2021
DOI: 10.1007/s13555-021-00552-6
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Updated Treatment for Acne: Targeted Therapy Based on Pathogenesis

Abstract: Previous approaches to acne management have focused on the four main factors implicated in acne, namely, androgen-mediated sebogenesis (considered integral to acne), hyperkeratinization, colonization with Cutibacterium acnes, and inflammation related to both innate and adaptive mechanisms. Recent advances have facilitated potential novel approaches to acne management, as the pathophysiology and the immunological aspects related to acne and wound healing have evolved. Particular targets that have been shown to … Show more

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Cited by 42 publications
(86 citation statements)
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“…The normal period of isotretinoin is 16-24 weeks, with increasing doses used as tolerated until the target dosage, usually between 120 and 150 mg/kg, is met. However, late teenage use has an increased risk of relapse, especially in women with hormonally induced acne and up to 20% of all younger patient populations [31,32]. In our study, 34.3% of participants take treatment for acne vulgaris (94.9% take medications regularly).…”
Section: Resultsmentioning
confidence: 60%
“…The normal period of isotretinoin is 16-24 weeks, with increasing doses used as tolerated until the target dosage, usually between 120 and 150 mg/kg, is met. However, late teenage use has an increased risk of relapse, especially in women with hormonally induced acne and up to 20% of all younger patient populations [31,32]. In our study, 34.3% of participants take treatment for acne vulgaris (94.9% take medications regularly).…”
Section: Resultsmentioning
confidence: 60%
“…In general, inflammation is a disease-fighting response in the body, but a persistent inflammatory response will cause cell damage and even cell apoptosis [ 25 ]. It is reported that an overproduction of NO is able to induce an inflammatory response, in which process the inflammatory cytokines’ tumor necrosis factor-α (TNF-α), interleukine-1 β (IL-1 β ), and interleukine-6 (IL-6) are secreted to exacerbate the inflammatory response [ 26 ]. An LPS-induced RAW264.7 cell inflammatory model is widely used to evaluate the anti-inflammatory effect in many studies [ 27 ].…”
Section: Resultsmentioning
confidence: 99%
“…Therefore, therapeutic approaches focus on the main factors implicated in acne, namely the androgen-mediated sebogenesis, hyperkeratinization, colonization with C. acnes and inflammation related to innate and adaptive mechanisms [ 7 ]. Current treatments depend on the severity of acne and usually vary from topical to oral systemic therapies.…”
Section: Introductionmentioning
confidence: 99%