Moisturizing and Cosmetic
Properties Of Emu Oil:
A
Double Blind Study
Presented at the AEA national
convention in Nashville, Tennessee. August 1994
Alexander
Zemtsov, M.D., M.S. Indiana
University School of Medicine
Monica
Gaddis, Ph.D. Ball
Memorial Hospital
Victor
Montalvo-Lugo, M.S. Ball Memorial Hospital
Summary
Cosmetic
and moisturizing properties of emu oil were assessed in a double
blind clinical study. Emu
oil in comparison to mineral oil was found overall to be more cosmetically
acceptable (p<0.05). Furthermore,
it appears that emu oil in comparison to mineral oil has better
moisturizing properties, superior texture, and lower incidence of
comedogenicity, but probably because of the small sample size these
differences, were not found to be statistically significant (p<0.05).
Neither of the oils were found to be irritating to the skin.
Finally, emu oil fatty acid composition was studied by gas
chromatography and was found to have high concentration of nonpolar
monounsaturated fatty acids which may explain emu oil’s ability
to penetrate easily through the stratum corneum barrier.
Introduction
The emu,
a large flightless bird, Dromaius novaehollandiae, is probably best
known for being on Australia’s coat of arms opposite the kangaroo.
In the past few years commercial emu breeding has become
a multi-million dollar industry in the United States, Australia,
and other countries. Emu
oil derived from emu fat was being used by the Aborigines for healing
and pain control long before British ships landed on the eastern
shores of Australia.
A number
of Australian investigators (George Hobday, M.D., a dermatologist
and Peter Ghosh, Ph.D., FRSC at the University of Sydney) claimed
that emu oil has anti-inflammatory and skin penetrating properties. Recently the Australian Department of health classified emu
oil as a pharmaceutical product1
and registered emu
oil in the Therapeutic Goods Registry2.
Finally an official Australian government publication stated
“the oil (emu) will find uses in the pharmaceutical and cosmetic
industries”. We performed
an extensive literature search (Medline, Index Medicus) and could
not find a single report in scientific peer reviewed literature
dealing with either emu oil and its cosmetic pharmaceutical properties
of its composition1.
A pilot double blind study was conducted to assess cosmetic
properties of emu oil – namely its moisturizing and skin penetrating
properties, texture and odor, and irritancy and comedogenicity potential.
The emu oil was compared in this study to mineral oil, a
synthetic oil that is widely used in the United States as an emulsifier
and lubricant in topical cosmetical and pharmaceutical preparations.
Methods
Human Subjects
11 subject
were recruited and completed the study (9 women and 2 men).
Mean age was 35 years (age range 25-52), 10 subjects were
white Caucasian and one subject was Hispanic.
All had Fitzpatrick skin type 2 or 3 based in history of
response to UV radiation.
All had healthy skin and people with eczema and acne were
specifically excluded from this study.
Since both emu and mineral oil can be purchased in the United
States over the counter, no human subject research permit was required
of issued by the Texas tech Human Subject Institutional Review Board.
Oil:
Emu oil
for clinical study was imported from Australia (Emu Vertica, Thalgo
Holdings Pty. Ltd.). Both
Australian emu and mineral oil were placed in dark, numbered bottles
by a pharmacist (Caprock Drugs, Lubbock, TX).
Neither human subjects or principal investigator knew which
oil each subject was using at what particular time.
The code was not broken until all volunteers completed the
study and returned the questionnaire to the principal investigators.
Oil
Composition:
Fatty acid
analysis by gas chromatograph was performed by Dr.. Margaret Craig-Schmidt’s
laboratory of Auburn University and the results were reported in
the AEA News September, 1994.
Protocol:
Prior to
entering the study each subject was examined by a university based
dermatologist to make sure that none of the volunteers had eczema
or acne. The volunteers
were instructed to use the first oil on their face and trunk twice
a day for 2 weeks. The
human subjects were told to discontinue use of any other lubricants.
After 2 weeks of oil use the human subjects were briefly
examined by the principal investigator for signs of skin irritation
or acne and at that time were given a second oil.
The pharmacist made sure that each subject received both
emu oil and mineral oil. At
the end on the study each subject completed the questionnaire and
ranked on a 0 to 5 scale (5 excellent; 0 poor) how much they liked
each oil. There were
also asked to rank its penetration/permeability, moisturizing properties,
texture, and any side effects (comedogenicity, odor, irritancy,
etc.)
Statistical
Analysis:
The data
generated was in a created ranking scale format [0 (poor); 5 (excellent)]
and was analyzed by a biostatistician utilizing the Wilcoxan Signed
ranking test.
Results
As shown
in Table I, the emu oil overall ranking and permeability was found
to be clearly superior to mineral oil.
These differences in skin penetration/permeability and overall
ranking were statistically significant (p<0.05).
It also appears that emu oil texture and moisturizing properties
as judged by the participants in the study were also superior to
mineral oil, but the differences cannot be considered statistically
significant (p>0.05). The
sample size was small (n=11) and it is very possible that if more
people participated in the study the clear cut statistical differences
in the oils texture and moisturizing properties would have been
found.
When the
participants in this study were asked which of the two oils they
liked better, all 11 subjects (100%) stated that they liked emu
oil better (Table II). Neither
emu oil or mineral oil was found to be irritating to the skin (0%,
Table II). Finally, when the oils were applied to the face, 6 people (55%)
and 2 people (18%) reported the mineral and emu oil respectively
caused “pimples”, (Table II).
