The use of probiotics in the combination treatment of patients with moderate acne

DOI: https://doi.org/10.29296/25877305-2022-07-08
Issue: 
7
Year: 
2022

Professor S. Klyuchereva(1), MD; S. Ledentsova(2); Professor L. Radchenko(3), MD; Associate Professor P. Seliverstov(3, 4), Candidate of Medical Sciences
1-I.I. Mechnikov North-Western State Medical University, Ministry of Health
of Russia, Saint Petersburg
2-City Polyclinic Seventy-Six, Ministry of Health of Russia, Saint Petersburg
3-S.M. Kirov Military Medical Academy, Ministry of Defense of Russia; Saint Petersburg
4-V.A. Almazov National Medical Research Center, Ministry of Health of Russia, Saint Petersburg

Acne is one of the most common skin diseases. Modern treatment regimens for this disease include, among other things, antibacterial drugs (ABP) for up to 8 weeks. However, the prescription of ABP entails the development of intestinal microbiocenosis disorders that can aggravate the course of the underlying disease. As far back as the 1930s, the gastroenterological mechanisms involved in the relationship between the status of the intestine and skin diseases were first stated, as well as it was also proposed to use probiotic cultures in the therapy of acne. In addition, modern researches have confirmed the aspects of the gut-brain-skin theory. Thus, the intestinal microflora and oral probiotics can be associated with the skin and, in particular, with the severity of acne due to their ability to influence systemic inflammation, oxidative stress, glycemic control, lipid content in tissues, etc. Our investigation shows the effectiveness of prescribing a probiotic in the treatment of moderate acne in patients taking doxycycline.

Keywords: 
dermatology
therapy
acne
probiotic
doxycycline
impaired intestinal microbiocenosis



