Sulforaphane as a Photoprotective Agent Against UV-Induced Skin Damage and Carcinogenesis: A Scoping Review
Abstract
1. Introduction
2. Materials and Methods
2.1. Literature Search Strategy
2.2. Study Selection
2.3. Eligibility Criteria
2.4. Data Extraction
3. Results
3.1. Study Characteristics
3.2. Characteristics of Included Studies
3.3. Prevention and Inhibition of Skin Photocarcinogenesis
3.4. Acute Photoprotection and Erythema
3.5. Anti-Inflammatory Mechanisms
3.6. The Nrf2 Pathway and Phase II Enzymes
3.7. Inhibition of AP-1 and MAPK Signalling
3.8. Metabolic and Epigenetic Rewiring
| Sulforaphane, Topical Administration | |||||||
| Author (Year) | Study model | UV exposure | Intervention | Dose | Route | Main outcomes | Key findings |
| Kleszczyński et al. (2013) [23] | In vitro HaCaT keratinocytes + ex vivo full-thickness human skin | UVB and UVA and UVC (300 mJ/cm2) | SFN and PEITC | Culture medium containing SFN or PEITC at final concentrations of 5, 10 or 25 μM | Topical | Induction of antioxidative and Nrf2 target genes. Reduction in UVR-induced structural damage in the epidermis. | SFN led to induction of antioxidative (CAT) and Nrf2 target genes (γGCS, HO-1 and NQO1), reduced UVR-induced structural damage in the epidermis, prevented UVR-induced depletion of CAT and inhibited apoptotic caspase-3 activation in human full skin. |
| Dickinson et al. (2009) [12] | SKH-1 hairless mice | UVB 3 times a week for 25 weeks, initiated at 0.54 kJ/m2 and increased each week until 1.65 kJ/m2 at week 5 and maintained for the rest of the experiment | SFN | 0.3 μmol per ear; 1 or 2.5 μmol per back | Topical | Skin carcinogenesis, AP-1 luciferase inhibition, c-Fos binding inhibition. | Topical SFN markedly reduced tumour multiplicity and tumour burden. SFN inhibits UVB-induced AP-1 luciferase in vivo. SFN inhibits nuclear binding of c-Fos to the MMP-1 TRE after UVB exposure. |
| Chaiprasongsuk et al. (2017) [9] | HaCaT keratinocytes + BALB/c mice | UVA (4 J/cm2) for HaCaT cells UVA at 10 J/cm2/session three times per week for 2 weeks (a total dose of 60 J/cm2) for BALB/c mice | SFN, HPD | 0.6 mM/cm2 (SFN) | Topical | MMP-1 modulation, Nrf2 activation, protection against UVA-induced connective tissue damage. | Depletion of Nrf2 augmented UVA-induced MMP-1 via modulation of MAPK/AP-1 Signalling in HaCaT keratinocytes. SFN treatment dramatically induced the nuclear Nrf2 levels and its target antioxidant proteins in mouse epidermis, with decrease in 8-OHdG formation after irradiation. With topical application of HPD or SFN 1 h prior to each UVA irradiation, there was a pronounced reduction in MMP-1 expression, an increase in collagen levels, and a marked reduction in epidermal thickness. Nrf2 activators promote reduction in MMP-1 Activity via MAPK/AP-1 signalling cascade. |
| Saw et al. (2011) [11] | Nrf2 KO and WT C57BL/6 mice | Single dose of UVB (300 mJ/cm2) | SFN | 100 nmol in 100 μL acetone | Topical | Inflammation, apoptosis. | SFN-mediated photoprotection required functional Nrf2: Nrf2 (-/-) mice were more susceptible to UVB-induced skin inflammation and thickening. The number of sunburn cells per field in the KO mice was greater than that in the WT. However, SFN treatment was also found to be effective in normalizing the thickness of the skin back to its basal level in KO mice too, probably via other non-Nrf2 pathways such as direct anti-inflammatory pathways. |
