Clearogen's Anti-DHT Ingredients
The
Anti-DHT ingredients in Clearogen are natural compounds
proven to inhibit 5-Alpha-Reductase (the enzyme that
produces DHT), and block the androgen receptors. These
active ingredients include Gamma Linolenic acid (GLA), Alpha
Linolenic acid (ALA), Linoleic Acid, Oleic Acid, Saw
Palmetto Extract, Beta-Sitosterol, Green Tea Catechins,
Dodecyl Gallate, and Octyl Gallate. Clearogen is the only
product that contains these ingredients in one easy to use
topical formula.
Gamma
Linolenic Acid, Alpha Linolenic Acid, and Linoleic Acid
In the following studies, Gamma Linolenic Acid (GLA), Alpha
Linolenic Acid (ALA), and Linoleic Acid were shown to be the
most potent known inhibitors of type 1 and 2 forms of
5-alpha reductase and highly effective in decreasing the
levels of dihydrotestosterone (DHT), when applied topically.
More importantly this is accomplished without affecting any
systemic effects.
The study further suggests that these fatty acids can be
useful in the treatment of disorders related to
dihydrotestosterone including male pattern baldness, acne,
and excessive female body hair (hirsuitism).
STUDY A:
Growth
suppression of hamster flank organs by topical application
of gamma-linolenic and other fatty acid inhibitors of 5
alpha-reductase. Liang T; Liao S. Journal of Investigational
Dermatology: 1997 Aug; 109 (2): 152-7
ABSTRACT
Certain unsaturated aliphatic fatty acids, such as
gamma-linolenic acid, inhibit 5alpha-reductase activity in
vitro and in vivo. Hamster flank organ growth, as measured
by the increase in the area of pigmented macule, is
dependent on androgen. When one of the paired flank organs
of a castrated hamster was treated topically with
testosterone, the treated organ, but not the contralateral
flank organ, became larger and darker. Topical application
of gamma-linolenic acid to the testosterone-treated flank
organ suppressed this testosterone effect. Other fatty acids
that were not inhibitors of 5alpha-reductases were not
active. Topical treatment of hamster flank organs with
5alpha-dihydrotestosterone also stimulated the growth of the
organ. This 5alpha-dihydrotestosterone-dependent activity,
however, was not significantly affected by gamma-linolenic
acid, suggesting that flank organ growth was dependent on
5alpha-dihydrotestosterone and that gamma-linolenic acid
acted by inhibiting 5alpha-reductase. With intact male
hamsters, the endogenous androgen-dependent growth of flank
organs is also suppressed by topical treatment with
gamma-linolenic acid. The effect of gamma-linolenic acid is
localized at the site of its application; topical
application of gamma-linolenic acid did not affect the
androgen-dependent growth of other organs such as testis,
epididymis, seminal vesicle, and prostate. gamma-Linolenic
acid, with low toxicity and absence of systemic effect,
therefore may be potentially useful for treatment of
androgen-dependent skin disorders.
STUDY B:
Androgen action: molecular mechanism and medical application.
Liao S . Journal of Formos Medical Association: 1994 Sep; 93
(9): 741-51
ABSTRACT
Androgen action in many organs, such as prostate and skin,
is dependent on the conversion of testosterone by 5
alpha-reductase to 5 alpha-dihydrotestosterone. 5
alpha-Dihydrotestosterone then binds to the androgen
receptor to regulate specific gene expression. Inhibitors of
5 alpha-reductase are useful for the selective treatment of
prostatic cancer, benign prostate hyperplasia, acne,
baldness and female hirsuitism, without affecting
spermatogenesis, sexual behavior and smooth muscle growth,
that do not require the conversion of testosterone to 5
alpha-dihydrotestosterone. Certain unsaturated fatty acids,
such as gamma-linolenic acid, are potent 5 alpha-reductase
inhibitors, suggesting a linkage between unsaturated fatty
acids and androgen action. Mutations in androgen receptor
genes are responsible for many cases of
androgen-insensitivity. In some prostate cancer cells, some
antiandrogens may act like androgens in stimulating the
proliferation of the cancer cells because these
antiandrogens can bind to a mutated androgen receptor and
transactivate target genes. Prostate cancers are usually
androgen-dependent initially but can lose dependency and
responsiveness. Tumor cells which are resistant to endocrine
therapy ultimately proliferate. Androgen-independent or
androgen-repressive cells can arise from androgen-sensitive
prostate cancer cells by changes in specific gene expression
over time in a clonal isolate. This change in androgen
responsiveness was accompanied by a change in androgen
receptor expression and transcriptional activity as well as
expression of some oncogenes.
