The skin color was gradually darkened in the 3 volunteers (
Table 1, group B) treated with both elastin peptides and FFC, but not with FFC alone (
Table 1, group A).
Figure 1A shows the scalp skin of volunteer No. 5. Many dopa-positive melanocytes with dendrites were observed in the epidermis of the rete ridge and inter-rete ridge.
Figure 1D shows the dopa-premelanin-positive cells. Melanocytes were darkly stained by this reaction, while melanoblasts were lightly stained. One month after the treatment, dopa-positive cells (
Figure 1B) and dopa-premelanin-positive cells (
Figure 1E) increased. Three months after the treatment, these cells further increased (
Figure 1C and
F). However, the increases in these cells were not observed in the skin treated with FFC alone (
Table 1, group A). Higher magnification of the skin 3 months after the treatment revealed increased dopa-melanin depositions, dendritogenesis, and melanosome maturation in melanocytes, as well as increased epidermal melanin pigmentations (
Figure 2B) compared to the control (the skin before the treatment;
Figure 2A). In some cases, mitotic divisions of melanocytes were observed (
Figure 2C, arrow). However, no mitotic divisions of melanoblasts were observed. In the other 2 volunteers (No. 4 and 6), similar tendencies were observed.
The average of melanocyte populations/0.1 mm
2 from 3 volunteers treated with elastin + FFC (
Table 1, group B) linearly increased after the treatment, but not in FFC alone (
Table 1, group A). The difference in the melanocyte and melanoblast populations of FFC alone before and after 3 months was not statistically significant (both melanocyte and melanoblast: P > 0.5). Although the difference in the melanocyte populations of the treatment (elastin + FFC) before and after 1 month was not statistically significant (0.1 < P < 0.2), the difference after 3 months was statistically significant (P < 0.001). However, the averages of melanoblast populations/0.1 mm
2 failed to increase both 1 and 3 months after the treatment (1 month: 0.3 < P < 0.4; 3 months: P > 0.5).
Elastin fibers also increased after the treatment with elastin peptides and FFC (
Figure 1G,
H, and
I). Moreover, elastin fibers became thicker and denser. The combined treatment of elastin peptides and FFC seems to stimulate elastin fiber formation. However, these increases in elastin fibers were not observed in the skin treated with FFC alone. In the skin treated with elastin peptides and FFC, some of the elastin fibers penetrated the epidermis (
Figure 1I, arrow), suggesting the possibility that elastin fibers interact with epidermal melanoblasts/melanocytes there. In the other 2 volunteers treated with both elastic peptides and FFC, similar results were also obtained.