| Li et al. (2020) [18] | SKH-1 hairless mice | UVB radiation of 60 mJ/cm2 two times per week. | SFN | 2 μmol SFN in 200 μL acetone | Topical | Tumour incidence, tumour number, Epigenetic and transcriptomic changes. | The SFN group had significantly fewer tumours with decreased total tumour volume and tumour number (p-value < 0.05). SFN led to the upregulation of genes downregulated by UVB and downregulation of genes upregulated by UVB. The same applied for DNA methylome alterations. |
| Sulforaphane, Oral Administration and In Vitro Studies | |||||||
| Author (Year) | Study model | UV exposure | Intervention | Dose | Route | Main outcomes | Key findings |
| Shibata et al. (2010) [20] | HaCaT keratinocytes + HR1 hairless mice | UVB (50 mJ/cm2) (for HaCaT cells) UVB (200 mJ/cm2) on days 9, 11 and 13 (for the animal study) | SFN | 0–25 μM (in vitro), 1–2.5 mg/day for 14 days (mice) | In vitro and Oral | Cutaneous anti-inflammatory mechanism of SFN, in vivo inhibition of skin inflammation. | Both the UVB-induced skin thickness and the COX-2 protein expression were suppressed by oral administration of SFN to mice. |
| Zhu et al. (2004) [21] | HCL14 cells | UVB (peak emission of 313 nm) | SFN (and tBHQ) | 0–10 μM | In vitro | Inhibition of AP-1 activation, enzyme induction. | SFN (and tBHQ) significantly elevated phase II enzyme activity and GSH levels in human HCL14 keratinocytes. SFN (but not tBHQ) inhibited the UVB-induced AP-1 activation by inhibiting AP-1 binding activity to its target DNA. |
| Li et al. (2022) [22] | HaCaT keratinocytes | UVB (0, 1, 5, 10, and 15 mJ/cm2) every 7 days for 10 cycles | SFN | 10 μM | In vitro | SFN-induced metabolic, transcriptomic and DNA methylation changes. | SFN attenuated UVB-induced metabolic, genetic and epigenetic dysregulation. |
| Broccoli Sprout Extract *, Topical Administration | |||||||
| Author (Year) | Study model | UV exposure | Intervention | Dose | Route | Main outcomes | Key findings |
| Talalay et al. (2007) [5] | Human healthy volunteers + Mice | Narrow-band UV (centred at 311 nm) | BSE | 100, 200, 400, or 600 nmol SF as BSE in 25 mL of 80% acetone/20% water on 3 days at 24 h intervals (human healthy volunteers) Three doses of BSE containing 0.5 μmol of SF in 50 mL of 80% acetone/20% water (vol/vol) applied to the caudal area (mice) | Topical | UV-induced erythema, inflammation, edema. | SFN-rich BSE led to the induction of NQO1 and the inhibition of the UVR-dependent MPO activity. UV-induced damaging effects (increased thickness, edema and inflammation in mice) were averted by prior treatment of mouse skin with BSE. Significant protection against UV erythema in human volunteers. |
| Dinkova-Kostova et al. (2006) [16] | SKH-1 hairless mice + HaCaT keratinocytes | Mixture of UVB and UVA (30 mJ/cm2/session twice a week for 20 weeks). | BSE | 0.3 or 1 μmol in 100 μL acetone/water (80%/20%) (mice), 0–10 μM (HaCaT keratinocytes) | Topical | Tumour burden, incidence, and multiplicity. | SFN-containing extracts reduced UVB-induced tumour burden, incidence and multiplicity and delayed tumour appearance. Exposure to SFN elevates NQO1 and GSH and protects against UV-radiation- generated oxidative stress in keratinocytes. Topical application of BSE as a source of SFN elevates NQO1 in mouse skin. SFN inhibits iNOS upregulation. |
