Research Article
The Association between Adiponectin Single Nucleotide
PolymorphismsandSideEffectsofIsotretinoininAcnePatients
MunirGarba,
1
OmarF.Khabour ,
1
KaremH.Alzoubi ,
2
Ahmed Abu-Siniyeh,
3
andFirasAl-Qarqaz
4
1
Department of Medical Laboratory Sciences, Faculty of Applied Medical Sciences, Jordan University of Science and Technology,
Irbid, Jordan
2
Department of Clinical Pharmacy, Jordan University of Science and Technology, Irbid, Jordan
3
Clinical Laboratory Sciences Department, College of Applied Medical Sciences, Taif University, Taif, Saudi Arabia
4
Department of Dermatology, Faculty of Medicine, Jordan University of Science, Technology, Irbid, Jordan
Correspondence should be addressed to Omar F. Khabour; khabour@just.edu.jo
Received 13 January 2020; Revised 27 March 2020; Accepted 16 April 2020; Published 29 April 2020
Academic Editor: E. Helen Kemp
Copyright © 2020 Munir Garba et al. is is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Background. Acne is a common condition of pilosebaceous follicle especially among young. Clinically, the most used medication
in the treatment of moderate to severe acne is oral isotretinoin. However, interindividual variability in therapeutic response to
isotretinoin and many side effects such as musculoskeletal pain, headache, and alteration in lipid profile can be seen with this
treatment. Aim. In this study, the effect of genetic polymorphisms, rs2241766 and rs1501299, of the adiponectin gene was
investigated in relation to the side effects of isotretinoin-treated young adult acne patients (n � 230). Methods. Several biochemical
parameters were measured at baseline and after treatments with isotretinoin. e ADIPOQ gene SNPs, rs2241766 and rs1501299,
were genotyped in 230 patients. Results. Alterations in lipid profile with a significant increase of ALT (P � 0.007) were detected
after isotretinoin treatment. Moreover, percentage change in HDL following isotretinoin treatment was significantly associated
with rs1501299 (P � 0.008). On the other hand, no associations between examined SNPs and side effects of isotretinoin and other
lipid parameters (total cholesterol, LDL, and triglycerides) or liver function enzymes (ALT and AST) were detected. Conclusions.
Current findings showed that rs1501299 of the ADIPOQ gene might be associated with changes in HDL level in acne patients
following treatment with isotretinoin.
1.Introduction
Acne is a common skin condition of the pilosebaceous
follicle, identified by a variety of noninflamed (comedons)
and inflammatory lesions [1, 2], which primarily affects the
face, upper trunk, upper arms, and back [3]. e prevalence
and the severity of acne is highest among the adolescence,
affecting up to 91% of males and 79 % of females of this
group [4] and often persist well in adulthood [5].
e treatment of acne is based on the severity and the
appearance of acne lesions [6]. Oral isotretinoin (13-cis-
retinoic acid) is considered to be the most effective medi-
cation in the treatment of moderate-to-severe form of acne
vulgaris [7]. However, the use of isotretinoin is associated
with serious side effects [8], including depression and sui-
cidal behavior [9, 10], elevated liver enzymes, teratogenicity,
arthralgia, headache, and myalgia [11], and acute kidney
injury [12, 13].
Adiponectin, a 30 KDa product of the ADIPOQ gene
[14], is an abundant protein in human adipose tissues [15].
In addition, the circulating level of adiponectin in blood
ranges between 2 and 30 mg/L in human [16] and about 1.5
times higher in females than males [17]. Adiponectin plays
an important role in body metabolism and immune response
[18, 19]. Changes in adipocytokine levels have been reported
to be associated with isotretinoin medication [20–24]. For
Hindawi
Dermatology Research and Practice
Volume 2020, Article ID 3176521, 7 pages
https://doi.org/10.1155/2020/3176521