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Innovative Medicines & Omics                                                 Fermentation in dermatology



            discovery prompted the creation of a mist lotion with N.   in balancing the skin flora and relieving itching in skin
            eutropha, currently available for purchase and has been   prone to allergies and the condition. Consequently, body
            demonstrated to improve the appearance and texture of   washes and lotions containing V. filiformis cultures have
            skin.  E. faecalis  is a type of lactic acid bacterium found   been commercialized in the market. 84
            in the intestines and is known to benefit human health.   Another  lactic  acid  bacterium,  Streptococcus
            Studies have demonstrated that the antibacterial peptides   thermophilus, sometimes known as the cheese and yogurt
            produced by  E.  faecalis possess antibacterial activity   seed, was  observed  to  elucidate  positive effects  on skin
            against  C. acnes, confirming its potential as an effective
            new anti-inflammatory drug for acne. This has led to the   health. An increase in ceramide levels was observed in
            commercialization  of  E. faecalis  in  skincare  cosmetics   healthy individuals who were given creams containing S.
            and other therapies, intended to reduce inflammation   thermophilus. Ceramides are essential in maintaining the
                                                                                             85
            associated with acne. 81                           barrier and moisture of a healthy SC.  In addition, atopic
                                                               dermatitis  patients  who  received  topical  treatment  of  S.
              Vitreoscilla filiformis  is a fungus present in hot   thermophilus also demonstrated elevated ceramide levels
            spring water and hydrothermal vents. The fungal extract   in their skin, followed by improvements in erythema,
            was observed to balance the skin’s immunological   scaling, and pruritus. 86
            homeostasis. According to a previous study, patients
            with  mild  to  moderate  atopic  dermatitis  showed  a   L. paracasei, a lactic acid bacterium inhabiting the
            reduction in the level of pruritus upon application of   digestive tract and oral cavity, was reported to improve
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            ointments containing V. filiformis twice daily to the site   atopic dermatitis and benefit the skin.  Furthermore,
            of inflammation.  Moreover, an extract of  V.  filiformis   an investigation on the impact of Pueraria lobata extract
                          82
            cultured in Vasi Volcanic Mineral Water is known to   fermented with L. paracasei on the skin’s immune response
            fortify the skin against exposome attack, mend damaged   revealed differential expression of seven skin-related proteins
            skin,  regenerate  the  skin  barrier,  and  avoid  photoaging   and a moisturizing effect on the skin upon treatment. Hence,
            through  increased  immunological  response.  The  results   L. paracasei can be used as a nutricosmetic resource for its
            showed  that  V. filiformis  is  highly  effective  in  repairing   hydrating and anti-inflammatory properties. In addition,
            damaged skin, reducing photoaging, and enhancing   it has been discovered that L. paracasei produces the same
            immunological function by restoring the skin barrier.    antioxidant and bioactive peptides, which reduce wrinkles
                                                         83
            Moreover, clinical trials have proven the benefits of fungus   and may be utilized as a more advantageous probiotic for

            Table 3. Effects of microbiome metabolites on skin health
            Microorganism             Metabolite                             Effect on skin
            Nitrosomonas eutropha  Nitric oxide compounds  Improves skin pigmentation and reduces wrinkle appearance by oxidizing
                                                     sweat-derived ammonia. 92
            Enterococcus faecalis  Antimicrobial peptides  Effective against Cutibacterium acnes, leading to reduced acne and commercialization
                                                     of anti-acne treatments. 93
            Vitreoscilla filiformis  Unknown metabolites  Reduces symptoms of atopic dermatitis and photoaging due to its anti-inflammatory
                                                     properties. 84
            Streptococcus thermophilus  Ceramide synthesis enhancement Increases ceramide levels, supporting skin barrier function and hydration. 94
            Lactobacillus paracasei  Unknown metabolites  Improves immune response, reduces inflammation, and enhances skin barrier
                                                     function. 95
            Lactobacillus rhamnosus  Unknown metabolites  Reduces inflammation and promotes skin barrier repair. 96
            Bifidobacterium breve  Polysaccharide A  Modulates immune responses and enhances skin hydration by stimulating
                                                     T-regulatory cells. 97
            Lactobacillus plantarum  Lipoteichoic acid  Reduces skin sensitivity, provides anti-inflammatory effects, and improves skin barrier
                                                     function. 98
            Cutibacterium acnes  Short-chain fatty acids  Modulates skin pH and inhibits pathogenic bacteria, promoting a healthy skin
                                                     microbiome. 99
            Staphylococcus epidermidis  Phenol-soluble modulins  Enhances skin defense mechanisms by promoting antimicrobial peptide production. 100
            Lactobacillus reuteri  Reuterin          Displays antimicrobial activity against skin pathogens and promotes skin barrier
                                                     function. 101
            Bacillus subtilis  Surfactin             Provides anti-inflammatory and wound-healing properties. 102


            Volume 2 Issue 1 (2025)                         29                               doi: 10.36922/imo.5020
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