Evidence map›Paper›PMID 36165604›Full record

ArticleJournal of the European Academy of Dermatology and Venereology : JEADV2023

Evolution of the facial skin microbiome during puberty in normal and acne skin.

Andrea M Schneider, Zachary T Nolan, Kalins Banerjee, Allison R Paine, Zhaoyuan Cong, Samantha L Gettle, Amy L Longenecker, Xiang Zhan, George W Agak, Amanda M Nelson

Open access · greenAbstract read
In one paragraph

Article in Journal of the European Academy of Dermatology and Venereology : JEADV, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
9.7field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Acne and the cutaneous microbiome: A systematic review of mechanisms and implications for treatments.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Pooled it
  2. Review
  3. Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. The forehead and glabella show pronouncedFrontiers in microbiology · 2026
    Article
  9. Review
  10. Article
  11. The human skin microbiome in health.Journal of the American Academy of Dermatology · 2025
    Review
  12. The skin microbiome in dermatologic disease.Journal of the American Academy of Dermatology · 2025
    Review
  13. Insights into microbial dysbiosis andMicrobial genomics · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Skin microbiome and dermatologic disorders.The Journal of clinical investigation · 2025
    Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 4 institutions in 2 countries.

Andrea M SchneiderDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-9725-4634
Zachary T NolanDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-3064-2058
Kalins BanerjeeDepartment of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0003-4314-5114
Allison R PaineDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9881-8203
Zhaoyuan CongDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-9895-2912
Samantha L GettleDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-5471-8670
Amy L LongeneckerDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-3804-2789
Xiang ZhanDepartment of Biostatistics, School of Public Health, Peking University, Beijing, China.ORCID https://orcid.org/0000-0001-9650-143X
George W AgakDivision of Dermatology, Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, California, USA.ORCID https://orcid.org/0000-0002-3356-9864
Amanda M NelsonDepartment of Dermatology, Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA.ORCID https://orcid.org/0000-0001-6375-8706
Penn State Milton S. Hershey Medical Center · USPeking University · CNPennsylvania State University · USUniversity of California, Los Angeles · US

Funding

The Role of T cell Extracellular Traps in Acne PathogenesisR01AR081337 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI George W Agak · 2022 to 2026
$2.2M
The nature of Propionibacterium acnes-induced inflammatory immune responses in acne vulgarisK01AR071479 · NIAMS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI AGAK, GEORGE W · 2017 to 2022
$958k
NIAMS NIH HHS R01 AR081337
6 · The paper itself

Abstract

backgroundThe composition of the skin microbiome varies from infancy to adulthood and becomes most stable in adulthood. Adult acne patients harbour an 'acne microbiome' dominated by specific strains of Cutibacterium acnes. However, the precise timing of skin microbiome evolution, the development of the acne microbiome, and the shift to virulent C. acnes strain composition during puberty is unknown.

objectivesWe performed a cross-sectional pilot study in a paediatric population to understand how and when the skin microbiome composition transitions during puberty and whether a distinct 'acne microbiome' emerges in paediatric subjects.

methodsForty-eight volunteers including males and females, ages 7-17 years, with and without acne were enrolled and evaluated for pubertal development using the Tanner staging criteria. Sebum levels were measured, and skin microbiota were collected by sterile swab on the subject's forehead. DNA was sequenced by whole genome shotgun sequencing.

resultsA significant shift in microbial diversity emerged between early (T1-T2) and late (T3-T5) stages of puberty, coinciding with increased sebum production on the face. The overall relative abundance of C. acnes in both normal and acne skin increased during puberty and individual C. acnes strains were uniquely affected by pubertal stage and the presence of acne. Further, an acne microbiome signature associated with unique C. acnes strain composition and metabolic activity emerges in late puberty in those with acne. This unique C. acnes strain composition is predicted to have increased porphyrin production, which may contribute to skin inflammation.

conclusionsOur data suggest that the stage of pubertal development influences skin microbiome composition. As children mature, a distinct acne microbiome composition emerges in those with acne. Understanding how both puberty and acne influence the microbiome may support novel therapeutic strategies to combat acne in the paediatric population.

Indexed as

Acne VulgarisMicrobiotaAdolescentAdultChildCross-Sectional StudiesFemaleHumansMalePilot ProjectsPropionibacterium acnesPubertySkin

Identifiers

PMID36165604
PMCPMC11134479
OpenAlexW4297251706

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.