<?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.2019.92016</article-id><article-id pub-id-type="publisher-id">JCDSA-92972</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>
 
 
  Birch Sap (&lt;i&gt;Betula alba&lt;/i&gt;) and Chaga Mushroom (&lt;i&gt;Inonotus obliquus&lt;/i&gt;) Extracts Show Anti-Oxidant, Anti-Inflammatory and DNA Protection/Repair Activity &lt;i&gt;In Vitro&lt;/i&gt;
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mohamed</surname><given-names>Softa</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>Giuseppe</surname><given-names>Percoco</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Elian</surname><given-names>Lati</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Pauline</surname><given-names>Bony</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>BIO-EC Laboratory, Longjumeau, France</addr-line></aff><aff id="aff1"><addr-line>INDERMA Dermatological Laboratory, Ivry sur Seine, France</addr-line></aff><pub-date pub-type="epub"><day>04</day><month>04</month><year>2019</year></pub-date><volume>09</volume><issue>02</issue><fpage>188</fpage><lpage>205</lpage><history><date date-type="received"><day>29,</day>	<month>April</month>	<year>2019</year></date><date date-type="rev-recd"><day>9,</day>	<month>June</month>	<year>2019</year>	</date><date date-type="accepted"><day>12,</day>	<month>June</month>	<year>2019</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>
 
 
  OBJECTIVE: The skin interacts strictly with the surrounding environment. Despite an efficient system of protection, its integrity is continuously assaulted by a massive group of external stresses. UV irradiations represent one of the most harmful factors for the cutaneous tissue. Both UV-A and UV-B can induce deep modifications of the different layers of the skin, including a weakening of its barrier function properties, DNA damages and degradation of the extracellular matrix. The aim of this project was to assess the UV protection activity of two natural compounds, the birch sap from Betula alba and organic extract from Inonotus obliquus (chaga mushroom) used separately or in a complex.
   METHODS: The anti-oxidant (ROS and MDA quantification, catalase and SOD activity measurement), anti-inflammatory (IL-1β, IL-6, IL-8, IL-10, TNF-α and INF-γ dosages) and the DNA protection/repair activities (DNA lesion site analysis) of birch sap and chaga mushroom extracts tested separately or in a complex containing organic birch sap 5% and Inonotus obliquus extracts 2% were evaluated in vitro after exposure of cultured keratinocytes and fibroblasts or reconstructed epidermis to UV-A/UV-B irradiations. 
  RESULTS: We observed that birch sap from Betula alba and extracts from Inonotus obliquus prevent the formation of ROS and decrease the oxidative stress induced under UV irradiations, suggesting a strong anti-oxidant activity. In addition, the tested products showed an immunomodulatory effect by reducing the quantity of pro-inflammatory cytokines upon UV irradiations. UV-induced DNA damages of keratinocytes were also reduced by birch sap and chaga mushroom extracts. 
  CONCLUSION: Here, for the first time, we have shown the photo-protection activity of extracts obtained from Betula alba and Inonotus obliquus mushroom on skin cells exposed to UV-A and UV-B irradiations. Due to their anti-oxidant, anti-inflammatory and DNA protection/repair activities, the tested products represent promising candidates in the development of cosmetic products with anti-photo-aging activity.
 
</p></abstract><kwd-group><kwd>Birch Sap</kwd><kwd> Chaga Mushroom</kwd><kwd> UV Irradiations</kwd><kwd> Oxidative Stress</kwd><kwd>  Photo-Aging</kwd><kwd> Natural Compounds</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>The skin is an indispensable biological barrier, providing an efficient line of defence against the continuous assaults of the external environment such as air pollutions, pathogenic microorganisms and ultraviolet (UV) irradiations.</p><p>UV irradiations represent one of the most hazardous environmental factors for human skin. Based on their wavelength, they can be classified as UV-A (315 - 400 nm), UV-B (280 - 315 nm) and UV-C (100 - 280 nm).</p><p>The ambient sunlight is composed mainly by UV-A (90% - 95%) and UV-B (5% - 10%), while UV-C cannot reach the Earth’s surface due to the absorbing properties of ozone layer.</p><p>Since UV penetration in the skin depends strictly on their wavelength [<xref ref-type="bibr" rid="scirp.92972-ref1">1</xref>] , UV-A penetrate profoundly into the dermis, reaching the upper reticular dermis. Nevertheless, they can react also with both stratum corneum and epidermis. Inversely UV-B are absorbed mainly by the different layers of the epidermis, where they trigger a cell damage response.</p><p>UV-A are commonly associated with the induction of oxidative stress in the different cutaneous compartments through the induction of reactive oxygen species (ROS) such as superoxide anion, hydrogen peroxide and singlet oxygen.</p><p>ROS can react easily with nucleotides, causing DNA mutations. One of the most common ROS-induced DNA damages is the formation of 8-hydroxy-2'-deoxyguanine (8-OHdG), which consists in the oxidation of guanine at the 8<sup>th</sup> position [<xref ref-type="bibr" rid="scirp.92972-ref2">2</xref>] leading to the guanine to thymidine transversion.</p><p>On the contrary, UV-B show a direct genotoxic effect since they are strongly absorbed by the DNA. Consequently, several photo-lesions can be induced upon UV-B exposure including cyclobutane pyrimidine dimers or pyrimidone photoproducts [<xref ref-type="bibr" rid="scirp.92972-ref3">3</xref>] .</p><p>The deleterious effects of both UV-A and UV-B on skin barrier properties have also been demonstrated.</p><p>As previously described, UV-A irradiations reduce the level of skin anti-oxidants, such as vitamin E in the stratum corneum [<xref ref-type="bibr" rid="scirp.92972-ref4">4</xref>] , induce lipid peroxidation [<xref ref-type="bibr" rid="scirp.92972-ref5">5</xref>] and decrease the activity of enzymes with anti-oxidant functions such as catalase and superoxide dismutase (SOD), affecting the protective role and the anti-oxidant properties of the whole skin tissue [<xref ref-type="bibr" rid="scirp.92972-ref6">6</xref>] .</p><p>In parallel UV-B cause abnormalities in lamellar body secretion [<xref ref-type="bibr" rid="scirp.92972-ref7">7</xref>] and in lipid cohesion [<xref ref-type="bibr" rid="scirp.92972-ref8">8</xref>] resulting in altered skin barrier functions. In addition, like UV-A irradiation, UV-B are also able to decrease the activity of enzymes with anti-oxidant roles [<xref ref-type="bibr" rid="scirp.92972-ref9">9</xref>] .