Insights into the mechanism of Cymbopogan martinii essential oil in topical therapy of acne vulgaris.

Lay abstract Acne vulgaris is a highly prevalent skin condition among adolescents, associated with much psychological distress in the affected individuals. The disease primarily affects the hair follicles and sebaceous glands of the face, neck, chest and back. Hormonal imbalance leads to increased production of sebum. Abnormal cellular processes cause swelling of the follicles and create an environment that is conducive to the growth of Cutibacterum acnes. The bacteria are known to initiate an immune response, rupturing the wall of hair follicles and dispersing the contents into the surrounding skin tissues. Inflammation occurs, further laying the ground for skin blemishes. Although a number of drugs are reported for the topical management of this condition, they do not address all the factors contributing to the development of acne lesions and are also reported to have several adverse effects. Therefore, the existing drugs do not offer a satisfactory solution to the problem. The growing bacterial resistance to antimicrobial drugs is another cause of concern. An agent that effectively counters the various causative factors of acne, is safe for application on human skin and is devoid of the risk of bacterial resistance, would be an ideal anti-acne agent. In this study, the essential oil derived from the plant Cymbopogan martinii (palmarosa oil) was evaluated for its potential to inhibit the growth of C. acnes, and control inflammation and blemishes associated with acne. It was also checked for its compatibility with human skin. The results were promising, advocating the essential oil as a natural and holistic solution for treating acne.