STUDY C:
Inhibition of steroid 5 alpha-reductase by specific
aliphatic unsaturated fatty acids. Liang T; Liao S Journal
of Biochemistry, 1992 Jul 15, 285 ( Pt 2):, 557-62
ABSTRACT
Human or rat microsomal 5 alpha-reductase activity, as
measured by enzymatic conversion of testosterone into 5
alpha-dihydrotestosterone or by binding of a competitive
inhibitor, [3H]17 beta-NN-diethulcarbamoyl-4-methyl-4-aza-5
alpha-androstan-3-one ([3H]4-MA) to the reductase, is
inhibited by low concentrations (less than 10 microM) of
certain polyunsaturated fatty acids. The relative inhibitory
potencies of unsaturated fatty acids are, in decreasing
order: gamma-linolenic acid greater than
cis-4,7,10,13,16,19-docosahexaenoic acid =
cis-6,9,12,15-octatetraenoic acid = arachidonic acid =
alpha-linolenic acid greater than linoleic acid greater than
palmitoleic acid greater than oleic acid greater than
myristoleic acid. Other unsaturated fatty acids such as
undecylenic acid, erucic acid and nervonic acid, are
inactive. The methyl esters and alcohol analogues of these
compounds, glycerols, phospholipids, saturated fatty acids,
retinoids and carotenes were inactive even at 0.2 mM. The
results of the binding assay and the enzymatic assay
correlated well except for elaidic acid and linolelaidic
acid, the trans isomers of oleic acid and linoleic acid
respectively, which were much less active than their cis
isomers in the binding assay but were as potent in the
enzymatic assay. gamma-Linolenic acid had no effect on the
activities of two other rat liver microsomal enzymes: NADH:menadione
reductase and glucuronosyl transferase. gamma-Linolenic
acid, the most potent inhibitor tested, decreased the Vmax.
and increased Km values of substrates, NADPH and
testosterone, and promoted dissociation of [3H]4-MA from the
microsomal reductase. gamma-Linolenic acid, but not the
corresponding saturated fatty acid (stearic acid), inhibited
the 5 alpha-reductase activity, but not the 17
beta-dehydrogenase activity, of human prostate cancer cells
in culture. These results suggest that unsaturated fatty
acids may play an important role in regulating androgen
action in target cells.
Saw Palmetto
In the
following studies Saw Palmetto extract was shown to inhibit
both type 1 and 2 forms of 5 alpha-reductase (Finasteride or
Propecia® only inhibits type 2), was more potent
than Finasteride and was able to effectively reduce binding
of Testosterone and DHT to their receptors on various
tissues. Please note that in the following studies Saw
Palmetto Extract is referred to as Permixon or lipido-sterol
extract of Serenoa repens (LSESr)
Study A: Human prostatic steroid 5 alpha-reductase
isoforms--a comparative study of selective inhibitors.
