Oral Supplementation of Orthosilicic Acid and Its Impact on Hair Quality
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www.medigraphic.org.mx Medicina Cutánea Ibero-Latino-Americana Localizador 16041 Oral supplementation of orthosilicic acid and its impact on hair quality Suplemento oral de ácido ortosilícico y su impacto en la calidad del cabello Luciana Nakanishi,* Bruna Bombonatti,* Letícia Sabo Muller,‡ Ricardo Tadeu Villa,§ Maria Valéria Robles Velasco,|| Valcinir Bedin,¶ Ana Carolina Fortes Braga Brederodes Villa§ Key words: Orthosilicic acid, ABSTRACT RESUMEN hair growth, resistance. Objectives: We evaluated the correlation between metric Objetivos: Evaluar la correlación entre los parámetros métricos parameters and laboratory assessments of hair taken from y las valoraciones de laboratorio, de pelo extraído de pacientes Palabras clave: patients undergoing oral supplementation of orthosilicic acid. sometidos a suplementación oral de ácido ortosilícico. Material Ácido ortosilícico, Material and methods: 34 women aged between 17 and y métodos: 34 mujeres de entre 17 y 57 años recibieron una crecimiento del cabello, 57 years received an oral dose of 30 mg of orthosilicic acid dosis oral de 30 mg de ácido ortosilícico durante cinco meses. resistencia. for five months. Hair samples (pre and post-treatment) were Se obtuvieron muestras de pelo (pre- y postratamiento) de un obtained from an area of 1 cm² on the occipital protuberance área de 1 cm² sobre la protuberancia occipital y se sometieron and submitted to ultrasound bath in a distilled water solution. a un baño de ultrasonido en una solución de agua destilada. After that, we tested this water using spectrophotometric Después de eso, analizamos el agua mediante la técnica espec- technique for measuring the hair ability to preserve proteins trofotométrica para medir la capacidad del cabello para preservar during physical stress. Hair growth was also assessed every las proteínas durante el estrés físico. El crecimiento del cabello month, before treatment and during treatment. We applied a también se evaluó cada mes, antes y durante el tratamiento. Se questionnaire addressing the perception of patients about their aplicó un cuestionario dirigido a la percepción de los pacientes hair. Results: 83% of patients believed that there was overall sobre su cabello. Resultados: 83% de los pacientes conside- improvement of hair quality after treatment. 79.41% of patients raron que hubo una mejoría general de la calidad del cabello exhibited increasing in hair growth rate and this increase was después del tratamiento. El 79.41% de los pacientes mostró of 37.6%. Protein loss analysis showed a improvement in hair un aumento en la tasa de crecimiento capilar y este aumento quality. Conclusion: We suggest that orthosilicic acid has a fue del 37.6%. El análisis de pérdida de proteínas mostró una beneficial role in the hair, leading to a faster growth rate and mejora en la calidad del cabello. Conclusión: Se sugiere que el * Dermatologist. an increase in resistance to aggression. ácido ortosilícico tiene un papel beneficioso en el cabello, que ‡ MD. conduce a una tasa de crecimiento más rápido y a un aumento § Professor UFMA. de la resistencia a la agresión. || Professor USP. ¶ PhD UNICAMP. Abbreviations: Si = Silicon. INTRODUCTION intake of oligoelements and vitamins and OSA = Orthosilicic acid. 5 ppm = part(s) per million. environmental aggression. These deleterious air is unquestionably one of the most effects are manifested in the form of difficult Confl icto de intereses: Ninguno. Himportant personal attributes in all combing, brittleness and dryness. cultures, and, therefore, its characteristics are In its turn, silicon (Si) is a well known and of great psychological importance, justifying ubiquitous component present in several Received: 6 19/September/2016. all the studies focusing on how to conserve tissues of human body and is found at 1-10 Accepted: and promote hair quality. In this particular, is ppm in hair7 and nails.8 Additionally, silicon 02/March/2017. fundamentalwww.medigraphic.org.mx to consider that human hair has an accumulates in the stratum corneum of outer protective layer, which surrounds the cells epidermis and in hair cuticle.9 Recently, it was of the highly keratinized cortex and a structural confirmed that the phanars, hair and nails are hierarchy of disulfide bonds that has influence more rich in silicon10 than the remaining parts on the mechanical properties of hair.1-4 of the skin and this element accumulates more Changes in growth and hair quality can intensely in the outer layer of the epidermis be induced by protein malnutrition or low and in the cuticule of hair (Table 1), wich Med Cutan Iber Lat Am 2017; 45 (1): 29-35 www.medigraphic.com/medicinacutanea Nakanishi L et al. Oral supplementation of orthosilicic acid and its impact on hair quality ORIGINAL explains the usage of silicon in the treatment of alopecia The silicon absorption is considerably higher in the form since the middle of last century. Further, from his results,11 of silanol as shown by a silicon study and osteogenesis.15 Fregert raised the question that silicon levels