LVMHS Symposium on Skin Science

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    11th

    Scientic SymposiumLVMH Recherche

    Skin RejuvenationLondon UK

    Thursday 27th October 2011

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    11th

    Scientic SymposiumLVMH Recherche

    Skin RejuvenationLondon UK

    Thursday 27th October 2011

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    Dr. Barry KnightHead of Conservation Research

    The British Library is the national library of the United

    Kingdom, a major research library holding over 150

    million items from every country in the world, in many

    formats, print or digital: books, manuscripts, newspa-

    pers, journals, magazines, sound and music recordings,

    videos, maps, stamps, prints, drawings

    For many years, the British Librar y has also developed

    a conservation research strategy and collaborative

    applied research programmes to maximize the future

    availability of collections.

    The British Library is a unique and fabulous place in

    the worldwide cultural and information network, an

    institution which supports research, guarantees access

    for future generations to the worlds knowledge, and

    enriches the cultural life of the nation.

    The British Library

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    Frdric BontDirector of Scientic Communication

    Dear Colleagues,

    It is my great pleasure and honour to welcome you

    to the 2011 LVMH Recherche Symposium held at the

    British Library in London.

    In many countries, in the next 50 years, about one-third

    of women will be over 50. Appearance and skin vitality

    are and will remain a subject of primary importance in

    daily life and for social well being. If there is beauty to

    be found in every human face, the cosmeticians role is

    to provide skin care and makeup products that allow a

    womans facial features to work in concert and reect

    light with more harmony and equilibrium. Scientistsare looking for new strategies able to regenerate the

    health and youth of the skin by producing a durable

    effect below the skins surface.

    Today, selected scientic presentations will cover a wide

    range of topics and will present the latest scientic

    discoveries in anti-aging and skin rejuvenation research.

    Rejuvenation is the central focus of thousands research

    projects in laboratories in the eld of genetics, cellular

    and molecular biology, active ingredients, reprogram-

    ming strategies and formulation. The goal of these

    projects is to help women to achieve naturally radiant

    skin and to reestablish youthful facial characteristics.

    Let me remind you that the aim of this LVMH Recherche

    symposium is to gather together leading scientists in

    order to discuss one of the major themes in the eld

    of cosmetics and to generate transdisciplinary links.

    It is a great privilege to hold this symposium at the

    British Library, which occupies a unique and inspiring

    place in the worlds cultural and information network,

    an institution that supports research, guaranteesaccess to world knowledge to future generations and

    enriches the cultural life of nations.

    Welcome

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    Executive Vice-President R&D

    LVMH Recherche

    eric perrier

    Our Philosophy:

    Research for emotion

    Healthy skin is our main source of inspiration. To

    better understand it, our Research and Development

    Center has developed a comprehensive set of investi-

    gative tools in immunohistochemistry, cell culture, skin

    reconstruction, skin biopsy, DNA chips, proteomics,

    advanced imaging and sensory maps, among others.

    Our daily goal is to better understand the biological

    mechanisms that govern skins appearance, evolution

    and rhythm. Research by our biologists, combined with

    that of phytochemists in our ethnobotanical network,

    aim to identify biological targets and develop active

    ingredients and formulas to help maintain the beauty

    and youth of the skin.By combining our knowledge with information from

    the elds of sociology, psychology and neurocosme-

    tics, and validating our results in clinical studies and

    consumer panels worldwide, we seek to reach tai-

    lored cosmetics solutions.

    Deeply rooted in a culture of sharing knowledge and

    respect of everyones skills, our research philosophy is

    enriched by our own expertise as well as that of the

    international experts with whom we work.

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    Scientic adviser

    Max santoul processes that restructure the skins composition torestore its lost momentum. One could say that this

    is a drive towards the future that restores the condi-

    tions of a youthful past.Recently new terms have cropped up in the eld of

    cosmetics to describe new concepts, such as derma-

    toporosis, while other terms have remained the same

    but no longer have quite the same meaning. The area

    of hydration, for example, which was revolutionized

    by the discovery of aquaporins, for which Peter Agre

    earned a Nobel Prize in 2003, has been important

    to the formulation of our products for some years.

    The regulation of proteasome (whose discovery also

    earned a Nobel Prize in 2004) represents another

    breakthrough in our formulations. Among antioxy-

    dants, complex molecules were isolated from specic

    vine shoots of rare french vines and some polyphe-

    nolic trimers (miyabenol) show remarkable biological

    activities to ght skin ageing.Our research laboratory is currently working on many

    projects whose aim is to nd active ingredients that

    would help in skin rejuvenation. Genetic sites involved

    Skin has a natural potential to conserve its beauty,

    and probably contains the secrets of prolonged youth.

    Some cells naturally live for many years and others

    have an extraordinary power of renewal. Moreover, it

    appears that our biological clock is part of a process

    of aging whose activation is not inevitable, and we can

    slow down its pendulum. Even better, it is becoming

    possible to prevent our biological clock from cutting

    time short and to compel it to reverse its conse-

    quences. Thus a new era that goes beyond anti-aging

    is emerging, an era of rejuvenation.

    LVMH Research is aimed at making advances in

    understanding skin composition, but also in the areas

    of the protection, repair and the enzymes of the skin

    slowing or stimulating their production as well as

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    the twentieth century, with an emphasis on repair

    and protection (antioxydants are well-established

    examples), and now they are moving towards the

    future, focusing on rejuvenation, with research on

    stem cells and agents capable of reversing the course

    of time.

    Through this symposium we hope to share with you

    our enthusiasm for the latest advances in this exciting

    eld.

    in aging may be targeted, stem cells reactivated, enzy-

    matic processes optimized. For example, of particular

    interest are sirtuins, cellular enzymes in close contact

    with proteins that manage our genetic inheritance and

    affect cellular metabolism by regulating the expression

    of certain genes. Current research has developed to

    the point where a youthful appearance is a right to

    which we can all aspire, and the protection of an organ

    as precious as the skin is becoming a duty.

    This living envelope, which has inuenced the evolution

    of our species since the dawn of humanity, clothes ourbodies in nudity. This soft, smooth, durable, expandable,

    waterproof garment that protects us from a hostile

    environment must stand the test of time. It holds an

    exceptional power of longevity and perhaps, secretly, a

    universal power of repair and renewal.

