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The power of plant-based exosomes

How PDENs are offering a plant-based alternative to human exosomes

Exosomes have become one of the latest industry buzzwords, and for good reason. Although first discovered in mammalian cells in 1983, it is only now that science is figuring out their uses. Extensive research is being performed in sectors as varied as drug delivery, nutrition, chemical diagnostics and therapeutics. There is even research being done in the area of cancer prevention. In the field of aesthetics, in particular, they are offering new and exciting applications as a result of their potent regenerative functions, anti-inflammatory effects and synergistic use alongside energy-based devices to enhance healing and lessen downtime.

UNDERSTANDING EXOSOMES: THE CELLULAR MESSENGERS

Exosomes are tiny extracellular vesicles naturally produced by nearly all cells in the body. These nano-sized sacs, enclosed by a lipid membrane, play a vital role in facilitating cell-to-cell communication. They serve as carriers, transporting signalling molecules such as proteins and genetic material between cells, thereby influencing biological processes. When they encounter cells in need of repair, they initiate the process, setting the wheels in motion for cellular restoration.

Exosomes can be plant, animal or human-derived, and it’s this latter form that is controversial. In the UK, humanderived ingredients are banned, and while many people are using exosomes topically, claiming it’s okay as long as it’s not injected, there are questions about whether or not this is strictly legal.

Immediately post Fractora with EXO|E applied to left face only (pictures courtesy of American Laser Practice)

One of the reasons for this is regulatory and safety concerns. Since exosomes are derived from cells, there is a need to establish standardised manufacturing processes and quality control measures to ensure their safety, efficacy, and reproducibility. Additionally, the potential for off-target effects or unintended consequences of exosome-based therapies needs to be carefully evaluated, and research is still ongoing.

This is where plant-based alternatives are offering an interesting opportunity.

PLANT-BASED EXOSOMES OR PDENS

PDENs are Plant Derived Extracellular Nanoparticles. They are extracted from plant stem cells and are the plant version of human exosomes.

PDENs are, in simple terms, envelopes that carry messages from cell to cell.

In the last decade, research has discovered that plant stem cells produce human cytokine-like factors that allow for the use of secretory factors from plants for human cell signalling.1-4

For aesthetic applications, this means scientists can load these envelopes with thousands of biomimetic factors, including growth factors, peptides, liposomes, amino acids, and proteins directed explicitly to target inflammation as well as for wound healing angiogenesis and the stimulation of hyaluronic acid, collagen and elastin production.

INTRODUCING EXO|E

Recently launched in the UK via Aesthetic Medical Partnership (AMP), EXO|E Revitalizing Complex utilises biomimetic plant stem cell technology to rejuvenate and revitalise the skin.

The bio-based patented technology ensures perfect compatibility with the skin, helping to support and supplement its natural signalling mechanism to rebalance.

Most rejuvenation procedures cause inflammation, resulting in pain, swelling, redness, downtime, longer recovery, undesirable side effects and a negative patient experience or reluctance to repeat the procedure. EXO|E shifts the healing from inflammation to rejuvenation. This means less downtime and enhanced results from treatments.

Suitable for all skin types and conditions, the complete treatment protocol includes D|TOX, EXO|E, and RE|PAIR, which can be used both in-clinic and at home to prepare skin pre-procedure or enhance treatment outcomes.

It can also be used as a stand-alone treatment. The three-step process of EXO|E includes:

• D|TOX, which hydrates and prepares the skin for the upcoming aesthetic treatments

• EXO|E serum, which delivers concentrated stem cell factors for targeted results and desired outcomes

• RE|PAIR serum, which reinforces the work of EXO|E with additional extracellular nanoparticle technology and liposomes. One of the notable advantages of EXO|E is its ability to penetrate the skin transdermally through lipophilic absorption, enabling comprehensive treatment of the entire dermal architecture through efficient cell-tocell signalling.

Studies also show that EXO|E increases collagen and elastin production by 165% and 891%, respectively*, as well as increasing the secretion of hyaluronic acid by 198%** and providing a 61% daily reduction in inflammation***.

Miss Sherina Balaratnam, surgeon, cosmetic doctor and medical director of S-Thetics Clinic, was the first to introduce the product to her clinic. She says, “I am excited to be the first clinic in the UK and Europe and one of the first globally, outside of the US, to introduce the UK’s first completely plant-derived exosome product.