| Broccoli Sprout Extract *, Oral Administration | |||||||
| Author (Year) | Study model | UV exposure | Intervention | Dose | Route | Main outcomes | Key findings |
| Dinkova-Kostova et al. (2010) [17] | SKH-1 hairless mice | UV radiation (30 mJ cm2 of UVB) twice a week for 17 weeks | BSE | 10 μmol of GR per 3 g of diet | Oral | Tumour incidence, multiplicity and volume. | Dietary SFN reduced tumour incidence, multiplicity, and volume compared to the controls. |
| Chien et al. (2025) [19] | Healthy human volunteers | 2 × MED of UVB | Glucoraphanin, curcumin or both | Crucera-SGS® with TrueBroc® broccoli seed extract (Brassica Protection Products, LLC, Baltimore, MD, USA); 9 capsules (450 mg or 1.03 mmol GR) per day for 10 days | Oral | UV-induced erythema, Biomarker modulation. | GR was associated with a significant increase in mRNA copy number for NQO1 in the skin and expression of HO-1, IL-1β, and TNF-α were reduced. |
4. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Yu, Z.W.; Zheng, M.; Fan, H.Y.; Liang, X.H.; Tang, Y.L. Ultraviolet (UV) radiation: A double-edged sword in cancer development and therapy. Mol. Biomed. 2024, 5, 49. [Google Scholar] [CrossRef] [PubMed]
- Al-Sadek, T.; Yusuf, N. Ultraviolet Radiation Biological and Medical Implications. CIMB 2024, 46, 1924–1942. [Google Scholar] [CrossRef]
- Hart, P.H.; Norval, M. Ultraviolet radiation-induced immunosuppression and its relevance for skin carcinogenesis. Photochem. Photobiol. Sci. 2018, 17, 1872–1884. [Google Scholar] [CrossRef]
- Gromkowska-Kępka, K.J.; Puścion-Jakubik, A.; Markiewicz-Żukowska, R.; Socha, K. The impact of ultraviolet radiation on skin photoaging—Review of in vitro studies. J. Cosmet. Dermatol. 2021, 20, 3427–3431. [Google Scholar] [CrossRef]
- Talalay, P.; Fahey, J.W.; Healy, Z.R.; Wehage, S.L.; Benedict, A.L.; Min, C.; Dinkova-Kostova, A.T. Sulforaphane Mobilizes Cellular Defenses That Protect Skin against Damage by UV Radiation. Proc. Natl. Acad. Sci. USA 2007, 104, 17500–17505. [Google Scholar] [CrossRef]
- Salminen, A.; Kaarniranta, K.; Kauppinen, A. Photoaging: UV radiation-induced inflammation and immunosuppression accelerate the aging process in the skin. Inflamm. Res. 2022, 71, 817–831. [Google Scholar] [CrossRef]
- Chang, E.J.; Kundu, J.K.; Liu, L.; Shin, J.W.; Surh, Y.J. Ultraviolet B radiation activates NF-κB and induces iNOS expression in HR-1 hairless mouse skin: Role of IκB kinase-β. Mol. Carcinog. 2011, 50, 310–317. [Google Scholar] [CrossRef] [PubMed]
- Schalka, S.; Silva, M.S.; Lopes, L.F.; de Freitas, L.M.; Baptista, M.S. The skin redoxome. J. Eur. Acad. Dermatol. Venereol. 2022, 36, 181–195. [Google Scholar] [CrossRef]
- Chaiprasongsuk, A.; Lohakul, J.; Soontrapa, K.; Sampattavanich, S.; Akarasereenont, P.; Panich, U. Activation of Nrf2 Reduces UVA-Mediated MMP-1 Upregulation via MAPK/AP-1 Signaling Cascades: The Photoprotective Effects of Sulforaphane and Hispidulin. J. Pharmacol. Exp. Ther. 2017, 360, 388–398. [Google Scholar] [CrossRef] [PubMed]
