Serum Interleukin-6 Levels are Positively Correlated with the Severity of Acne Vulgaris

  • Yogi Triatmakusuma Specialist Program, KSM Department of Dermato-Venerology, Faculty of Medicine, Udayana University, Indonesia
  • I Gusti Ayu Agung Praharsini Specialist Program, KSM Department of Dermato-Venerology, Faculty of Medicine, Udayana University, Indonesia
  • I Gusti Nyoman Darmaputra Specialist Program, KSM Department of Dermato-Venerology, Faculty of Medicine, Udayana University, Indonesia
  • Ketut Kwartantaya Winaya Specialist Program, KSM Department of Dermato-Venerology, Faculty of Medicine, Udayana University, Indonesia
  • Ni Luh Putu Ratih Vibriyanti Karna Specialist Program, KSM Department of Dermato-Venerology, Faculty of Medicine, Udayana University, Indonesia
  • Ni Made Dwi Puspawati Specialist Program, KSM Department of Dermato-Venerology, Faculty of Medicine, Udayana University, Indonesia
Keywords: Acne Vulgaris, Severity, IL-6

Abstract

Acne vulgaris is a chronic inflammatory disease that affects the pilosebaceous unit. This disease occurs on the skin of the face, body, back, and other areas of the body, and can leave scars on the skin which can be temporary or permanent. Recent data shows that the inflammatory process is the initial process in the pathogenesis of acne, several pro-inflammatory cytokines, one of which is interleukin 6 (IL-6), which plays a role in acne vulgaris. Analytical observational study with a cross-sectional approach. The research was carried out from February - November 2023 at the Skin and Venereology Polyclinic, RSUP Prof. Dr. I.G.N.G. Ngoerah Denpasar and the Clinical Pathology Laboratory of Prof IGNG Ngoerah Hospital. The sample consisted of 47 samples of patients with acne and 20 samples without acne aged 8 - 45 years who were selected through consecutive sampling according to inclusion and exclusion criteria. A sample of 3 milliliters of venous blood is taken which will then be checked for IL-6 with an ELISA kit. Data analysis with SPSS version 24 and p value <0.05 is significant. The mean IL-6 serum levels in the acne group was 110.2 ± 88.3 pg/ml while in the non-acne group it was 26.7 ± 23.7 pg/ml. There was a significant difference in the category of IL-6 levels in the acne and non-acne groups (95% CI 55.1 - 155.3, p<0.001). The correlation analysis of IL-6 levels with the severity of acne was strongly positive (r=0.951, p<0.001).

References

Aldaham, S., Foote, J. A., Chow, H. H. S., & Hakim, I. A. (2015). Smoking status effect on inflammatory markers in a randomized trial of current and former heavy smokers. International journal of inflammation, 2015. https://doi.org/10.1155/2015/439396

Allen, S. C. (2020). Cytokine signaling in the modulation of post-acute and chronic systemic inflammation: a review of the influence of exercise and certain drugs. AIMS Allergy and Immunology, 4(4), 100-116.

Alsulaimani, H., Kokandi, A., Khawandanh, S., & Hamad, R. (2020). Severity of acne vulgaris: comparison of two assessment methods. Clinical, Cosmetic and Investigational Dermatology, 711-716.

Al-tameemi, S., Hameed, N., Gomes, K., & Abid, H. (2022). Cigarette smoking increases plasma levels of IL-6 and TNF-α. Baghdad Journal of Biochemistry and Applied Biological Sciences, 3(01), 60-68. https://doi.org/10.47419/bjbabs.v3i01.108

Chilicka, K., Dzieńdziora-Urbińska, I., Szyguła, R., Asanova, B., & Nowicka, D. (2022). Microbiome and probiotics in acne vulgaris—A narrative review. Life, 12(3), 422.

Daou, H. N. (2020). Exercise as an anti-inflammatory therapy for cancer cachexia: a focus on interleukin-6 regulation. American Journal of Physiology-Regulatory, Integrative and Comparative Physiology, 318(2), R296-R310.

