TLDR Genetic variations affecting skin structure play a key role in severe acne.
A genome-wide association study involving 3,823 acne cases and 16,144 controls, followed by a meta-analysis with previous data, identified 20 independent association signals at 15 risk loci, 12 of which were novel. The study implicated variants in WNT10A and SEMA4B, and found that risk alleles at the 1q25 locus increased LAMC2 expression, linked to epidermolysis bullosa. These results suggested that genetic variations affecting skin structure and maintenance, particularly the pilosebaceous unit, played a crucial role in severe acne predisposition.
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