Cited by 95Acne and Rosacea Treatments and EffectsProbiotics and Fermented FoodsDermatology and Skin Diseases

Selective targeting of skin pathobionts and inflammation with topically applied lactobacilli

Open access
Lebeer, Sarah, Oerlemans, Eline F.M., Claes, Ingmar, Henkens, Tim, Delanghe, Lize, Wuyts, Sander, Spacova, Irina, van den Broek, Marianne F.L. +6 more·2022·Cell Reports Medicine

Abstract

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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Crossref · 10.1016/j.xcrm.2022.100521

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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
Venue
Cell Reports Medicine
Publisher
Elsevier BV
Published
2022-02
Volume
3
Issue
2
Pages
100521
ISSN
2666-3791 (ISSN-L)
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
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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