    If we had to summarize the history of cosmetics, we

    would say that it dates back to the earliest civilizations.

    For millennia cosmetics were devoted to beautica-

    tion, then they entered the era of anti-aging during

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    WelcomeEric Perrier, Frdric Bont,

    LVMH Recherche, Saint Jean de Braye, France

    Introduction

    Dr. Barry Knight, Head of Conservation Research, British Library, London, UK

    Prospects for truly comprehensive repair of aged skin

    Dr. Aubrey de Grey, Chief Science Ofcer,

    SENS Foundation, Mountain View, USA

    A dermatologists view on skin rejuvenation

    Dr. Leslie Baumann, Chief Executive Ofcer, Baumann Cosmetic & Research

    Institute, Miami, FL, USA

    Stem cells and skin rejuvenation

    Pr. Carlo Pincelli, Professor of Dermatology,

    School of Biosciences and Biotechnologies,University of Modena and Reggio Emilia, Italy

    Translational reverse-aging research: latest advances

    Melanie Swan, MBA, Futurist and Applied Genomics Exper t,

    MS Futures Group, DIYgenomics, Palo Alto, USA

    Skin-cell rejuvenation

    Dr. Carine Nizard, Bio-Science Innovation Manager,

    LVMH Recherche, Saint Jean de Braye, France

    Signalling pathways and rejuvenation: risks and opportunities

    Oleg Kvitko, Ph.D., Leading scientist, Institute of Genetics and

    Cytology, National Academy of Sciences, Minsk, Belarus

    Controlled wound healing for skin rejuvenation:

    recent progress and future challenges

    Dr. Laure Ritti, Research Investigator,Department of Dermatology Photoaging and Aging Research Program,

    Ann Arbor, University of Michigan, USA

    Program

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    Chief Science Ofcer, SENS

    Foundation, Mountain View, USA

    aubrey de grey ventions to repair and/or obviate that damage. He hasdeveloped a possibly comprehensive plan for such

    repair, termed Strategies for Engineered Negligible

    Senescence (SENS), which breaks aging down intoseven major classes of damage and identies detailed

    approaches to addressing each one. A key aspect of

    SENS is that it can potentially extend healthy lifespan

    without limit, even though these repair processes will

    probably never be perfect, as the repair only needs to

    approach perfection rapidly enough to keep the ove-

    rall level of damage below pathogenic levels. Dr. de

    Grey has termed this required rate of improvement

    of repair therapies longevity escape velocity. Dr. de

    Grey is a Fellow of both the Gerontological Society

    of America and the American Aging Association, and

    sits on the editorial and scientic advisory boards of

    numerous journals and organisations.

    Dr. Aubrey de Grey is a biomedical gerontologist

    based in Cambridge, UK, and is the Chief Science

    Ofcer of SENS Foundation, a California-based cha-

    rity dedicated to combating the aging process. He

    is also Editor-in-Chief of Rejuvenation Research, the

    worlds highest-impact peer-reviewed journal focused

    on intervention in aging. He received his BA and Ph.D.

    from the University of Cambridge in 1985 and 2000

    respectively. His original eld was computer science,

    and he did research in the private sector for six years

    in the area of software verication before switching

    to biogerontology in the mid-1990s. His research

    interests encompass the characterisation of all the

    accumulating and eventually pathogenic molecular

    and cellular side-effects of metabolism (damage) thatconstitute mammalian aging and the design of inter-

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    Prospects for trulycomprehensive repair of aged skin

    are broadly similar. In all cases they can be classied

    into just seven major categories. Furthermore, for

    each such category, it seems likely that all examples

    within a category will in due course be amenable torepair by broadly the same type of intervention.

    Two of these seven categories concern extracellu-

    lar material: accumulation of miscellaneous detritus

    that has escaped the attention of all mechanisms for

    degradation or excretion, and biophysical dysfunc-

    tion caused by chemical or physical alterations to the

    extracellular matrix. In the skin, the latter is of parti-

    cular interest in relation to the basal lamina separating

    the dermis and the epidermis, and also the interstitial

    extracellular matrix permeating the dermis. These

    lattices of structural proteins (mostly collagen and

    elastin) are recycled only slowly, with half-lives of the

    same order of magnitude as the human lifespan, so

    they have ample opportunity to accumulate damage.

    One major type of such damage is random crosslin-

    king, predominantly caused by sequences of reactions

    between circulating monosaccharides and lysine or

    arginine residues of ECM proteins. These reactions,

    collectively referred to as glycation, sometimes

    result in covalent linkages (especially one particular

    structure termed glucosepane) between juxtaposed

    proteins, progressively diminishing the elasticity of theECM as a whole, with macroscopic consequences

    in terms of skin vitality. Similar chemistry also results

    Though aging of the skin is not in itself a l ife-threatening

    process, the immense demand for skin care products

    demonstrates how important skin aging is in dimi-

    nishing self-esteem and quality of life. In spite of conti-nued progress in improving the efcacy of skin rejuve-

    nation methods, existing techniques remain far from

    fully effective. Where will future major breakthroughs

    in addressing skin aging come from?

    There are two distinct classes of obstacle to achieving

    truly comprehensive skin rejuvenation. Firstly, the skin

    is a rather complex tissue, incorporating two verydifferent layers of cells (the dermis and the epider-

    mis), each of which possesses multiple cell types and

    which are separated by an extracellular lamina that

    also undergoes age-related degradation. Accordingly, it

    is very likely that a panel of simultaneous interventions

    will be required, each addressing a subset of the many

    types of dysfunction that aged skin exhibits. Secondly,

    the skin is in intimate contact with the rest of the body,

    especially via the circulation, and is therefore adversely

    affected by the aging of all other tissues. It is difcult

    to quantify the impact of this as a driver of skin aging,

    but there are reasons to suspect that it is substantial.

