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A systematic review of natural products for skin applications: Targeting inflammation, wound healing, and photo-aging
Open accessAbstract
BACKGROUND: Every day the skin is constantly exposed to several harmful factors that induce oxidative stress. When the cells are incapable to maintain the balance between antioxidant defenses and reactive oxygen species, the skin no longer can keep its integrity and homeostasis. Chronic inflammation, premature skin aging, tissue damage, and immunosuppression are possible consequences induced by sustained exposure to environmental and endogenous reactive oxygen species. Skin immune and non-immune cells together with the microbiome are essential to efficiently trigger skin immune responses to stress. For this reason, an ever-increasing demand for novel molecules capable of modulating immune functions in the skin has risen the level of their development, particularly in the field of natural product-derived molecules. PURPOSE: In this review, we explore different classes of molecules that showed evidence in modulate skin immune responses, as well as their target receptors and signaling pathways. Moreover, we describe the role of polyphenols, polysaccharides, fatty acids, peptides, and probiotics as possible treatments for skin conditions, including wound healing, infection, inflammation, allergies, and premature skin aging. METHODS: Literature was searched, analyzed, and collected using databases, including PubMed, Science Direct, and Google Scholar. The search terms used included "Skin", "wound healing", "natural products", "skin microbiome", "immunomodulation", "anti-inflammatory", "antioxidant", "infection", "UV radiation", "polyphenols", "polysaccharides", "fatty acids", "plant oils", "peptides", "antimicrobial peptides", "probiotics", "atopic dermatitis", "psoriasis", "auto-immunity", "dry skin", "aging", etc., and several combinations of these keywords. RESULTS: Natural products offer different solutions as possible treatments for several skin conditions. Significant antioxidant and anti-inflammatory activities were reported, followed by the ability to modulate immune functions in the skin. Several membrane-bound immune receptors in the skin recognize diverse types of natural-derived molecules, promoting different immune responses that can improve skin conditions. CONCLUSION: Despite the increasing progress in drug discovery, several limiting factors need future clarification. Understanding the safety, biological activities, and precise mechanisms of action is a priority as well as the characterization of the active compounds responsible for that. This review provides directions for future studies in the development of new molecules with important pharmaceutical and cosmeceutical value.
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“The skin is another major target of stress-induced immune alterations; cytokine imbalance in this context—mostly IL6 and TNFa—can delay wound healing and accelerate cutaneous aging [47].”
From Chronic Stress and Autoimmunity: The Role of HPA Axis and Cortisol Dysregulation (2025) · cites this paper as [47]
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“The majority of studies included in the review were preclinical or small‐scale clinical trials, warranting further research to establish the efficacy and safety of these interventions.”
From Cosmeceuticals in photoaging: A review. (2024) · cites this paper as [50]
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“Additionally, the heterogeneity of the included studies makes it challenging to draw definitive conclusions on the overall effectiveness of natural products for skin health.”
From Cosmeceuticals in photoaging: A review. (2024) · cites this paper as [50]
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“Based on the evidence presented in the review, it can be concluded that natural products show promise in addressing skin conditions and promoting skin health.”
From Cosmeceuticals in photoaging: A review. (2024) · cites this paper as [50]
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Chronic Stress and Autoimmunity: The Role of HPA Axis and Cortisol Dysregulation
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“Overall, Fernandes et al.’s 50 systematic review offers a comprehensive overview of the current evidence on natural products for skin applications.”
BackgroundInfluential
Metadata
- Authors
- Fernandes, A., Rodrigues, P. M., Pintado, M., & Tavaria, F. K.
- Affiliations
- Universidade Católica Portuguesa (PT)
- Corresponding author
- Fernandes, A.
- Venue
- Phytomedicine
- Publisher
- Elsevier BV
- Published
- 2023-07
- Volume
- 115
- Pages
- 154824
- ISSN
- 0944-7113 (ISSN-L)
- OpenAlex
- W4366245600
- Cited by
- 264
- References
- 329
- Citations by year
- 2026: 91 · 2025: 95 · 2024: 60 · 2023: 18
- FWCI
- 12.15
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Phytomedicine (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
- Funders
- FCT (UIDB/50016/2020, UI/BD/151390/2021)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Surgery › Wound Healing and Treatments
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- natural products, skin care, skin inflammation, wound healing, photoaging, oxidative stress, skin microbiome, immunomodulation, polyphenols, polysaccharides, fatty acids, antimicrobial peptides, probiotics, atopic dermatitis, psoriasis, autoimmunity, dry skin, ultraviolet radiation, cosmeceuticals
- MeSH terms
- Anti-Inflammatory Agents, Antioxidants, Biological Products, Humans, Inflammation, Peptides, Polysaccharides, Skin Aging, Reactive Oxygen Species, Polyphenols
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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