Acne—New Thoughts on Inflammation
Isotretinoin normalized Toll receptor 2 (TLR-2) responses, a measure of innate immunity, as reported by Thiboutot and colleagues in the September JID. Both circulating cytokines and cytokines from P. acnes-stimulated macrophages were measured. TLR-2 levels from stimulated macrophages were increased in untreated acne patients; after one week of therapy, these levels decreased. More interestingly, TLR-2 levels remained decreased for six months after stopping therapy. Il-10, usually considered an anti-inflammatory cytokine, was increased in the patients, and was not affected by... Read more


