Immunohistochemical expression of interleukin 1 beta in papule biopsies from patients with acne vulgaris

Abstract

Background: Acne vulgaris is the most common inflammatory disease of the skin. IL-1b has been found in acne lesions and is a promising target for therapy, but the evidence is limited. Therefore, this study was conducted to investigate the immunohistochemical expression of IL-1b in papule biopsies of inflammatory acne and its association with disease severity. Methods: This study involved 20 patients with acne vulgaris (13 females, median age: 22 years). Samples were taken using punch biopsy. Immunohistochemical IL-1b expression was semiquantitatively assessed as absent, mild, moderate or strong. Disease severity was evaluated according to the Global Acne Grading System (GAGS). Results: There were 7 patients with mild disease and 11 patients with moderate disease. Median GAGS score was 20. Mild and moderate accounted for 65% and 30% for dermal IL-1b expression, 60% and 40% for epidermal expression, and 70% and 15% for perifollicular expression. Moderatestrong perifollicular expression had significant higher GAGS score than absent-mild expression (median: 22 versus 16). Conclusions: This study shows the elevated immunoreactivity of IL-1b in papule biopsies of inflammatory acne vulgaris. The levels of IL-1b expression also correlates with disease severity. IL- 1b could be a good candidate for targeting treatment of acne vulgaris.

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“…Similar effects have also been reported in human peripheral neutrophils, monocytes and sebocytes [95][96][97]. Moreover, high levels of IL-1b are found in the skin lesions of acne patients [94,98]. Interestingly, it has also been recently proposed that only specific acneic strains of C. acnes are capable of triggering NLRP3-induced IL-1b production.…”

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“…Meng et al found that the expression of IL-1β in lesions of rosacea patients was significantly higher than age- and sex-matched healthy volunteers, especially PPR. In acne, all patients with inflammatory acne have dermal and epidermal IL-1β expression, and the expression level correlates with disease severity 16 . Ultraviolet B and P. acnes are triggers for IL-1β secretion, and the inflammation induced by P. acnes causes the massive secretion of IL-1β from monocytes 17 – 19 .…”

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“…Meng et al found that the expression of IL-1β in lesions of rosacea patients was signi cantly higher than age-and sex-matched healthy volunteers, especially PPR. In acne, all patients with in ammatory acne have dermal and epidermal IL-1β expression, and the expression level correlates with disease severity 13 . Ultraviolet B and P. acnes are triggers for IL-1β secretion, and the in ammation induced by P. acnes causes the massive secretion of IL-1β from monocytes [14][15][16] .…”