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Sialidase, also known as neuraminidase, is an extracellular enzyme produced by Cutibacterium acnes (formerly Propionibacterium acnes), a bacterium central to the development of acne vulgaris (Nakatsuji et al., 2008, J Invest Dermatol). The enzyme functions as a glycosyl hydrolase that cleaves terminal sialic acid residues from host cell surface glycoconjugates, providing a carbon source for the bacteria and facilitating tissue invasion (UniProt, Q6A7Z4). Beyond its metabolic role, sialidase acts as a potent pro-inflammatory factor, triggering the release of cytokines like IL-8 and TNF-alpha from human sebocytes and keratinocytes, which exacerbates the inflammatory lesions seen in acne (PubMed, PMID: 18273044). It also plays a role in bacterial adhesion and the formation of biofilms, which contribute to the persistence of the infection within the pilosebaceous unit. As a therapeutic target, sialidase is being investigated for the development of vaccines and topical inhibitors, such as 2-deoxy-2,3-dehydro-N-acetylneuraminic acid (DANA), which aim to neutralize its virulence without the selective pressure of traditional antibiotics (Nakatsuji et al., 2011). Targeting this enzyme offers a strategy to mitigate inflammation and bacterial colonization while potentially preserving the broader skin microbiome.
Inhibition of the enzymatic activity of sialidase to prevent the cleavage of sialic acid from host cell surfaces, thereby reducing pro-inflammatory signaling and bacterial nutrient acquisition (Nakatsuji et al., 2008).
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