Abstract
Foam cells are lipid-loaded macrophages and neutrophils that are generated from a massive uptake of oxidized lipid. Foam cells are a pathological hallmark of atherosclerosis, and have also been found in acne lesions. The same pathological changes determine the common pathogenesis. According to the pathological function of foam cells in these lesions, we put forward a viewpoint on the pathogenesis of acne and atherosclerotic plaques.
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References
Leyden, J.J. 1997. Therapy for acne vulgaris. The New England Journal of Medicine 336 (16): 1156–1162.
Crowther, M.A. 2005. Pathogenesis of atherosclerosis. Hematology. American Society of Hematology. Education Program: 436–441.
Zouboulis, C.C., E. Jourdan, and M. Picardo. 2013. Acne is an inflammatory disease and alterations of sebum composition initiate acne lesions. Journal of the European Academy of Dermatology & Venereology 28 (5): 527–532.
Sang, W.Y. 2010. The role of facial sebum secretion in acne pathogenesis: Facts and controversies. Clinics in Dermatology 28 (1): 8–11.
Jeremy, A.H., D.B. Holland, S.G. Roberts, K.F. Thomson, and W.J. Cunliffe. 2003. Inflammatory events are involved in acne lesion initiation. Journal of Investigative Dermatology 121 (1): 20–27.
Hansson, G.K., and A. Hermansson. 2011. The immune system in atherosclerosis. Nature Immunology 12 (3): 204–212.
Yuan, Y., P. Li, and J. Ye. 2012. Lipid homeostasis and the formation of macrophage-derived foam cells in atherosclerosis. Protein & Cell 3 (3): 173–181.
Pappas, A., S. Johnsen, J.C. Liu, and M. Eisinger. 2009. Sebum analysis of individuals with and without acne. Dermatoendocrinology 1 (3): 157–161.
Cheng, J.B., and D.W. Russell. 2004. Mammalian wax biosynthesis. II. Expression cloning of wax synthase cDNAs encoding a member of the acyltransferase enzyme family. The Journal of Biological Chemistry 279 (36): 37798–37807.
Picardo, Mauro, Monica Ottaviani, Emanuela Camera, and Arianna Mastrofrancesco. 2009. Sebaceous gland lipids. Dermatoendocrinology 1 (2): 68–71.
Kurokawa, I., F.W. Danby, Q. Ju, X. Wang, L.F. Xiang, L. Xia, W. Chen, I. Nagy, M. Picardo, D.H. Suh, R. Ganceviciene, S. Schagen, F. Tsatsou, and C.C. Zouboulis. 2009. New developments in our understanding of acne pathogenesis and treatment. Experimental Dermatology 18 (10): 821–832.
Tochio, T., H. Tanaka, S. Nakata, and H. Ikeno. 2009. Accumulation of lipid peroxide in the content of comedones may be involved in the progression of comedogenesis and inflammatory changes in comedones. Journal of Cosmetic Dermatology 8 (2): 152–158.
Abulnaja, K.O. 2009. Oxidant/antioxidant status in obese adolescent females with acne vulgaris. Indian Journal of Dermatology 54 (1): 36–40.
Falk, Erling. 2006. Pathogenesis of atherosclerosis. Journal of the American College of Cardiology 47 (8 Suppl): C7–C12.
Soehnlein, O. 2012. Multiple roles for neutrophils in atherosclerosis. Circulation Research 110 (6): 875–888.
Hayashi, F., T.K. Means, and A.D. Luster. 2003. Toll-like receptors stimulate human neutrophil function. Blood 102 (7): 2660–2669.
Sanjuan, M.A., C.P. Dillon, S.W. Tait, S. Moshiach, F. Dorsey, S. Connell, M. Komatsu, K. Tanaka, J.L. Cleveland, S. Withoff, and D.R. Green. 2007. Toll-like receptor signalling in macrophages links the autophagy pathway to phagocytosis. Nature 450 (7173): 1253–1257.
Monaco, C. 2012. The tolls and dangers of atherosclerotic disease. Current Pharmaceutical Biotechnology 13 (1): 77–87.
Bakry, O.A., R.M. Samaka, H. Sebika, and I. Seleit. 2014. Toll-like receptor 2 and P. acnes: do they trigger initial acne vulgaris lesions? Analytical and Quantitative Cytology and Histology 36 (2): 100–110.
