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Common Pathogenesis of Acne Vulgaris and Atherosclerosis

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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

  1. Leyden, J.J. 1997. Therapy for acne vulgaris. The New England Journal of Medicine 336 (16): 1156–1162.

    Article  CAS  PubMed  Google Scholar 

  2. Crowther, M.A. 2005. Pathogenesis of atherosclerosis. Hematology. American Society of Hematology. Education Program: 436–441.

  3. 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.

    Article  Google Scholar 

  4. Sang, W.Y. 2010. The role of facial sebum secretion in acne pathogenesis: Facts and controversies. Clinics in Dermatology 28 (1): 8–11.

    Article  Google Scholar 

  5. 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.

    Article  CAS  PubMed  Google Scholar 

  6. Hansson, G.K., and A. Hermansson. 2011. The immune system in atherosclerosis. Nature Immunology 12 (3): 204–212.

    Article  CAS  PubMed  Google Scholar 

  7. 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.

    Article  CAS  Google Scholar 

  8. Pappas, A., S. Johnsen, J.C. Liu, and M. Eisinger. 2009. Sebum analysis of individuals with and without acne. Dermatoendocrinology 1 (3): 157–161.

    Article  CAS  Google Scholar 

  9. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Picardo, Mauro, Monica Ottaviani, Emanuela Camera, and Arianna Mastrofrancesco. 2009. Sebaceous gland lipids. Dermatoendocrinology 1 (2): 68–71.

    Article  CAS  Google Scholar 

  11. 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.

    Article  CAS  PubMed  Google Scholar 

  12. 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.

    Article  PubMed  Google Scholar 

  13. Abulnaja, K.O. 2009. Oxidant/antioxidant status in obese adolescent females with acne vulgaris. Indian Journal of Dermatology 54 (1): 36–40.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Falk, Erling. 2006. Pathogenesis of atherosclerosis. Journal of the American College of Cardiology 47 (8 Suppl): C7–C12.

  15. Soehnlein, O. 2012. Multiple roles for neutrophils in atherosclerosis. Circulation Research 110 (6): 875–888.

    Article  CAS  PubMed  Google Scholar 

  16. Hayashi, F., T.K. Means, and A.D. Luster. 2003. Toll-like receptors stimulate human neutrophil function. Blood 102 (7): 2660–2669.

    Article  CAS  Google Scholar 

  17. 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.

    Article  CAS  PubMed  Google Scholar 

  18. Monaco, C. 2012. The tolls and dangers of atherosclerotic disease. Current Pharmaceutical Biotechnology 13 (1): 77–87.

    Article  CAS  PubMed  Google Scholar 

  19. 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.

    Google Scholar 

  20. 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.

    Article  CAS  PubMed  Google Scholar 

  21. 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.

    Article  CAS  PubMed  Google Scholar 

  22. 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.

    Article  CAS  PubMed  Google Scholar 

  23. 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.

    Article  CAS  PubMed  Google Scholar 

  24. 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).

  25. Li, A.C., and C.K. Glass. 2002. The macrophage foam cell as a target for therapeutic intervention. Nature Medicine 8 (11): 1235–1242.

    Article  CAS  PubMed  Google Scholar 

  26. 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.

    Article  CAS  Google Scholar 

  27. Nauseef, W.M. 2014. Myeloperoxidase in human neutrophil host defense. Cellular Microbiology 16 (8): 1146–1155.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. 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.

    Article  CAS  Google Scholar 

  30. 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.

    Article  PubMed  Google Scholar 

  31. 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.

    Article  CAS  Google Scholar 

  32. 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.

    Article  CAS  PubMed  Google Scholar 

  33. 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.

    Article  CAS  PubMed  Google Scholar 

  34. McKenney, J. 2004. New perspectives on the use of niacin in the treatment of lipid disorders. Archives of Internal Medicine 164 (7): 697–705.

    Article  CAS  PubMed  Google Scholar 

  35. Jiang, H., C. Li, B. Wei, Q. Wang, J. Zhong, and J. Lu. 2017. Serum homocysteine levels in acne patients. Journal of Cosmetic Dermatology.

  36. Duffy, D., and D.J. Rader. 2009. Update on strategies to increase HDL quantity and function. Nature Reviews. Cardiology 6 (7): 455–463.

    Article  PubMed  Google Scholar 

  37. 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.

    Google Scholar 

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Correspondence to Hao Jiang.

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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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