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The Gram-positive bacterium  Cutibacterium acnes  (previously  Propionibacterium acnes ), plays an important role in the pathogenesis and progression of the dermatological skin disorder acne vulgaris. The methanolic extract of  Helichrysum odoratissimum  (L.) Sweet (HO-MeOH) was investigated for its ability to target bacterial growth and pathogenic virulence factors associated with acne progression. The gas chromatography–mass spectrometry (GC-MS) analysis of HO-MeOH identified  α -humulene (3.94%),  α -curcumene (3.74%), and caryophyllene (8.12%) as major constituents, which correlated with previous reports of other  Helichrysum  species. The HO-MeOH extract exhibited potent antimicrobial activity against  C. acnes  (ATCC 6919) with a minimum inhibitory concentration (MIC) of 7.81 µg/ml. It enhanced the antimicrobial activity of benzoyl peroxide (BPO). The extract showed high specificity against  C .  acnes  cell aggregation at sub-inhibitory concentrations, preventing biofilm formation. Mature  C .  acnes  biofilms were disrupted at a sub-inhibitory concentration of 3.91 µg/ml. At 100 µg/ml, HO-MeOH reduced interleukin-1α (IL-1α) cytokine levels in  C .  acnes -induced human keratinocytes (HaCaT) by 11.08%, highlighting its potential as a comedolytic agent for the treatment of comedonal acne. The extract exhibited a 50% inhibitory concentration (IC 50 ) of 157.50 µg/ml against lipase enzyme activity, an enzyme responsible for sebum degradation, ultimately causing inflammation. The extract’s anti-inflammatory activity was tested against various targets associated with inflammatory activation by the bacterium. The extract inhibited pro-inflammatory cytokine levels of IL-8 by 48.31% when compared to  C .  acnes -induced HaCaT cells at 7.81 µg/ml. It exhibited cyclooxygenase-II (COX-II) enzyme inhibition with an IC 50  of 22.87 µg/ml. Intracellular nitric oxide (NO) was inhibited by 40.39% at 7.81 µg/ml when compared with NO production in lipopolysaccharide (LPS)-induced RAW264.7 cells. The intracellular NO inhibition was potentially due to the 2.14 fold reduction of inducible nitric oxide synthase (iNOS) gene expression. The HO-MeOH extract exhibited an IC 50  of 145.45 µg/ml against virulent hyaluronidase enzyme activity, which is responsible for hyaluronan degradation and scar formation. This study provides scientific validation for the traditional use of  H. odoratissimum  as an ointment for pimples, not only due to its ability to control  C .  acnes  proliferation but also due to its inhibitory activity on various targets associated with bacterial virulence leading to acne progression.

Exploring the Anti-Acne Potential of Impepho [Helichrysum odoratissimum (L.) Sweet] to Combat Cutibacterium acnes Virulence