    Luckily, the specic types of molecular and cellular

    damage accumulating in all tissues, the skin included,

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    in adducts attached to individual amino acids: these

    probably do not alter the ECMs biomechanical pro-

    perties, but they may be immunogenic, especially in the

    increasingly autoimmunity-prone aged environment. In

    addition, simple rupture of the peptide backbone of

    ECM proteins will go unrepaired until the protein is

    subjected to wholesale degradation and replacement,

    which as noted above is a rare process. This may be

    a less signicant type of ECM damage than in other

    tissues, such as the walls of the major arteries, but it

    cannot safely be ignored. Accordingly, there is a strongcase for exploring methods to stimulate faster turno-

    ver of the skin ECM, thereby to replace it with pristine

    ECM lacking these modications. Unfortunately, there

    is evidence that crosslinking renders ECM somewhat

    resistant to degradation by proteases naturally secre-

    ted by broblasts an obstacle that must be over-

    come if the loss of elasticity just mentioned can be

    fully reversed. However, after many years of pessimism,

    there is now new hope for the development of phar-

    maceuticals capable of cleaving the most abundant

    glycation-induced crosslinks.

    Similarly, at the intracellular level there are changes

    during aging which may contribute substantially to the

    skins biophysical properties and thus compromise its

    perceived youth. The most important may be the ac-

    cumulation in quiescent dermal broblasts, typically in

    the lysosome, of a variety of molecular detritus that is

    created as byproducts of normal metabolism but is not

    then degraded or excreted. Pigmented material in par-

    ticular, whether intracellular or extracellular, constitutes

    an important aspect of aging. A promising approach

    to repairing this type of damage is to introduce intocells enzymes (or the genes encoding them), found

    elsewhere in the biosphere (especially in bacteria), that

    can degrade such compounds.

    It is also necessary to consider aging at the cellular

    level, i.e. changes in cell number as opposed to cell

    structure. Thinning of the skin, especially the dermis,

    contributes greatly to skin aging, and is largely a conse-

    quence of depletion of broblast density. In the epi-

    dermis, stem cell number may also decline. Cell loss

    is the natural target for stem cell therapies of various

    means, and especially in relation to the epidermis we

    are already seeing encouraging progress, not least as

    a result of the relevance to burns therapy.In sum, a sophisticated multi-component assault will

    probably be necessary if we are to achieve complete

    rejuvenation of aged skin but this is no longer a uto-

    pian goal. With sufcient resources and determina-

    tion, it can be achieved within the foreseeable future.

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    Dr. Leslie Baumann, Chief Executive Ofcer,

    Baumann Cosmetic & Research Institute,

    Miami, FL, USA

    leslie bauMann Her New York Times bestselling book The Skin TypeSolution is in 5 countries and describes her skin

    typing system that is based on her years of research

    on skin care. She authors a skin care blog on Yahoo!

    Health that is read by millions of people. Dr. Leslie

    Baumann does not have her own skin care line. Her

    clinical approach for skin care and cosmetic medicine

    combines science with practical solutions.

    Dr. Leslie Baumann is a dermatologist, researcher, pro-

    fessor and well-known author. In 1997, she chaired the

    rst Division of Cosmetic Dermatology in the USA

    at the University of Miami. Her textbook Cosmetic

    Dermatology (McGraw Hill 2002, 2010) was the rst

    textbook on the subject and is currently the bestselling

    cosmetic dermatology textbook worldwide.She performed the research trials in the USA that

    led to FDA approval of Botox, Dysport, Sculptra,

    Juvederm, and many other products and procedures.

    She has performed clinical research trials for over 50

    cosmetic and pharmaceutical companies.

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    A Dermatologists Viewon Skin Rejuvenation

    unsuccessful in treating the loss of collagen, elastin

    and hyaluronic acid with the exception of retinoids.

    The science of topical retinoids and the use of dermal

    llers and botulinum toxin to treat aged skin will bediscussed.

    Facial volume loss is a major cause of skin aging. Stem

    cells, fat and dermal llers are being used to correct

    facial volume defects. The state of the art of stem cells

    will be discussed.

    The second step in planning a facial rejuvenation plan

    is determining the patients Baumann Skin Type using

    a questionnaire known as the Baumann Skin Type

    Indicator (BSTI). There are 16 individual Baumann

    Skin Types based on the combinations of the following

    parameters:

    1. Oily vs dry

    2. Sensitive vs resistant

    3. Pigmented vs nonpigmented

    4. Wrinkled vs non-wrinkled (tight)Combining these 4 parameters gives 16 possible

    combinations. This lecture will briey describe the 16

    skin types and will focus on the science behind what

    causes the various skin conditions.

    A future research aim is to identify the genetic nger-

    print of various skin types.

    Skin Rejuvenation requires a multifaceted approach.

    The most successful outcomes occur when the pa-

    tient is properly educated and motivated, and a proper

    skin care regimen is combined with in-ofce pro-cedures. The current trend is to develop at home pro-

    cedures that mimic in-ofce procedures. This lecture

    will discuss the thought process that dermatologists go

    through when selecting skin care products and cosme-

    tic procedures for facial rejuvenation.

    The rst step in planning a facial rejuvenation plan is

    evaluating these 4 facial characteristics to decide what

    cosmetic procedures are best suited for the patient.

    1. Evenness of skin color

    2. Skin surface texture

    3. Presence of wrinkles

    4. Facial volume.

    A youthful face has evenness of color. Visible blood

    vessels and accumulation of melanin contribute to

    unevenness of color. Lasers, light devices, skin peels andskin care products are combined to treat uneven skin

    tone. The theory of photothermolysis and use of light

    to treat skin discoloration will be discussed.

    Skin surface texture is determined by the condition of

    the stratum corneum. Methods used to smooth the

    stratum corneum include facial scrubs, facial brushes,

    microdermabrasion and chemical peels.

    Wrinkles are caused by the loss of collagen, elastin

    and hyaluronic acid. Topical products have been largely

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    Professor of Dermatology, School

    of Biosciences and Biotechnologies,

    University of Modena andReggio Emilia, Modena, Italy

    carlo pincelli As epidermal expert, he has brought particularcontributions in areas such as stem cells, mole-

    cular and cell biology and apoptosis, exploring

    deeply the pathogenic mechanisms implicated in skin

    pathologies.

    He is co-founder and Chief Executive Of-cer of the

    academic spinoff Pincell S.r.l.Pr. Pincelli is also co-in-

    ventor of two international patents and author of

    over hundred-fty articles in peer-reviewed jour-

    nals. In 2006-2007, he has been President of

    the European Society for Dermatological Research

    (ESDR). He is currently member of the Board ofTrustees of the European Skin Research Foundation

    (ESRF).

