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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