</p><p>More recently, thanks to the development of methods allowing the simultaneous monitoring of a wide number of genes, the impact of UV-A and UV-B on the skin transcriptome has also been characterized.</p><p>As well described by Zheng and collaborators [<xref ref-type="bibr" rid="scirp.92972-ref10">10</xref>] , repetitive exposure of dermal fibroblasts to UV-A induces the modulation of 607 genes, with 238 up-regulated and 369 down-regulated genes. In particular, the expression of genes encoding for structural proteins of the extracellular matrix, including elastin, was decreased. Interestingly, the expression of SPRY1 was significantly induced upon UV-A irradiation. SPRY1 encodes for a protein, named sprouty, involved in cell signalling and able to induce the expression of proteins playing a key role in degradation of extracellular matrix, including matrix metalloproteins (MMPs) [<xref ref-type="bibr" rid="scirp.92972-ref11">11</xref>] .</p><p>As expected, these data converge with the largely described mechanism of skin photo-aging [<xref ref-type="bibr" rid="scirp.92972-ref12">12</xref>] , giving new insights in the cellular process leading to structural and physiological changes of the whole cutaneous tissue.</p><p>In a previous work, the team of Li and collaborators [<xref ref-type="bibr" rid="scirp.92972-ref13">13</xref>] have analysed the impact of acute UV-B irradiations on the transcriptome of epidermal keratinocytes in vitro. Following UV-B exposure, 198 genes were differentially regulated in a time-dependent manner. More specifically, three waves of time points were observed: an early (0.5 to 2 hours), an intermediate (4 to 8 hours) and a late (16 to 24 hours) point of regulation. In addition, seven main categories of genes were modulated upon UV-B irradiation including genes encoding for proteins involved in DNA protection and repair such as gadd 45, cyclin G1, and BTG2, genes encoding for signal transducers and transcriptional factors like junB, junD, c-fos and ETR101 and genes encoding for chemokines, cytokines and growth factors. In particular, five members of CXCL8 chemokine family were induced, including interleukin-8 (IL-8).</p><p>Overall, UV-B are able to induce the over-expression of other class of cytokines with anti-inflammatory activity, including IL-1, IL-6 and tumor necrosis factor-(TNF)-α [<xref ref-type="bibr" rid="scirp.92972-ref14">14</xref>] .</p><p>Due to the multiple deleterious effects of both UV-A and UV-B irradiations on skin biology and physiology, the development of active ingredients and end-products with an efficient activity against UV exposure remains a current concern of the cosmetic industry.</p><p>The mushroom Inonotus obliquus (IO), also commonly called Chaga, is a parasitic fungus growing on trees such as birches and is used in several folk medicines. The pharmacology of Chaga mushroom extract has been studied for its antioxidant activity as free radicals scavenger on human keratinocytes [<xref ref-type="bibr" rid="scirp.92972-ref15">15</xref>] , antiviral activity against hepatitis C virus [<xref ref-type="bibr" rid="scirp.92972-ref16">16</xref>] , and more recently for its cytotoxicity activity on cancerous cells [<xref ref-type="bibr" rid="scirp.92972-ref17">17</xref>] . In the dermocosmetic field, Inonotus obliquus extract has shown anti-aging [<xref ref-type="bibr" rid="scirp.92972-ref18">18</xref>] and anti-melanogenic effects that are of interest for the treatment of hyperpigmentation [<xref ref-type="bibr" rid="scirp.92972-ref19">19</xref>] .</p><p>Birch sap (BS) has a broad ethnobotanical use and is consumed as a simple beverage because of the richness of its composition (organic acids, vitamins, carbohydrates, and mineral substances) offering wide benefits in medicine and cosmetic [<xref ref-type="bibr" rid="scirp.92972-ref20">20</xref>] [<xref ref-type="bibr" rid="scirp.92972-ref21">21</xref>] . However, very little is known and published about the biological properties of Betula alba (white birch) sap on skin cells.</p><p>Recently, the use of molecules of plant and marine origin in cosmetic products targeted against the damages caused by UV irradiation increased considerably [<xref ref-type="bibr" rid="scirp.92972-ref22">22</xref>] .</p><p>The aim of the present work was to assess the skin protective effects against UV irradiations of the two natural compounds, the aqueous organic extract from Inonotus obliquus and the birch sap collected from Betula alba. Given the relevant properties of the two compounds used separately it was of great interest to study the combined biological properties of these two compounds in a complex composed by 5% of organic birch sap and 2% of chaga mushroom extracts. Unexpectedly, the complex revealed to have increased protective and repairing activities on several skin cells models.</p></sec><sec id="s2"><title>2. Experimental Procedure</title><sec id="s2_1"><title>2.1. Complex Manufacturing Process</title><p>Birch sap has been harvested in Cantal and Puy-de-D&#244;me, in the heart of the Volcansd’ Auvergne Regional Nature Park. It was collected in the spring, every morning, by light excision of the tree.</p><p>Organic Inonotus obliquus has been also harvested in the region of Auvergne in the department of Cantal and Puy de Dome directly on the birch tree.</p><p>Aqueous concentrated cryoextract of organic Inonotus obliquus was obtained by cryo-grinding followed by aqueous extraction and clarification.</p><p>For both extracts, citric acid and preservatives were added before decontamination by filtration (0.2 &#181;m) and the final complex described in this study was composed of organic birch sap 5% and Inonotus obliquus 2%.</p></sec><sec id="s2_2"><title>2.2. Cell Isolation and Culture</title><p>Keratinocytes were isolated from foreskin of a two-year-old Caucasian boy obtained by surgery. Cell viability was estimated about 96% with a doubling time of 28 hours. The following study was performed on cells grown in a 6-well plates, with 2.10<sup>6</sup> cells per well. Cells were grown in a keratinocyte medium supplemented with 0.4% bovine pituitary extract, 0.125 ng/mL human recombinant epithelial growth factor, 5 &#181;g/mL insulin, 0.33 &#181;g/mL hydrocortisone, 10 &#181;g/mL human transferrin, 0.39 &#181;g/mL epinephrine and 0.15 mM calcium chloride.</p><p>Foreskin fibroblasts were obtained after routine circumcision and grown in RPMI 1640 medium (Gibco&#174;-Thermo Fisher Scientific, Les Ulis, France) supplemented with Foetal Bovine serum (FBS), L-Glutamine and Gentamicine. Fibroblasts were used exclusively between the 2<sup>nd</sup> and 4<sup>th</sup> passages.