    Carlo Pincelli received his training in Dermatology at

    the University of Modena and Reggio Emilia in Italy

    and at St. Johns Hospital for Diseases of the Skin in

    London. He spent two years as a visiting research

    fellow at the University of California San Francisco

    in 1986-1988 and 9 months at the Department ofDermatology Boston University in 1994 as a visiting

    scientist.

    He became Professor of Clinical Dermatology in

    1990. Five years later he was appointed as Director of

    Research of the Laboratory of Cutaneous Biology at

    the University of Modena and Reggio Emilia.

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    Stem cells and skin rejuvenation

    throughout life, it was tacitly understood that the

    epidermal stem cell remained functional as long as

    the organism l ived and that this cell population met

    the continual demand for new cells. Studies in mouseskin conrmed that epidermal stem cells remain func-

    tional and appear to resist to cellular ageing. Recent

    works, demonstrate that it is the Transit amplifying

    (TA)-cells population whose functionality changes as

    skin ages and that this change mantains the integrity

    of the epidermis in old mice. TA cells appear to be

    more affected than stem keratinocytes by ageing also

    in human epidermis.

    KSCs reside in a special microenvironment, the niche,

    that allows them to maintain their unique features

    and stemness. KSC are located within the basal

    layer of epidermis and rest upon the basal mem-

    brane that is rich in extracellular matrix and growth

    factors. As basal keratinocytes exit the niche, they

    move into suprabasal layers, and different microenvi-romental stimuli inuence their destiny. Under normal

    conditions, basal keratinocytes leave the basal niche

    to undergo terminal differrentiation. This critical pro-

    cess is regulated by an increasing number of signals.

    The niche concept in itself implies that KSCs, in order

    to maintain longevity and to ensure continue tissue

    renewal, need to be protected from apoptosis, and all

    the factors implicated have to be taken into conside-

    ration during skin ageing. Some integrin family mem-

    bers are downregulated during skin ageing. Moreover,

    Ageing is an inevitable process, with both intrinsic and

    extrinsic determinants, which involves all tissues and

    organs of the body and has particular repercussions and

    evidence in the skin. Intrinsic ageing of the skin occursas a natural consequence of physiological changes over

    time at variable rates. Extrinsic factors are, to varying

    degrees, controllable and include exposure to sunlight,

    pollution or nicotine, repetitive muscle movements

    like squinting of frowning, and miscellaneous lifestyle

    components such as diet, sleeping position and overall

    health. Skin aging involves increased susceptibility to

    injury and infection, reduced wound healing, loss of

    dermal elasticity, poor epidermal barrier maintenance,

    wrinkling, hair loss, and increased cancer risk.

    Since birth, skin homeostasis and integrity is guaranteed

    by the presence of Keratinocyte Stem Cells (KSC) and

    by the correct balance between proliferation, differen-

    tiation and apoptosis. KSCs self-renew and generate

    the different lineages that form the mature tissue.As we grow old, epidermis becomes more fragile and

    susceptible to trauma, with an increasing rate of impai-

    red wound healing. The decline of tissue regenerative

    potential is a hallmark of ageing and may be due to

    related changes in tissue-specic stem cells. Anyway,

    given that epidermal functionality must be maintained

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    survivin, an Inhibitor of Apoptosis Protein (IAPs) family

    member, implicated in cell cycle regulation and sup-

    pression of apoptosis, is strongly expressed in KSCs

    and protect these cells from apoptosis induced by

    UVB radiations. Among other factors, Notch ligands

    expressed in basal keratinocytes bind to Notch

    receptors in suprabasal cells, thus promoting the

    commitment of basal keratinocytes to differentiation.

    Notch proteins and their signaling pathways seem to

    be modulated dur ing skin ageing. Finally, neurotrophins

    and their receptors play an important role in mantainigepidermal homeostasis.

    Furthermore, dermis plays a critical role in sustaining the

    stem cell population. The crosstalk between the epider-

    mal and dermal compartment is necessary to maintain

    epidermal homeostasis. For instance, factors produced

    in the dermal compartment can act on stem cells.

    The chronological aging and photoaging of skin is

    accompanied by an extensive ECM remodelling in the

    dermis, with a decrease in collagen production and

    a reduction of skin tone and elasticity, brosis and

    increased risk to develop aggressive and invasive skin

    cancers.

    Therefore, we can conclude that KSCs behaviour is

    surely age-dependent and strictly related to individual

    characteristics. However, KSC descendent cells and all

    the factors involved in KSC niche have to be taken

    into account in human skin during ageing, in order to

    plan cosmetical and medical interventions in physio-

    logical and pathological conditions.

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    Futurist and Applied Genomics Expert,

    MS Futures Group, DIYgenomics, Palo Alto, USA

    Melanie swan Economics from Georgetown University, and recentcoursework in bioscience, nanotechnology, physics,

    computer science, and philosophy.

    She is a faculty member at Singularity University and

    an Afliate Scholar at the Institute for Ethics and

    Emerging Technologies. Ms. Swan serves as an advisor

    to research foundations, government agencies, corpo-

    rations, and startups and is active in the community

    promoting science and technology, and opportunities

    for women.

    Melanie Swan is a Research Fellow at DIYgenomics, a

    non-prot research organization she founded in March

    2010. The goal of DIYgenomics is to realize persona-

    lized medicine by establishing baseline measures of

    wellness and custom interventions while conditions are

    pre-clinical. The organization is engaged in the design

    and operation of research studies investigating geno-

    type-phenotype linkage and personalized intervention.Ms. Swan has a quantitative risk assessment background

    and became interested in the predictive risk modeling

    and practical applications of personal genomics in

    2008. Her educational background includes an MBA

    in Finance and Accounting from the Wharton School

    of the University of Pennsylvania, a BA in French and

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    Translational reverse-agingresearch: latest advances

    Personalized medicine contemplates an extensive

    range of health and wellness outcomes ranging from

    cure to improvement to normalization to prevention

    to enhancement. The generalized hypothesis andmethodology of personalized genomic medicine

    developed by DIYgenomics is that one or more ge-

    netic polymorphisms may give rise to out-of-bounds

    phenotypic biomarkers which may be ameliorated

    through personalized intervention. For example, the

    DIYgenomics aging study investigates whether TERT

    (telomerase reverse transcriptase) mutations may

    lead to a phenotypic predisposition for shorter-than-

    average telomeres which may be improved through

    telomerase activation therapy that may also improve

    skin tness.

