P. acnes-Driven Disease Pathology: Current Knowledge and Future Directions

Joerg R Leheste1, Kathryn E Ruvolo1, Joanna E Chrostowski1

  • 1Department of Biomedical Sciences, NYIT College of Osteopathic Medicine Old Westbury, NY, USA.

Insights

Propionibacterium acnes (P. acnes) is a skin bacterium linked to various diseases. This review explores its role in conditions from sarcoidosis and prostate cancer to neurodegenerative disorders like Parkinson's disease.

Area of Science:

  • Microbiology
  • Pathogenesis
  • Dermatology

Background:

  • Propionibacterium acnes (P. acnes) is a prevalent skin bacterium.
  • P. acnes is implicated in the transmission, recurrence, and severity of various diseases.
  • Understanding P. acnes's pathogenic potential is crucial for disease management.

Purpose of the Study:

  • To review the biology and behavior of P. acnes.
  • To explore P. acnes's role in epithelial and macrophage invasion.
  • To discuss P. acnes's contribution to sarcoidosis, prostate cancer, and neurodegenerative diseases.

Main Methods:

  • Literature review of P. acnes biology and behavior.
  • Analysis of P. acnes's pathogenic mechanisms.
  • Synthesis of evidence linking P. acnes to specific diseases.

Main Results:

  • P. acnes invades and persists in epithelial cells and macrophages.
  • P. acnes is associated with sarcoidosis, prostate gland inflammation, and metastasis.
  • P. acnes may contribute to neurodegenerative disorders, including Parkinson's disease.

Conclusions:

  • P. acnes exhibits diverse pathogenic capabilities beyond skin infections.
  • Further research into P. acnes's systemic effects is warranted.
  • Targeting P. acnes may offer therapeutic strategies for multiple diseases.

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