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Acne and sebaceous gland function
Abstract
The embryologic development of the human sebaceous gland is closely related to the differentiation of the hair follicle and the epidermis. The number of sebaceous glands remains approximately the same throughout life, whereas their size tends to increase with age. The development and function of the sebaceous gland in the fetal and neonatal periods appear to be regulated by maternal androgens and by endogenous steroid synthesis, as well as by other morphogens. The most apparent function of the glands is to excrete sebum. A strong increase in sebum excretion occurs a few hours after birth; this peaks during the first week and slowly subsides thereafter. A new rise takes place at about age 9 years with adrenarche and continues up to age 17 years, when the adult level is reached. The sebaceous gland is an important formation site of active androgens. Androgens are well known for their effects on sebum excretion, whereas terminal sebocyte differentiation is assisted by peroxisome proliferator-activated receptor ligands. Estrogens, glucocorticoids, and prolactin also influence sebaceous gland function. In addition, stress-sensing cutaneous signals lead to the production and release of corticotrophin-releasing hormone from dermal nerves and sebocytes with subsequent dose-dependent regulation of sebaceous nonpolar lipids. Among other lipid fractions, sebaceous glands have been shown to synthesize considerable amounts of free fatty acids without exogenous influence. Sebaceous lipids are responsible for the three-dimensional skin surface lipid organization. Contributing to the integrity of the skin barrier. They also exhibit strong innate antimicrobial activity, transport antioxidants to the skin surface, and express proinflammatory and anti-inflammatory properties. Acne in childhood has been suggested to be strongly associated with the development of severe acne during adolescence. Increased sebum excretion is a major factor in the pathophysiology of acne vulgaris. Other sebaceous gland functions are also associated with the development of acne, including sebaceous proinflammatory lipids; different cytokines produced locally; periglandular peptides and neuropeptides, such as corticotrophin-releasing hormone, which is produced by sebocytes; and substance P, which is expressed in the nerve endings at the vicinity of healthy-looking glands of acne patients. Current data indicate that acne vulgaris may be a primary inflammatory disease. Future drugs developed to treat acne not only should reduce sebum production and Propionibacterium acnes populations, but also should be targeted to reduce proinflammatory lipids in sebum, down-regulate proinflammatory signals in the pilosebaceous unit, and inhibit leukotriene B(4)-induced accumulation of inflammatory cells. They should also influence peroxisome proliferator-activated receptor regulation. Isotretinoin is still the most active available drug for the treatment of severe acne.
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“Moreover, sebaceous lipids make an important contribution in maintaining the integrity of the skin barrier along with lipids of epidermal origin2,52 thus contributing to the body's first line of defence.53”
From Sebaceous-immunobiology is orchestrated by sebum lipids (2017) · cites this paper as [52]
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“Increased sebum excretion, alteration of lipid composition and the oxidant/antioxidant ratio characteristic of the skin surface lipids are major concurrent events associated with the development of acne.(5) If sebum interferes with the process of follicular keratinisation in the pilosebaceous unit, pore blockage may o…”
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“... of acne, the most common disease of the sebaceous follicle, has currently been attributed to multiple factors such as increased sebum production, alteration of the quality of sebum lipids, regulation of cutaneous steroidogenesis, androgen activity, interaction with neuropeptides, exhibition of pro- and anti inXamm…”
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“56 Three diagnostic criteria for this syndrome have been proposed: (1) chronic recurrent multifocal osteomyelitis with or without skin manifestations; (2) acute or chronic sterile arthritis associated with either pustular psoriasis or palmoplantar pustulosis or severe acne; and (3) sterile osteitis in the presence of…”
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“acnes-augmented TG production in the differentiated hamster sebocytes Arachidonic acid metabolites have been reported to be associated with acne development and deterioration in vivo (Zouboulis, 2004; Alestas et al., 2006).”
