“…How equol works as an anti-aging skin molecule is shown in Figure 9. From multiple investigations, equol (mostly racemic, but some that studied S-equol) showed: (a) stimulation of collagen, elastin and TIMP 1 (Tissue Inhibitor of Matrix Metalloproteinase 1; inhibits the action of MMP 1) [8,109,118,129,135] (remarkably, in one study racemic equol stimulated SIRT 1 gene expression by almost 2-fold over controls [129], (b) inhibited MMPs (1,3 and 9), elastase and the type 1 5α-reductase enzymes [8,109] plus NFkappB and the interleukin inflammatory biomarkers (IL-6, IL-8 and COX-1) in human skin cells [8,109,118,136], (c) inhibition of AP-1 and neoplastic growth via estrogen-related receptor (ERR) gamma (γ) [8,137,138], (d) like resveratrol, equol stimulated Nrf2 [8,109,139], and (e) both R-equol, racemic equol and S-equol binds the potent androgen, 5α-DHT (5α-dihydrotestosterone, the more potent androgen that has negative impacts on skin health) and ERβ for photoprotection [8,31,32,109,140,141]. Particularly, equol's photoprotection appears to be partially due to its antioxidant capacity and is dependent on stimulating the expression of metallothionein [142,143].…”