Propionibacterium acnes, a commensal protectant?

Looking at different sites of where this colonizes,

New data on C. acnes taxonomy

https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.15043

Among the multiple commensal microorganisms present in the healthy skin flora, P. acnes / C. acnes is a ubiquitous gram‐positive anaerobic bacterium belonging to the Actinobacteria phylum, that predominantly resides deep within the sebaceous follicle in contact with keratinocytes.3 Conversely, at the skin surface Propionibacteria are less represented (<2% of all bacteria), in favour of Staphylococci , especially Staphylococcus epidermidis ( S. epidermidis ), which dominate with >27% of the total bacteria population.11 P. acnes / C. acnes is also found in other tissues such as intestine, stomach, lungs, mouth, conjunctiva, prostate and urinary tract.3, 12-14 Specific metabolic features allow P. acnes/C. acnes to colonise the hostile lipid‐rich sebaceous follicle environment and protect skin from other harmful pathogens to preserve the stability of resident skin microbiota.3, 4 In particular, it can degrade triglycerides present in sebum to generate short‐chain fatty acids, including propionic acid, which accumulation participates in the maintenance of an acid skin pH. Despite active research as P. acnes/C. acnes has been hypothesised as an important pathogenic factor in acne,15 its contribution to acne pathophysiology is not clearly established while its protective role as a commensal bacterium of healthy skin microbiota has been confirmed.3

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I have severe facial acne, such as what Matthew Johnson (RIP) went through. Is this article making a connection between our cases and PFS?
So much scientific mumbo jumbo…

Im looking at this from a having taken Accutane perspective atm.

Non-antibiotic Isotretinoin Treatment Differentially Controls Propionibacterium acnes on Skin of Acne Patients

Published online 2017

“Remarkably, non-antibiotic therapy in the form of isotretinoin – a non-antimicrobial retinoid is effective at reducing or eradicating the anaerobe Propionibacterium acnes

but also,

Microbiome in the hair follicle of androgenetic alopecia patients

It has long been speculated that P . acnes is involved in AGA pathogenesis [6, 45, 46]. In our study we report for the first time such striking increase in abundance in miniaturized hair. P . acnes is a common opportunistic pathogen found on the skin surface, and is prevalent in the hair follicle and the associated pilosebaceous unit [47, 48]. P . acnes predominance is also identified in non-lesional scalp of patients with seborrheic dermatitis [49]; providing further support for the development in sebaceous gland hyperplasia in AGA may attract the proliferation of P . acnes ; for lipids and fatty acids are its main nutrient sources [50]. Alternatively, as in the case of acnes vulgaris, another testosterone metabolism-related disease, altered sebum composition with an increase in peroxidized squalene has been suggested to result in P . acnes proliferation [5153], and such changes may occur in AGA

Who’s Matthew Johnson? I might be thinking of the right person

@somanyregrets

Matthew is one of the suicides detailed on this page:

He made a video documenting his fight with PFS-caused acne. See it here:
https://m.imgur.com/gallery/qJlxb

I’m nearly 65 and fighting acne same as he did. Jim