PMID- 34771112 OWN - NLM STAT- MEDLINE DCOM- 20211206 LR - 20211214 IS - 1420-3049 (Electronic) IS - 1420-3049 (Linking) VI - 26 IP - 21 DP - 2021 Nov 5 TI - Propanediol (and) Caprylic Acid (and) Xylitol as a New Single Topical Active Ingredient against Acne: In Vitro and In Vivo Efficacy Assays. LID - 10.3390/molecules26216704 [doi] LID - 6704 AB - In addition to dermatological complications, acne can affect the quality of life of individuals in numerous ways, such as employment, social habits and body dissatisfaction. According to our expertise, caprylic acid and propanediol would not have a direct action on Cutibacterium acnes. Despite this, we investigated the existence of a synergistic effect among xylitol, caprylic acid and propanediol as a mixture of compounds representing a single topical active ingredient that could benefit the treatment against acne. In vitro and in vivo assays were performed to challenge and to prove the efficacy of propanediol, xylitol and caprylic acid (PXCA) against acne. PXCA had its MIC challenged against C. acnes (formerly Propionibacterium acnes) and Staphylococcus aureus, resulting in concentrations of 0.125% and 0.25%, respectively, and it also developed antimicrobial activity against C. acnes (time-kill test). PXCA was able to reduce the 5-alpha reductase expression in 24% (p < 0.01) in comparison with the testosterone group. By the end of 28 days of treatment, the compound reduced the skin oiliness, porphyrin amount and the quantity of inflammatory lesions in participants. According to the dermatologist evaluation, PXCA improved the skin's general appearance, acne presence and size. FAU - Mussi, Lilian AU - Mussi L AD - Research and Development Department, Chemyunion Ltd., 18087-101 Sorocaba, Brazil. FAU - Baby, Andre Rolim AU - Baby AR AUID- ORCID: 0000-0001-9197-3024 AD - Department of Pharmacy, Faculty of Pharmaceutical Sciences, University of Sao Paulo, 05508-000 Sao Paulo, Brazil. FAU - Camargo Junior, Flavio Bueno AU - Camargo Junior FB AD - Research and Development Department, Chemyunion Ltd., 18087-101 Sorocaba, Brazil. FAU - Padovani, Giovana AU - Padovani G AD - Research and Development Department, Chemyunion Ltd., 18087-101 Sorocaba, Brazil. FAU - Sufi, Bianca da Silva AU - Sufi BDS AD - Research and Development Department, Chemyunion Ltd., 18087-101 Sorocaba, Brazil. FAU - Magalhaes, Wagner Vidal AU - Magalhaes WV AD - Research and Development Department, Chemyunion Ltd., 18087-101 Sorocaba, Brazil. LA - eng PT - Journal Article DEP - 20211105 PL - Switzerland TA - Molecules JT - Molecules (Basel, Switzerland) JID - 100964009 RN - 0 (Anti-Bacterial Agents) RN - 0 (Anti-Inflammatory Agents) RN - 0 (Caprylates) RN - 0 (Propylene Glycols) RN - OBL58JN025 (octanoic acid) RN - VCQ006KQ1E (Xylitol) SB - IM MH - Acne Vulgaris/*drug therapy/etiology MH - Anti-Bacterial Agents/*administration & dosage/*chemistry MH - Anti-Inflammatory Agents/*chemistry/*pharmacology MH - Caprylates/*administration & dosage/chemistry MH - Clinical Trials as Topic MH - Disease Management MH - Disease Susceptibility MH - Humans MH - Microbial Sensitivity Tests MH - *Propylene Glycols/chemistry MH - Staphylococcus aureus/drug effects MH - Treatment Outcome MH - Xylitol/*administration & dosage/chemistry PMC - PMC8587458 OTO - NOTNLM OT - 5-alpha reductase OT - acne OT - caprylic acid OT - efficacy OT - porphyrin OT - propanediol OT - sebum control OT - xylitol COIS- The authors declare no conflict of interest. EDAT- 2021/11/14 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/11/05 CRDT- 2021/11/13 01:13 PHST- 2021/10/08 00:00 [received] PHST- 2021/10/29 00:00 [revised] PHST- 2021/11/01 00:00 [accepted] PHST- 2021/11/13 01:13 [entrez] PHST- 2021/11/14 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/11/05 00:00 [pmc-release] AID - molecules26216704 [pii] AID - molecules-26-06704 [pii] AID - 10.3390/molecules26216704 [doi] PST - epublish SO - Molecules. 2021 Nov 5;26(21):6704. doi: 10.3390/molecules26216704.