1. Introduction
The human skin, in addition to protecting our internal physiological environment, plays a crucial role in presenting ourselves to the world. The visual perception of one’s skin can be a vital indicator of health, vitality, beauty, and well-being. The condition and appearance of our skin are inherently linked to our overall well-being and self-esteem [
1]. A clear, even-toned skin complexion often contributes to positive aesthetic perception [
2]. However, the skin may exhibit various discolorations attributed to natural biological processes, aging, lifestyle, and environmental stress. These discolorations can manifest as patches of lighter or darker skin, or even changes in the overall skin tone [
3,
4].
Among concerns regarding skin discoloration, transient and chronic skin yellowness have emerged as unpleasant skin issues, especially among Asian women, necessitating further scientific understanding to identify suitable approaches to mitigation. We recently identified bilirubin as a contributor to transient skin yellowness, particularly in cases of acute oxidative stress or sleep deprivation [
5]. However, for chronic skin yellowness, despite recent scientific investigations that have provided insights into a potential link between skin yellowness and glycation, no specific yellow chromophores have been identified yet. [
6,
7].
Glycation, also known as the Maillard reaction, occurs when reducing sugars react with proteins, resulting in the formation of a wide range of advanced glycation end products (AGEs). To date, at least three dozen AGEs have been characterized, and approximately 20 AGEs have been detected in human skin [
8,
9]. AGEs in the skin can impact skin health and affect the appearance of skin tone. The formation of AGEs is facilitated by oxidative stress, and the formed AGEs can further stimulate the production of reactive oxygen species (ROS), thereby intensifying the vicious cycle of oxidative stress [
10]. Oxidative stress can also induce the formation of reactive carbonyl species (RCS), such as glyoxal (GO) and methylglyoxal (MGO) which can lead to the formation of carbonylated proteins. An example of a protein carbonylation product is N
ε-(Carboxymethyl)lysine (CML), which is also categorized as an AGE. Diabetic patients typically exhibit elevated levels of CML due to prolonged exposure to high levels of glucose and the subsequent glycoxidative stress.
Protein damage resulting from AGE formation can manifest as cross-linking, altered surface charge, and direct damage, all of which can affect the function, recycling, and interaction of proteins. The adverse effects of AGEs on proteins have been well demonstrated in diabetic patients and are associated with the development of various complications, including diabetic nephropathy, retinopathy, neuropathy, and vascular injury [
11,
12,
13,
14]. The accumulation of AGEs can also contribute to protein damage, which contributes to the aging process [
15]. In the context of skin, excessive glycation can be attributed to unhealthy lifestyles, such as high-sugar diets, smoking [
16], sun exposure [
17], and poor sleep [
18]. When combined with psychological stress, glycation can exacerbate protein damage [
19], including collagen damage, which can result in a loss of elasticity [
20]. In addition to the intrinsic health issues, the formation of AGEs can alter the esthetic properties of the skin. The direct formation of chromophores, fluorescence properties, and uneven skin surfaces may all contribute to the visual appearance, particularly in the case of skin yellowness [
7]. These processes can occur even in young people, since AGEs have been detected in the skin tissues of people as early as in their twenties [
7,
21].
While the protein damage caused by AGEs has been extensively studied, the issue of yellowish discoloration associated with glycation in the context of skin has also received attention [
7,
22]. However, currently, there is a lack of in-depth studies specifically focusing on identifying and characterizing the yellow colored chemical(s) associated with glycation in the skin. Interestingly, well-known AGEs and carbonylated proteins identified in the skin, such as CML, fructoselysine, and pentosidine, are reported to be colorless [
23]. For instance, CML has been a well-known biomarker for both glycation and carbonylation, however, it does not have a yellow color itself. Rather, its presence and level serve as an indicator of overall oxidative stress and signal the presence of other AGEs which may be yellow. In order to investigate the AGEs that contribute to the appearance of skin yellowness, we conducted a series of studies using in vitro and ex vivo skin models, along with state-of-the-art analytical tools. Additionally, we examined the effect of a combination of cosmetic compounds, which possess anti-glycation effects, on the production of yellow AGEs in 3D reconstructed human epidermal (RHE) models.
