Free fatty acids in the early inflammatory papule of acne vulgaris

Thermostable lipases and their dynamics of improved enzymatic properties

Thermal stability is one of the most desirable characteristics in the search for novel lipases. The search for thermophilic microorganisms for synthesising functional enzyme biocatalysts with the ability to withstand high temperature, and capacity to maintain their native state in extreme conditions opens up new opportunities for their biotechnological applications. Thermophilic organisms are one of the most favoured organisms, whose distinctive characteristics are extremely related to their cellular constituent particularly biologically active proteins. Modifications on the enzyme structure are critical in optimizing the stability of enzyme to thermophilic conditions. Thermostable lipases are one of the most favourable enzymes used in food industries, pharmaceutical field, and actively been studied as potential biocatalyst in biodiesel production and other biotechnology application. Particularly, there is a trade-off between the use of enzymes in high concentration of organic solvents and product generation. Enhancement of the enzyme stability needs to be achieved for them to maintain their enzymatic activity regardless the environment. Various approaches on protein modification applied since decades ago conveyed a better understanding on how to improve the enzymatic properties in thermophilic bacteria. In fact, preliminary approach using advanced computational analysis is practically conducted before any modification is being performed experimentally. Apart from that, isolation of novel extremozymes from various microorganisms are offering great frontier in explaining the crucial native interaction within the molecules which could help in protein engineering. In this review, the thermostability prospect of lipases and the utility of protein engineering insights into achieving functional industrial usefulness at their high temperature habitat are highlighted. Similarly, the underlying thermodynamic and structural basis that defines the forces that stabilize these thermostable lipase is discussed. KEY POINTS: • The dynamics of lipases contributes to their non-covalent interactions and structural stability. • Thermostability can be enhanced by well-established genetic tools for improved kinetic efficiency. • Molecular dynamics greatly provides structure-function insights on thermodynamics of lipase.

Adult-onset acne: prevalence, impact, and management challenges

Acne is a multifactorial and inflammatory disease of pilosebaceous follicles, which affects most adolescents. Recent epidemiological data revealed a difference in adults affected by this disease. Women have a high prevalence and incidence when compared with men, especially after 25 years of age. In contrast to what was initially thought, most of these patients do not present endocrinopathy capable of leading to the development of the lesions. When present, polycystic ovarian syndrome is the main cause. However, in these cases, acne is rarely the only dermatological manifestation; hirsutism and acanthosis nigricans are often present. The majority of the normoandrogenic acne patients present a history since adolescence, but in many cases the lesion distribution and intensity change with time. There is often a typical localization of the lesions in the lower third of the face and lateral region of the neck. Another interesting feature is related to the impact on quality of life (QoL), which is always intense. Often there are signs of depression, even when the lesions are mild. As most adult patients are women, in addition to the conventional options, there is also hormone treatment. Combined oral contraceptives and spironolactone are good options. Knowing more about the particularities in etiopathogenesis, impact on QoL, and specific treatment options is important to all dermatologists who face the challenge of treating acne in adults.

Acne vulgar: estudo piloto de avaliação do uso oral de ácidos graxos essenciais por meio de análises clínica, digital e histopatológica

FUNDAMENTOS: A relação entre acne vulgar, alimentação e terapia com ácidos graxos essenciais é desconhecida, embora esses elementos tenham papel importante na fisiopatogenia dessa dermatose. OBJETIVO: Verificar a resposta clínica da acne vulgar com o uso de ácidos graxos essenciais e quais os melhores métodos de avaliação do tratamento. MÉTODOS: Trinta e um voluntários, dos quais 16 (51,6%) receberam esquema oral rico em ácidos graxos essenciais e 15 receberam placebo (48,4%). Foram utilizadas análises clínica, de auto-avaliação, digital e histológica para avaliação. RESULTADOS: Não houve diferença nas notas subjetivas (p=0,419) e na análise digital (p=0,2187) entre os gupos placebo e produto; houve sugestão de melhora com o uso do produto, pela histopatologia (p=0,087), sem significância pelo teste do qui-quadrado (= 4,878); ausência de correlação estatística entre a análise digital e a nota subjetiva dos voluntários (p=0,127), entre a nota subjetiva e a resposta histopatológica (p=0,438); houve, porém, relação entre a análise histopatológica e a digital (p=0,012). CONCLUSÕES: 1) Para se avaliar o benefício clínico deve-se realizar um estudo com amostra maior; 2) a auto-avaliação do voluntário e a análise digital não puderam discernir o melhor padrão terapêutico para acne vulgar, se medicamento ou placebo; 3) a associação histopatologia-análise digital parece ser a melhor forma de avaliação da qualidade da resposta clínica dessa terapêutica; 4) a histopatolgia parece ser o método mais sensível para avaliar essa modalidade terapêutica.