strongly Furthermore, toxicological studies referred to the soluble contributes to the solidity and the high resistance of silicon derivative as safe, with no genotoxic for use in keratinous tissues and plays a role as a barrier. Indeed, it living beings.16,17 has been shown that silicon can improve the skin barrier of normal skin and prevents premature skin aging and Objective of the study psoriasis progression.12 In animals, deficit of bioavailable silicon can be Our primary objective of this study was to evaluate the bound to severe diseases (arteriosclerosis, osteoarthritis, correlation between metric parameters and laboratory hypertension and aging processes).8,13 Beyond that, silicon assessments of patients undergoing oral supplementation deficiency in human body has been connected to many of silicon. degenerative diseases (e.g., Alzheimer’s) and tissue aging Our secondary objective was to describe the subjective processes, and that the normal silicon blood plasma results of the hair quality after oral supplementation of concentration varies from 5 to 20 micromoles,14 we silicon. propose that silicon supplementation could be considered. MATERIAL AND METHODS Table 1. Silicon content of the skin, hair and nails in man We conducted an uncontrolled longitudinal study in wich (μg silicon/g of dry tissue). our intervention was the supplementation of silicon for Abdominal epidermis 106 Entire skin 23 women/18 men five months. Dermsi with light 19 Nails 56 All of our 34 patients were women aged between 17 covering of hair and 57 years, as displayed in figure 1. Dermis with strong 25 Hair 90 At day zero, we shaved the hair of an area equivalent covering of hair Plantar dermis 13 to 1 cm² on the occipital protuberance of each patient. After this procedure, we measured three times at each 34 31 28 25 22 19 16 Patients 13 10 7 www.medigraphic.org.mx 4 1 0 10 20 30 40 50 60 Years Figure 1. Patients age. Med Cutan Iber Lat Am 2017; 45 (1): 29-35 30 www.medigraphic.com/medicinacutanea Nakanishi L et al. Oral supplementation of orthosilicic acid and its impact on hair quality ORIGINAL moment (in order to validate the data) the hair length at growth after treatment has increased (we rejected H0 = intervals of 30 days for 3 months and obtained medium H1 and accepted H0 ≠ H1). growth rate for each participant before the treatment was In the same way, our absorbance data of hair samples started. After these first three months, every patient was exhibited significative improvement in hair resistance after submitted to a new trichotomy and we re-started monthly treatment, with a p < 0.00283598, we assumed that hair measures, but, from this moment on, they were receiving resistance after treatment has increased (we rejected H0 the dose of 30 mg of orthosilicic acid in the form of OSA = H1 and accepted H0 ≠ H1). (orthosilicic acid) stabilized in marine collagen at a dose of 600 mg over five months. This dosage was divided in RESULTS two capsules of 300 mg taken twice a day, at least two hours after meals for better absorption of orthosilicic acid. Our subjective data are as follows (Table 2): Patients participating in the study answered a subjective As we can see, features related to hair texture received questionnaire about their hair focusing the following the highest score, and, in total, 83% of the volunteers parameters: smoothness, shine, growth, and fall. They reported a general improvement in the hair quality during were instructed not to change the diet, daily activities treatment. Although growth was not the highest score, it and medications. Women who used any medication that was a feature with a very good response to treatment, as could alter the variables addressed in the study, such as we can see below in our objective data (Table 2). vitamins and other supplements were excluded. If they In (Figure 2), we display the average rate of hair growth were using contraceptives, they had to continue and, if (cm/month). In blue, before treatment and, in red, during they didn’t, they couldn’t start until the end of the research. treatment. This chart exposes precisely our results: They attributed the following score, taking into account the grade of improvement of each parameter: significant • In 79.4% of subjects (27/34), hair growth has improvement (2), moderate improvement (1) and no increased (as mentioned above, with significance improvement (0). Medium scores were calculated and as described in statistical analysis). are displayed in the next section. • Comparing medium growth rate before and during When exposition to physical or chemical treatments treatment, there was an increase of 37.6%. occurs, hair strand may exhibit damage in its structure, and therefore, a change occurs in the protein composition Protein loss and resistance.18,19 In order to evaluate hair resistance, we used a validated assay that consists in submitted When we compared protein loss of samples obtained hair sample to a physical aggression (ultrasonic wave) before and after treatment, we revealed that hair was in a tube with water and assess how much protein that more resistant after treatment and lost 84.2% less protein hair sample looses to the water.