3. Discussion
In the past few decades, there has been extensive research on the relationship between glycation and aging or skin health. In the context of skin, it has been hypothesized that accumulated AGEs contribute to visible signs of skin aging, including wrinkles and yellowish skin. Interestingly, recent research has revealed that skin glycation can occur in the epidermis even among young people and cause the appearance of yellowish skin [
5]. This indicates that the early formation of yellow colored AGEs can occur in the epidermis even among young people. Interestingly, despite the extensive research on AGEs in recent decades, it has not been reported which specific structured glycation compounds are responsible for the appearance of yellow skin. Our recent consumer research in 2023 indicated that more than 40% of women globally reported skin dullness as an issue, with over 55% of women in China specifically describing it as yellow skin, highlighting the prevalence of the concern and the need to understand the specific glycation compounds that contribute to yellow skin appearance and develop effective intervention approaches.
In our investigation to determine the source of chronic yellowish skin appearance, we adopted native human skin explants as an analytical target. To identify yellow chromophores, we employed ultra high-performance liquid chromatography (UHPLC) coupled with a photodiode array (PDA) detector and high-resolution mass spectrometry (HRMS). This platform, known as UHPLC-PDA-HRMS, is capable of identifying target analytes in complex mixtures. The PDA detector detects the presence of molecules of interest based on their absorption of ultraviolet (UV) or visible light. In this case, we isolated the peak that exhibited the maximum absorption of blue light, which means the most pronounced reflection of yellow light. Hence, this peak represents the most intense yellow chromophore within the context of the human epidermis. HRMS is essential to identify molecules of interest with high confidence, particularly in the absence of standards. This platform allows direct correlation between the detection and identification of the yellow chromophore in the native human epidermal explants. Leveraging this cutting-edge analysis, we successfully discovered the primary yellow chromophore, AGEY, in native human epidermal explants from a few donors (
Figure 1). We further assessed the contribution of AGEY to skin yellowness using 14 skin tissue samples and confirmed a strong positive correlation between skin yellowness and AGEY intensity. The Pearson correlation coefficient (R) was found to be 0.72, with statistical significance (
p = 0.0036). This finding strongly suggests that AGEY is the major contributor to the yellow color of the skin (
Figure 3).
Interestingly, during our meticulous literature search, we coincidentally came across a paper stating that AGEY is one of the most intense yellow glycation chemicals observed in the food industry [
25]. In the paper, the author utilized an artificial food glycation model and identified three other intense yellow-red colored chemicals, which are (a) 2-[2-furyl)methylidene]-4-hydroxy-5-methyl-2H-furan-3-one; (b) 2-[(2-furyl)methylidene]-4-hydroxy-5-[(E)-(2-furyl)methylidene]-methyl-2H-furan-3-one; and (c) (S)-4-[(E)-1-formyl-2-(2-furyl)ethenyl]-5-(2-furyl)-2-[(E)-(2-furyl)methylidene]-2,3-dihydo-α-amino-3-oxo-1H-pyrrole-1-acetic acid. However, in our experiments, we did not detect any of these three chromophores from native human explants, implying that AGEY may be the primary yellow glycation chemical in human skin. Through the utilization of a human epidermal explant model and induction of glycation using GLA, we confirmed that glycation indeed plays a role in driving the formation of AGEY and the elevation of skin yellowness (
Figure 4), with evidence of a very high Pearson correlation coefficient (R = 0.77). Although the precise mechanisms underlying the formation of AGEY in human skin require further elucidation, our findings have important implications for the development of targeted interventions aimed at reducing chronic skin yellowness by inhibiting glycation pathways.
