Cited by 137Acne and Rosacea Treatments and EffectsGut microbiota and healthProbiotics and Fermented Foods

Acne, Microbiome, and Probiotics: The Gut–Skin Axis

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Sánchez-Pellicer, Pedro, Navarro-Moratalla, Laura, Núñez-Delegido, Eva, Ruzafa-Costas, Beatriz, Agüera-Santos, Juan, Navarro-López, Vicente·2022·Microorganisms

Abstract

The objective of this narrative review was to check the influence of the human microbiota in the pathogenesis of acne and how the treatment with probiotics as adjuvant or alternative therapy affects the evolution of acne vulgaris. Acne is a chronic inflammatory skin disease involving the pilosebaceous units. The pathogenesis of acne is complex and multifactorial involving genetic, metabolic, and hormonal factors in which both skin and gut microbiota are implicated. Numerous studies have shown the bidirectionality between the intestinal microbiota and skin homeostasis, a communication mainly established by modifying the immune system. Increased data on the mechanisms of action regarding the relevance of Cutibacterium acnes, as well as the importance of the gut–skin axis, are becoming known. Diverse and varied in vitro studies have shown the potential beneficial effects of probiotics in this context. Clinical trials with both topical and oral probiotics are scarce, although they have shown positive results, especially with oral probiotics through the modulation of the intestinal microbiota, generating an anti-inflammatory response and restoring intestinal integrity, or through metabolic pathways involving insulin-like growth factor I (IGF-1). Given the aggressiveness of some standard acne treatments, probiotics should continue to be investigated as an alternative or adjuvant therapy.

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Crossref · 10.3390/microorganisms10071303

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  • S. thermophiles has been shown to be beneficial in the production of lipids (ceramides in the stratum corneum), which help the skin to maintain moisture, and also phytosphingosine, which helps fight C. acnes.

    “Also, S. thermophiles has been shown to be beneficial in the production of lipids (ceramides in the stratum corneum), which help the skin to maintain moisture, and also phytosphingosine, which helps fight C. acnes [132].”
  • B. adolescentis SPM0308, due to antimicrobial activity, proved to be effective in controlling the growth of both C. acnes and S. aureus.

    “In addition, B. adolescentis SPM0308, due to antimicrobial activity, proved to be effective in controlling the growth of both C. acnes and S. aureus [132].”
  • Certain strains such as L. salivarius LS03, Lactococcus, and Streptococcus salivari produce bacteriocins that inhibit the growth of Cutibacterium acnes.

    “In vitro investigations have shown that certain strains such as L. salivarius LS03, Lactococcus, and Streptococcus salivari produce bacteriocins that inhibit the growth of Cutibacterium acnes [132].”

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Authors
Sánchez-Pellicer, P., Navarro-Moratalla, L., Núñez-Delegido, E., Ruzafa-Costas, B., Agüera-Santos, J., & Navarro-López, V.
Affiliations
  • Universidad Católica de Murcia (ES)
  • MiBioPath Research Group, Department of Clinical Medicine, Health Sciences Faculty, Catholic University of Murcia, Campus de los Jerónimos 135, 30107 Murcia, Spain
Venue
Microorganisms
Publisher
MDPI AG
Published
2022-06-27
Volume
10
Issue
7
Pages
1303
ISSN
2076-2607 (ISSN-L)
OpenAlex
W4283657416
Cited by
137
References
143
Citations by year
2026: 26 · 2025: 42 · 2024: 36 · 2023: 28 · 2022: 5
FWCI
4.94
Type
journal article
Language
en
Open access
Locations
  • Microorganisms (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
Topics
  • Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
Keywords
acne, gut-skin axis, gut microbiota, probiotics, Propionibacterium acnes, pilosebaceous unit, skin inflammation, intestinal barrier integrity, insulin-like growth factor I, adjuvant therapy, topical probiotics, oral probiotics

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