Selective targeting of skin pathobionts and inflammation with topically applied lactobacilli
Open accessAbstract
Tailored skin microbiome modulation approaches with probiotics are highly challenging. Here, we show that lactobacilli are underestimated members of the skin microbiota. We select specific strains of nomadic lactobacilli for their functional applicability on the skin and capacity to inhibit growth and inflammation by skin pathobionts. The strains are formulated as microcapsules for topical formulations and tested in patients with mild-to-moderate acne. The selected lactobacilli are able to reduce inflammatory lesions in a pilot and placebo-controlled study. Daily application for 8 weeks is associated with an in vivo temporary modulation of the microbiome, including a reduction in relative abundance of staphylococci and Cutibacterium acnes , and an increase in lactobacilli. The reduction in inflammatory lesions is still apparent 4 weeks after the topical application of the lactobacilli ended, indicating a possible additional immunomodulatory effect. This study shows that carefully selected and formulated lactobacilli are a viable therapeutic option for common acne lesions.
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Cites
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- Authors
- Lebeer, S., Oerlemans, E. F. M., Claes, I., Henkens, T., Delanghe, L., Wuyts, S., Spacova, I., van den Broek, M. F. L., Tuyaerts, I., Wittouck, S., De Boeck, I., Allonsius, C. N., Kiekens, F., & Lambert, J.
- Affiliations
- University of Antwerp (BE)
- Corresponding author
- Lebeer, Sarah
- ORCID
- Venue
- Cell Reports Medicine
- Publisher
- Elsevier BV
- Published
- 2022-02
- Volume
- 3
- Issue
- 2
- Pages
- 100521
- ISSN
- 2666-3791 (ISSN-L)
- PMC
- PMC8861818
- OpenAlex
- W4213208915
- Cited by
- 95
- References
- 7
- Citations by year
- 2026: 25 · 2025: 27 · 2024: 24 · 2023: 14 · 2022: 5
- FWCI
- 16.56
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cell Reports Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- lactobacilli, skin microbiome, acne, topical probiotics, Propionibacterium acnes, Staphylococcus, inflammation, microcapsules, microbiota modulation, immunomodulation, probiotic formulation
- MeSH terms
- Acne Vulgaris, Humans, Inflammation, Lactobacillus, Propionibacterium acnes, Skin
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