    Genomic studies are not as well established in anti-

    aging skin research as in general disease risk and drug

    response research, but are nevertheless surfacing

    interesting links between genomic polymorphismsand phenotypic conditions.

    Genomic disease proling

    In disease proling for skin conditions, personalized

    genomics has been linked to acne, eczema (atopic

    dermatitis), irritation, erythema, dryness, psoriasis,

    skin lesions, sun damage, premature aging, xeroderma

    pigmentosa, development of freckles and solar lenti-

    gines, Cockayne syndrome, and Kindler syndrome. In

    skin cancers, genomic associations have been found

    in melanoma and cutaneous basal cell carcinoma.

    This talk provides a review of some of the most impor-

    tant advances in translational anti-aging skin research,

    particularly with regard to personalized genomics.

    Personalized genomics is an emerging eld that incor-porates the genetic sequencing proles of individuals

    into health-related decisions. The eld investigates ge-

    netic point mutations, structural variation, epigenomics,

    RNA expression, and microbiome integration. Some

    current applications of personalized genomics include

    the assessment of ancestr y, carrier status, disease r isk,

    and drug response. Personalized genotyping is carried

    out through medical professionals and consumer-di-

    rected services. Over 100,000 individuals worldwide

    have subscribed to personal genome services since

    they became available in late 2007. The validity and

    utility of disease risk assessment has been criticized

    as there is variance between services in disease risk

    interpretation. However drug response is more de-

    nitive and accepted. As of July 2011, in the U.S., theFood and Drug Administration has validated genomic

    biomarkers for approximately 75 drugs.

    The broader role for personalized genomics is as a

    component of personalized medicine, using informa-

    tion about an individual to select or optimize pre-

    ventive or therapeutic care by cohort or individual.

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    Genomic links also exist for hair conditions such as hair

    loss, male pattern baldness, alopecia areata, premature

    hair graying, and thickness and curliness of hair.

    Genomic wellness proling

    In wellness proling, personalized genomics may be

    used to determine an individuals general prole for

    different kinds of healthiness, a predictive indicator

    of which conditions may arise over time. Related

    to skin, areas of genomic wellness proling include

    DNA damage repair response, RNA editing capability,

    immune system response, cancer response, generalaging response, and other factors leading to dermis

    and epidermis wellness.

    Genomic product response proling

    A potential opportunity in personalized genomics is

    the development of skin care products customized

    to individuals per genetic proles. Products could be

    recommended based on predicted response (efcacy

    and side effects), and disease risk and wellness pro-

    ling. Genomic associations have been found in the skin

    care product areas of antioxidant treatment, anti-aging

    DHEA treatment, aluminum powder, and in conjunc-

    tion with microbiome research, for personalized mos-

    quito repellent.

    Wrinkle formation: possibly caused by sun damage,

    ECM degradation, loss of subcutaneous fat, and telo-

    mere shortening

    Wrinkle formation is a central concern of translational

    anti-aging skin research. There may be multiple causes

    of wrinkle formation. Sun damage (also known as pho-

    todamage, photoaging, and UV-induced damage) is a

    critical factor. UV-radiation may trigger DNA damage

    which causes skin to fold and wrinkle. UV-radiation

    may also trigger the activation of heparanase (an

    extracellular matrix (ECM) degradation molecule) that

    increases growth factor interaction between epidermis

    and dermis and causes wrinkles. The loss of subcu-

    taneous fat is another important factor in the aging

    of skin which may contribute to wrinkle formation.

    Fibrosis is another factor: brin (insoluble proteins)

    in cells becomes infused with deposits over time and

    turn into brosis (thickened connective tissue) which

    becomes loosened from ECM proteins and triggers

    wrinkle formation. Solutions might include protease

    inhibitor drugs, and ACE inhibitors, for example in one

    study, losartan-treated mice developed less brosisthan controls. In addition, ECM degradation may be

    facilitated by telomere shortening which triggers a

    wound healing phenotype that produces collagen and

    elastin which degrades the ECM and leads to wrinkle

    formation.

    A variety of solutions to impede or reverse wrinkle

    formation have been suggested in recent research

    including DNA repair enzymes, the topical applica-

    tion of CoQ10 (to reduce reactive oxygen species

    (ROS) production and DNA damage triggered by

    UV-radiation), Vitamin A, and willow bark-derived

    salicin (activating heat shock proteins (HSPs) which

    protect cells from stress-induced damage). Retin-A is

    one of the most widely used skin creams for acne and

    wrinkles but causes an allergic reaction in a signicantpercent of individuals. Potential substitutes include

    retinyl retinoate (a novel hybrid retinoid) to increase

    the stability of retinol which may have an antiwrin-

    kle effect, and retinyl N-formyl aspartamate, a newly

    synthesized photostable retinol derivative.

    Stem cells, regenerative medicine, 3-D skin printing,

    and skin substitutes

    Important research is being carried out in stem cells

    and regenerative medicine, a prominent area for

    potential near-term health advance. In skin anti-aging,

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    the interrelation between stem cell generation, hair

    follicles, wound healing, and microRNA expression is

    being investigated. Producing skin for grafts, wound

    healing, and other purposes is a key application. A

    number of techniques are being explored including

    regenerating skin from an individuals own stem cells,

    3-D printing of skin with bioscaffolds, and skin subs-

    titutes that integrate organic and inorganic mater ial.

    Personalized genomics is an important emerging eld

    of science being applied to human biology and medi-

    cine. Its application in disease risk assessment, wellnessproling, drug response determination, and product

    response customization may only grow over time and

    lead to many useful innovations in translational anti-

    aging skin research.

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    Bio-Science Innovation Manager,

    LVMH Recherche, Saint Jean de Braye, France

    carine nizard Since 2008 she has been a Research Manager specia-lized in anti-ageing and longevity research for LVMH

    (Mot Hennessy - Louis Vuitton) cosmetic brands.

