Ann Dermatol.
2019 Feb;31(1):22-28. 10.5021/ad.2019.31.1.22.
Efficacy of Bacteriophages in Propionibacterium acnes-Induced Inflammation in Mice
- Affiliations
-
- 1Department of Dermatology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea. weonju@knu.ac.kr
- 2Department of Microbiology, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, Korea.
- KMID: 2430797
- DOI: http://doi.org/10.5021/ad.2019.31.1.22
Abstract
- BACKGROUND
Bacteriophages have been introduced as living drugs for infectious diseases; thus, they may provide an alternative to conventional acne therapeutics in patients with non-responsive acne.
OBJECTIVE
We investigated the effect of bacteriophages using an acne mouse model with Propionibacterium acnes-induced inflammatory nodules by clinical examination, pathology, and immunohistochemical analysis.
METHODS
A human-isolated P. acnes suspension (10â¹ colony forming units/µl) was injected into the backs of HR-1 mice. Group A was used as a control, Group B was injected on the back with P. acnes 4 weeks following the initial P. acnes suspension injection, and group C was injected on the back with P. acnes and bacteriophages 4 weeks following the initial P. acnes suspension injection. Clinical and histopathological evaluations were performed.
RESULTS
Inflammatory nodule size decreased with time in all groups. Group C showed the greatest decrease in size, followed by group B and group A. The histopathological findings showed a decrease in epidermal thickness and the number and size of microcomedone-like cysts in groups B and C compared to group A. Immunohistochemistry revealed similar expression of integrin α6, the epidermal proliferation marker, infiltration of CD4/CD8 T cells and neutrophils, and expression of myeloperoxidase, interleukin-1β, toll-like receptor-2, LL-37, and matrix metalloproteinase-2/3/9 in all three groups.
CONCLUSION
Using an acne mouse model with P. acnes-induced inflammatory nodules, we demonstrate that bacteriophages may constitute an alternative to conventional acne therapies. However, additional studies are needed for human applications.
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