To identify effective solutions, we utilized a simple chemical artificial glycation platform employing gelatin and GLA. This model allowed us to identify four unique cosmetic ingredients: niacinamide, white water lily extract, lactobionic acid, and artichoke leaf extract. These ingredients are known to possess additional beneficial functions for the skin. For instance, niacinamide is recognized as a well-known skin lightening compound [
28]. White water lily extract was reported to remove CML, which is one of the most abundant AGEs in the skin, by stimulating autophagy in keratinocytes [
7]. Lactobionic acid is a polyhydroxy acid that is reported to provide skin exfoliation benefit without impairing the skin barrier or causing skin irritation [
29]. Artichoke leaf extract is well known for its antioxidant properties and is reported to improve skin texture. We discovered that these cosmetic ingredients also possess anti-glycation effects and, when combined, they exhibit an even stronger effect in inhibiting glycation. We further confirmed that the combinations of the four cosmetic ingredients significantly suppressed AGEY formation and reduced skin yellowness in RHE models (
Figure 6). Although further clinical validation in humans is required, our in vitro results implied that the combination might be an effective intervention to alleviate unpleasant skin yellowness.
In conclusion, our multidisciplinary approach, combining modern analytical chemistry tools, biological models, and biochemical analyses, has led, for the first time, to the discovery of AGEY as the (possibly most) intense yellow glycated compound in human skin. We have demonstrated in the skin explant model that AGEY is indeed formed through glycation and that its abundance is strongly correlated with the yellowness of skin tissues, confirming that AGEY is a critical factor in skin yellowness appearance and could be a barometer of skin glycation. Additionally, we have shown that a combination of four identified cosmetic ingredients can effectively inhibit the formation of AGEY while reducing yellowness in in vitro RHE models, which warrants further human clinical validation. As further investigations continue to unravel the chemical mechanisms involved in the formation of this novel yellow chromophore, we move closer to the targeted precision of treatments.
4. Materials and Methods
4.1. Chemicals, Reagents, and Cell Lines
Cell culture media and supplements were purchased from Thermo Fisher Scientific (Waltham, MA, USA), including EpiLife with 60 μM calcium (Cat. No. MEPI500CA), gentamicin/amphotericin B (500X; Cat. No. 50-0640), HKGS (100X; Cat. No. S-001-5), trypsin/EDTA solution (TE; Cat. No. R001100), trypsin neutralizer solution (TN; Cat. No. R002100), penicillin/streptomycin (10,000 U/mL, 100X; Cat. No. 15140122), and DPBS (Cat. No. 14190250). ViaStain AO/PI staining solution was purchased from Nexcelom Bioscience (Cat. No.: CS2-0106-5 mL, Lawrence, MA, USA). AccuGene 1× PBS was purchased from Lonza (Cat. No. 51225, Alpharetta, GA, USA). Other chemicals used were purchased from Sigma (St. Louis, MO, USA), including DMSO (Cat. No. D8418-100 mL), gelatin solution (Cat. No. G1393-100ML), DL-glyceraldehyde (GLA) (Cat. No. G5001), D-(+)Xylose (Cat. No. X3877-25G), L-alanine (Cat. No. 05129-25G), 2-furaldehyde (Cat. No. 185914-100ML), sodium sulfate anhydrous (Cat. No. 239313), ethyl acetate (Cat. No. 1.03649.000), and protease from streptomyces griseus (Pronase, Cat. No. P5147).
4.2. Characterization and Relative Quantification of Intense Yellow Chromophores in Human Epidermal Explant Tissue
Skin explant tissues were obtained from multiple surgical centers through an IRB-approved protocol reviewed by Advarra (Columbia, MD, USA), with annotation of donor age and Fitzpatrick skin type. The skin, post fat removal, was divided into 1.25 cm
2 squares, immersed in 1 M NaCl with 10× penicillin/streptomycin (Invitrogen) and incubated at 37 °C overnight. The next day, the epidermis was detached using forceps, preserved in phosphate-buffered saline (PBS) supplemented with 1x penicillin/streptomycin, and stored at 4 °C until use, as outlined by Bachelor et al. [
30]. The surface images of tissues were captured using a SpectroShade Micro spectrophotometer (SpectroShade USA, Oxnard, CA, USA). Yellowness scores (b*-value) were rendered from the captured images using the device’s built-in software.