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Alkhawaja, E., Hammadi, S., Malek, M. A., Mahasneh, N., Alkhawaja, B. A., & Abdelmalek, S. M. A. (2020) · BMC Dermatology · doi:10.1186/s12895-020-00108-9 · Cited by 90
Sakuma, T. H., & Maïbach, H. I. (2012) · Skin Pharmacology and Physiology · doi:10.1159/000338978 · Cited by 89
Zhang, Z., Dales, N. A., & Winther, M. D. (2013) · Journal of Medicinal Chemistry · doi:10.1021/jm401516c · Cited by 87
Taye, M., Lee, W., Caetano-Anollés, K., Dessie, T., Hanotte, O., Mwai, O. A., Kemp, S. J., Cho, S., Oh, S. J., Lee, H., et al. (2017) · Animal Science Journal · doi:10.1111/asj.12851 · Cited by 85
Harada, N., Okajima, K., Arai, M., Kurihara, H., & Nakagata, N. (2007) · Growth Hormone & IGF Research · doi:10.1016/j.ghir.2007.04.009 · Cited by 90
“Since sebaceous lipids are responsible for three-dimensional skin surface lipid organization, thereby contributing to the integrity of the skin barrier [28], stimulation of sensory neurons by capsaicin and isoflavone might contribute to maintenance of skin integrity though enhancement of IGF-I expression in the sebace…”
BackgroundCorrelation of facial sebum to serum insulin-like growth factor-1 in patients with acne
Vora, S., Ovhal, A., Jerajani, H., Nair, N., & Chakrabortty, A. (2008) · British Journal of Dermatology · doi:10.1111/j.1365-2133.2008.08764.x · Cited by 114
Wang, Y., Dai, A., Huang, S., Kuo, S., Shu, M., Tapia, C., Yu, J., Two, A. M., Zhang, H., Gallo, R. L., et al. (2014) · Beneficial Microbes · doi:10.3920/bm2013.0031 · Cited by 90
“P. acnes also is a regular resident within the hair follicle (Zouboulis, 2004).”
BackgroundMakrantonaki, E., & Zouboulis, C. C. (2007) · Experimental Gerontology · doi:10.1016/j.exger.2007.07.002 · Cited by 87
“Furthermore, the sebaceous gland transports antioxidants in and on the skin and exhibits a natural light protective activity (Zouboulis, 2004).”
BackgroundSelf-citationTopical 4% nicotinamide vs. 1% clindamycin in moderate inflammatory acne vulgaris
Khodaeiani, E., Fouladi, R. F., Amirnia, M., Saeidi, M., & Karimi, E. R. (2013) · International Journal of Dermatology · doi:10.1111/ijd.12002 · Cited by 83
Acne: The role of medical nutrition therapy
Burris, J., Rietkerk, W., & Woolf, K. (2013) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.11.016 · Cited by 82
Transient Receptor Potential Vanilloid-1 Signaling as a Regulator of Human Sebocyte Biology
Tóth, B. I., Géczy, T., Griger, Z., Dózsa, A., Seltmann, H., Kovács, L., Nagy, L., Zouboulis, C. C., Paus, R., & Bíró, T. (2009) · Journal of Investigative Dermatology · doi:10.1038/jid.2008.258 · Cited by 90
“…cellular modifications induced by AA strikingly resemble those seen in acne vulgaris, a common, multi-factorial pilosebaceous inflammatory skin disease in which lipid synthesis of sebocytes are pathologically increased (reviewed in Zouboulis et al., 1998; Zouboulis, 2004; Zouboulis et al., 2005).”
BackgroundInfluentialSelf-citationKim, H., Moon, S. Y., Sohn, M. Y., & Lee, W. J. (2017) · Annals of Dermatology · doi:10.5021/ad.2017.29.1.20 · Cited by 80
Skin steroidogenesis in health and disease
Nikolakis, G., Stratakis, C. A., Kanaki, T., Slominski, A., & Zouboulis, C. C. (2016) · Reviews in Endocrine and Metabolic Disorders · doi:10.1007/s11154-016-9390-z · Cited by 76
Self-citationSchwingen, J., Kaplan, M., & Kurschus, F. C. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21030699 · Cited by 78
Mias, C., Mengeaud, V., Bessou‐Touya, S., & Duplan, H. (2023) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/jdv.18794 · Cited by 88
LXRα Enhances Lipid Synthesis in SZ95 Sebocytes
Hong, I., Lee, M.-H., Na, T.-Y., Zouboulis, C. C., & Lee, M.-O. (2008) · Journal of Investigative Dermatology · doi:10.1038/sj.jid.5701134 · Cited by 77
Self-citationHigh-temperature gas chromatography-mass spectrometry for skin surface lipids profiling
Michael‐Jubeli, R., Bleton, J., & Baillet‐Guffroy, A. (2010) · Journal of Lipid Research · doi:10.1194/jlr.d008094 · Cited by 78
Endocrinology and immunology of acne: Two sides of the same coin
Zouboulis, C. C. (2020) · Experimental Dermatology · doi:10.1111/exd.14172 · Cited by 78
Self-citationThe role of neuropeptides in the multifactorial pathogenesis of acne vulgaris
