Cited by 139Acne and Rosacea Treatments and EffectsDermatology and Skin DiseasesInflammation biomarkers and pathways

TREM2 macrophages induced by human lipids drive inflammation in acne lesions

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Do, Tran H., Ma, Feiyang, Andrade, Priscila R., Teles, Rosane, de Andrade Silva, Bruno J., Hu, Chanyue, Espinoza, Alejandro, Hsu, Jer-En +18 more·2022·Science Immunology

Abstract

Acne affects 1 in 10 people globally, often resulting in disfigurement. The disease involves excess production of lipids, particularly squalene, increased growth of Cutibacterium acnes , and a host inflammatory response with foamy macrophages. By combining single-cell and spatial RNA sequencing as well as ultrahigh-resolution Seq-Scope analyses of early acne lesions on back skin, we identified TREM2 macrophages expressing lipid metabolism and proinflammatory gene programs in proximity to hair follicle epithelium expressing squalene epoxidase. We established that the addition of squalene induced differentiation of TREM2 macrophages in vitro, which were unable to kill C. acnes . The addition of squalene to macrophages inhibited induction of oxidative enzymes and scavenged oxygen free radicals, providing an explanation for the efficacy of topical benzoyl peroxide in the clinical treatment of acne. The present work has elucidated the mechanisms by which TREM2 macrophages and unsaturated lipids, similar to their involvement in atherosclerosis, may contribute to the pathogenesis of acne.

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Crossref · 10.1126/sciimmunol.abo2787

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  • The LAM phenotype is not unique to the fibrotic liver, also being identified in other tissues in the context of sterile injury as well as in macrophages surrounding the bile duct in the healthy liver.

    “Interestingly, this phenotype is not unique to the fibrotic liver, also being identified in other tissues in the context of sterile injury (32, 33, 38, 110–121) as well as in macrophages surrounding the bile duct in the healthy liver (62).”

    From Targeting macrophages in liver fibrosis (2026) · cites this paper as [111]

    The Results identify TREM2 macrophages in acne lesions, supporting the presence of a related phenotype outside fibrotic liver. The Introduction describes acne in terms of bacterial infection and inflammation, however, so this paper does not establish acne as a context of sterile injury. The healthy-liver bile-duct finding is attached to a different citation (62). (LLM, conf=0.84)

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3 of the 117 references couldn’t be matched to a known paper.

Research works printed but not linked: 6

  1. [3]Zaraa I, Severity of acne and its impact on quality of life. Skinmed 11, 148– 153 (2013). 23930353
  2. [40]Agak GW, Propionibacterium acnes Induces an IL-17 Response in Acne Vulgaris that Is Regulated by Vitamin A and Vitamin D. J. Invest. Dermatol 134, 366– 373 (2014). 23924903 PMC4084940
  3. [66]Ma F, The cellular architecture of the antimicrobial response network in human leprosy granulomas. Nature immunology 22, 839– 850 (2021). 34168371 PMC8579511
  4. [71]Wu B, Mitochondrial aspartate regulates TNF biogenesis and autoimmune tissue inflammation. Nature immunology 22, 1551– 1562 (2021). 34811544 PMC8756813
  5. [82]Turkish AR, Identification of Two Novel Human Acyl-CoA Wax Alcohol Acyltransferases MEMBERS OF THE DIACYLGLYCEROL ACYLTRANSFERASE 2 (DGAT2) GENE SUPERFAMILY. J. Biol. Chem 280, 14755– 14764 (2005). 15671038
  6. [101]Schönbeck U, Mach F, Libby P, Generation of biologically active IL-1β by matrix metalloproteinases: a novel caspase-1-independent pathway of IL-1β processing. The Journal of Immunology 161, 3340– 3346 (1998). 9759850

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Authors
Do, T. H., Ma, F., Andrade, P. R., Teles, R., de Andrade Silva, B. J., Hu, C., Espinoza, A., Hsu, J.-E., Cho, C.-S., Kim, M., Xi, J., Xing, X., Plazyo, O., Tsoi, L. C., Cheng, C., Kim, J., Bryson, B. D., O’Neill, A. M., Colonna, M., Gudjonsson, J. E., Klechevsky, E., Lee, J. H., Gallo, R. L., Bloom, B. R., Pellegrini, M., & Modlin, R. L.
Affiliations
  • University of California, Los Angeles (US)
  • Division of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles,, Los Angeles, CA 90095, USA.
  • University of Michigan (US)
  • Massachusetts Institute of Technology (US)
  • University of California San Diego (US)
  • Washington University in St. Louis (US)
  • Harvard University (US)
Corresponding author
Modlin, Robert L.
Venue
Science Immunology
Published
2022-07-29
Volume
7
Issue
73
Pages
eabo2787-eabo2787
ISSN
2470-9468 (ISSN-L)
OpenAlex
W4286587078
Cited by
139
References
117
Citations by year
2026: 28 · 2025: 40 · 2024: 41 · 2023: 26 · 2022: 4
FWCI
27.14
Type
journal article
Language
en
Open access
Locations
  • Science Immunology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
  • eScholarship (California Digital Library) (submittedVersion)
Funders
  • A. Alfred Taubman Medical Research Institute (P30AR075043)
  • China Scholarship Council
  • National Institutes of Health
  • National Institute on Aging (K01AG061236, T32AG000114)
  • National Cancer Institute (UG3CA268091, R01CA245277)
  • National Institute of General Medical Sciences (T32GM008042)
  • National Institute of Allergy and Infectious Diseases (R01AI022553)
  • National Institute of Diabetes and Digestive and Kidney Diseases (P30DK056341)
  • National Institute of Arthritis and Musculoskeletal and Skin Diseases (R01AR074302, R01AR073252, T32AR071307, R01AR075959, R01AR040312, P30AR075043, P50AR080594)
Topics
  • Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
  • Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
  • Life Sciences › Immunology and Microbiology › Immunology › Inflammation biomarkers and pathways
Keywords
acne, TREM2+ macrophages, squalene, Propionibacterium acnes, lipid metabolism, macrophage differentiation, squalene epoxidase, hair follicle epithelium, oxidative stress, benzoyl peroxide, inflammation, acne pathogenesis, unsaturated lipids
MeSH terms
Acne Vulgaris, Humans, Inflammation, Lipids, Macrophages, Membrane Glycoproteins, Receptors, Immunologic, Squalene

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