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Hindawi Publishing Corporation
Mediators of Inflammation
Volume 2010, Article ID 858176, 6 pages
doi:10.1155/2010/858176
Review Article
Lipid Mediators in Acne
Monica Ottaviani, Emanuela Camera, and Mauro Picardo
Laboratory of Cutaneous Physiopathology, San Gallicano Dermatological Institute IRCCS, Via Elio Chianesi 53, 00144 Rome, Italy
Correspondence should be addressed to Mauro Picardo, picardo@ifo.it
Received 14 May 2010; Accepted 6 July 2010
Academic Editor: Chiara De Luca
Copyright © 2010 Monica Ottaviani et al. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited.
Multiple factors are involved in acne pathogenesis, and sebum secretion is one of the main ones. The role sebum plays in acne
development has not been completely elucidated yet; however, increasing amounts of data seem to confirm the presence of
alterations in sebum from acne patients. Altered ratio between saturated and unsaturated fatty acids has been indicated as an
important feature to be considered in addition to the altered amount of specific fatty acids such as linoleic acid. Furthermore,
particular attention has been focused on squalene peroxide that seems to be able to induce an inflammatory response beyond
cytotoxicity and comedones formation. Moreover, recent data suggest that lipid mediators are able to interfere with sebocytes
differentiation and sebogenesis through the activation of pathways related to peroxisome proliferators-activated receptors.
Understanding the factors and mechanisms that regulate sebum production is needed in order to identify novel therapeutic
stra
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