# Postbiotics and Nicotinamide Utilize Distinct Mechanisms to Improve Skin Barrier Integrity, Inflammation, and Keratinocyte Differentiation

**Authors:** Yagiz Pat, Duygu Yazici, Huseyn Babayev, Sena Ardicli, Xiangting Bu, Sheri Simmons, Anthony Almada, Christine Avena, Tye Jensen, Raja Dhir, Patrick Westermann, Asuncion Garcia‐Sanchez, Manru Li, Ozge Ardicli, Can Zeyneloglu, Marco Pane, Angela Amoruso, Christoph Messner, Ismail Ogulur, Yasutaka Mitamura, Mubeccel Akdis, Cezmi A. Akdis

PMC · DOI: 10.1111/all.70225 · Allergy · 2026-01-23

## TL;DR

This study shows how postbiotics and nicotinamide improve skin health through different mechanisms, including boosting skin barrier function and reducing inflammation.

## Contribution

The study reveals strain-specific and distinct mechanisms of postbiotics and nicotinamide in regulating skin barrier and inflammation using integrated multiomics and machine learning.

## Key findings

- B. breve promotes keratinocyte differentiation and suppresses inflammation.
- NAM reduces inflammation but downregulates keratinocyte differentiation.
- Postbiotics and NAM mitigate skin damage from cleansers, supporting their therapeutic potential.

## Abstract

The modulation of immune responses and tissue regeneration by postbiotics is a rapidly advancing area in skin care. Here, we show that whole‐cell postbiotics derived from 
Bifidobacterium breve
, Limosilactobacillus reuteri, and Ligilactobacillus salivarius, along with nicotinamide (NAM), enhance keratinocyte growth, differentiation, and skin epithelial barrier integrity in ex vivo human skin, as determined by electrical impedance spectroscopy (EIS), multiomics, and machine learning. 
B. breve
 promoted keratinocyte differentiation and suppressed inflammatory pathways, while 
L. reuteri
 and 
L. salivarius
 primarily reduced inflammatory pathways. Although NAM downregulated keratinocyte differentiation, it exerted anti‐inflammatory effects. Machine learning analyses linked EIS changes to certain genes, highlighting strain‐specific mechanisms. In addition, 
B. breve
, 
L. reuteri
, and NAM mitigated a common skin cleanser‐induced skin epithelial damage, further supporting their therapeutic potential. In conclusion, integrating skin barrier measurements with omics and machine learning enabled the dissection of essential anti‐inflammatory and keratinocyte differentiation mechanisms and genes of a strengthened skin barrier.

Integrating skin barrier measurements with omics and machine learning, we found that postbiotics and NAM regulate skin homeostasis through distinct, strain‐ and dose‐dependent mechanisms. Postbiotics primarily modulate skin barrier function by promoting keratinocyte differentiation and suppressing inflammation. Together, integrated functional, molecular, and machine learning analyses identify key pathways underlying skin barrier regulation. EIS, electrical impedance spectroscopy; ETV4, ETS translocation variant 4; KRT81, keratin 81; LATS2, large tumor suppressor kinase 2; LC–MS, liquid chromatography‐mass spectrometry; mM, millimolar; NAM, nicotinamide; NOTCH1, neurogenic locus notch homolog protein 1; OVOL2, ovo‐like zinc finger 2; RNA‐seq, RNA sequencing; w/v, weight/volume.

## Linked entities

- **Genes:** ETV4 (ETS variant transcription factor 4) [NCBI Gene 2118], KRT81 (keratin 81) [NCBI Gene 3887], LATS2 (large tumor suppressor kinase 2) [NCBI Gene 26524], NOTCH1 (notch receptor 1) [NCBI Gene 4851], OVOL2 (ovo like zinc finger 2) [NCBI Gene 58495]
- **Chemicals:** nicotinamide (PubChem CID 936)
- **Species:** Bifidobacterium breve (taxon 1685), Limosilactobacillus reuteri (taxon 1598), Ligilactobacillus salivarius (taxon 1624)

## Full-text entities

- **Diseases:** skin epithelial damage (MESH:D009375), Inflammation (MESH:D007249)
- **Chemicals:** NAM (MESH:D009536), Postbiotics (-)
- **Species:** Bifidobacterium breve (species) [taxon 1685], Limosilactobacillus reuteri (species) [taxon 1598], Ligilactobacillus salivarius (species) [taxon 1624], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

8 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12954566/full.md

## References

50 references — full list in the complete paper: https://tomesphere.com/paper/PMC12954566/full.md

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Source: https://tomesphere.com/paper/PMC12954566