Skin Epidermis was hydrolyzed with 6 N HCl at 110 °C for 16 h. The hydrolysate was then dried down and reconstituted with purified water prior to analysis using UHPLC-PDA-HRMS. Chromatographic separation was performed on an ACQUITY UPLC BEH Amide Column (130 Å, 1.7 µm, 2.1 mm × 150 mm, Waters). The LC gradient and detection was carried out on a Vanquish UHPLC-PDA system coupled with a Q Exactive HF HRMS mass spectrometer (Thermo Fisher Scientific). The mobile phase in the gradient mode consisted of water containing 0.1% formic acid as Mobile Phase A, and acetonitrile containing 0.1% formic acid as Mobile Phase B (90%B to 45%B in 18 min). The total running time was 30 min and the injection volume was 5 µL. The wavelengths of the PDA detector ranged from 190 to 680 nm. HRMS was operated under positive electrospray ionization (ESI+) and in full scan mode (m/z: 120 to 1500). The exact mass of the peaks present in a UV-Vis trace of 440 nm was obtained for peak identification. Relative quantification of the target peaks was performed by calculating the peak intensity in the extract ion chromatography (EIC).
4.3. Impact of GLA Treatment on AGEY Intensity and Skin Yellowness in Human Epidermal Explant Tissue
To assess whether AGEY can be formed by glycation, individual 6 mm punches of epidermal explant tissue (donor: 40 yrs, skin type IV) were incubated on inserts placed over the wells of 6-well culture plates. These tissues were treated with glycation reagent, GLA, at 5 mM, 10 mM, and 25 mM concentrations, respectively, diluted in phosphate-buffered saline (DPBS, Thermo Fisher Scientific). Treatment was triplicated for each condition. After 133 h GLA treatment, tissues were harvested for AGEY intensity quantification in the same way as described above. During GLA treatment, surface images of cultured tissue were captured using a SpectroShade Micro spectrophotometer (SpectroShade USA, Oxnard, CA, USA) at 20, 43, and 133 h time points. Yellowness scores (b*-value) were rendered from the captured images using the device’s built-in software.
4.4. Human Keratinocyte Cell Cultures and Preparation for AGEY Detection
Primary adult human keratinocytes from female donors (lots 1488, 1502, 2415, 2711, 2761) aged between 40 and 50 years old were purchased from Cell Applications (San Diego, CA, USA) and initially matured in EpiVita Serum-Free Growth Medium (Cell Applications) with Adult Keratinocyte Growth Supplement plus insulin and hydrocortisone (Cell Applications) and antibiotic-antimycotic solution (100×, Thermo Fisher Scientific). Once adult cells were established in T-75 flasks, a stepwise medium transition was conducted to EpiLife with calcium-supplemented HKGS (Thermo Fisher Scientific) and antibiotic-antimycotic solution. The medium was transitioned in 25% increments daily until cells were cultured in a 100% EpiLife medium. All cells were incubated at 37 °C under 5% CO2 and 95% humidity in T-75 flasks until 80–90% confluent. Cells were harvested via trypsinization, centrifuged to remove supernatant and obtain cell numbers, and stored at −80 °C until analysis. For relative AGEY quantification, 10 mg/mL pronase solution was prepared in 1x PBS buffer. A total of 0.3 mL of the pronase solution was added to each cell pellet. The cell pellet samples were incubated at 37 °C for 24 h with shaking and then centrifuged at 4500 rpm for 30 min at −4 °C. The supernatants obtained were analyzed for AGEY intensity quantification by HILIC-MS/MS, as described below.
4.5. Relative AGEY Quantification in Keratinocyte Cells Using HILIC-MS/MS Method
A reference material for AGEY was prepared following a scaled down procedure described previously [
25]. Briefly, a solution of D-xylose (0.825 mmol) and L-alanine (0.2 mmol) in 10 mL of phosphate buffer (1 mM, pH 7.0) was heated under reflux for 10 min. Then, 2-Furaldehyde (0.125 mmol) was added, and heating was continued for another 60 min. After cooling to room temperature, the aqueous solution was extracted with ethyl acetate (5 × 5 mL). The organic layers were combined and dried over anhydrous sodium sulfate until they remained solid. Multiple attempts were made to purify AGEY for absolute quantification; however, these were without success. Therefore, we leveraged the reaction mixture to tune the target AGEY for method development with hydrophilic interaction chromatography (EMD ZIC-HILIC column, 2.1 mm × 150 mm) coupled with tandem mass spectrometry (Sciex 6500). The LC gradient and detection was carried out on a Shimadzu UFLC system. The mobile phase in gradient mode consisted of water containing 0.1% formic acid as Mobile Phase A, and acetonitrile containing 0.1% formic acid as Mobile Phase B (70%B to 10%B in 2.5 min). The total running time was 6 min and the injection volume was 5 µL. Three precursor-to-product ion transitions were monitored including (
m/
z: 313.4 to 295.3; 313.4 to 267.2; 313.4 to 80.9). Relative quantification of AGEY was performed based on the peak area counts in HILIC-MS/MS.