    She has conducted over 20 research projects in her

    specic areas of interest: protein maintenance, pho-

    toageing, heat shock proteins, oxidative stress and

    melanogenesis.

    She has supervised several PhD students and post-

    doctoral fellows. She has published more than 20

    articles in peer-reviewed journals and she is co-au-

    thor of 13 patents.

    Dr. Nizard obtained her PhD in Fundamental and

    Applied Toxicology in 1990 at the French University

    Paris Diderot, Paris 7. Three years later she joined the

    Research Centre LVMH Recherche as a researcher

    in the eld of skin cells and in 2002 she became a

    Bio-Science Innovation Manager. She participated to

    research projects dedicated to innovation for skin care,

    she developed new models of human skin cell culturesand discovered the pharmacological activity of many

    new active ingredients.

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    Skin-cell rejuvenation

    cellular proteins, and others based on the activation

    of detoxifying proteins such as proteasome which

    helps to recycle damaged proteins.

    Accumulation of oxidized proteins is a hallmark ofcellular ageing and is believed to be one of the main

    contributors to the aged phenotype. This process is

    dependent on an increased occurrence of oxidative

    damage to proteins and also on a decreased elimi-

    nation of oxidatively modied protein. Elimination

    of oxidized proteins is mainly achieved through

    degradation by the proteasomal system while certain

    oxidative protein modications such as oxidation of

    methionine residues can be reversed within proteins

    by the methionine sulfoxide reductases (Msrs) system

    which represents one of the few repair mechanisms

    for oxidized proteins. Both systems have been docu-

    mented to exhibit an age-related decline, notably for

    the proteasome in human epidermal cells and dermal

    broblasts. UV-irradiation of skin cells is known toinduce oxidative stress and to promote protein oxi-

    dative damage leading to the formation of carbonyl

    groups as well as the formation of protein adducts

    with lipid peroxidation products. However, the fate of

    such important protein maintenance systems like the

    proteasome and the Msrs upon UV irradiation has

    only been recently addressed in skin relevant cellular

    models. Importantly, a loss in Msr activity would be

    likely to diminish the antioxidant response, hence

    In industrialized countries, populations are ageing and

    over the last 100 years the average life expectancy

    of people has approximately doubled, a multifactorial

    phenomenon in which improvement in nutrition andmedicine and easier working conditions have played an

    important role. The idea that ageing is an active conti-

    nuation of a genetically programmed development of

    organisms has been partially discredited. Ageing is now

    admitted to be a loss of equilibrium between the capa-

    bility of an organism to maintain its repair potential and

    the frequency and intensity of the damage to which it is

    exposed. For the skin, the most exposed organ to envi-

    ronmental injuries, free radicals generated by ultravio-

    let radiation and internal metabolism are considered

    to be the most important deleterious ageing agents

    on cellular proteins, lipids, glycans, and DNA-all of

    which have been extensively reviewed. Therefore anti-

    ageing skin care emerged that contained natural free-

    radical scavengers or technologies focusing upstreamwith active ingredients which, rather than attack free

    radicals directly, reinforced the natural cellular proteins

    that detoxify these free radicals. Recently, sophisticated

    complementary strategies emerged based on activa-

    tion of chaperone proteins that protect structures of

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    favouring the accumulation of oxidized proteins, and

    unfavourably inuence keratinocytes recovery from

    oxidative stress encountered during UV irradiation.

    Therefore for the proteasome, protecting or stimu-

    lating such enzymes responsible for the repair of

    specic forms of oxidative modication would also be

    expected to help ght against the accumulation of non

    functional and potentially harmful oxidized proteins,

    which represents one of the major deleterious effects

    associated with intrinsic skin ageing and photo-ageing.

    Another interesting concept known as hormesis hasrecently attracted attention in the eld of anti-ageing

    research. The theory behind the approach - that low

    doses of toxic or harmful substances have a protective

    effect - is known as hormesis. It makes use of the bodys

    intrinsic capacity for self-maintenance and repair, by

    exposing cells and organisms to brief periods of stress.

    The paradigm for hormesis is exercise, an activity that

    is both stressful and damaging due to the production

    of free radicals, acids, stress hormones and tissue

    damage. However, as an inducer of repair and mainte-

    nance processes, the hormetic effect of this strenuous

    activity has a wide range of health-promoting effects,

    including slowing down ageing.

    Limited mitotic life span is observed in many eukaryotic

    cell types and is interpreted as a manifestation of cellu-lar ageing. Irreversible growth arrest at the G1/S phase

    of the cell cycle is namely due to the overexpression

    of cyclin-dependent kinase inhibitors such as p21waf-

    1 and p16ink4a, leading to hypophosphorylation of

    the retinoblastoma protein. Human diploid broblasts

    (HDFs) in replicative senescence are characterized by

    a typically enlarged cell shape, senescence-associated

    b-galactosidase activity, short telomeres and changes

    in the expression level of many genes. All cells in the

    organism produce specic molecules - cytokines, which

    carry signals, activate the processes of proliferation

    (dividing), differentiation, apoptosis etc. Through the

    secretion of various regulatory molecules senescent

    cells can inuence other cells triggering their ageing

    processes. Recently new active ingredients of natural

    origin have been proposed to ght the skin cells entry

    in senescence.

    LVMH Recherche has performed these 3 skin-cell

    rejuvenation strategies based on experimental work

    (in LVMH laboratories or within academic collabora-tions) with innovative ingredients to develop cosmetic

    products for LVMH brands. These approaches enable

    us to have interesting in-vitro skin-cell rejuvenation

    experimental data and in vivo quantiable benets

    for skin following their cosmetic use.

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    Leading scientist, Institute of Genetics

    and Cytology, National Academy

    of Sciences, Minsk, Belarus

    oleg V. KVitKo Oleg Kvitko performs an analysis of data and theo-ries in biology of ageing, aiming to explain the causes

    of ageing and mark ways to elaboration of effective

    means of slowing ageing and rejuvenation at the levels

    of a cell and an organism. This resulted in the two new

    theoretical concepts: par ticipation theory of ageing

    and developmental theory of rejuvenation.