</p><p>For keratinocytes/fibroblasts co-culture, cells were grown in KGM2 medium (Clonetics<sup>tm</sup>-Thermo Fisher Scientific, Les Ulis, France).</p></sec><sec id="s2_3"><title>2.3. Reconstructed Human Epidermis</title><p>Human epidermis was reconstituted using the CellSystem&#174; model (CellSystem&#174;, Troisdorf, Germany). Briefly, human keratinocytes were grown on 0.5 cm<sup>2</sup> polycarbonate filters in a modified MCDB 153 medium (Sigma Aldrich, Saint-Quentin Fallavier, France). Cells were grown for 14 days at the air-liquid interface and growth medium was changed every other day. Epidermis were used after 17 days of culture.</p></sec><sec id="s2_4"><title>2.4. Cell Viability Assay</title><p>The cytotoxicity of each complex was assessed using the colorimetric MTT [3-(4,5-Dimethylthiazol-2-Yl)-2,5-Diphenyltetrazolium Bromide] assay (Abcam, Cambridge, USA). Reconstructed epidermis treated for 24 hours with the different tested products were incubated for 3 hours at 37˚C with the MTT reagent (<xref ref-type="fig" rid="fig">Figure </xref>S1). Dimethyl sulfoxide was then added to dissolve formazan crystals and the absorbance was measured at 570 nm.</p></sec><sec id="s2_5"><title>2.5. Malondialdehyde (MDA) Extraction and Quantification</title><p>The lipid peroxidation was determined by measuring MDA content in reconstructed epidermis. After 24 hours of treatment with the tested products and UV-A (5 J/cm<sup>2</sup>)-UV-B irradiations (150 mJ/cm<sup>2</sup>) (<xref ref-type="fig" rid="fig">Figure </xref>S1), epidermis homogenates were resuspended in a specific extraction buffer containing Tris-HCl 50 mM, NaCl 0.1 M, EDTA 20 mM, HCl 0.1 N and thiobarbituric acid (TBA) 0.67%. Cells were incubated for one hour at 50˚C in the dark, chilled in cold water and n-butanol was added. Samples were centrifuged at 10,000 g at 0˚C for 10 min and the upper phase was collected for MDA detection. The MDA-TBA complex was separated on a High Performance Liquid Chromatograph (HPLC) equipped with a Bischoff Model 2.200 pump (Bischoff Chromatography, Leonberg, Germany), on a Ultrasep C18 (30 cm &#215; 0.18 cm, 6 mm porosity) column. The MDA-TBA complex was eluted with methanol: H<sub>2</sub>O (40:60, v/v) and monitored by fluorescence detection through a 821-F detector (Jasco, Easton, USA) with excitation at 515 nm and emission at 553 nm. A standard curve was used for the quantification.</p></sec><sec id="s2_6"><title>2.6. Reactive Oxygen Species (ROS) Quantification</title><p>ROS were quantified after keratinocyte UV-irradiation [(UV-A (5 J/cm<sup>2</sup>) + UV-B (100 mJ/cm<sup>2</sup>)] following a 0 min, 30 min and 3 hours kinetics using a solar simulator (VilberLourmat, Coll&#233;gien, France) (<xref ref-type="fig" rid="fig">Figure </xref>S1). For mitochondrial ROS (mROS) quantification, human keratinocytes were incubated with MitoSOX<sup>TM</sup> Red reagent (Thermo Fisher Scientific) for 15 min at 37˚C, in the dark. Cells were then washed twice with Phosphate Buffer Saline (PBS) and analysed by flow cytometry. In parallel, cells were incubated with the CM-H<sub>2</sub>DCFDA probe (Thermo Fisher Scientific) for 15 min at 37˚C, in the dark, for the cytoplasmic ROS detection. Cells were washed, as previously, twice in PBS 1X and 1 &#215; 10<sup>4</sup> cells were collected for flow cytometry analysis.</p></sec><sec id="s2_7"><title>2.7. Superoxyde Dismutase (SOD) and Catalase Activities Quantification</title><p>According to the same experimental procedure used for ROS quantification (<xref ref-type="fig" rid="fig">Figure </xref>S1) Cells were sonicated twice in Tris-HCl (pH 7.5), for 30 sec, and centrifuge for 10 min at 12,000 g. Samples were kept at −80˚C and total protein concentration was measured by BCA kit (Thermo Fisher Scientific). SOD activity was measured using a SOD-WST kit (Dojindo Molecular Technologies, Munich, Germany) and catalase activity by the Amplex Red Assay Kit Catalase (Thermo Fisher Scientific). Calibration curves were prepared using purified enzyme preparation. One unit of catalase will decompose 1 &#181;mole of H<sub>2</sub>O<sub>2</sub> per minute in optimal enzymatic conditions (pH 7.0, 25 ˚C). One unit of SOD activity corresponds to the enzyme quantity required to inhibit 50% of WST-1 formazan per minute.</p></sec><sec id="s2_8"><title>2.8. Cytokine Detection and Quantification</title><p>Fibroblasts/keratinocytes co-cultured cells were plated one day before the experiment in a serum-free growth medium. The different compounds were applied to the cells for 2 hours before cell activation by UV-A/UV-B exposure (<xref ref-type="fig" rid="fig">Figure </xref>S1). Cell culture supernatant (25 &#181;L) was collected after 48 hours and analysed with FlowCytomix for pro- and anti-inflammatory cytokines detection (Bender Med-Systems, Wien, Austria).</p></sec><sec id="s2_9"><title>2.9. Oxidized Protein Quantification</title><p>Protein concentration was determined on reconstructed epidermis using Bradford protein quantification assay (Bio-Rad, Hercules, USA) and absorbance values were measured at 595 nm using bovin serum albumin (BSA, 10 μg/mL) as standard solution.</p><p>Protein oxidation in BSA standard and in samples treated for 24 hours and irradiated by UV-A (5 J/cm<sup>2</sup>) and UV-B (100 mJ/cm<sup>2</sup>) (<xref ref-type="fig" rid="fig">Figure </xref>S1) with the complex were analysed using the OxiSelect<sup>TM</sup> Protein Carbonyl ELISA Kit (Clinisciences, Nanterre, France) following manufacturer’s instructions.</p></sec><sec id="s2_10"><title>2.10. Mitochondrial DNA (mDNA) Extraction, Amplification and DNA Damage Quantification</title><p>To assess the complex protective effect on keratinocytes, cells were treated with the complex (5% BS + 2% IO for 150 min), UV-B irradiated (100 mJ/cm<sup>2</sup>) and collected 24 hours later (<xref ref-type="fig" rid="fig">Figure </xref>S1). In order to study the repairing effect, cells were first irradiated with UV-B, grown for 3 hours and the complex was then added to the culture medium for 24 hours (<xref ref-type="fig" rid="fig">Figure </xref>S1).</p><p>DNA was extracted using Invisorb&#174; Spin DNA Extraction kit (Eurobio, Les Ulis, France) following manufacturer’s instructions. Due to a low proportion in the total DNA extract, mDNA was amplified using REPLI-g Mitochondrial DNA (Qiagen, Courtaboeuf, France) and DNA damage [apurinic/apyrimidinic (AP) sites] were quantified in the samples using DNA Damage quantification kit (Biovision, Mountain View, USA) following manufacturer’s instructions. The optical density (OD) was analysed at 450 nm and sample DNA readings were applied to the calibration curve prepared with standard Aldehyde Reactive Probe-DNA (ARP/DNA) solutions (Dojindo Molecular Technologies).