4.6. Gelatin-Based Chemical Glycation Assay as a Fast Compound Screening Tool
A simple and fast screening tool was developed by leveraging a GLA as a reducing agent and a mammalian gelatin (a hydrolyzed collagen protein) as a protein substrate. The AGEs that were formed could be detected by measuring the fluorescence intensity (“FLR”) or the yellow color formation assessed by b*-value. Lower FLR values or b*-values correspond to the formation of fewer AGEs, and thus less glycation.
Briefly, three replicates of each group were prepared in a 96-well plate (e.g., FALCON brand, REF 353072) with a reaction volume of 250 µL/well. With this setup, negative control wells consisted of gelatin at a concentration of 9 mg/mL diluted in DPBS buffer. Positive control wells contained gelatin at 9 mg/mL in DPBS buffer plus 40 mM of GLA. To the testing wells, test materials were introduced at the desired concentrations. Tested materials were sourced accordingly: aminoguanidine (Sigma), niacinamide (Sigma), white water lily extract (Glycoxyl®; Silab, Saint-Viance, France), lactobionic acid (Thermo Fisher Scientific), and artichoke leaf extract (Ichimaru Pharcos, Gifu, Japan). To maintain optimal conditions, plates with test samples were incubated at 37 °C, 5% CO2, and 95% humidity. FLR and b*-values were measured by the spectrophotometer (SPECTRAMAX Plus, Molecular Devices, San Jose, CA, USA) as an indicator of glycation crosslink formation at 0 h and approximately 20–24 h after the incubation started. For FLR, the spectrophotometer settings were 400/465 nm (ex/em). For yellowness (b*-value), the spectrophotometer collected the absorbance spectra from 350 nm to 750 nm at 10 nm intervals, and the collected spectra were converted to L*a*b* values. Changes in fluorescence intensity (∆FLR) or yellowness (∆b*) were calculated by subtracting baseline (time 0 h) values.
4.7. Effect of Anti-Glycation Compounds on AGEY Intensity and Skin Yellowness in 3D RHE Model
Commercially available 3D RHE models (EpiDermTM) were procured from the MatTek Corporation (MatTek, Ashland, MA, USA) and cultured according to the manufacturer’s guidelines. Upon receipt, 3D RHE models were promptly placed in phenol red-free medium (Part No. EPI-100-ASY-PRF) and incubated at 37 °C with 95% humidity and 5% CO2 for 20 h to establish equilibrium. Afterwards, the cultures were treated with either 0.5 mM GLA only or 0.5 mM GLA with test compounds in the culture medium. All cultures were incubated with treatment at 37 °C with 95% humidity and 5% CO2 for 24 h. At the end of the incubation period, each culture was dissected from the tissue insert, rinsed with sterile water to eliminate any residual treatment, followed by peeling off the polycarbonate base membrane. Subsequently, the cultures were imaged using a handheld imaging device; the SpectroShade Micro spectrophotometer (SpectroShade USA, Oxnard, CA, USA). The built-in software was utilized to render b*-values from these images. After imaging, each culture was stored in a clear 1-dram glass vial on dry ice and later stored in a −80 °C freezer until subsequent analytical quantification of relative AGEY intensity using HILIC-MS/MS, as described above.
4.8. Statistical Analysis
Statistical significance for all experiments was determined by Student’s t-tests, unless stated otherwise. Pearson’s correlation analysis was used to determine the significance of the correlations between AGEY intensity and the b*-values for GLA treatment in human epidermal explant tissue. Values of p ≤ 0.05 were considered statistically significant.