    His experimental and theoretical work has been pu-

    blished in over 140 publications. Kvitko is a member of

    the Belarussian Society of Geneticists and Breeders, a

    head of Minsk branch of the Gerontological Society

    of the Russian Academy of Sciences and an associateeditor of the journal Theoretical biology and medical

    modelling.

    Oleg V. Kvitko graduated from the biological faculty

    of the Belarus State University (Minsk) in 1974 and

    went to the Institute of Genetics and Cytology of

    the National Academy of Sciences of Belarus (IGC

    NANB). In 1980, he did a PhD in biology (speciali-

    zation in genetics) within IGC NANB. In the last 20

    years, his research increasingly concentrated on cellularageing, cancer transformation and stem cells. In these

    studies he, with his research team, used the informative

    experimental method based on continuous computer

    videorecording of microscopic images (computerized

    videomicroscopy) of living cell cultures revealing

    unknown processes during aging.

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    Signalling pathways and rejuvenation:risks and opportunities

    netic mechanisms of ageing that are perspective tar-

    gets for rejuvenation. One may object to that because

    telomere shortening, unlike DNA methylation and

    histone modications, may be classied rather as agenetic, not epigenetic process, because it results in

    changes of a pr imary nucleotide sequence. However,

    similarly to conventional epigenetic processes (and

    in contract to genetic mutations), telomere shorte-

    ning happens regularly (in every mitotic division of

    many cell types). In addition, telomere shortening is

    reversible due to a special enzyme telomerase or

    other (alternative) mechanisms of telomere elon-

    gation. For searching the means of retardation or

    reversal of aging the possibility of selective epigenetic

    reprogramming leading to rejuvenation is of special

    interest. Under this rejuvenating process restoration

    of telomeric repeats at the ends of chromosomes and

    physiologically optimal (for a particular cell type) pat-

    tern of differential gene activity (determined by DNAcytosine methylation and modications of chromoso-

    mal histone proteins) should take place but dediffe-

    rentiation (that happens during somatic cell nuclear

    transfer into oocyte cytoplasm and construction of

    induced pluripotent stem cells) should not occur.

    According to the developmental theory of rejuve-

    nation proposed by the author the natural mecha-

    nisms of epigenetic rejuvenation exist but do not

    always work effeciently enough to withstand the

    age-related accumulation of epigenetic damage.

    Finding new effective rejuvenation means can be

    greatly helped by knowledge of the mechanisms of

    biological ageing and opposite processes of restora-

    tion (repair) of age-related damage. Signicant experi-

    mental evidence supports the opinion that epigenetic

    changes underlying unfavourable deviations of gene

    expression are the major mechanism of ageing. In

    contrast to the short-termed metabolic alterations

    of gene expression epigenetic changes causing ageing

    are relatively stable and lead to disdifferentiation (the

    term proposed by Richard Cutler), that is the viola-

    tion of normal physiologically optimal differentiated

    state of cells. In its turn, disbalance of gene expres-

    sion leads to the damage in tissues due to accumu-

    lation of dysfunctional cells, anomalous proportions

    of different cell types, disturbances of intercellular

    communications and deviations from normal cell den-

    sity. Two molecular mechanisms of epigenetic changes

    triggering ageing gained a special attention. These areDNA methylation and modications of chromatin

    histones (acetylation, phosphorylation and others).

    Both mechanisms participate in chromatin remodeling

    and, thereby, regulate gene expression at a global level.

    In addition to these two processes telomere shorte-

    ning may be mentioned among the important epige-

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    During embryogenesis and postnatal growth the spe-

    cial signalling mechanism reverses epigenetic mistakes

    and, thereby, rejuvenates cells. This development- and

    growth-coupled rejuvenating epigenetic repair insures

    the delay of functional decline to the point of an orga-

    nisms ability to produce progeny. That is why species

    with extended growth periods have long li fespans. This

    rejuvenation mechanism also prevents aging in orga-

    nisms with negligible senescence. These species have

    an indeterminate growth (for example, some shes or

    mollusks grow throughout their life with little or nosenescence, and only an excessive size, not ordinary

    ageing is a major reason of their death). It appears also

    that the well known life-extending effect of caloric res-

    triction in rodents (McCay et al., 1935) may be explai-

    ned by the prolongation of postnatal growth and ex-

    tension of the work of a growth-coupled rejuvenation

    process. The natural process of rejuvenation is driven

    by the same extracellular morphogenetic molecules

    (morphogenes) that regulate embryogenesis. As a rule,

    morphogenes bind to specic cell membrane recep-

    tors activating signalling pathways inside cells, which

    stimulate or repress gene expression. There are seve-

    ral families of morphogenes (Wnt, Notch, Hedgehog,

    FGF, TGF-beta and others). Because of the regulator y

    pleiotropy (when one molecule takes part in differentsignalling pathways) morphogenes, simultaneously with

    performing their canonical morphogenetic functions,

    stimulate telomerase and trigger restoration of phy-

    siologically optimal gene expression by regulation of

    enzymes that modify DNA (methylation) and chromo-

    somal histone proteins. After the end of development

    and growth uctuations of morphogens in tissues

    decrease (atten) and become insufcient for initia-

    ting the cascades of events resulting in rejuvenation of

    the whole body. Since human species has a genetically

    restricted growth, for counteracting aging and exten-

    ding human life intensive (embryo-like) production

    of morphogenes should be reestablished in many or

    all tissues of an adult organism. At the systemic level

    stimulation of epigenetic rejuvenation in different

    parts of the body may be achieved by neuroendo-

    crine regulation. In particular, rejuvenation-promoting

    modications of neuroendocrine processes can be

    reached by special psychological practices. This idea

    is supported by the recent research on inuence ofsome forms of meditation on telomere shortening

    and telomerase activity in immune cells (Jacobs et

    al., 2011). In frames of the developmental theory of

    rejuvenation a new meditation technique has been

    proposed developmental meditation (Kvitko, 2009).

    In addition to systemic methods of rejuvenation, topi-

    cal inuences may give invaluable rejuvenation effects.

