Zolav(®): a new antibiotic for the treatment of acne

BACKGROUND: Acne is a prominent skin condition affecting >80% of teenagers and young adults and ~650 million people globally. Isotretinoin, a vitamin A derivative, is currently the standard of care for treatment. However, it has a well-established teratogenic activity, a reason for the development of novel and low-risk treatment options for acne. OBJECTIVE: To investigate the effectiveness of Zolav(®), a novel antibiotic as a treatment for acne vulgaris. MATERIALS AND METHODS: Minimum inhibitory concentration of Zolav(®) against Propionibacterium acnes was determined by following a standard protocol using Mueller-Hinton broth and serial dilutions in a 96-well plate. Cytotoxicity effects on human umbilical vein endothelial cells and lung cells in the presence of Zolav(®) were investigated by determining the growth inhibition (GI(50)) concentration, total growth inhibition concentration, and the lethal concentration of 50% (LC(50)). The tryptophan auxotrophic mutant of Escherichia coli strain, WP2 uvrA (ATCC 49979), was used for the AMES assay with the addition of Zolav(®) tested for its ability to reverse the mutation and induce bacterial growth. The in vivo effectiveness of Zolav(®) was tested in a P. acnes mouse intradermal model where the skin at the infection site was removed, homogenized, and subjected to colony-forming unit (CFU) counts. RESULTS: Susceptibility testing of Zolav(®) against P. acnes showed a minimum inhibitory concentration of 2 µg/mL against three strains with no cytotoxicity and no mutagenicity observed at the highest concentrations tested, 30 µM and 1,500 µg/plate, respectively. The use of Zolav(®) at a concentration of 50 µg/mL (q8h) elicited a two-log difference in CFU/g between the treatment group and the control. CONCLUSION: This study demonstrates the potential of Zolav(®) as a novel treatment for acne vulgaris.