663-ref72"><label>72</label><mixed-citation publication-type="other" xlink:type="simple">Manca, M.L., et al. (2019) Phytocomplexes Extracted from Grape Seeds and Stalks Delivered in Phospholipid Vesicles Tailored for the Treatment of Skin Damages. Industrial Crops and Products, 128, 471-478. https://doi.org/10.1016/j.indcrop.2018.11.052</mixed-citation></ref></ref-list></back></article>