This study suggests that Fenistride (active ingredient of
Propecia) only inhibited the Type 2 form of 5 alpha
reductase where Saw Palmetto extract inhibited both type 1
and 2 forms of 5 alpha-reductase and was more potent than
Fenistride. Iehlé C; Délos S; Guirou O; Tate R;
Raynaud JP; Martin PM . J Steroid Biochem Mol Biol,
54: 5-6, 1995 Sep, 273-9
ABSTRACT
The present study describes the independent expression of
the type 1 and 2 isoforms of human 5 alpha-reductase in the
baculovirus-directed insect cell expression system and the
selectivity of their inhibition. The catalytic properties
and kinetic parameters of the recombinant isozymes were
consistent with published data. The type 1 isoform displayed
a neutral (range 6-8) pH optimum and the type 2 isoform an
acidic (5-6) pH optimum. The type 2 isoform had higher
affinity for testosterone than did the type 1 isoform (Km =
0.5 and 2.9 microM, respectively). Finasteride and
turosteride were selective inhibitors of the type 2 isoform
(Ki (type 2) = 7.3 and 21.7 nM compared to Ki (type 1) = 108
and 330 nM, respectively). 4-MA and the lipido-sterol
extract of Serenoa repens (LSESr) markedly inhibited both
isozymes (Ki (type 1) = 8.4 nM and 7.2 micrograms/ml,
respectively; Ki (type 2) = 7.4 nM and 4.9 micrograms/ml,
respectively). The three azasteroids were competitive
inhibitors vs substrate, whereas LSESr displayed
non-competitive inhibition of the type 1 isozyme and
uncompetitive inhibition of the type 2 isozyme. These
observations suggest that the lipid component of LSESr might
be responsible for its inhibitory effect by modulating the
membrane environment of 5 alpha-reductase. Partially
purified recombinant 5 alpha-reductase type 1 activity was
preserved by the presence of lipids indicating that lipids
can exert either stimulatory or inhibitory effects on human
5 alpha-reductase.
Study B: Testosterone metabolism in primary cultures
of human prostate epithelial cells and fibroblasts.
This Study shows that Fenistride and 4-MA inhibited the
formation of some testostrone Metabolites (including DHT),
where as Saw Palmetto inhibited the formation of all the
Testostrone metabolites studied. Délos S; Carsol JL;
Ghazarossian E; Raynaud JP; Martin PM. J Steroid Biochem Mol
Biol, 55: 3-4, 1995 Dec, 375-83
ABSTRACT
We compare testosterone (T) metabolism in primary cultures
of epithelial cells and fibroblasts separated from benign
prostate hypertrophy (BPH) and prostate cancer tissues. In
all cultures, androstenedione (delta 4) formed by oxidation
of T by 17 beta-hydroxysteroid dehydrogenase (17 beta-HSD)
represented 80% of the metabolites recovered. The amounts of
5 alpha-dihydrotestosterone (DHT), formed by reduction of T
by 5 alpha-reductase (5 alpha-R), were small: 5 and 2% (BPH)
and 8 and 15% (adenocarcinoma) for epithelial cells and
fibroblasts, respectively. Northern blot analysis of total
RNA from epithelial cells (BPH or adenocarcinoma) attributed
the reductive activity to the 5 alpha-reductase type 1
isozyme and oxidative activity to the 17 beta-HSD type 2. In
cancer fibroblasts, only little 17 beta-HSD type 2 mRNA was
detected. The 5 alpha-reductase inhibitors, 4-MA (17
beta-(N,N-diethyl)carbamoyl-4-methyl-4-aza-5
alpha-androstan-3-one) and finasteride, inhibited DHT
formation with a preferential action of 4-MA on epithelial
cells (BPH or adenocarcinoma) and of finasteride on
fibroblasts from adenocarcinoma. Neither inhibitor acted on
delta 4 formation. On the other hand, the lipido-sterol
extract of Serenoa repens (LSESr, Permixon, Saw Palmetto)
inhibited the formation of all the T metabolites studied
[IC50 S = 40 and 200 micrograms/ml (BPH) and 90 and 70
micrograms/ml (adenocarcinoma) in epithelial cells and
fibroblasts, respectively]. These results have important
therapeutic implications when selecting appropriate
treatment options for BPH.
Study C: The effect of Permixon on androgen receptors.
This study shows that Saw Palmetto extract was able to
effectively reduce Binding of Testostrone and DHT to their
receptors on various tissues. el-Sheikh MM; Dakkak MR;
Saddique A. Acta Obstet Gynecol Scand, 67: 5, 1988,
397-9
ABSTRACT
Permixon, the liposterolic extract of the plant Serenoa
Repens is a recently introduced drug for the treatment of
benign prostatic hyperplasia. The effect of Permixon on
dihydrotestosterone and testosterone binding by eleven
different tissue specimens was tested. The drug reduced the
mean uptake of both hormones by 40.9% and 41.9% respectively
in all tissue specimens. Since hirsutism and virilism are
among other gynecological problems caused either by
excessive androgen stimulation or excess endorgan response,
we suggest that Permixon could be a useful treatment in such
conditions and recommend further investigations of the
possible therapeutic values of the drug in gynecological
practice.
