Skin is protected by a layer of lipids, of both sebaceous and keratinocyte origin, which cover the surface of the skin. Different compositions of surface lipids have been reported depending on the method of sampling. Lipids produced by the epidermal cells are usually less per area in regions rich in sebaceous glands. The holocrine nature of the sebaceous gland will eventually result that the sebum will eventually coat the surface of the skin and the fur. The sebaceous lipids are primarily nonpolar lipids as triglycerides, wax esters, and squalene, while the epidermal lipids consist of ceramides, free-fatty acids, and cholesterol in almost equimolar concentrations. The composition of the sebaceous lipids manifests uniqueness and an intriguing biology exclusive to this gland. Elevated sebum excretion is a major factor involved in the pathophysiology of acne, therefore, an attempt to decode
Core Messages• Human sebum is a mixture of nonpolar lipids: triglycerides, wax esters, squalene, fatty acids, and small amounts of cholesterol, cholesterol esters, and diglycerides.• Elevated sebum excretion is a major factor involved in the pathophysiology of acne and seboreeic dermatitis.• The sebaceous gland produces lipid species that are exclusive to sebumand cannot be found in other areas of the body.• Complexity and uniqueness characterize sebaceous lipids, since Δ6 monounsaturated chains, wax esters, and squalene accumulation are examples that manifest the uniqueness of sebaceous lipid biology.• Genetic knockout animal models of sebaceous lipid synthesis demonstrate dramatic changes in skin physiology and pathology. Impairment of sebaceous lipid pathways results to severe skin phenotypes.
128A. Pappas and elucidate the roles that these unique lipids have on normal skin functions and acne is imperative.
Abbreviations
KO
Knock out SCStratum corneum VLCFA Very-long-chain fatty acids