- Gęgotek, A.; Skrzydlewska, E. The Role of Transcription Factor Nrf2 in Skin Cells Metabolism. Arch. Dermatol. Res. 2015, 307, 385–396. [Google Scholar] [CrossRef]
- Saw, C.L.; Huang, M.; Liu, Y.; Khor, T.O.; Conney, A.H.; Kong, A. Impact of Nrf2 on UVB-induced Skin Inflammation/Photoprotection and Photoprotective Effect of Sulforaphane. Mol. Carcinog. 2011, 50, 479–486. [Google Scholar] [CrossRef]
- Dickinson, S.E.; Melton, T.F.; Olson, E.R.; Zhang, J.; Saboda, K.; Bowden, G.T. Inhibition of Activator Protein-1 by Sulforaphane Involves Interaction with Cysteine in the cFos DNA-Binding Domain: Implications for Chemoprevention of UVB-Induced Skin Cancer. Cancer Res. 2009, 69, 7103–7110. [Google Scholar] [CrossRef]
- Heiss, E.; Herhaus, C.; Klimo, K.; Bartsch, H.; Gerhäuser, C. Nuclear Factor κB Is a Molecular Target for Sulforaphane-Mediated Anti-Inflammatory Mechanisms. J. Biol. Chem. 2001, 276, 32008–32015. [Google Scholar] [CrossRef] [PubMed]
- Page, M.J.; McKenzie, J.E.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L.; Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; et al. The PRISMA 2020 Statement: An Updated Guideline for Reporting Systematic Reviews. BMJ 2021, 372, n71. [Google Scholar] [CrossRef]
- Yagishita, Y.; Fahey, J.W.; Dinkova-Kostova, A.T.; Kensler, T.W. Broccoli or Sulforaphane: Is It the Source or Dose That Matters? Molecules 2019, 24, 3593. [Google Scholar] [CrossRef] [PubMed]
- Dinkova-Kostova, A.T.; Jenkins, S.N.; Fahey, J.W.; Ye, L.; Wehage, S.L.; Liby, K.T.; Stephenson, K.K.; Wade, K.L.; Talalay, P. Protection against UV-Light-Induced Skin Carcinogenesis in SKH-1 High-Risk Mice by Sulforaphane-Containing Broccoli Sprout Extracts. Cancer Lett. 2006, 240, 243–252. [Google Scholar] [CrossRef]
- Dinkova-Kostova, A.T.; Fahey, J.W.; Benedict, A.L.; Jenkins, S.N.; Ye, L.; Wehage, S.L.; Talalay, P. Dietary Glucoraphanin-Rich Broccoli Sprout Extracts Protect against UV Radiation-Induced Skin Carcinogenesis in SKH-1 Hairless Mice. Photochem. Photobiol. Sci. 2010, 9, 597–600. [Google Scholar] [CrossRef]
- Li, S.; Yang, Y.; Sargsyan, D.; Wu, R.; Yin, R.; Kuo, H.-C.D.; Yang, I.; Wang, L.; Cheng, D.; Ramirez, C.N.; et al. Epigenome, Transcriptome, and Protection by Sulforaphane at Different Stages of UVB-Induced Skin Carcinogenesis. Cancer Prev. Res. 2020, 13, 551–562. [Google Scholar] [CrossRef]
- Chien, A.L.; Liu, H.; Rachidi, S.; Feig, J.L.; Wang, R.; Wade, K.L.; Stephenson, K.K.; Kecici, A.S.; Fahey, J.W.; Kang, S. Oral Glucoraphanin and Curcumin Supplements Modulate Key Cytoprotective Enzymes in the Skin of Healthy Human Subjects: A Randomized Trial. Metabolites 2025, 15, 360. [Google Scholar] [CrossRef]
- Shibata, A.; Nakagawa, K.; Yamanoi, H.; Tsuduki, T.; Sookwong, P.; Higuchi, O.; Kimura, F.; Miyazawa, T. Sulforaphane Suppresses Ultraviolet B-Induced Inflammation in HaCaT Keratinocytes and HR-1 Hairless Mice. J. Nutr. Biochem. 2010, 21, 702–709. [Google Scholar] [CrossRef] [PubMed]
- Zhu, M.; Zhang, Y.; Cooper, S.; Sikorski, E.; Rohwer, J.; Bowden, G.T. Phase II Enzyme Inducer, Sulforaphane, Inhibits UVB-induced AP-1 Activation in Human Keratinocytes by a Novel Mechanism. Mol. Carcinog. 2004, 41, 179–186. [Google Scholar] [CrossRef]
