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Updated: Jan 24, 2026

Author Spotlight: Non-Surgical Treatment of Melasma– Microneedling with Tranexamic Acid
Published on: January 19, 2024
Ameliorative effect of tranexamic acid on physiological skin aging and its sex difference in mice
Keiichi Hiramoto1, Yurika Yamate2, Daijiro Sugiyama3
1Department of Pharmaceutical Sciences, Suzuka University of Medical Science, 3500-3 Minamitamagakicho, Suzuka, Mie, 513-8670, Japan. hiramoto@suzuka-u.ac.jp.
Abstract:
An effective method to protect the skin from natural aging is unknown. Therefore, in this study, we examined the ameliorative effects of tranexamic acid on natural skin aging. In addition, we examined the sex difference in the effect exhibited by tranexamic acid. We bred hairless mice without ultraviolet ray irradiation and physical stress for 2 years. During the study period, mice were orally administered tranexamic acid (12 mg/kg/day) three times per week. Development of signs of skin aging was found to be ameliorated by tranexamic acid. Furthermore, synthetic inhibition of plasmin was observed following tranexamic acid treatment. The synthetic reinforcement of hyaluronic acid by an increase in the number of epidermal cells and the degradative inhibition of extracellular matrix (ECM) by matrix metalloproteinase (MMP) suppression were observed. These results indicate that natural skin aging was ameliorated by tranexamic acid via the regulation of the plasmin/TGF-β/epidermal cells/hyaluronic acid and plasmin/MMPs/ECM signal transmission pathways. Taken together, sex difference was observed for the ameliorative effect of tranexamic acid on skin aging, with a stronger effect observed in females than in males. More importantly, we found that the synthesis of hyaluronic acid was stronger in female mice than in male mice.
Insights
Tranexamic acid effectively reduces natural skin aging signs by regulating key molecular pathways. This anti-aging effect was more pronounced in female mice, linked to higher hyaluronic acid synthesis.
Area of Science:
- Dermatology
- Biochemistry
- Aging Research
Background:
- Natural skin aging lacks effective preventative treatments.
- Understanding molecular mechanisms driving skin aging is crucial for developing interventions.
Purpose of the Study:
- To investigate the efficacy of tranexamic acid in mitigating natural skin aging.
- To explore potential sex-based differences in tranexamic acid's anti-aging effects.
Main Methods:
- Hairless mice were studied over two years without external stressors.
- Tranexamic acid was administered orally (12 mg/kg/day) three times weekly.
- Key molecular pathways involving plasmin, hyaluronic acid, epidermal cells, extracellular matrix (ECM), and matrix metalloproteinases (MMPs) were analyzed.
Main Results:
- Tranexamic acid administration ameliorated signs of natural skin aging.
- Inhibition of plasmin synthesis and degradation of ECM via MMP suppression were observed.
- Reinforced hyaluronic acid synthesis resulted from increased epidermal cells.
- Sex-dependent differences were noted, with females exhibiting a stronger ameliorative effect.
Conclusions:
- Tranexamic acid demonstrates potential as a treatment for natural skin aging.
- The drug acts through regulating plasmin/TGF-β/epidermal cells/hyaluronic acid and plasmin/MMPs/ECM signaling pathways.
- Female mice showed a superior response to tranexamic acid, correlating with higher hyaluronic acid production.
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