Gancevičienė, R., Böhm, M., Fimmel, S., & Zouboulis, C. C. (2009) · Dermato-Endocrinology · doi:10.4161/derm.1.3.8496 · Cited by 74
Self-citationFacial sebum affects the development of acne, especially the distribution of inflammatory acne
Choi, C. W., Choi, J. W., Park, K. ‐., & Youn, S. W. (2011) · Journal of the European Academy of Dermatology and Venereology · doi:10.1111/j.1468-3083.2011.04384.x · Cited by 73
Models for acne: A comprehensive study
Kanwar, I. L., Haider, T., Kumari, A., Dubey, S., Jain, P., & Soni, V. (2018) · Drug Discoveries & Therapeutics · doi:10.5582/ddt.2018.01079 · Cited by 72
“Sebocytes’ makeup” - Novel mechanisms and concepts in the physiology of the human sebaceous glands
Tóth, B. I., Oláh, A., Szöllősi, A. G., Czifra, G., & Bíró, T. (2011) · Pflügers Archiv - European Journal of Physiology · doi:10.1007/s00424-011-0941-6 · Cited by 76
“Of further importance, novel etiological models emphasize that acne may develop without the colonization of pathogenic microorganisms, provided that some other factors (e.g., enhanced effect of androgenic hormones, activation of peroxisome proliferator-activated receptors (PPAR), SPmediated stress response, other horm…”
BackgroundCancer-associated genodermatoses: Skin neoplasms as clues to hereditary tumor syndromes
Ponti, G., Pellacani, G., Seidenari, S., Pollio, A., Muscatello, U., & Tomasi, A. (2012) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2012.07.001 · Cited by 71
Interkingdom Transfer of the Acne-Causing Agent, Propionibacterium acnes, from Human to Grapevine
Campisano, A., Ometto, L., Compant, S., Pancher, M., Antonielli, L., Yousaf, S., Varotto, C., Anfora, G., Pertot, I., Sessitsch, A., et al. (2014) · Molecular Biology and Evolution · doi:10.1093/molbev/msu075 · Cited by 72
A practical guide for the study of human and murine sebaceous glands in situ
Hinde, E., Haslam, I. S., Schneider, M. R., Langan, E. A., Kloepper, J. E., Schramm, C., Zouboulis, C. C., & Paus, R. (2013) · Experimental Dermatology · doi:10.1111/exd.12207 · Cited by 72
Self-citationShields, M. V., Abdullah, L., & Namdari, S. (2016) · Journal of Shoulder and Elbow Surgery · doi:10.1016/j.jse.2016.01.009 · Cited by 70
Brogden, N. K., Mehalick, L. A., Fischer, C. L., Wertz, P. W., & Brogden, K. A. (2012) · Skin Pharmacology and Physiology · doi:10.1159/000337927 · Cited by 71
Human synthetic sebum formulation and stability under conditions of use and storage
Wertz, P. W. (2009) · International Journal of Cosmetic Science · doi:10.1111/j.1468-2494.2008.00468.x · Cited by 69
Zhang, H., Liao, W., Woon, C. H. A. O., Chen, Q., Hanxiang, Z. E. N. G., Wu, C.-P., Shaoxi, W., & Hon In, H. O. (2008) · The Journal of Dermatology · doi:10.1111/j.1346-8138.2008.00523.x · Cited by 69
Zouboulis, C. C. (2009) · Dermato-Endocrinology · doi:10.4161/derm.1.2.7804 · Cited by 77
Self-citationReactions and Products of Squalene and Ozone: A Review
Coffaro, B., & Weisel, C. P. (2022) · Environmental Science & Technology · doi:10.1021/acs.est.1c07611 · Cited by 70
Recent progress in the discovery and development of stearoyl CoA desaturase inhibitors
Uto, Y. (2015) · Chemistry and Physics of Lipids · doi:10.1016/j.chemphyslip.2015.08.018 · Cited by 70
Metadata
- Authors
- Zouboulis, C. C.
- Affiliations
- Stiftung Charité (DE)
- Corresponding author
- Zouboulis, Christos C.
- Venue
- Clinics in Dermatology
- Publisher
- Elsevier BV
- Published
- 2004-09
- Volume
- 22
- Issue
- 5
- Pages
- 360-366
- ISSN
- 0738-081X (ISSN-L)
- OpenAlex
- W2031661874
- Cited by
- 561
- References
- 85
- Citations by year
- 2026: 15 · 2025: 27 · 2024: 21 · 2023: 28 · 2022: 24 · 2021: 30 · 2020: 29 · 2019: 35 · 2018: 22 · 2017: 36 · 2016: 31 · 2015: 19 · 2014: 55 · 2013: 25 · 2012: 19
- FWCI
- 14.87
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinics in Dermatology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Lipid metabolism and biosynthesis
- Keywords
- sebaceous glands, sebum production, androgens, peroxisome proliferator-activated receptors, sebaceous lipids, corticotropin-releasing factor, substance P, Propionibacterium acnes, skin barrier, epidermal differentiation, adrenarche
- MeSH terms
- Acne Vulgaris, Adolescent, Adult, Age Factors, Child, Dermatologic Agents, Humans, Neuropeptides, Sebaceous Glands, Sebum, Cytokines, Inflammation Mediators
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