</p></sec><sec id="s2_11"><title>2.11. Statistical Methods</title><p>The data were analyzed statistically using Microsoft Excel&#174;. Error bars represent the standard deviation of three independent experiments. Differences were considered statistically significant when p-value &lt; 0.05 using Student’s t-test.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Cell Viability Assay</title><p>Cells metabolic activity was measured by MTT assay after 24 hours of treatment on reconstituted epidermis. No significant effect was observed on cell proliferation for the organic BS at 5%, IO extracts at 2% or with the combination of the two compounds (BS 5% + IO 2%) compared to the control (<xref ref-type="fig" rid="fig">Figure </xref>1).</p></sec><sec id="s3_2"><title>3.2. Antioxidant Effect</title><p>The antioxidant effect was studied on UV-irradiated reconstituted epidermis after 24 h treatment with the different compounds. Lipid peroxidation was measured by MDA detection. Increased MDA detection was significantly reduced by epidermis treatment with the BS 5% (−22%, p &lt; 0.05) or the IO 2% alone (−28%, p &lt; 0.01) before oxidative stress induction by UV-irradiation. The complex of the two compounds showed higher reduction of lipid peroxidation revealing a cumulative effect (−41%, p &lt; 0.01) (<xref ref-type="fig" rid="fig">Figure </xref>2(a)). Detection of protein oxidation was also measured in the same conditions and showed significant reduction of the oxidative stress in the BS 5%-, IO 2%- or complex-treated samples (−31%, −35%, −49%, respectively) with higher antioxidant effect of the complex.</p><p>Cytoplasmic and mitochondrial ROS kinetics were followed 0 min, 30 min and 3 hours after UV-A + UV-B irradiation. The keratinocytes treatment with the complex significantly reduced the production of both cytoplasmic (<xref ref-type="fig" rid="fig">Figure </xref>2(c)) and mitochondrial ROS (<xref ref-type="fig" rid="fig">Figure </xref>2(d)) (−43%, p &lt; 0.001 and −28%, p &lt; 0.001 respectively in comparison with the irradiated batch) measured after 3 hours incubation, and showed a kinetic similar to the unirradiated cells (untreated control). In parallel, the antioxidant enzyme activity of the SOD (<xref ref-type="fig" rid="fig">Figure </xref>2(e)) and the catalase (<xref ref-type="fig" rid="fig">Figure </xref>2(f)) were determined in the same conditions. Both enzymes activities were significantly increased by the BS 5% + IO 2% complex treatment prior keratinocytes irradiation (+22%, p &lt; 0.001 and +29%, p &lt; 0.001 respectively) revealing the protective property of the complex on SOD and catalase activity. Together these results showed the antioxidant properties of the BS 5% + IO 2% complex against UV-induced oxidative stress.</p></sec><sec id="s3_3"><title>3.3. Immunomodulatory Effect on Human Keratinocytes/Fibroblasts Co-Culture</title><p>Skin UV irradiations induce keratinocytes activation with an inflammatory response and cytokines production that can further damage the cells. Immunomodulatory effect was investigated on human keratinocytes/fibroblasts co-culture after 2 hours of treatment with the different compounds followed by keratinocytes activation in response to UV irradiation (UV-A + UV-B). Flow cytometry quantitative detection in the growth medium of various interleukins [Il-1β, IL-6, IL-8, IL-10, TNF-α and interferon-γ (IFN-γ)] showed a significant reduction of secretion in the BS or IO extracts keratinocytes treated conditions, with an even stronger decrease with the BS + IO complex treatment (Figures 3(a)-(f) and <xref ref-type="table" rid="table1">Table 1</xref>). These cytokines are involved in acute and chronic inflammatory response after UV irradiation, revealing the anti-inflammatory activity and the modulation of immune response by the organic birch sap and chaga mushroom extract used separately or in a complex.</p></sec><sec id="s3_4"><title>3.4. UV-B Protective and Repairing Effect</title><p>UV-B irradiation-induced DNA damage, measured by the number of apurinic/apyrimidinic sites, were significantly reduced (−41%, p &lt; 0.01) in comparison with the control after 150 min treatment with the complex revealing the protective effect on human keratinocytes (<xref ref-type="fig" rid="fig">Figure </xref>4(a)). Additionally, the BS 5% + IO 2% complex showed a regenerative effect with a significant lower (−27%, p &lt; 0.01) DNA damage quantity when the complex was applied for 24 hours on the cells after UV-B-induced DNA damage (<xref ref-type="fig" rid="fig">Figure </xref>4(b)).</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>As described by Krutmann and collaborators in 2017 [<xref ref-type="bibr" rid="scirp.92972-ref23">23</xref>] , the skin exposome regroup the totality of internal and external factors that affect the cutaneous compartment, causing the acceleration of skin ageing process.</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Cytokines quantification on keratinocytes/fibroblasts co-culture after UV-A + UV-B irradiation in the different conditions. Percent change from untreated UV-irradiated control. BS: Birch sap, IO: Inonotus obliquus</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Interleukins</th><th align="center" valign="middle" >Il-1β</th><th align="center" valign="middle" >Il-6</th><th align="center" valign="middle" >Il-8</th><th align="center" valign="middle" >Il-10</th><th align="center" valign="middle" >TNF-α</th><th align="center" valign="middle" >IFN-γ</th></tr></thead><tr><td align="center" valign="middle" >BS 5%</td><td align="center" valign="middle" >−28%</td><td align="center" valign="middle" >−26%</td><td align="center" valign="middle" >−22%</td><td align="center" valign="middle" >−24%</td><td align="center" valign="middle" >−24%</td><td align="center" valign="middle" >−22%</td></tr><tr><td align="center" valign="middle" >IO 2%</td><td align="center" valign="middle" >−35%</td><td align="center" valign="middle" >−32%</td><td align="center" valign="middle" >−27%</td><td align="center" valign="middle" >−30%</td><td align="center" valign="middle" >−29%</td><td align="center" valign="middle" >−24%</td></tr><tr><td align="center" valign="middle" >BS 5% + IO 2%</td><td align="center" valign="middle" >−48%</td><td align="center" valign="middle" >−49%</td><td align="center" valign="middle" >−38%</td><td align="center" valign="middle" >−40%</td><td align="center" valign="middle" >−48%</td><td align="center" valign="middle" >−38%</td></tr></tbody></table></table-wrap><p>UV irradiations, including UV-A and UV-B, is a major component of skin exposome altering the physiology and integrity of epidermal cells at different levels.