References: 
  1. Melnik B.C. Acne vulgaris: The metabolic syndrome of the pilosebaceous follicle. Clin Dermatol. 2018; 36 (1): 29–40. DOI: 10.1016/j.clindermatol.2017.09.006
  2. Bowe W.P., Logan A.C. Acne vulgaris, probiotics and the gut-brain-skin axis - back to the future? Gut Pathog. 2011; 3 (1): 1. DOI: 10.1186/1757-4749-3-1
  3. Trukhan D.I. Comorbidity of acne and disorders of intestinal microbiocenosis: theoretical and real. Consilium Medicum. 2020; 22 (7): 73–7 (in Russ.). DOI: 10.26442/20751753.2020.7.200280
  4. Bowe W., Patel N.B., Logan A.C. Acne vulgaris, probiotics and the gut-brain-skin axis: from anecdote to translational medicine. Benef Microbes. 2014; 5 (2): 185–99. DOI: 10.3920/BM2012.0060
  5. Forsythe P., Kunze W., Bienenstock J. Moody microbes or fecal phrenology: what do we know about the microbiota-gut-brain axis? BMC Med. 2016; 14: 58. DOI: 10.1186/s12916-016-0604-8
  6. Clark A.K., Haas K.N., Sivamani RK. Edible Plants and Their Influence on the Gut Microbiome and Acne. Int J Mol Sci. 2017; 18 (5): 1070. DOI: 10.3390/ijms18051070
  7. Musthaq S., Mazuy A., Jakus J. The microbiome in dermatology. Clin Dermatol. 2018; 36 (3): 390–8. DOI: 10.1016/j.clindermatol.2018.03.012
  8. Salem I., Ramser A., Isham N. et al. The Gut Microbiome as a Major Regulator of the Gut-Skin Axis. Front Microbiol. 2018; 9: 1459. DOI: 10.3389/fmicb.2018.01459
  9. Deng Y., Wang H., Zhou J. et al. Patients with Acne Vulgaris Have a Distinct Gut Microbiota in Comparison with Healthy Controls. Acta Derm Venereol. 2018; 98 (8): 783–90. DOI: 10.2340/00015555-2968
  10. Lee Y.B., Byun E.J., Kim H.S. Potential Role of the Microbiome in Acne: A Comprehensive Review. J Clin Med. 2019; 8 (7): 987. DOI: 10.3390/jcm8070987
  11. Balato A., Cacciapuoti S., Di Caprio R. et al. Human Microbiome: Composition and Role in Inflammatory Skin Diseases. Arch Immunol Ther Exp (Warsz). 2019; 67 (1): 1–18. DOI: 10.1007/s00005-018-0528-4
  12. Baquerizo Nole K.L., Yim E., Keri J.E. Probiotics and prebiotics in dermatology. J Am Acad Dermatol. 2014; 71 (4): 814–21. DOI: 10.1016/j.jaad.2014.04.050
  13. Kumar S., Mahajan B.B., Kamra N. Future perspective of probiotics in dermatology: an old wine in new bottle. Dermatol Online J. 2014; 20 (9). DOI: 10.5070/D3209023918
  14. Fuchs-Tarlovsky V., Marquez-Barba M.F., Sriram K. Probiotics in dermatologic practice. Nutrition. 2016; 32 (3): 289–95. DOI: 10.1016/j.nut.2015.09.001
  15. Fabbrocini G., Bertona M., Picazo Ó. et al. Supplementation with Lactobacillus rhamnosus SP1 normalises skin expression of genes implicated in insulin signalling and improves adult acne. Benef Microbes. 2016; 7 (5): 625–30. DOI: 10.3920/BM2016.0089
  16. Mottin V.H.M., Suyenaga E.S. An approach on the potential use of probiotics in the treatment of skin conditions: acne and atopic dermatitis. Int J Dermatol. 2018; 57 (12): 1425–32. DOI: 10.1111/ijd.13972
  17. Trivedi M.K., Bosanac S.S., Sivamani R.K. et al. Emerging Therapies for Acne Vulgaris. Am J Clin Dermatol. 2018; 19 (4): 505–16. DOI: 10.1007/s40257-018-0345-x
  18. Syzon O.О., Dashko M.О. Indicators of phagocytosis in women with acne during comprehensive treatment that included immunotherapy and probiotics. Wiad Lek. 2018; 71 (1 pt 2): 144–7.
  19. Rahmayani T., Putra I.B., Jusuf N.K. The Effect of Oral Probiotic on the Interleukin-10 Serum Levels of Acne Vulgaris. Open Access Maced J Med Sci. 2019; 7 (19): 3249–52. DOI: 10.3889/oamjms.2019.718
  20. Yu Y., Dunaway S., Champer J. et al. Changing our microbiome: probiotics in dermatology. Br J Dermatol. 2020; 182 (1): 39–46. DOI: 10.1111/bjd.18088
  21. Federal clinical guidelines for the management of patients with acne. 2013(in Russ.). URL: http://www.minzdravrb.ru/minzdrav/docs/akne.pdf
  22. Acne. Clinical guidelines 2016 (in Russ.). URL: https://medi.ru/klinicheskie-rekomendatsii/akne_13842/
  23. Clinical guidelines. Acne vulgaris. Project. Russian Society of Dermatovenereologists and Cosmetologists. 2020 (in Russ.). URL: http://www.rodv.ru/events/274.html
  24. Nast A., Dréno B., Bettoli V. et al. European evidence-based (S3) guideline for the treatment of acne - update 2016 - short version. J Eur Acad Dermatol Venereol. 2016; 30 (8): 1261–8. DOI: 10.1111/jdv.13776
  25. Order of 11.12.2007 №750 «On approval of the standard of medical care for patients with acne» (in Russ.). URL: http://docs.cntd.ru/document/902077901
  26. Ardatskaya M.D., Bel’mer S.V., Dobritsa V.P. et al. Colon dysbacteriosis (dysbiosis): modern state of the problem, comprehensive diagnosis and treatment correction. Experimental and Clinical Gastroenterology. 2015; 5: 13–50 (in Russ.).
  27. Tarasova L.V., Trukhan D.I. Bowel diseases. Clinic, diagnosis and treatment. Saint Petersburg: SpecLit, 2013 (in Russ.). URL: https://www.razym.ru/nauchmed/vnutri/321103-truhan-d-bolezni-kishechnika-kli-nika-diagnostika-i-lechenie-uchebnoe-posobie.html
  28. Ardatskaya M.D. Probiotics, prebiotics and metabiotics in the management of microecological bowel disorders. Meditsinskiy sovet = Medical Council. 2015; 13: 94–9 (in Russ.). DOI: 10.21518/2079-701X-2015-13-94-99
  29. Malfertheiner P., Megraud F., O’Morain C.A. et al. Management of Helicobacter pylori infection-the Maastricht V/Florence Consensus Report. Gut. 2017; 66 (1): 6–30. DOI: 10.1136/gutjnl-2016-312288
  30. Patel M., Bowe W.P., Heughebaert C. et al. The development of antimicrobial resistance due to the antibiotic treatment of acne vulgaris: a review. J Drugs Dermatol. 2010; 9 (6): 655–64.
  31. Ledentsova S.S., Seliverstov P.V., Sitkin S.I. et al. Possibilities to enhance efficiency and durability of antimicrobial acne therapy in standard schemes of treatment. Lechaschi Vrach. 2018; 5: 41–6 (in Russ.).
  32. Well D. Acne vulgaris: A review of causes and treatment options. Nurse Pract. 2013; 38 (10): 22–32. DOI: 10.1097/01.NPR.0000434089.88606.70
  33. Chernyshov P.V., Zouboulis C.C., Tomas-Aragones L. et al. Quality of life measurement in acne. Position Paper of the European Academy of Dermatology and Venereology Task Forces on Quality of Life and Patient Oriented Outcomes and Acne, Rosacea and Hidradenitis Suppurativa. J Eur Acad Dermatol Venereol. 2018; 32 (2): 194–208. DOI: 10.1111/jdv.14585
  34. Jung G.W., Tse J.E., Guiha I. et al. Prospective, randomized, open-label trial comparing the safety, efficacy, and tolerability of an acne treatment regimen with and without a probiotic supplement and minocycline in subjects with mild to moderate acne. J Cutan Med Surg. 2013; 17 (2): 114–22. DOI: 10.2310/7750.2012.12026
  35. ColonoFlor 8. Instructions for use (in Russ.). URL: https://alphalabs.ru/produkcziya/test-sistemyi-dlya-issledovaniya-sostava-mikrobiotyi-tolstogo-kishechnika/kolonoflor-8.html
  36. Order on approval of the industry standard «Protocol of management of patients. Intestinal dysbiosis»: Order of the Ministry of Health of the Russian Federation № 231 of June 9, 2003 (in Russ.).
  37. Acne Dermatology Index American Academy of Dermatology (ADI). URL: https://agapovmd.ru/calc/acne.htm
  38. Manual and interpretation guide SF-36 (in Russ.). URL: https://therapy.irkutsk.ru/doc/sf36a.pdf