Green Tea Catechins, Dodecyl Gallate, Octyl Gallate
This
article refers to the activity of multiple natural
ingredients that have the potential for inhibition of
5-alpha-reductase activity. Of the ingredients in the
article, dodecyl gallate has the greatest inhibition of
5-alpha-reductase activity in both cell-free and whole cell
assays in vitro. The significance of this is that dodecyl
gallate inhibits both forms of 5-alpha-reductase (type I and
type II) in not only the presence of the enzyme but can
penetrate the cell membrane and inhibit the enzyme while the
cells are in culture, further supporting the effectiveness
of dodecyl gallate. Biochem Pharmacol. 2002 Mar
15;63(6):1165-76.
Structure-activity relationships for inhibuman
5alpha-reductases by polyphenols.
Department of Biochemistry and Molecular Biology, The Ben
May Institute for Cancer Research, and The Tang Center for
Herbal Medicine Research MC6027, University of Chicago, 5841
S. Maryland, Chicago, IL 60637, USA.
The enzyme steroid 5 alpha-reductase (EC 1.3.99.5) catalyzes
the NADPH-dependent reduction of the double bond of a
variety of 3-oxo-Delta(4) steroids including the conversion
of testosterone to 5 alpha-dihydrotestosterone. In humans, 5
alpha-reductase activity is critical for certain aspects of
male sexual differentiation, and may be involved in the
development of benign prostatic hyperplasia, alopecia,
hirsutism, and prostate cancer. Certain natural products
contain components that are inhibitors of 5 alpha-reductase,
such as the green tea catechin (-)-epigallocatechin
gallate (EGCG). EGCG shows potent inhibition in cell-free
but not in whole-cell assays of 5 alpha-reductase.
Replacement of the gallate ester in EGCG with long-chain
fatty acids produced potent 5 alpha-reductase inhibitors
that were active in both cell-free and whole-cell assay
systems. Other flavonoids that were potent inhibitors of the
type 1 5alpha-reductase include myricetin, quercitin,
baicalein, and fisetin. Biochanin A, daidzein, genistein,
and kaempferol were much better inhibitors of the type 2
than the type 1 isozyme. Several other natural and synthetic
polyphenolic compounds were more effective inhibitors of the
type 1 than the type 2 isozyme, including alizarin,
anthrarobin, gossypol, nordihydroguaiaretic acid, caffeic
acid phenethyl ester, and octyl and dodecyl gallates.
The presence of a catechol group was characteristic of
almost all inhibitors that showed selectivity for the type 1
isozyme of 5 alpha-reductase. Since some of these compounds
are consumed as part of the normal diet or in supplements,
they have the potential to inhibit 5 alpha-reductase
activity, which may be useful for the prevention or
treatment of androgen-dependent disorders. However, these
compounds also may adversely affect male sexual
differentiation.
The
articles below demonstrate the antibacterial effect of
Dodecyl Gallate. The high antibacterial effect of Dodecyl
Gallate promotes decreased inflammation in acne prone skin
since the reduced level of bacteria allows healing process
to occur without inflammatory by-products of bacteria.
Bioorg Med
Chem. 2003 Sep 15;11(19):4255-62.
Molecular design of multifunctional antibacterial agents
against methicillin resistant Staphylococcus aureus (MRSA).
Department of Environmental Science, Policy and Management,
University of California, Berkeley, CA 94720-3112, USA.
ikubo@uclink.berkeley.edu
Antibacterial activity of a series of alkyl gallates
(3,4,5-trihydroxybenzoates) against Gram-positive bacteria,
especially methicillin resistant Staphylococcus aureus (MRSA)
strains was evaluated. Gram-positive bacteria are all
susceptible to alkyl gallates. Dodecyl gallate was the most
effective against MRSA ATCC 33591 strain with the minimum
bactericidal concentration (MBC) of 25 microg/mL (74 microM).
The time-kill curve study showed that dodecyl gallate was
bactericidal against this MRSA strain at any growth stage.
