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benzoyl peroxide

Modality
small molecule
Mechanism
12.1 Mechanism of Action Benzoyl peroxide is an oxidizing agent with bactericidal and keratolytic effects, but the precise mechanism of action is unknown. Tretinoin is a metabolite of vitamin A that binds with high affinity to specific retinoic acid receptors located in both the cytosol and nucleus. Tretinoin activates three members of the retinoic acid (RAR) nuclear receptors (RARα , RARβ, RARγ) which act to modify gene expression, subsequent protein synthesis, and epithelial cell growth and differentiation. It has not been established whether the clinical effects of tretinoin are mediated through activation of retinoic acid receptors, and/or other mechanisms. Although the exact mode of action of tretinoin in acne treatment is unknown, current evidence suggests that topical tretinoin decreases cohesiveness of follicular epithelial cells with decreased microcomedo formation. Additionally, tretinoin stimulates mitotic activity and increased turnover of follicular epithelial cells causing extrusion of the comedones.
Targets
Catalase, Glutathione peroxidase, Antizyme inhibitor 2, Protein kinase C, Superoxide Dismutases
Storage
Approved
acne vulgaris — FDA
In trial
acne vulgaris
Source
Last verified
2026-04-19
No curated MOA diagram yet. See lib/moa-data.ts for the shape; add an entry keyed by benzoyl peroxide.