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Daily Report

Daily Cosmetic Research Analysis

05/24/2025
3 papers selected
3 analyzed

A registered randomized trial shows Manuka honey oral rinse improves xerostomia symptoms and salivary flow in older adults. A multi-country biomonitoring study links adolescent exposure to benzophenone UV filters with higher odds of obesity, suggesting regulatory and preventive implications. Basic research reveals that complexing chitosan with phosvitin enhances antibacterial activity across pH ranges, informing antimicrobial cosmetic and topical formulations.

Summary

A registered randomized trial shows Manuka honey oral rinse improves xerostomia symptoms and salivary flow in older adults. A multi-country biomonitoring study links adolescent exposure to benzophenone UV filters with higher odds of obesity, suggesting regulatory and preventive implications. Basic research reveals that complexing chitosan with phosvitin enhances antibacterial activity across pH ranges, informing antimicrobial cosmetic and topical formulations.

Research Themes

  • Natural-product-based therapeutics for oral health
  • Cosmetic UV filter exposure and adolescent metabolic health
  • Biopolymer complexation enhancing antimicrobial function for topical/cosmetic use

Selected Articles

1. Efficacy of Manuka honey oral rinse in treatment of xerostomia among elderly patients: a randomized controlled trial.

71Level IRCT
BMC oral health · 2025PMID: 40410721

In a single-blinded randomized trial of 42 older adults, a Manuka honey mouth rinse used three times daily for one month significantly improved subjective xerostomia (SXI) and objective oral dryness (CODS) scores versus natural honey and saline. Salivary flow increased more with Manuka honey (1.51 ± 0.34) than with natural honey. Findings support Manuka honey as a low-cost, natural adjunct for xerostomia management.

Impact: Provides randomized evidence for a readily accessible natural intervention that improves both patient-reported and objective measures of xerostomia in older adults.

Clinical Implications: Clinicians may consider Manuka honey mouth rinse as an adjunctive option for symptomatic xerostomia in older adults, while awaiting larger, longer-term trials to confirm efficacy and safety.

Key Findings

  • Randomized, single-blinded three-arm trial (n=42) comparing Manuka honey rinse, natural honey rinse, and saline over one month.
  • Manuka honey significantly reduced SXI (2 ± 0.39) and CODS (5.71 ± 0.91) compared with the other groups.
  • Salivary flow rate was higher after one month with Manuka honey (1.51 ± 0.34) than with natural honey.
  • Trial was prospectively registered (NCT06240806).

Methodological Strengths

  • Randomized design with active (natural honey) and saline control arms
  • Use of both subjective (SXI, OHIP-14) and objective (CODS, salivary flow) outcomes and trial registration

Limitations

  • Small sample size and single-center design limit generalizability
  • Single-blinded design and short (1 month) follow-up

Future Directions: Conduct larger, multicenter, double-blind RCTs with longer follow-up to assess durability, safety, and comparative effectiveness versus standard xerostomia therapies.

BACKGROUND: Xerostomia is a common complaint among elderly patients. Due to the anti-inflammatory effect, Manuka honey could be a promising alternative remedy for many medical conditions, including xerostomia. The present study aimed to evaluate the effectiveness of Manuka honey oral rinse as a novel management for xerostomia in elderly patients. METHODS: This study was designed as a randomized, single-blinded clinical trial. 42 elderly patients who were all evaluated for the presence of xerostomia and hyposalivation were randomly allocated into 3 equal groups, the interventions were used 3 times per day for 1 month as follows: Manuka honey oral rinse in group I, natural honey oral rinse in group II, and saline in group III (control). The Summated Xerostomia Inventory (SXI) score, The Clinical Oral Dryness Score (CODS), and the salivary flow rate were evaluated for all groups at different intervals. The Oral Health Impact Profile (OHIP-14) questionnaire was assessed 1 month after intervention. RESULTS: Manuka honey oral rinse caused a significant reduction of the subjective SXI score (2 ± 0.39) and objective clinical oral dryness (5.71 ± 0.91) scores compared to the other 2 groups. Moreover, the salivary flow rate was significantly higher after one month of using Manuka honey oral rinse (1.51 ± 0.34) than honey oral rinse group (1.01 CONCLUSION: Manuka honey oral rinse demonstrated high efficiency in the management of xerostomia among elderly patients when compared with natural honey as it relieved the symptoms and severity of xerostomia in the elderly along with a high rate of patient satisfaction. TRIAL REGISTRATION: The study was registered at Clinical Trials.gov (NCT06240806) on 01/14/2024.