</p><p>One of the first effect of both UV-A and UV-B irradiations is the formation of free radicals, leading to the generation of a deleterious oxidative stress [<xref ref-type="bibr" rid="scirp.92972-ref24">24</xref>] .</p><p>In particular, the abnormal production of ROS triggered by UV exposure may cause protein and lipid peroxidation inducing the formation of highly reactive carbonyl species including MDA and 4-hydroxy-2-nonenal [<xref ref-type="bibr" rid="scirp.92972-ref25">25</xref>] .</p><p>In the present work we observed that birch sap, chaga mushroom extracts and the tested natural complex composed by 5% of organic birch sap and 2% of chaga mushroom extracts were able to decrease significantly the content of both cytoplasmic and mitochondrial UV-induced ROS in cultured keratinocytes.</p><p>As expected, the tested products decreased strongly also the content of MDA and oxidized proteins following UV irradiations.</p><p>Interestingly, we observed that BS and IO extracts protect keratinocytes in vitro against the SOD and catalase decrease activity provoked by UV irradiations.</p><p>SOD and catalase are important enzymes showing a redoubtable anti-oxidant activity, which protect the skin against the oxidative stress induced by UV irradiations [<xref ref-type="bibr" rid="scirp.92972-ref26">26</xref>] by reducing free radical content.</p><p>In this context it should be noted that birch sap extract shows a relatively high content of different metallic elements, including copper and zinc [<xref ref-type="bibr" rid="scirp.92972-ref27">27</xref>] , both metals presenting an important anti-oxidant activity. In particular, it has been previously shown that copper is able to induce SOD transcription and activity in cultured fibroblasts [<xref ref-type="bibr" rid="scirp.92972-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.92972-ref29">29</xref>] . The presence of copper and zinc in birch sap extracts could explain the strong anti-oxidant activity of the BS 5% - IO 2% complex against UV irradiations.</p><p>In parallel chaga mushroom extract are rich in polyphenols [<xref ref-type="bibr" rid="scirp.92972-ref27">27</xref>] , previously described as potent anti-oxidant [<xref ref-type="bibr" rid="scirp.92972-ref30">30</xref>] . As a consequence, the association of BS and IO extracts in the natural complex tested in the present work presents an important activity against the oxidative stress induced by UV-A and UV-B irradiation in vitro.</p><p>As previously mentioned, the exposure of the skin to UV-A and UV-B can produce important damages to both genomic and mitochondrial DNA [<xref ref-type="bibr" rid="scirp.92972-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.92972-ref3">3</xref>] contributing profoundly to skin-age associated modifications [<xref ref-type="bibr" rid="scirp.92972-ref31">31</xref>] . Here we demonstrated that birch sap and chaga mushroom extracts exhibit a significant DNA protection and repair activity at both nuclear and mitochondrial levels.</p><p>Different mechanisms could be involved in the observed activities. Firstly, organic BS extracts are rich in zinc. As previously described, zinc is able to protect against apoptosis and DNA damages induced by UV-A and UV-B irradiation in HaCat keratinocytes and fibroblasts in vitro [<xref ref-type="bibr" rid="scirp.92972-ref32">32</xref>] [<xref ref-type="bibr" rid="scirp.92972-ref33">33</xref>] . As a result, the presence of zinc in the natural complex tested herein could explain in part the observed activity.</p><p>Secondly, polyphenols of chaga mushroom extract in addition to their anti-oxidant activity could act as a sunscreen due to their ability to absorb the whole UV-B spectrum and a part of UV-A spectrum [<xref ref-type="bibr" rid="scirp.92972-ref34">34</xref>] . In parallel, polyphenols are able to repair the UV-induced cyclobutane pyrimidine dimers via the stimulation of IL-12 expression [<xref ref-type="bibr" rid="scirp.92972-ref35">35</xref>] and by inducing the expression of genes encoding for proteins involved in nucleotide excision repair [<xref ref-type="bibr" rid="scirp.92972-ref36">36</xref>] .</p><p>The role of UV exposure in the initiation of an important inflammatory process in the cutaneous tissue has also been documented [<xref ref-type="bibr" rid="scirp.92972-ref37">37</xref>] . The response of the skin to UV irradiation starts with the synthesis of IL-1, IFN-γ and TNF-α which in turn induce the synthesis of other pro-inflammatory molecules in keratinocytes such as IL-6 and IL-8. In addition, UV irradiation can induce the synthesis of IL-10, a cytokine acting to attenuate inflammatory damages in the skin [<xref ref-type="bibr" rid="scirp.92972-ref38">38</xref>] .</p><p>Moreover, the cytokine cascade induced upon UV irradiation triggers the activation of the transcriptional factors AP-1, which in turn regulates positively the expression of several MMPs, including MMP-1, MMP-3 and MMP-9 resulting in extracellular matrix degradation [<xref ref-type="bibr" rid="scirp.92972-ref39">39</xref>] .</p><p>Here we observed that birch sap and chaga mushroom extracts tested separately or in combination in a natural complex decrease significantly the content of different pro-inflammatory cytokines, including IL-1β, IL-6, IL-8, TNF-α and IFN-γ, following the exposure of human keratinocytes/ fibroblasts co-culture to UV-A and UV-B. Consequently, by reducing the inflammatory response of keratinocytes to UV irradiations, lower levels of IL-10 were also detected.</p><p>On one hand, this activity could be explained by the presence in birch sap extracts of botulin and betulinic acid, two molecules with a described anti-inflammatory activity [<xref ref-type="bibr" rid="scirp.92972-ref40">40</xref>] .</p><p>On the other hand, Inonotusoubliquus extracts are rich in compounds presenting an anti-inflammatory activity including ergosterols, lanosterol, inotodiol and trametenolic acid [<xref ref-type="bibr" rid="scirp.92972-ref41">41</xref>] [<xref ref-type="bibr" rid="scirp.92972-ref42">42</xref>] which could be able to reduce the inflammatory cascade induced in skin cells after UV irradiations.