The results were tested with a paired
t-test by GraphPad Prism 8.3.0 software. The lotion test containing 10% black rice bran extract and placebo results mean melanin index measurement before applying the lotions (day 0) and then re-measured at the end of the test (day 14) are shown in
Table 1.
| Treatment | Melanin Index |
|---|
| Day 0 (Mean) | Day 14 (Mean) | Deviation | Standard Deviation | P-Value |
|---|
| Lotion test | 240.21 | 214.38 | 25.82 | 21.37 | < 0.0001 |
| Placebo | 232.77 | 229.74 | 3.03 | 17.96 | 0.3311 |
From the measurement data obtained, a paired
t-test was performed to determine statistical significance. The results of the paired
t-test showed a significant decrease in the melanin index (P-value < 0.0001) in the forearm applied with lotion test (containing 10% black rice bran extract) and a slight insignificant decrease in the melanin index (P-value = 0.3311) in the forearm applied with placebo. The data tested statistically passed the Kolmogorov-Smirnov normality test and the F-Fisher homogeneity test. Mexameter can also show the erythema index. Erythema index measurement was done at first before using the lotion (day 0), then re-measured after day 14 to assess the lotion’s benefits. The results are displayed in
Table 2.
| Treatment | Erythema Index |
|---|
| Day 0 (Mean) | Day 14 (Mean) | Deviation | Standard Deviation | P-Value |
|---|
| Lotion test | 196.09 | 173.91 | 22.18 | 26.41 | < 0.0001 |
| Placebo | 196.69 | 186.35 | 10.34 | 25.13 | 0.0223 |
The results of the paired t-test showed a significant decrease in erythema index in both intervention (P-value < 0.0001) and placebo (P = 0.0223) groups. The data tested statistically passed the Kolmogorov-Smirnov normality test and the F-Fisher homogeneity test.
In this study, a significant decrease in the melanin index and the skin's erythema index was recorded when the skin was applied with a lotion containing 10% black rice bran extract. The erythema index of the skin in the placebo group also decreased significantly. In this study, both lotions reduced the erythema index. A decrease in the erythema index indicates that the lotion did not irritate the skin (
17). Water content above 60% in the preparation causes a cold feeling after applying both lotions to the skin (
18).
The skin lightening mechanism is a complex process that can be obtained through the tyrosinase inhibition pathway, inhibition of pigment production, inhibition of melanosome transfer activated by PAR-2 (protease-activated receptor), and reactive oxygen species reduction (
19).
The extract of black rice bran could inhibit the activity of the tyrosinase enzyme. Black rice bran extract contains gamma oryzanol, which belongs to a phenol group (
8) with a strong potential as an inhibitor of the tyrosinase enzyme.
Phenolic compounds have a good affinity for the tyrosinase enzyme, thereby preventing the formation of dopachrome. Competitive inhibitors, such as phenol, generally have a substrate-like structure. Glucosides, protonic acid, vanillic acid, and anthocyanins in black rice bran are tyrosinase inhibitors (
20,
21).
In a study conducted by Jun et al. (
3), gamma oryzanol inhibited pigment production in B16 melanoma cells by inhibiting transcription of microphthalmia-associated transcription factor (MITF), which can stimulate melanin formation. In general, antioxidants reduced Melanocyte-stimulating hormone (MSH) activity to inhibit the expression of MITF (
22).
Jung et al. showed a strong correlation between phenol and Oxygen radical absorbance capacity (ORAC) values (r = 0.6770) in 21 types of Korean rice bran, including black rice bran (
22). The ORAC value obtained reached 1101.31 μM per Trolox Equivalent/g. Gamma oryzanol in black rice bran is a strong antioxidant. The potential is stronger than vitamin E, namely alpha-tocopherol, alpha tocotrienol, gamma-tocopherol, and gamma-tocotrienol (
23). Anthocyanins, flavonoids responsible for the color pigment in black rice bran, are also powerful antioxidants. This component accounts for 20% of the total flavonoids in black rice bran (
24). Antioxidants demonstrate some efficacy in downregulating UV induced hyperpigmentation in the skin (
20).
Antioxidants in anthocyanins are inhibitors of inflammatory mediators, namely by inhibiting the production of TNF-α, IL-6, and NO in macrophages that are activated by lipopolysaccharides (
24).
In this study, there was a significant decrease in both melanin and erythema indices after applying a lotion containing 10% black rice bran extract. Mexameter read the melanin index at 660 nm and 880 nm. In comparison, the erythema index (hemoglobin) on the device was read at 568 nm and 660 nm to eliminate skin discoloration bias caused by other factors such as bilirubin. Hemoglobin also played a role in skin color (
25) because deoxyhemoglobin could be read at a wavelength of 630 - 700 nm (
26). A correlation test was also conducted in this study to measure the relationship between melanin and erythema index.
The results of Pearson’s correlation test (
Figure 1) showed that the decrease in the melanin and erythema index in the right arm (lotion test) had a weak correlation with a correlation coefficient of 0.366.
Pearson’s Correlation Test Results
Melanin formation occurs in the epidermis, while hemoglobin is found in blood vessels located in the dermis layer (
25). In clinical studies on UV-induced skin, there was an increase in the melanin index (tanning) and deoxyhemoglobin, causing the skin to become darker. The tanning process takes place from the seventh day after induction and lasts for three weeks. Meanwhile, the increase in deoxyhemoglobin lasts since exposure on the first day and could persist for up to two weeks (
26). Melanin index is a better parameter in determining skin color than the erythema index because it is less affected by blood flow (
27). A decrease in the erythema index indicates that the lotion formulation has a soft texture and does not irritate the skin (
17).