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Summary: Carotenoids, a class of phytonutrients, have been well established to boost skin's innate resistance against ultraviolet (UV) B‐induced erythema (sunburn). Many of the published clinical studies thus far have focused on the measurement of erythema as the primary clinical indicator of skin protection against UVB radiation. More recent studies have shown that carotenoid supplementation provides even more skin protection than previously shown as new clinical and molecular endpoints beyond UVB‐induced erythema have been reported. These recent studies have demonstrated that carotenoids also provide photoprotection against UVA‐induced pigmentation and inhibit molecular markers of oxidative stress such as intercellular adhesion molecule 1, heme oxygenase‐1, and matrix metalloproteinases 1 and 9. This article provides a comprehensive review of the published clinical evidence on skin benefits of carotenoids in the last five decades and indicates new perspectives on the role of ingestible carotenoids in skin protection. [ABSTRACT FROM AUTHOR]

Background: Photoprotection of human skin is determined as the capacity of sunscreens to prevent ultraviolet (UV) B radiation‐induced erythema and UVA radiation‐induced pigmentation. It is unequivocal that, in addition to sunscreens, oral supplementation with carotenoids can protect human skin against UVB radiation‐induced erythema. It is not known if this is also the case for UVA radiation‐induced pigmentation. Objective: To clinically evaluate the photoprotective effects of daily supplementation with carotenoids against UVA radiation‐induced pigmentation. Methods: In this double‐blind, placebo‐controlled trial, 60 subjects (Fitzpatrick types II‐IV) were randomized to receive Nutrilite™ Multi Carotene supplement or placebo for 12 weeks. UVB‐induced minimal erythemal dose (MED), UVA‐induced minimal persistent pigmentation dose (MPPD) and skin carotenoid levels were measured at baseline, 4, 8, and 12 weeks of intervention. Skin color was evaluated by expert clinical graders and by colorimetry. Carotenoid levels in the skin were measured by the Biozoom® device. Results: In the intervention group, a significant increase in comparison with the placebo group was observed in (a) skin carotenoid levels, (b) UVB‐induced MED, and (c) UVA‐induced MPPD values obtained by colorimetry. Conclusion: Daily supplementation with carotenoids protects human skin against both UVB‐induced erythema and UVA‐induced pigmentation. [ABSTRACT FROM AUTHOR]