</p></sec><sec id="s5"><title>5. Conclusions</title><p>In the work described here, we demonstrated for the first time that birch sap and chaga mushroom extracts protect the skin against the UV-induced damages. In particular we have shown that these natural compounds present a strong DNA protection and repair activity as well as anti-oxidant and anti-inflammatory properties on UV-exposed keratinocytes and fibroblasts in vitro. Nevertheless, this study has been conducted on cellular models lacking the biological complexity of the skin tissue. In this sense, the photo-protection activity of birch sap and chaga mushroom extracts should be confirmed on 3D skin models, such as reconstructed epidermis or human skin explants ex vivo. These biological models are composed of different types of skin cells and their use could help to better characterize the protection activity of birch sap and chaga mushroom extracts against UV.</p><p>Moreover, the use of human skin explant ex vivo as experimental model could elucidate the kinetics of penetration of both extracts across the stratum corneum.</p><p>The results obtained here, in particular the anti-oxidant and the anti-inflammatory properties, suggest that birch sap and chaga mushroom extracts complex might present additional activities of interest for the dermocosmetic field, including anti-pollution activity. To confirm this hypothesis, the protective role of birch sap and chaga mushroom complex against environmental pollutants should be demonstrated following the exposure of 3D skin model to external aggressions including heavy metals, volatile organic compounds and polycyclic aromatic hydrocarbons.</p><p>To conclude, taken together our findings suggest that Betula alba and Inonotus obliquus extracts represent valid natural ingredients for the development of cosmetic products with photo-protection activity.</p></sec><sec id="s6"><title>Acknowledgements</title><p>The study was fully supported by INDERMA laboratory. We thank Marie Dumont for helping writing the manuscript.</p></sec><sec id="s7"><title>Conflicts of Interest</title><p>MS and BP are employees of Inderma laboratory.</p></sec><sec id="s8"><title>Cite this paper</title><p>Softa, M., Percoco, G., Lati, E. and Bony, P. (2019) Birch Sap (Betula alba) and Chaga Mushroom (Inonotus obliquus) Extracts Show Anti-Oxidant, Anti-Inflammatory and DNA Protection/Repair Activity In Vitro. Journal of Cosmetics, Dermatological Sciences and Applications, 9, 188-205. https://doi.org/10.4236/jcdsa.2019.92016</p></sec><sec id="s9"><title>Supplementary</title></sec></body><back><ref-list><title>References</title><ref id="scirp.92972-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">D’Orazio, J., Jarrett, S., Amaro-Ortiz, A. and Scott, T. (2103) UV Radiation and the Skin. International Journal of Molecular Sciences, 14, 12222-12248.  
https://www.mdpi.com/1422-0067/14/6/12222  
https://doi.org/10.3390/ijms140612222</mixed-citation></ref><ref id="scirp.92972-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Shibutani, S., Takeshita, M. and Grollman, A.P. (1991) Insertion of Specific Base during DNA Synthesis Past the Oxidation Damaged Base 8-Oxodg. Nature, 349, 431-434. https://www.nature.com/articles/349431a0  
https://doi.org/10.1038/349431a0</mixed-citation></ref><ref id="scirp.92972-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Pfeifer, G.P. (1997) Formation and Processing of UV Photoproducts: Effects of DNA Sequence and Chromatin Environment. Photochemistry and Photobiology, 65, 270-283. https://doi.org/10.1111/j.1751-1097.1997.tb08560.x 
https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1751-1097.1997.tb08560.x</mixed-citation></ref><ref id="scirp.92972-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Thiele, J.J., Traber, M.G. and Packer, L. (1998) Depletion of Human Stratum Corneum Vitamin E: An Early and Sensitive in Vivo Marker of UV Induced Photo-Oxidation. Journal of Investigative Dermatology, 110, 756-761.  
https://www.jidonline.org/article/S0022-202X(15)40076-4/fulltext  
https://doi.org/10.1046/j.1523-1747.1998.00169.x</mixed-citation></ref><ref id="scirp.92972-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Ogura, R., Sugiyama, M., Nishi, J. and Haramaki, N. (1991) Mechanism of Lipid Radical For-mation Following Exposure of Epidermal Homogenate to Ultraviolet Light. Journal of Investigative Dermatology, 97, 1044-1047.  
https://doi.org/10.1111/1523-1747.ep12492553</mixed-citation></ref><ref id="scirp.92972-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Wood, J.M. and Schallreuter, K.U. (2006) UVA-Irradiated Pheomelanin Alters the Structure of Catalase and Decreases Its Activity in Human Skin. Journal of Investigative Der-matology, 126, 13-14. https://doi.org/10.1038/sj.jid.5700051</mixed-citation></ref><ref id="scirp.92972-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Meguro, S., Arai, Y., Masu-kawa, K., Uie, K. and Tokimitsu, I. (1999) Stratum Corneum Lipid. Abnormalities in UVB-Irradiated Skin. Photochemistry and Photobiology, 69, 317-321. https://doi.org/10.1111/j.1751-1097.1999.tb03292.x</mixed-citation></ref><ref id="scirp.92972-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Biniek, K., Levi, K. and Dauskardt, R.H. (2006) Solar UV Radiation Reduces the Barrier Function of Human Skin. Proceedings of the National Academy of Sciences of the United States of America, 109, 17111-17116.  
https://www.pnas.org/content/109/42/17111  
https://doi.org/10.1073/pnas.1206851109</mixed-citation></ref><ref id="scirp.92972-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Hasegawa, T., Kaneko, F. and Niwa, Y. (1992) Changes in Lipid Peroxide Levels and Activity of Reactive Oxygen Scavenging Enzymes in Skin, Serum and Liver Following UVB Irradiation in Mice. Life Sciences, 50, 1893-1903.  
https://doi.org/10.1016/0024-3205(92)90550-9</mixed-citation></ref><ref id="scirp.92972-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Zheng, Y., Xu, Q., Chen, H., Chen, Q., Gong, Z. and Lai, W. (2017) Transcriptome Analysis of Ultraviolet A-Induced Photoaging Cells with Deep Sequencing. The Journal of Dermatology, 45, 175-181. https://doi.org/10.1111/1346-8138.14157 
https://onlinelibrary.wiley.com/doi/pdf/10.1111/1346-8138.14157</mixed-citation></ref><ref id="scirp.92972-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Zheng, Y., Lai, W., Wan, M. and Maibach, H.I. (2011) Expression of Cathepsins in Human Skin Photoaging. Skin Pharmacology and Physiology, 24, 10-21. 
https://doi.org/10.1159/000314725</mixed-citation></ref><ref id="scirp.92972-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Fisher, G.J. (2005) The Path-ophysiology of Photoaging of the Skin. Cutis, 75, 5-9.  
https://europepmc.org/abstract/med/15773537</mixed-citation></ref><ref id="scirp.92972-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Li, D., Turi, T.G., Schuck, A., Freedberg, I.M., Khitrov, G. and Blumenberg, M. (2001) Rays and Arrays: The Transcriptional Program in the Response of Human Epidermal Keratinocytes to UVB Illumination. The FASEB Journal, 15, 2533-2550.  
