TREM2 Macrophages Induced by Human Lipids Drive Inflammation in Acne Lesions

    July 2022 in “ Science Immunology
    Tran Do, Feiyang Ma, Priscila Ribeiro Andrade, Rosane M. B. Teles, Bruno Jorge de Andrade Silva, Chanyue Hu, Alejandro Espinoza, Jer-En Hsu, Chun‐Seok Cho, Myungjin Kim, Jingyue Xi, Xianying Xing, Olesya Plazyo, Lam C. Tsoi, Carol E. Cheng, Jenny Kim, Bryan D. Bryson, Alan M. O’Neill, Marco Colonna, Jóhann E. Guðjónsson, Eynav Klechevsky, Jun Hee Lee, Richard L. Gallo, Barry R. Bloom, Matteo Pellegrini, Robert L. Modlin
    TLDR TREM2 macrophages and unsaturated lipids contribute to acne inflammation.
    The study investigates the role of TREM2 macrophages in acne, a condition affecting 1 in 10 people globally. Using advanced RNA sequencing techniques, researchers found that TREM2 macrophages, which express lipid metabolism and proinflammatory genes, are located near hair follicles producing squalene. In vitro experiments showed that squalene promotes the differentiation of these macrophages, which are ineffective at killing Cutibacterium acnes. Squalene also inhibits oxidative enzymes and scavenges free radicals, explaining why benzoyl peroxide is effective in treating acne. The findings suggest that TREM2 macrophages and unsaturated lipids contribute to acne pathogenesis, similar to their role in atherosclerosis.
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