Discussion
This pilot,
a double blind crossover study, clearly indicated that emu oil may
become widely used in cosmetic and pharmaceutical industries.
We found emu oil to be totally non-irritating, having excellent
moisturizing properties, cosmetically pleasing texture, and low
incidence of comedoginicity.
The most intriguing properties of emu oil as far as cosmetic
and pharmaceutical industries are concerned is its apparent ability
to penetrate the stratum corneum barrier.
The study of penetration of various substances through the
skin is an area of an active research and is obviously important
from the therapeutical and toxicological viewpoints.
Iontophorisis3 , and liposome preparations4,5
are actively studied as a means to increase cutaneous bioavailability.
Since most topical vehicles have an absorption rate of only
a few percent6 the drugs and other active ingredients
combine with more efficient drug carrier systems are of major interest
to cosmetic and pharmaceutical industries.
As a matter of fact, liposome preparations containing the
anti-fungal agent econzole (econazole 1%; pevarly; cilag; Schafflausen,
Switzerland) and cosmetics with liposene base are now available
in the United States and Western Europe4,5.
Unfortunately,
because of high cost and other technical problems neither liposome
or iontophorisis are now widely used in either cosmetic or dermatological
topical preparations3,4 .
If indeed, as we report in this paper, emu oil has superb
skin penetrating properties, as judged subjectively by participants
in this study, and because of relatively low cost, emu oil should
be of major interest to dermatologists and cosmetic scientists as
a transcutaneous carier system.
It would not be unreasonable to try to combine emu oil with
topical antifungals, steroids, retinoids, antihistamines, anesthetics,
antiangrogen, and immunosuppressive drugs to see if emu oil improves
cutaneous bioavailability.
Even prior
to completion of this study a number of investigators became aware
of apparent penetrating properties emu oil.
As was noted in the methods section of this article, the
composition of emu oil was studied by Dr. Craig-Schmidt utilizing
gas chromatography. The
findings were that emu oil is predominately composed of short chain
monounsaturated fatty acids slowing it to easily penetrate the stratum
corneum. Another investigator
utilizing thin layer chromatography (TLC) found that emu oil is
essentially free of phospholipids thus enabling it to penetrate
readily through skin (Allen Strickland, personal communication).
We believe
that this apparently first scientifically conducted study addressing
cosmetic and pharmaceutical properties of emu oil is very promising.
We are in the process of organizing in the United States
a much larger multicenter similar double blind study to confirm
our findings. Furthermore,
Dr. Craig-Schmidt’s research group is in the process of conducting
in-vitro transmembraneous skin penetration studies with emu oil
to determine its transcutaneous permeability.
We hope that this and the future study with emu oil to determine
its transcutaneous permeability.
We hope that this and the future study mentioned above will
fully assess the cosmetic, moisturizing, and pharmaceutical properties
of emu oil.
Table I- The oil’s ranking by the participants of the study
|
|
Emu Oil
|
Mineral Oil
|
P
|
Statistically Significant
Difference
|
|
|
Median
|
Range
|
Median
|
Range
|
|
|
|
Overall
Ranking of the Oil
|
5,000
|
(3-5)
|
3,000
|
(2,4)
|
0.020
|
Yes
|
Oil Texture
|
4,000
|
(2-5)
|
3,000
|
(2-5)
|
0.540
|
No
|
|
Skin
Permeability/ Penetration
|
5,000
|
(1-5)
|
3,000
|
(1-5)
|
0.016
|
Yes
|
|
Moisturizing
Properties
|
5,000
|
(1-5)
|
4,000
|
(1-5)
|
0.062
|
No
|
Table
II-The ranking and side effects by the
participants of the study
|
|
Emu
Oil
|
Mineral
Oil
|
|
Oil
Preference
|
11
(100%)
|
0
(0%)
|
|
Comedogenicity
|
2
(18%)
|
6
(55%)
|
|
Irritancy
|
0
(0%)
|
0
(0%)
|
References
1Commonwealth
of Australia, Department of Health, Hosing and Community Services,
Certificate of a pharmaceutical Product No 92/0980
2AUST
R 22759 in the Australian Register of Therapeutical Goods.
3Singh
J, Mabach HI. Topical Iontophoretic Drug Delivery in vivo: Historical
Development, Devices, and Future Respectives.
Dermatology 1993: 187:235-238.
4Korting
HC, Blechek P, schaefer-Korting M, Wendel A.
topical liposome drugs to come:
What the patent literature tells us.
A review, J Am Academy of Dermatoloy 1991; 15:1068-1071.
5Schaefer-Korting
M, Korting HC, Braun-Falco O. Liposome Preparations; A step forward
in topical drug therapy for skin disease: A Review, J Am Academy
of Dermatology 1989; 21:1271-1275.
6Wester
RC, Maibach HI. Dermatopharmokinetics
in clinical Dermatology. Semin
Dermatol 1983; 2:81-84
All correspondence should be addressed
to: Alexander Zemtsov, M.D., M.S., Research Dept., Ball Memorial
Hospital, 2401 University Ave., Muncie, IN 47303-3499.
Phone (317)747-8458 of (317 741-1975.
Fax (317)747-8459.
This work was supported by a grant from the American Emu
Association, Dallas, TX.
|