https://doi.org/10.1096/fj.01-0172fje</mixed-citation></ref><ref id="scirp.92972-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Clydesdale, G.J., Dandie, G.W. and Muller, H.K. (2001) Ultraviolet Light Induced Injury: Immunological and In-flammatory Effects. Immunology &amp; Cell Biology, 79, 547-568. https://doi.org/10.1046/j.1440-1711.2001.01047.x</mixed-citation></ref><ref id="scirp.92972-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Cui, Y., Kim, D.S. and Park, K.C. (2005) Antioxidanteffect of Inonotus obliquus. Journal of Ethnopharmacology, 96, 79-85. https://doi.org/10.1016/j.jep.2004.08.037</mixed-citation></ref><ref id="scirp.92972-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Shibnev, V.A., Mishin, D.V., Garaev, T.M., Finogenova, N.P., Botikov, A.G. and Deryabin, P.G. (2011) Antiviral Activity of Inonotus obliquus Fungus Extract towards Infection Caused by Hepatitis C Virus in Cell Cultures. Bulletin of Experimental Biology and Medicine, 151, 612-614.  
https://link.springer.com/article/10.1007%2Fs10517-011-1395-8?LI=true  
https://doi.org/10.1007/s10517-011-1395-8</mixed-citation></ref><ref id="scirp.92972-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Géry, A., Dubreule, C., André, V., Rioult, J.P., Bouchart, V., Heutte, N., Eldin de Pécoulas, P., Krivomaz, T. and Garon, D. (2018) Chaga (Inonotus obliquus), a Future Potential Medicinal Fungus in Oncology? A Chemical Study and a Comparison of the Cytotoxicity against Human Lung Adenocarcinoma Cells (a549) and Human Bronchial Epithelial Cells (BEAS-2B). Integrative Cancer Therapies, 17, 832-843. https://doi.org/10.1177/1534735418757912</mixed-citation></ref><ref id="scirp.92972-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Yun, J.S., Pahk, J.W., Lee, J.S., Shin, W.C., Lee, S.Y. and Hong, E.K. (2011) Inonotus obliquus Protects against Oxidative Stress-Induced Apoptosis and Premature Senescence. Molecules and Cells, 31, 423-429.  
https://doi.org/10.1007/s10059-011-0256-7</mixed-citation></ref><ref id="scirp.92972-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Lee, E.J. and Cha, H.J. (2019) Inonotus obliquus Extract as an Inhibitor of α-MSH-Induced Melanogenesis in B16F10 Mouse Melanoma Cells. Cosmetics, 6, 9.  
https://doi.org/10.3390/cosmetics6010009</mixed-citation></ref><ref id="scirp.92972-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Rastogi, S., Pandey, M.M. and Kumar Singh Rawat, A. (2015) Medicinal Plants of the Genus Betu-la—Traditional Uses and a Phytochemical-Pharmacological Review. Journal of Ethnopharmacology, 159, 62-83.  
https://doi.org/10.1016/j.jep.2014.11.010</mixed-citation></ref><ref id="scirp.92972-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Svanberg, I., S&amp;otilde;ukand, R., &amp;#321;uczaj, &amp;#321;., Kalle, R., Zyryanova, O., Dénes, A., Papp, N., Nedelcheva, A., &amp;#352;e&amp;#353;kauskait	 
&amp;#279;, D., Ko&amp;#322;odziejska-Degórska, I. and Kolosova, V. (2012) Uses of Tree Saps in Northern and Eastern Parts of Europe. Acta Societatis Botanicorum Poloniae, 81, 343-357. https://doi.org/10.5586/asbp.2012.036</mixed-citation></ref><ref id="scirp.92972-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Saewan, N. and Jimtaisong, A. (2015) Natural Products as Photoprotection. Journal of Cosmetic Dermatology, 14, 47-63. https://doi.org/10.1111/jocd.12123</mixed-citation></ref><ref id="scirp.92972-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Krutmann, J., Bouloc, A., Sore, G., Bernard, B.A. and Passeron, T. (2017) The Skin Aging Exposome. Journal of Dermatological Science, 85, 1527-1561.  
https://doi.org/10.1016/j.jdermsci.2016.09.015</mixed-citation></ref><ref id="scirp.92972-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">de Jager, T.L., Cockrell, A.E. and Du Plessis, S.S. (2017) Ultraviolet Light Induced Generation of Reactive Oxygen Species. Advances in Experimental Medicine and Biology, 996, 15-23. https://doi.org/10.1007/978-3-319-56017-5_2</mixed-citation></ref><ref id="scirp.92972-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Williams, J.D., Bermudez, Y., Park, S.L., Stratton, S.P., Uchida, K., Hurst, C.A. and Wondrak, G.T. (2014) Malondialdehyde-Derived Epitopes in Human Skin Result from Acute Exposure to Solar UV and Occur in Nonmelanoma Skin Cancer Tissue. Journal of Photochemistry and Photobiology B: Biology, 132, 56-65. 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973651  
https://doi.org/10.1016/j.jphotobiol.2014.01.019</mixed-citation></ref><ref id="scirp.92972-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Sander, C.S., Chang, H., Salzmann, S., Muller, C.S., Ekanayake-Mudiyanselage, S., Elsner, P. and Thiele, J.J. (2002) Photoaging Is Associated with Protein Oxidation in Human Skin in Vivo. Journal of Investigative Dermatology, 118, 618-625.  
https://doi.org/10.1046/j.1523-1747.2002.01708.x</mixed-citation></ref><ref id="scirp.92972-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Grabek-Lejko, D., Kasprzyk, I., Zagu&amp;#322;a, G. and Puchalski, C. (2017) The Bioactive and Mineral Compounds in Birch Sap Collected in Different Types of Habitats. Baltic Forestry, 23, 230-239.  
https://www.balticforestry.mi.lt/bf/PDF_Articles/2017-23[2]/Baltic%20Forestry%202017.2_394-401.pdf</mixed-citation></ref><ref id="scirp.92972-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Powell, S.R. (2000) The Antioxidant Properties of Zinc. The Journal of Nutrition, 130, 1447S-1454S. https://doi.org/10.1093/jn/130.5.1447S</mixed-citation></ref><ref id="scirp.92972-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Itoh, S., Ozumi, K., Kim, H.W., Nakagawa, O., McKinney, R.D., Folz, R.J., Zelko, I.N., Ushio-Fukai, M. and Fukai, T. (2009) Novel Mechanism for Regulation of Extracellular SOD Transcription and Activity by Copper: Role of Antioxidant-1. Free Radical Biology &amp; Medicine, 46, 95-104.  