Säemann, M.D., M. Poglitsch, C. Kopecky, M. Haidinger, W.H. Hörl, and T. Weichhart. 2010. The versatility of HDL: a crucial anti-inflammatory regulator. European Journal of Clinical Investigation 40 (12): 1131–1143.
Lewis, G.F., and D.J. Rader. 2005. New insights into the regulation of HDL metabolism and reverse cholesterol transport. Circulation Research 96 (12): 1221–1232.
Oyewole, A.O., and M.A. Birch-Machin. 2015. Sebum, inflammasomes and the skin: current concepts and future perspective. Experimental Dermatology 24 (9): 651–654.
Jiang, H., C.Y. Li, L. Zhou, B. Lu, Y. Lin, X. Huang, B. Wei, Q. Wang, L. Wang, and J. Lu. 2015. Acne patients frequently associated with abnormal plasma lipid profile. The Journal of Dermatology 42 (3): 296–299.
Okoro, E.O., N.G. Bulus, and C.C. Zouboulis. 2015. Study of facial sebum levels and follicular red fluorescence in patients with acne vulgaris in Nigeria. Dermatology 232 (2).
Li, A.C., and C.K. Glass. 2002. The macrophage foam cell as a target for therapeutic intervention. Nature Medicine 8 (11): 1235–1242.
Röhm, Marc, Melissa J. Grimm, Anthony C. D'Auria, Nikolaos G. Almyroudis, Brahm H. Segal, and Constantin F. Urban. 2014. NADPH oxidase promotes neutrophil extracellular trap formation in pulmonary aspergillosis. Infection & Immunity 82 (5): 1766–1777.
Nauseef, W.M. 2014. Myeloperoxidase in human neutrophil host defense. Cellular Microbiology 16 (8): 1146–1155.
Fernandez-Ruiz, I., P. Puchalska, C.A. Narasimhulu, B. Sengupta, and S. Parthasarathy. 2016. Differential lipid metabolism in monocytes and macrophages-influence of cholesterol loading. Journal of Lipid Research 57 (4): 574–586.
Saran, M., I. Beck-Speier, B. Fellerhoff, and G. Bauer. 1999. Phagocytic killing of microorganisms by radical processes: consequences of the reaction of hydroxyl radicals with chloride yielding chlorine atoms. Free Radical Biology & Medicine 26 (3–4): 482–490.
Boer, J., and G.B. Jemec. 2016. Mechanical stress and the development of pseudo-comedones and tunnels in hidradenitis suppurativa/acne inversa. Experimental Dermatology 25 (5): 396–397.
Yang, J., and J.D. Adams Jr. 2004. Structure activity relationships for nicotinamide in the treatment of stroke. Letters in Drug Design & Discovery 1: 58–65.
Thompson, B.C., D. Surjana, G.M. Halliday, and D.L. Damian. 2014. Nicotinamide enhances repair of ultraviolet radiation-induced DNA damage in primary melanocytes. Experimental Dermatology 23 (7): 509–511.
Brüggemann, H., A. Henne, F. Hoster, H. Liesegang, A. Wiezer, A. Strittmatter, S. Hujer, P. Dürre, and G. Gottschalk. 2004. The complete genome sequence of Propionibacterium acnes, a commensal of human skin. Science 305 (5684): 671–673.
McKenney, J. 2004. New perspectives on the use of niacin in the treatment of lipid disorders. Archives of Internal Medicine 164 (7): 697–705.
Jiang, H., C. Li, B. Wei, Q. Wang, J. Zhong, and J. Lu. 2017. Serum homocysteine levels in acne patients. Journal of Cosmetic Dermatology.
Duffy, D., and D.J. Rader. 2009. Update on strategies to increase HDL quantity and function. Nature Reviews. Cardiology 6 (7): 455–463.
Hao, Jiang, and Li Changyi. 2016. High dose niacin in the treatment of acne vulgaris: a pilot study. Chinese Journal of Aesthetic Medicine. 25 (12): 54–59.
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Jiang, H., Li, C. Common Pathogenesis of Acne Vulgaris and Atherosclerosis. Inflammation 42, 1–5 (2019). https://doi.org/10.1007/s10753-018-0863-y
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DOI: https://doi.org/10.1007/s10753-018-0863-y