Evolution of the facial skin microbiome during puberty in normal and acne skin

Background The composition of the skin microbiome varies from infancy to adulthood and becomes most stable in adulthood. Adult acne patients harbour an ‘acne microbiome’ dominated by specific strains of Cutibacterium acnes. However, the precise timing of skin microbiome evolution, the development of...

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Veröffentlicht in:Journal of the European Academy of Dermatology and Venereology 2023-01, Vol.37 (1), p.166-175
Hauptverfasser: Schneider, Andrea M., Nolan, Zachary T., Banerjee, Kalins, Paine, Allison R., Cong, Zhaoyuan, Gettle, Samantha L., Longenecker, Amy L., Zhan, Xiang, Agak, George W., Nelson, Amanda M.
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container_issue 1
container_start_page 166
container_title Journal of the European Academy of Dermatology and Venereology
container_volume 37
creator Schneider, Andrea M.
Nolan, Zachary T.
Banerjee, Kalins
Paine, Allison R.
Cong, Zhaoyuan
Gettle, Samantha L.
Longenecker, Amy L.
Zhan, Xiang
Agak, George W.
Nelson, Amanda M.
description Background The composition of the skin microbiome varies from infancy to adulthood and becomes most stable in adulthood. Adult acne patients harbour an ‘acne microbiome’ dominated by specific strains of Cutibacterium acnes. However, the precise timing of skin microbiome evolution, the development of the acne microbiome, and the shift to virulent C. acnes strain composition during puberty is unknown. Objectives We performed a cross‐sectional pilot study in a paediatric population to understand how and when the skin microbiome composition transitions during puberty and whether a distinct ‘acne microbiome’ emerges in paediatric subjects. Methods Forty‐eight volunteers including males and females, ages 7–17 years, with and without acne were enrolled and evaluated for pubertal development using the Tanner staging criteria. Sebum levels were measured, and skin microbiota were collected by sterile swab on the subject's forehead. DNA was sequenced by whole genome shotgun sequencing. Results A significant shift in microbial diversity emerged between early (T1‐T2) and late (T3‐T5) stages of puberty, coinciding with increased sebum production on the face. The overall relative abundance of C. acnes in both normal and acne skin increased during puberty and individual C. acnes strains were uniquely affected by pubertal stage and the presence of acne. Further, an acne microbiome signature associated with unique C. acnes strain composition and metabolic activity emerges in late puberty in those with acne. This unique C. acnes strain composition is predicted to have increased porphyrin production, which may contribute to skin inflammation. Conclusions Our data suggest that the stage of pubertal development influences skin microbiome composition. As children mature, a distinct acne microbiome composition emerges in those with acne. Understanding how both puberty and acne influence the microbiome may support novel therapeutic strategies to combat acne in the paediatric population.
doi_str_mv 10.1111/jdv.18616
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Adult acne patients harbour an ‘acne microbiome’ dominated by specific strains of Cutibacterium acnes. However, the precise timing of skin microbiome evolution, the development of the acne microbiome, and the shift to virulent C. acnes strain composition during puberty is unknown. Objectives We performed a cross‐sectional pilot study in a paediatric population to understand how and when the skin microbiome composition transitions during puberty and whether a distinct ‘acne microbiome’ emerges in paediatric subjects. Methods Forty‐eight volunteers including males and females, ages 7–17 years, with and without acne were enrolled and evaluated for pubertal development using the Tanner staging criteria. Sebum levels were measured, and skin microbiota were collected by sterile swab on the subject's forehead. DNA was sequenced by whole genome shotgun sequencing. Results A significant shift in microbial diversity emerged between early (T1‐T2) and late (T3‐T5) stages of puberty, coinciding with increased sebum production on the face. The overall relative abundance of C. acnes in both normal and acne skin increased during puberty and individual C. acnes strains were uniquely affected by pubertal stage and the presence of acne. Further, an acne microbiome signature associated with unique C. acnes strain composition and metabolic activity emerges in late puberty in those with acne. This unique C. acnes strain composition is predicted to have increased porphyrin production, which may contribute to skin inflammation. Conclusions Our data suggest that the stage of pubertal development influences skin microbiome composition. As children mature, a distinct acne microbiome composition emerges in those with acne. 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Adult acne patients harbour an ‘acne microbiome’ dominated by specific strains of Cutibacterium acnes. However, the precise timing of skin microbiome evolution, the development of the acne microbiome, and the shift to virulent C. acnes strain composition during puberty is unknown. Objectives We performed a cross‐sectional pilot study in a paediatric population to understand how and when the skin microbiome composition transitions during puberty and whether a distinct ‘acne microbiome’ emerges in paediatric subjects. Methods Forty‐eight volunteers including males and females, ages 7–17 years, with and without acne were enrolled and evaluated for pubertal development using the Tanner staging criteria. Sebum levels were measured, and skin microbiota were collected by sterile swab on the subject's forehead. DNA was sequenced by whole genome shotgun sequencing. Results A significant shift in microbial diversity emerged between early (T1‐T2) and late (T3‐T5) stages of puberty, coinciding with increased sebum production on the face. The overall relative abundance of C. acnes in both normal and acne skin increased during puberty and individual C. acnes strains were uniquely affected by pubertal stage and the presence of acne. Further, an acne microbiome signature associated with unique C. acnes strain composition and metabolic activity emerges in late puberty in those with acne. This unique C. acnes strain composition is predicted to have increased porphyrin production, which may contribute to skin inflammation. Conclusions Our data suggest that the stage of pubertal development influences skin microbiome composition. As children mature, a distinct acne microbiome composition emerges in those with acne. 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Adult acne patients harbour an ‘acne microbiome’ dominated by specific strains of Cutibacterium acnes. However, the precise timing of skin microbiome evolution, the development of the acne microbiome, and the shift to virulent C. acnes strain composition during puberty is unknown. Objectives We performed a cross‐sectional pilot study in a paediatric population to understand how and when the skin microbiome composition transitions during puberty and whether a distinct ‘acne microbiome’ emerges in paediatric subjects. Methods Forty‐eight volunteers including males and females, ages 7–17 years, with and without acne were enrolled and evaluated for pubertal development using the Tanner staging criteria. Sebum levels were measured, and skin microbiota were collected by sterile swab on the subject's forehead. DNA was sequenced by whole genome shotgun sequencing. Results A significant shift in microbial diversity emerged between early (T1‐T2) and late (T3‐T5) stages of puberty, coinciding with increased sebum production on the face. The overall relative abundance of C. acnes in both normal and acne skin increased during puberty and individual C. acnes strains were uniquely affected by pubertal stage and the presence of acne. Further, an acne microbiome signature associated with unique C. acnes strain composition and metabolic activity emerges in late puberty in those with acne. This unique C. acnes strain composition is predicted to have increased porphyrin production, which may contribute to skin inflammation. Conclusions Our data suggest that the stage of pubertal development influences skin microbiome composition. As children mature, a distinct acne microbiome composition emerges in those with acne. 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subjects Acne Vulgaris - drug therapy
Adolescent
Adult
Child
Cross-Sectional Studies
Female
Humans
Male
Microbiota - genetics
Pilot Projects
Propionibacterium acnes - genetics
Puberty
Skin - microbiology
title Evolution of the facial skin microbiome during puberty in normal and acne skin
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