https://www.sciencedirect.com/science/article/pii/S0891584908005789?via%3Dihub  
https://doi.org/10.1016/j.freeradbiomed.2008.09.039</mixed-citation></ref><ref id="scirp.92972-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Lee, I.K., Kim, Y.S., Jang, Y.W., Jung, J.Y. and Yun, B.S. (2007) New Antioxidant Polyphenols from the Medicinal Mushroom Inonotus obliquus. Bioorganic &amp; Medicinal Chemistry Letters, 17, 6678-6681.  
https://doi.org/10.1016/j.bmcl.2007.10.072</mixed-citation></ref><ref id="scirp.92972-ref31"><label>31</label><mixed-citation publication-type="book" xlink:type="simple">Yarosh, D.B. (2016) DNA Damage and Repair in Skin Aging. In: Farage, M., Miller, K. and Maibach, H., Eds., Textbook of Aging Skin, Springer, Berlin, Heidelberg, 1-13. https://doi.org/10.1007/978-3-642-27814-3_31-3</mixed-citation></ref><ref id="scirp.92972-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">Parat, M.O., Richard, M.J., Pollet, S., Hadjur, C., Favier, A. and Béani, J.C. (1997) Zinc and DNA Fragmentation in Keratinocyte Apoptosis: Its Inhibitory Effect in UVB Irradiated Cells. Journal of Photochemistry and Photobiology B: Biology, 37, 101-106. https://doi.org/10.1016/S1011-1344(96)07334-4</mixed-citation></ref><ref id="scirp.92972-ref33"><label>33</label><mixed-citation publication-type="other" xlink:type="simple">Leccia, M.T., Richard, M.J., Favier, A. and Béani, J.C. (1997) Zinc Protects against Ultraviolet A1-Induced DNA Damage and Apoptosis in Cultured Human Fibroblasts. Biological Trace Element Research, 69, 177-190. 
https://link.springer.com/article/10.1007/BF02783870  
https://doi.org/10.1007/BF02783870</mixed-citation></ref><ref id="scirp.92972-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">Nichols, J.A. and Katiyar, S.K. (2010) Skin Photoprotection by Natural Polyphenols: Anti-Inflammatory, Antioxidant and DNA Repair Mechanisms. Archives of Dermatological Research, 302, 71-83. https://doi.org/10.1007/s00403-009-1001-3 
https://link.springer.com/article/10.1007%2Fs00403-009-1001-3</mixed-citation></ref><ref id="scirp.92972-ref35"><label>35</label><mixed-citation publication-type="other" xlink:type="simple">Meeran, S.M., Mantena, S.K., Elmets, C.A. and Katiyar, S.K. (2006) (-)-Epigallocatechin-3-Gallate Prevents Photocarcinogenesis in Mice through In-terleukin-12-Dependent DNA Repair. Cancer Research, 66, 5512-5520. 
http://cancerres.aacrjournals.org/content/66/10/5512.long  
https://doi.org/10.1158/0008-5472.CAN-06-0218</mixed-citation></ref><ref id="scirp.92972-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">Katiyar, S.K., Vaid, M., van Steeg, H. and Meeran, S.M. (2010) Green Tea Polyphenols Prevent UV-Induced Immunosuppression by Rapid Repair of DNA Damage and Enhancement of Nucleotide Excision Repair Genes. Cancer Prevention Research, 3, 179-189. https://doi.org/10.1158/1940-6207.CAPR-09-0044 
http://cancerpreventionresearch.aacrjournals.org/content/3/2/179</mixed-citation></ref><ref id="scirp.92972-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">Kondo, S. (1999) The Roles of Keratinocyte-Derived Cytokines in the Epidermis and Their Possible Responses to UVA-Irradiation. Journal of Investigative Der-matology Symposium Proceedings, 4, 177-183.  
https://doi.org/10.1038/sj.jidsp.5640205 
https://www.jidsponline.org/article/S1087-0024(15)30258-6/pdf</mixed-citation></ref><ref id="scirp.92972-ref38"><label>38</label><mixed-citation publication-type="other" xlink:type="simple">Iyer, S.S. and Cheng, G. (2012) Role of Interleukin 10 Transcriptional Regulation in Inflammation and Autoimmune Disease. Critical Reviews in Immunology, 32, 23-63. https://doi.org/10.1615/CritRevImmunol.v32.i1.30 
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3410706/pdf/nihms377104.pdf</mixed-citation></ref><ref id="scirp.92972-ref39"><label>39</label><mixed-citation publication-type="other" xlink:type="simple">Rittié, L. and Fisher, G.J. (2002) UV-Light-Induced Signal Cascades and Skin Aging. Ageing Research Reviews, 1, 705-720. 
https://www.sciencedirect.com/science/article/pii/S1568163702000247?via%3Dihub  
https://doi.org/10.1016/S1568-1637(02)00024-7</mixed-citation></ref><ref id="scirp.92972-ref40"><label>40</label><mixed-citation publication-type="other" xlink:type="simple">Flekhter, O.B., Medvedeva, N.I., Karachurina, L.T., Baltina, L.A., Galin, F.Z., Zarudii, F.S. and Tolstikov, G.A. (2005) Synthesis and Pharmacological Activity of Betulin, Betulinic Acid, and Allobetulin Esters. Pharmaceutical Chemistry Journal, 39, 401-404. https://link.springer.com/article/10.1007/s11094-005-0167-z  
https://doi.org/10.1007/s11094-005-0167-z</mixed-citation></ref><ref id="scirp.92972-ref41"><label>41</label><mixed-citation publication-type="other" xlink:type="simple">Park, Y.M., Won, J.H., Kim, Y.H., Choi, J.W., Park, H.J. and Lee, K.T. (2005) In Vivo and in Vitro Anti-Inflammatory and Anti-Nociceptive Effects of the Methanol Extract of Inonotus obliquus. Journal of Ethnopharmacology, 101, 120-128.  
https://doi.org/10.1016/j.jep.2005.04.003</mixed-citation></ref><ref id="scirp.92972-ref42"><label>42</label><mixed-citation publication-type="other" xlink:type="simple">Ma, L., Chen, H., Dong, P. and Lu, X. (2013) Anti-Inflammatory and Anticancer Activities of Extracts and Compounds from the Mushroom Inonotus obliquus. Food Chemistry, 139, 503-508. https://doi.org/10.1016/j.foodchem.2013.01.030 
https://www.sciencedirect.com/science/article/pii/S0308814613000526?via%3Dihub</mixed-citation></ref></ref-list></back></article>