    For example, skin provides unique possibilities for the

    elaboration and practical application of topical reju-

    venation means. In this context it seems reasonable

    to consider some additional aspects of a possible

    mechanism of rejuvenation signalling. It is known that

    Wnt (one of morphogens) can activate the Myc pro-

    tooncogene which incodes a transcription factor that

    activates the production of telomerase and regulatesexpression of 15% of all genes through recruiting

    histone acetyltransferases that modify chromosomal

    histones. Thus, extracellular morphogenetic signals

    may stimulate rejuvenation pathways through pro-

    tooncogenes. Possible involvement of protoonco-

    genes in rejuvenation signalling should be taken into

    consideration in cell culture experiments aiming at

    nding effective and safe regimes of topical applica-

    tion of rejuvenation ingredients. In particular, optimal

    regimes of using rejuvenation means may be based on

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    the concept of transient (reversible) immortalization.

    This proposition is supported by the experimental

    evidence on transient immortalization of mammalian

    cells. Irreversible immortalization is dangerous and

    inappropriate. Learned from nature safe and effec-

    tive means of rejuvenation that works in developing

    and growing organism may exploit nonlinear, pulsed

    regimes of rejuvenation signalling. Improved methods

    of long-term (from days to months) uninterrupted

    computer videomicroscopy of living cell cultures pro-

    vide unique experimental tools for elaboration of neweffective formulas for topical rejuvenation.

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    Research Investigator, Department

    of Dermatology Photoaging and

    Aging Research Program, Universityof Michigan, Ann Arbor, USA

    laure ritti the molecular and cellular basis for impaired woundhealing in aged human skin and the effects of aging on

    follicular stem cell functions in human skin. Her cur-

    rent research focuses on elucidating the mechanisms

    of altered skin re-epithelialization in aging.

    Dr. Ritti received an American Skin Association

    Research Scholar Award in 2007, and a National

    Institute of Health Research Scientist Development

    Award four years later. She wrote four book chapters

    and published dozens of articles in peer-reviewed

    scientic journals. She also teaches the Basic Science

    Journal Club to Dermatology Residents at theUniversity of Michigan.

    Dr. Ritti received her Master of Science in Cell

    Biology in 1996 and her PhD in Biochemistry and

    Molecular Biology in 2001 from the Universit de

    Reims Champagne-Ardenne in France. She comple-

    ted postdoctoral trainings at the Universit de Reims

    Champagne in the Department of Biochemistry andMolecular Biology, and in the United States, in the

    Department of Dermatology at the University of

    Michigan during four years.

    She has been recruited as Research Investigator to

    join the Dermatology Department Faculty at the

    University of Michigan in 2006. She studied specically

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    Controlled Wound Healing for

    Skin Rejuvenation: Recent progressand Future Challenges

    Cutaneous wound healing is a regulated process

    that involves an initial clear ing of the wound through

    an inammatory phase, followed by tissue restora-

    tion including intense deposition of type I collagenand other extracellular matrix proteins. In the past

    decades, various laser-based devices have been

    developed to generate a controlled wound healing

    reaction that ideally triggers minimal inammation

    and maximal collagen production in photoaged skin.

    Providing a detailed analysis of the molecular and cel-

    lular alterations induced by several of these lasers, we

    will show that controlled wound healing is an effective

    strategy for skin rejuvenation, and will provide a ratio-

    nal for future optimization of treatment strategies and

    protocols.

    Photoaging denes the premature aging of the skin

    that primarily results from chronic exposure to ultra-

    violet (UV) irradiation from the sun. Photoaged skin is

    characterized by the presence of damaged extracel-

    lular matrix components, including type I collagen, the

    major structural protein in the dermis. Damage to type

    I collagen is initiated by UV irradiation-induced metal-

    loproteinase activity that degrades collagen bers into

    fragments. UV irradiation concomitantly inhibits procol-

    lagen production by dermal broblasts, thus preventing

    the dermis to efciently repair itself. With repeated

    exposure to UV light overtime, collagen fragmenta-

    tion accumulates in the skin. The resulting decreased

    mechanical tension in the dermis is responsible for a

    self-sustained negative feedback decreasing collagen

    production in the skin. Thus, damaged collagen cannot

    be replaced. To reverse this vicious cycle, skin rejuve-

    nation strategies must be aimed at stimulating collagen

    production in photodamaged skin.

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    Founded in 1980, LVMH Recherche is a

    Groupement dIntrt Economique (GIE),

    whose members are Parfums Christian Dior,

    Guerlain, Parfums Givenchy and Fresh. LVMH

    Recherche has about 260 researchers, loca-

    ted in Saint Jean de Braye, Paris, Tokyo and

    Shanghai. Its mission? To design and develop

    perfume, fragrance derivatives, skincare pro-

    ducts and makeup for several brands of the

    LVMH Group (Mot Hennessy - LouisVuitton).

    Our research spans everything from know-

    ledge of skin and cosmetics users to the

    creation of formulations suitable for strong

    perceived efcacy and for an international

    use. Throughout the process, innovation is

    expressed through the ingredients, formula-

    tions and processes that we develop, all united

    in a single objective: the creation of new

    beauty solutions inducing emotion of use to

    our customers.

    LVMH Recherche by the numbers:

    260 employees

    More than 1200 products developed per yearMore than 200 patents

    More than 50 scientic papers per year

    Research teams in St Jean de Braye, Paris,

    Tokyo and Shanghai

    LVMH Recherche

    Perfumes & Cosmetics

    36

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    Layout and design: www.pariri.com

    Printer: Chirat Impression

    This document has been produced following

    sustainable standards

    Initiated 6 years ago, LVMH Recherches commitment to quality has recently

    been recognised and proven successful. On January 3, 2011, cosmetic productResearch and Development for LVMH cosmetic and fragrance brands has been

    certied with an ISO 9001:2008.

    This document is printed on 100% PEFC (Programme for the Endorsement of

    Forest Certication Scheme) paper, ensuring clearly identied paper pulp

    prepared from sustainable forests management in terms of the environment,

    economy and social conditions.

    Chirat Impression adheres to stringent ImprimVert standards ensuring reducedpollution, particularly in waste treatment.

    Locationand contactsLVMH Recherche

    Research Centre

    185, Avenue de Verdun,

    45800 Saint Jean de Braye, France

    Scientic Communication Department

    Frdric Bont | Anglique Thomas

    Phone : (33) 02 38 60 33 88 | 32 61

    E-mail : [email protected]

    www.lvmhrecherche-symposium.com

    Contacts:

    Website:

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