Acne is a chronic inflammatory disease of the pilosebaceous unit resulting from androgen-induced increased sebum production,occurs most prominently at skin sites with a high density of sebaceous glands such as the face,chest, and back. Survivin is an evolutionarily conserved eukaryotic protein that is essential for cell division , can inhibit cell death, Normally it is only expressed in actively proliferating cells. Survivin has been found to be increased in keratinocyte proliferative and inflammatory states, which are deeply involved in the pathogenesis of the acne lesions.Foxo1 is considered to be a representative member of the FoxO family, and has key transcription regulatory activities FoxOs are homeostatic factors in healthy skin and in skin disorders,Foxo1 a master regulatory factor for gluconeogenesis and glycogenolysis, as well as a positive regulator of the expression of insulin, is part of signaling axes related to the control of epidermal morphogenesis and the pathogenesis of acne ,The study was a case –control design which conducted in dermatology Al-Musayyab General Hospital and Al Imam Sadiq Hospital,Murjan Teaching Hospital. with 45 patients with Acne volgaris and 45 healthy controls, the level of serum survivin and Foxo1 were measured using an enzyme-linked immunosorbent assay (ELISA).
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