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Azelaic acid is a naturally occurring and saturated dicarboxylic acid with diverse biological activities.1,2,3,4,5 It is a competitive inhibitor of tyrosinase, NADH dehydrogenase, succinic dehydrogenase, and reduced ubiquitinone:cytochrome C oxidoreductase in vitro.1,2 Azelaic acid inhibits the growth and colony formation of B16 murine as well as HMB2 and SK32 human melanoma cells in a concentration-dependent manner but has no effect on CHO cells.3 It decreases DNA synthesis, induces mitochondrial damage and dilation of the rough endoplasmic reticulum (RER), and reduces growth of mouse keratinocytes in a dose- and time-dependent manner.4 Azelaic acid is bacteriostatic against S. epidermidis, S. aureus, S. capitis, P. acnes, P. avidum, P. mirabilis, and C. albicans in vitro (MICs = 0.03-0.25 M).5 Formulations containing azelaic acid have been used in the treatment of acne and hyperpigmentation disorders.
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1. Identification of tyrosinase inhibitors in cultures of Pityrosporum. J. Invest. Dermatol. 71(3), 205-208 (1978).
2. Antimitochondrial effect of saturated medium chain length (C8-
3. Effect of azelaic acid on melanoma cells in culture. Exp. Dermatol. 4(2), 79-81 (1995).
4. Effects of azelaic acid on proliferation and ultrastructure of mouse keratinocytes in vitro. J. Invest. Dermatol. 93(1), 70-74 (1989).
5. Azelaic acid: Pharmacokinetic and pharmacodynamic properties and its therapeutic role in hyperpigmentary disorders and acne. Int. J. Dermatol. 34(2), 75-84 (1995).