2. Adolescent exposure to benzophenone ultraviolet filters: cross-sectional associations with obesity, cardiometabolic biomarkers, and asthma/allergy in six European biomonitoring studies.

66Level IIICohort
Environmental research · 2025PMID: 40409449

Pooling six aligned European biomonitoring studies (n=1339), higher urinary BP-3 levels (CAS-adjusted) were associated with increased odds of obesity (OR 1.20), with sex-specific effects showing stronger associations for BP-1 and BP-3 among males. Associations with higher BMI z-scores were consistent, and BP-1 was negatively associated with adiponectin in females. Results support reducing benzophenone UV filter exposure while pursuing longitudinal confirmation.

Impact: Links widely used cosmetic UV filters to adolescent obesity risk in a large multi-country dataset using advanced exposure normalization, informing regulation and public health.

Clinical Implications: Healthcare providers can consider environmental UV filter exposures in adolescent obesity risk assessment and counseling, while advocating for policies that minimize benzophenone exposures.

Key Findings

  • Across six European studies (n=1339), each log-unit increase in urinary BP-3 (CAS-adjusted) was associated with higher odds of obesity (OR 1.20; 95% CI 1.04–1.38).
  • Sex-specific effects: in males, higher odds of obesity with BP-1 (OR 1.25; 95% CI 1.01–1.55) and BP-3 (OR 1.34; 95% CI 1.09–1.65).
  • Consistent positive associations with BMI z-scores; BP-1 (CAS) was negatively associated with serum adiponectin in females.
  • Advanced exposure adjustment using covariate-adjusted creatinine standardization (CAS) and mixed-effects modeling.

Methodological Strengths

  • Multi-country pooled analysis with harmonized protocols and adequate sample size
  • Use of CAS creatinine adjustment, GAMs, and mixed models; sex-interaction testing

Limitations

  • Cross-sectional design precludes causal inference and is susceptible to reverse causation
  • Exposure based on spot urine; cardiometabolic biomarkers available only in a subsample

Future Directions: Prospective longitudinal and intervention studies to test causality, clarify mechanisms, and evaluate health impacts of substituting benzophenones with safer alternatives.

BACKGROUND: Exposure to benzophenone-1 (BP-1) and benzophenone-3 (BP-3), widely used as UV filters in personal care products, has been associated with adverse health effects. However, epidemiological evidence is limited and inconclusive, particularly in vulnerable populations such as teenagers. OBJECTIVE: To examine the relation between BP-1 and BP-3 concentrations and obesity, cardiometabolic biomarkers, and asthma/allergy outcomes in European teenagers, including possible sex-specific associations. METHODS: A multi-country cross-sectional study was conducted using pooled data from six aligned studies from the Human Biomonitoring for Europe Initiative (HBM4EU). Sociodemographic data, cardiometabolic biomarkers, and asthma/allergy outcomes were collected through questionnaires. Anthropometric data and BMI z-scores were calculated (n = 1339). Plasma/serum cardiometabolic biomarkers and asthma/allergy outcomes were available for a subsample (n = 173-594). Urinary BP-1 and BP-3 concentrations were adjusted for creatinine dilution using the traditional standardization (trad.) and the covariate-adjusted creatinine standardization (CAS) method. Generalized additive models, linear, logistic, and multinomial mixed models were applied, and sex-interaction terms were tested. RESULTS: Each natural log-unit increase in urinary BP-3 (CAS) concentrations was associated with higher odds of obesity in the whole population (OR: 1.20; 95%CI: 1.04-1.38). Sex-specific associations were also found with BP-1 (CAS) and BP-3 (CAS) concentrations, which were associated with higher odds of obesity in male teenagers (OR: 1.25; 95% CI: 1.01-1.55; OR: 1.34; 95%CI: 1.09-1.65, respectively). Linear mixed models showed consistent findings toward higher BMI z-scores. A negative association was found between BP-1 (CAS) concentration and serum adiponectin levels in females (% change per log CONCLUSIONS: BP-1 and BP-3 exposure was cross-sectionally associated with higher odds of obesity in European male teenagers, highlighting the need to update regulations and keep exposure levels as low as practically achievable. Longitudinal studies are needed to confirm these findings.

