Background: The ability of Cutibacterium acnes strains to form biofilms has been correlated with their virulence.
Objective: This study examined biofilm and skin microbiota in acne patients in order to understand their role in the development of acne lesions.
Methods: Thin sections of punch biopsy specimens of (i) uninflamed comedones, (ii) inflammatory lesions, and (iii) uninvolved adjacent skin of acne patients were examined.
Biofilms have been implicated in delayed wound healing, although the mechanisms by which biofilms impair wound healing are poorly understood. Many species of bacteria produce exotoxins and exoenzymes that may inhibit healing. In addition, oxygen consumption by biofilms and by the responding leukocytes, may impede wound healing by depleting the oxygen that is required for healing.
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