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Propionibacterium acnes types I and II represent phylogenetically distinct groups
Andrew McDowell1, Susanna Valanne, Gordon Ramage
1Department of Microbiology and Immunobiology, School of Medicine, Queen's University, Grosvenor Road, Belfast, BT12 6BN, United Kingdom.
Abstract:
Although two phenotypes of the opportunistic pathogen Propionibacterium acnes (types I and II) have been described, epidemiological investigations of their roles in different infections have not been widely reported. Using immunofluorescence microscopy with monoclonal antibodies (MAbs) QUBPa1 and QUBPa2, specific for types I and II, respectively, we investigated the prevalences of the two types among 132 P. acnes isolates. Analysis of isolates from failed prosthetic hip implants (n = 40) revealed approximately equal numbers of type I and II organisms. Isolates from failed prosthetic hip-associated bone (n = 6) and tissue (n = 38) samples, as well as isolates from acne (n = 22), dental infections (n = 8), and skin removed during surgical incision (n = 18) were predominately of type I. A total of 11 (8%) isolates showed atypical MAb labeling and could not be conclusively identified. Phylogenetic analysis of P. acnes by nucleotide sequencing revealed the 16S rRNA gene to be highly conserved between types I and II. In contrast, sequence analysis of recA and a putative hemolysin gene (tly) revealed significantly greater type-specific polymorphisms that corresponded to phylogenetically distinct cluster groups. All 11 isolates with atypical MAb labeling were identified as type I by sequencing. Within the recA and tly phylogenetic trees, nine of these isolates formed a cluster distinct from other type I organisms, suggesting a further phylogenetic subdivision within type I. Our study therefore demonstrates that the phenotypic differences between P. acnes types I and II reflect deeper differences in their phylogeny. Furthermore, nucleotide sequencing provides an accurate method for identifying the type status of P. acnes isolates.
Insights
Propionibacterium acnes (P. acnes) types I and II show distinct phylogenetic differences. Nucleotide sequencing accurately identifies P. acnes types, revealing potential further subdivisions within type I.
Area of Science:
- Microbiology
- Molecular Biology
- Infectious Diseases
Background:
- Two phenotypes of Propionibacterium acnes (P. acnes), types I and II, are known, but their epidemiological roles in infections are understudied.
- P. acnes is an opportunistic pathogen implicated in various infections, including prosthetic joint infections and acne.
Purpose of the Study:
- To investigate the prevalence of P. acnes types I and II in different clinical isolates.
- To determine if phenotypic differences correlate with genotypic and phylogenetic distinctions.
- To evaluate nucleotide sequencing as a method for P. acnes type identification.
Main Methods:
- Immunofluorescence microscopy using monoclonal antibodies (MAbs) QUBPa1 and QUBPa2 to differentiate P. acnes types I and II.
- Analysis of 132 P. acnes isolates from various sources: prosthetic hip implants, bone, tissue, acne, dental infections, and surgical skin.
- Phylogenetic analysis using nucleotide sequencing of the 16S rRNA gene, recA, and a putative hemolysin gene (tly).
Main Results:
- Isolates from prosthetic hip implants showed roughly equal proportions of type I and II.
- Isolates from acne, dental infections, surgical skin, and bone/tissue samples were predominantly type I.
- Nucleotide sequencing of recA and tly genes revealed type-specific polymorphisms, supporting distinct phylogenetic clusters for types I and II. Eleven atypical isolates were identified as type I by sequencing, with nine forming a distinct subcluster within type I.
Conclusions:
- Phenotypic differences between P. acnes types I and II are underpinned by significant phylogenetic distinctions.
- Nucleotide sequencing of recA and tly genes is a reliable method for P. acnes type identification and phylogenetic analysis.
- Evidence suggests a further phylogenetic subdivision within P. acnes type I.
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