“I have spent over eight years understanding ingredient formulations and the science behind how botanically-derived topical skincare works. I have curated bespoke protocols with these topicals to produce highly regenerative results for my patients.

“Together with my previous knowledge and understanding of cell signalling from my research time at the University College of London (UCL 2004-5), these learnings have developed my knowledge of regenerative skin science.

“EXO|E delivers the next phase of topicals to fill in the missing links, such as the regeneration of one’s own elastin, hyaluronic acid and collagen production, up-regulated endogenously.

“This is only the second skincare system I have introduced to my clinic after eight years, illustrating the depth and breadth of the robust science, clinical validation and manufacturing processes behind EXO|E.”

* Quantification of collagen and elastin expression evaluated by qRT-PCR in human dermal fibroblasts with different treatments. P < 0.05

** Secretion of hyaluronic acid evaluated by ELISA in human dermal fibroblast
*** Human dermal endothelial cell invitro

REFERENCES

1. TengY, Xu F, Zhang X, et al. Plant-derived exosomal microRNAs inhibit lung inflammation induced by exosomes SARS-CoV-2 Nsp12. Mol Ther. 2021;29(8):2424-2440. doi:10.1016/j. ymthe.2021.05.005

2. Cui Y, Gao J, He Y, Jiang L. Plant extracellular vesicles. Protoplasma. 2020;257(1):3-12. doi:10.1007/s00709-019-01435-6

3. Dad HA, GuTW, ZhuAQ, Huang LQ, Peng LH. Plant Exosome-like Nanovesicles: Emerging Therapeutics and Drug Delivery Nanoplatforms. Mol Ther. 2021;29(1):13-31. doi:10.1016/j. ymthe.2020.11.030

4. Karamanidou,T.;Tsouknidas, A. Plant-Derived Extracellular Vesicles as Therapeutic Nanocarriers. Int. J. Mol. Sci.2022, 23, 191. https:// doi.org/10.3390/ijms23010191

This article appears in July 2023

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July 2023
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Welcome to the July/August issue of Aesthetic Medicine
As the summer season kicks into high gear, we have curated a diverse range of articles and features to keep you informed and inspired
Meet the experts
Meet our editorial advisory board
Hot off the press
The latest industry news
Turkey on top?
Patient advocate Dawn Knight questions the results (and motives) of a recent study
Trend Spotlight: Traptox
Dr Noreen Hashmi explains the trending treatment
On the road to aesthetic empowerment
After seven years of running academy conferences and expert days, Teoxane is returning in 2023 with a brand-new roadshow
Out & about
Highlights from the industry social calendar
Reveal Lasers International expands into the UK
Reveal Lasers has introduced a new business and technology range to the UK, headed up by the ADVATx laser
Aesthetic Medicine Live reunites the industry at Olympia London
A snapshot of our London event
Bringing education to life
Key takeaways from the conference agenda
Synergising skincare and technology
How SkinCeuticals is combining skincare with advanced technology treatments
Simply the best
Celebrating the best of the industry
Advancements in laser hair removal
How new tech is reducing treatment times and increasing efficacy of results
Women in Aesthetic Medicine
Founding members of the networking group discuss its plans
Glow-getter
Visiting Dr Ana Mansouri at her new clinic
Novel buttock augmentation techniques
Dr Usman Qureshi gives his tips for novel buttock augmentation
Get that JLO Glow
Hydrafacial launches its first celebrity booster collaboration with JLO BEAUTY®
Treating extreme sun damage
Dr Hannah Higgins explains her technique
Will the robot doctor see you soon?
The aesthetic applications of the innovative technology
The power of plant-based exosomes
Is the vegan alternative viable?
Reducing thread-lift complaints
Dr Mahsa Saleki discusses the reported increase in complications
Cool and collected
Editor Anna Dobbie tries out fat freezing
High Tech Facials…
Kezia Parkins reviews CACI's Synergy Purifying Facial
Product news
The latest product launches
Reputation management and dealing with negative press
Top tips for building (and protecting) your brand reputation
How to be the best place to work
What makes AlumierMD one of the best companies to work for in the UK
Ask Alex
“What should I put in my clinic newsletter?”
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