- Li, S.; Dina Kuo, H.-C.; Wang, L.; Wu, R.; Sargsyan, D.; Kong, A.-N. UVB Drives Metabolic Rewiring and Epigenetic Reprograming and Protection by Sulforaphane in Human Skin Keratinocytes. Chem. Res. Toxicol. 2022, 35, 1220–1233. [Google Scholar] [CrossRef]
- Kleszczyński, K.; Ernst, I.M.A.; Wagner, A.E.; Kruse, N.; Zillikens, D.; Rimbach, G.; Fischer, T.W. Sulforaphane and Phenylethyl Isothiocyanate Protect Human Skin against UVR-Induced Oxidative Stress and Apoptosis: Role of Nrf2-Dependent Gene Expression and Antioxidant Enzymes. Pharmacol. Res. 2013, 78, 28–40. [Google Scholar] [CrossRef]
- Chaiprasongsuk, A.; Panich, U. Role of Phytochemicals in Skin Photoprotection via Regulation of Nrf2. Front. Pharmacol. 2022, 13, 823881. [Google Scholar] [CrossRef]
- Sikdar, S.; Papadopoulou, M.; Dubois, J. What Do We Know about Sulforaphane Protection against Photoaging? J. Cosmet. Dermatol. 2016, 15, 72–77. [Google Scholar] [CrossRef]
- Masoom, M.; Khan, M.A. Efficacy of sulforaphane in skin cancer animal models: A systematic review. Polym. Med. 2024, 54, 105–111. [Google Scholar] [CrossRef]
- Slaughter, D.P.; Southwick, H.W.; Smejkal, W. Field Cancerization in Oral Stratified Squamous Epithelium; Clinical Implications of Multicentric Origin. Cancer 1953, 6, 963–968. [Google Scholar] [CrossRef] [PubMed]
- Willenbrink, T.J.; Ruiz, E.S.; Cornejo, C.M.; Schmults, C.D.; Arron, S.T.; Jambusaria-Pahlajani, A. Field Cancerization: Definition, Epidemiology, Risk Factors, and Outcomes. J. Am. Acad. Dermatol. 2020, 83, 709–717. [Google Scholar] [CrossRef] [PubMed]
- Tricco, A.C.; Lillie, E.; Zarin, W.; O’Brien, K.K.; Colquhoun, H.; Levac, D.; Moher, D.; Peters, M.D.J.; Horsley, T.; Weeks, L.; et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann. Intern. Med. 2018, 169, 467–473. [Google Scholar] [CrossRef] [PubMed]

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Di Filippo, M.; Paolino, G.; Di Nicola, M.R.; Kiss, N.; Bánvölgyi, A.; Bortone, G.; Nisticò, S.P.; Zampini, E.; Pellacani, G.; Cantisani, C. Sulforaphane as a Photoprotective Agent Against UV-Induced Skin Damage and Carcinogenesis: A Scoping Review. J. Pers. Med. 2026, 16, 319. https://doi.org/10.3390/jpm16060319
Di Filippo M, Paolino G, Di Nicola MR, Kiss N, Bánvölgyi A, Bortone G, Nisticò SP, Zampini E, Pellacani G, Cantisani C. Sulforaphane as a Photoprotective Agent Against UV-Induced Skin Damage and Carcinogenesis: A Scoping Review. Journal of Personalized Medicine. 2026; 16(6):319. https://doi.org/10.3390/jpm16060319
Chicago/Turabian StyleDi Filippo, Marco, Giovanni Paolino, Matteo Riccardo Di Nicola, Norbert Kiss, András Bánvölgyi, Giulio Bortone, Steven Paul Nisticò, Elia Zampini, Giovanni Pellacani, and Carmen Cantisani. 2026. "Sulforaphane as a Photoprotective Agent Against UV-Induced Skin Damage and Carcinogenesis: A Scoping Review" Journal of Personalized Medicine 16, no. 6: 319. https://doi.org/10.3390/jpm16060319
APA StyleDi Filippo, M., Paolino, G., Di Nicola, M. R., Kiss, N., Bánvölgyi, A., Bortone, G., Nisticò, S. P., Zampini, E., Pellacani, G., & Cantisani, C. (2026). Sulforaphane as a Photoprotective Agent Against UV-Induced Skin Damage and Carcinogenesis: A Scoping Review. Journal of Personalized Medicine, 16(6), 319. https://doi.org/10.3390/jpm16060319

