Evaluation of the Quantitative and Qualitative Alterations in the Fatty Acid Contents of the Sebum of Patients with Inflammatory Acne during Treatment with Systemic Lymecycline and/or Oral Fatty Acid Supplementation.

Adilson Costa,Lissa Sabino De Matos,Caroline Silva Pereira,Aline Siqueira Talarico,Thaísa Saddi Tannous,Cidia Vasconcellos,Livia Carolina Della Coletta,Maria Carolina Fidelis,Carla De Oliveira Parra Duarte,Ellem Tatiani De Souza Weimann

doi:10.1155/2013/120475

Abstract

Background. Acne is a dermatosis that involves an altered sebum pattern. Objectives. (1) To evaluate if a treatment based on antibiotics (lymecycline) can alter fatty acids contents of the sebum of patients with acne; (2) to evaluate if oral supplementation of fatty acids can interfere with fatty acids contents of the sebum of patients with acne; (3) to evaluate if there is any interaction in fatty acids contents of the sebum of patients with acne when they use both antibiotics and oral supplementation of fatty acids. Methods. Forty-five male volunteers with inflammatory acne vulgaris were treated with 300 mg of lymecycline per day, with 540 mg of γ-linolenic acid, 1,200 mg of linoleic acid, and 510 mg of oleic acid per day, or with both regimens for 90 days. Every 30 days, a sample of sebum from the forehead was collected for fatty acids' chromatographic analysis. Results. Twelve fatty acids studied exhibited some kind of pattern changes during the study: C12:0, C14:0, C15:0, C16:1, C18:0, C18:1n9c+C18:1n9t, C18:2n6t, C18:3n6, C18:3n3, C20:1, C22:0, and C24:0. Conclusions. The daily administration of lymecycline and/or specific fatty acids may slightly influence some fatty acids levels present in the sebum of patients with inflammatory acne vulgaris.

Highlights

Acne is a chronic dermatosis that affects the pilosebaceous follicles
(1) To evaluate if a treatment based on antibiotics can alter fatty acids contents of the sebum of patients with acne; (2) to evaluate if oral supplementation of fatty acids can interfere with fatty acids contents of the sebum of patients with acne; (3) to evaluate if there is any interaction in fatty acids contents of the sebum of patients with acne when they use both antibiotics and oral supplementation of fatty acids
Essential fatty acids (EFAs) are primarily found in phospholipids and in the triglycerides (TGs) which participate in sebum (SB) formation [6]

Summary

Introduction

Acne is a chronic dermatosis that affects the pilosebaceous follicles. The physiopathogenesis of this condition involves periglandular dermal inflammation mechanisms, sebum hyperproduction, follicular hyperkeratosis, an increase of colonization of Propionibacterium acnes (P. acnes), and hormones [1,2,3]. Essential fatty acids (EFAs) are FAs that the body is not capable of producing, such as linoleic acid (LA, 18:2n-6) and α-linolenic acid (ALA, 18:3n-3), which cannot be produced due to lack of Δ12- and Δ15-desaturases [5]. Acne is a dermatosis that involves an altered sebum pattern. Forty-five male volunteers with inflammatory acne vulgaris were treated with 300 mg of lymecycline per day, with 540 mg of γlinolenic acid, 1,200 mg of linoleic acid, and 510 mg of oleic acid per day, or with both regimens for 90 days. The daily administration of lymecycline and/or specific fatty acids may slightly influence some fatty acids levels present in the sebum of patients with inflammatory acne vulgaris

Objectives

Methods

Results

Discussion

Conclusion