Dos Santos, F. S., Mintem, G. C., de Oliveira, I. O., Horta, B. L., Ramos, E., Lopes, C., & Gigante, D. P. (2023). Consumption of ultra-processed foods and IL-6 in two cohorts from high-and middle-income countries. British Journal of Nutrition, 129(9), 1552-1562.

Elhanboli, G.M. (2021) ‘Role of InterLeukins in acne: a systematic review and meta-analysis Introduction’, Print) Fayoum University Medical Journal Elhanboli et al, 9(1), pp. 28–35.

Heng, A. H. S., & Chew, F. T. (2020). Systematic review of the epidemiology of acne vulgaris. Scientific reports, 10(1), 5754. https://doi.org/10.1038/s41598-020-62715-3

Jaber, R. M., Alnshash, B. M., Mousa, S. N., Fayoumi, H. S., Al-Qaderi, L. M., & Zant, A. M. (2020). The epidemiology of acne vulgaris among adolescents and young adults in Jordan University Hospital. Open Journal of Nursing, 10(4), 353-366. https://doi.org/10.4236/ojn.2020.104024

Koku Aksu, A. E., Metintas, S. E. L. M. A., Saracoglu, Z. N., Gurel, G., Sabuncu, I., Arikan, I., & Kalyoncu, C. (2012). Acne: prevalence and relationship with dietary habits in Eskisehir, Turkey. Journal of the European Academy of Dermatology and Venereology, 26(12), 1503-1509.

Ragab, M., Hassan, E. M., Elneily, D., & Fathallah, N. (2019). Association of interleukin‐6 gene promoter polymorphism with acne vulgaris and its severity. Clinical and experimental dermatology, 44(6), 637-642. https://doi.org/10.1111/ced.13864

Say, Y. H., Sio, Y. Y., Heng, A. H. S., Ng, Y. T., Matta, S. A., Pang, S. L., ... & Chew, F. T. (2022). Golgin A7 family member B (GOLGA7B) is a plausible novel gene associating high glycaemic index diet with acne vulgaris. Experimental Dermatology, 31(8), 1208-1219.

Shah, N., Shukla, R., Chaudhari, P., Patil, S., Patil, A., Nadkarni, N., & Goldust, M. (2021). Prevalence of acne vulgaris and its clinico‐epidemiological pattern in adult patients: Results of a prospective, observational study. Journal of cosmetic dermatology, 20(11), 3672-3678.

Shrihari, T. G. (2017). Dual role of inflammatory mediators in cancer. Ecancermedicalscience, 11.

Wang, H., Chen, H., Fu, Y., Liu, M., Zhang, J., Han, S., ... & Hu, Q. (2022). Effects of smoking on inflammatory-related cytokine levels in human serum. Molecules, 27(12), 3715.

Wibisono, E. A., Indramaya, D. M., & Rochmanti, M. (2020). Jurnal Berkala Epidemiologi.

Witkam, W. C., Dal Belo, S. E., Pourhamidi, S., Raynaud, E., Moreau, M., Aguilar, L., ... & Pardo, L. M. (2024). The epidemiology of acne vulgaris in a multiethnic adolescent population from Rotterdam, the Netherlands: A cross-sectional study. Journal of the American Academy of Dermatology, 90(3), 552-560. https://doi.org/10.1016/j.jaad.2023.10.062

Published
2024-03-13
How to Cite
Triatmakusuma, Y., Praharsini, I. G. A. A., Darmaputra, I. G. N., Winaya, K. K., Karna, N. L. P. R. V., & Puspawati, N. M. D. (2024). Serum Interleukin-6 Levels are Positively Correlated with the Severity of Acne Vulgaris. Journal La Medihealtico, 5(1), 158-166. https://doi.org/10.37899/journallamedihealtico.v5i1.1056