This activity was observed even in the
chloramphenicol-treated cells, but the rate of decrease of
cell number was slower than that in the exponentially
growing cells. The bactericidal activity of medium-chain
alkyl gallates was noted in combination with their ability
to disrupt the native membrane-associated function
nonspecifically as surface-active agents (surfactants) and
to inhibit the respiratory electron transport. Subsequently,
the same series of alkyl protocatechuates
(3,4-dihydroxybenzoates) were studied and the results
obtained are similar to those found for alkyl gallates. The
length of the alkyl chain is not a major contributor but is
related to the activity.
Bioorg Med Chem. 2003 Feb 20;11(4):573-80.
Non-antibiotic antibacterial activity of dodecyl gallate.
Department of Environmental Science, Policy and Management,
University of California, CA 94720-3112, Berkeley, USA.
ikubo@uclink4.berkeley.edu
Dodecyl (C(12)) gallate (3,4,5-trihydroxybenzoate) (1) was
found to possess antibacterial activity specifically against
Gram-positive bacteria, in addition to its potent
antioxidant activity. The time-kill curve study indicates
that this amphipathic gallate exhibits bactericidal activity
against methicillin resistant Staphylococcus aureus (MRSA)
strains. Dodecyl (lauryl) gallate inhibited oxygen
consumption in whole cells and oxidation of NADH in membrane
preparation. The antibacterial activity of this gallate
comes in part from its ability to inhibit the membrane
respiratory chain. As far as alkyl gallates are concerned,
their antimicrobial spectra and potency depend in part on
the hydrophobic portion of the molecule.
Bioorg Med Chem Lett. 2002 Jan 21;12(2):113-6.
Anti-MRSA activity of alkyl gallates.
Department of Environmental Science, Policy and Management,
University of California, Berkeley, CA 94720-3112, USA.
ikubo@uclink.berkeley.edu
A series of alkyl gallates (3,4,5-trihydroxybenzoates) was
found to show antibacterial activity against Gram-positive
bacteria including methicillin resistant Staphylococcus
aureus (MRSA) strains. For example, dodecyl (C(12)) gallate
(1) exhibited bactericidal activity against MRSA ATCC 33591
strain with the minimum bactericidal concentration (MBC) of
25 microg/mL (74 microM). The time-kill curve study showed
that dodecyl gallate is bactericidal against this MRSA
strain. This bactericidal activity comes in part from its
ability to inhibit respiratory electron transport systems.
The length of the alkyl chain is not a major contributor but
plays an important role in eliciting the activity.
This article demonstrates that dodecyl gallate is a
powerful antioxidant. The antioxidant effect of dodecyl
gallate allows healing of acne-prone skin without
inflammation from oxidative radicals of bacteria or the
immune system. This reduces the oxidative stress on human
skin while making the skin more vibrant and less irritated.
Antioxidant activity of dodecyl gallate
J Agric Food Chem. 2002 Jun 5;50(12):3533-9.
Department of Environmental Science, Policy and Management,
University of California, Berkeley, California 94720-3112,
USA. ikubo@uclinik4.berkeley.edu
Dodecyl (C12) gallate exhibits both potent chain-breaking
and preventive antioxidant activity. The pyrogallol moiety
is responsible for both activities. Dodecyl (lauryl) gallate
prevents generation of superoxide radicals by xanthine
oxidase, and this activity comes from its ability to inhibit
the enzyme. The inhibition kinetics analyzed by
Lineweaver-Burk plots found that dodecylgallate is a
noncompetitive inhibitor for the generation of superoxide
anion. Dodecyl gallate also inhibits formation of uric acid.
The inhibition kinetics analyzed by Lineweaver-Burk plots
found that dodecyl gallate is a competitive inhibitor for
this oxidation. Mitochondrial lipid peroxidation induced by
Fe(III)-adenosine 5'-diphosphate/reduced nicotinamide
adenine dinucleotide was inhibited by dodecyl gallate while
its parent compound, gallic acid, did not show this
inhibitory activity. Dodecyl gallate protected mitochondrial
functions and human red blood cells against oxidative
stresses, but gallic acid showed little effect. The
hydrophobic dodecyl group is largely associated with the
preventive antioxidative activity.