3. Complexation with chicken yolk phosvitin modulates antibacterial activity of chitosan.

66Level VCase series
Carbohydrate polymers · 2025PMID: 40409825

This mechanistic study shows for the first time that phosvitin–chitosan complexation preserves and enhances chitosan’s bacteriostatic activity by two- to fourfold across acidic and alkalescent media, lowering MICs. Complex formation depends on electrostatic and non-electrostatic forces, with composition and charge varying by pH. The findings inform design of antimicrobial drug-delivery systems and cosmetic formulations.

Impact: Demonstrates a novel strategy to boost chitosan’s antimicrobial performance via protein complexation, expanding options for preservative-free antimicrobial cosmetic and topical systems.

Clinical Implications: While preclinical, the approach may enable more effective antimicrobial dressings and topical vehicles that function across skin-relevant pH ranges, potentially reducing reliance on conventional preservatives.

Key Findings

  • Phosvitin complexation did not restrict chitosan’s bacteriostatic activity and enhanced it two- to fourfold at 0.25–1.0 mg/ml phosvitin in acidic (pH 5.8) and alkalescent (pH 7.4) media.
  • Minimal inhibitory concentrations of chitosan decreased in both pH conditions when complexed with phosvitin.
  • Complex formation arises from electrostatic and non-electrostatic interactions; solely negatively charged complexes form in alkalescent medium.
  • In acidic medium, interaction is faster; insoluble complexes contain five times more phosvitin than soluble ones, whereas soluble complexes enriched in chitosan form in both media.
  • A proposed mechanism involves labile proton transfer from phosvitin to chitosan, strengthening electrostatic complexation.

Methodological Strengths

  • Comprehensive physicochemical characterization across pH with mechanistic interpretation
  • Quantitative antibacterial assessments demonstrating reduced MICs and enhanced activity

Limitations

  • In vitro study without in vivo or clinical validation
  • Specific bacterial spectra and formulation performance in real products were not evaluated

Future Directions: Test chitosan–phosvitin complexes in formulated topical/cosmetic systems and in vivo infection models, optimize ratios for maximal efficacy, and assess safety/biocompatibility.

In this study, it is shown for the first time that complexation with phosvitin does not restrict bacteriostatic activity of chitosan. Moreover, chitosan possesses the activity in the presence of phosvitin in acidic and alkalescent media. Besides, minimal inhibition concentrations of chitosan decrease in both acidic (pH 5.8) and alkalescent (pH 7.4) media, and chitosan shows two/fourfold higher bacteriostatic activity at 0.25-1.0 mg/ml phosvitin concentration in solution compared with that of chitosan alone due to an additive effect of chitosan and phosvitin, i.e. phosvitin modulates antimicrobial activity of chitosan in the acidic and alkalescent media. It is shown that the electrostatic and non-electrostatic forces are responsible for formation of soluble and insoluble chitosan/phosvitin complexes. Solely negatively charged complexes are formed in alkalescent medium. A faster interaction occurs in acidic medium, and insoluble complexes have five times as much phosvitin as the soluble ones. In their turn, soluble complexes enriched with chitosan are formed in both acidic and alkalescent media. It is presumed that a transfer of labile protons from phosvitin onto chitosan strengthens the electrostatic complexation between chitosan and phosvitin molecules. The finding can be promising for construction of phosvitin/chitosan-based drug-delivery systems and cosmetic compositions possessing antimicrobial activity.