Ex Vivo Human Skin Model of Human Acne Pathology

A translational platform to study acne-associated inflammation and tissue remodeling

Imavita has developed and validated an ex vivo human skin model reproducing key biological hallmarks of acne pathology, based on controlled stimulation with Cutibacterium acnes.
This model provides a robust, ethical, and highly translational alternative to in vivo approaches for the evaluation of therapeutic candidates targeting acne.

Why an Ex Vivo Acne Model?

Acne, also known as Acne vulgaris, is a skin disorder that affects 1 in 5 people worldwide, with a prevalence of 28.3% among individuals aged 16 to 24.
Different forms of acne are observed in the population (comedones, pustules, papules, etc.).
In recent years, resistance phenomena to treatments particularly antibiotics have continued to increase.
One of the main causes is related to the dysbiosis of the microorganism Cutibacterium acnes (C. acnes), a common commensal bacterium of the skin.
C. acnes resides within the pilosebaceous follicle, an area with low oxygen levels, thereby disrupting key biological pathways.
The resulting biological phenomena manifest as excessive sebum production, chronic inflammation, and the recruitment of both the innate and adaptive immune systems.

Acne is a multifactorial inflammatory disease involving:

  • Activation of innate immunity
  • Dysregulation of inflammatory cytokines
  • Extracellular matrix remodeling
  • Altered epidermal homeostasis

Our ex vivo model preserves the full architecture of human skin (epidermis, dermis, immune components), allowing direct assessment of human-relevant mechanisms under controlled experimental conditions.

Model Overview

Biological system: Human skin explants

Stimulation: Cutibacterium acnes exposure (24h and 72h)

Readouts

  • Gene expression (qPCR, mRNA & miRNA)

  • Inflammatory and immune pathways

  • Extracellular matrix remodeling markers

  • Immunofluorescence-based structural analysis

This multi-level approach ensures mechanistic depth and biological consistency.

Key Biological Features

🔬 Inflammatory Cascade Activation

The model reproduces a strong acne-like inflammatory response, including:

  • Upregulation of pro-inflammatory cytokines
    • TNFα
    • IL-6
    • IL-8
    • IL-1α (delayed response at 72h)
  • Activation of NF-κB signaling, a central regulator of inflammatory gene expression
  • NLRP3 inflammasome activation, consistent with innate immune responses observed in acne lesions

 

These responses demonstrate a functional and dynamic inflammatory network, suitable for anti-inflammatory efficacy testing.

🧬 Extracellular Matrix Remodeling

  • MMP3 expression is markedly increased following C. acnes stimulation
  • TIMP2 expression is not upregulated, indicating limited inhibition of matrix degradation

 

This imbalance mirrors tissue remodeling and dermal stress observed in inflammatory acne.

🧪 Epidermal Integrity and Proliferation

Immunofluorescence analyses show:

  • Preserved epidermal structure
  • Stable keratin 10 expression (no hyperkeratinization)
  • Maintained filaggrin levels (barrier integrity)
  • No excessive keratinocyte hyperproliferation
  • Ki67-positive cells remain controlled

 

This confirms that the model induces inflammation without compromising tissue viability, a critical requirement for compound screening.

🧠 Regulatory Pathways

  • TLR2 expression remains stable, suggesting downstream activation rather than receptor overexpression
  • miR-146-5p remains unchanged, indicating absence of compensatory anti-inflammatory over-regulation
  • IL-10 is not significantly induced, supporting sustained inflammatory signaling

 

These findings reinforce the pathological relevance and controlled balance of the model.

Applications

This ex vivo acne model is ideally suited for:

  • Screening anti-inflammatory or anti-acne compounds

  • Mechanistic studies on innate immunity and inflammasome activation

  • Evaluation of drugs targeting redness, inflammation, or tissue damage

  • Comparative efficacy studies (reference vs. candidate compounds)

  • Supporting regulatory and scientific claims with human-relevant data

 
 

Imavita supports its clients from study design to data interpretation, adapting the ex vivo acne model to your scientific objectives and product positioning.

 

 
 
 
 

Key Advantages of Model

1
Human-relevant biology

Preserves the native architecture and signaling pathways of human skin, ensuring high translational relevance.

 

2
Multi-parametric readouts
Combines molecular, inflammatory and structural endpoints for a comprehensive evaluation of acne mechanisms.
3
Complete animal models

Uses human skin explants, reducing animal use while improving clinical predictivity.

4
High repro-ducibility
Standardized protocols and controlled conditions ensure robust and consistent results.
5
Efficacy & mecha-nistic
Enables both compound screening and in-depth investigation of acne-related biological pathways.

Contact our team to discuss your preclinical development needs.

FAQ

What aspects of acne does this model reproduce?

The model reproduces key acne hallmarks, including inflammation, cytokine release, NF-κB and NLRP3 activation, and extracellular matrix remodeling induced by Cutibacterium acnes.

Gene expression (mRNA, miRNA), inflammatory markers, immune pathways, and epidermal structure can be assessed using qPCR and immunofluorescence.

Because it is based on human skin explants, the model offers higher translational value than animal models for inflammation-driven acne mechanisms.

Yes, stimulation conditions, time points, and biological markers can be tailored to match specific product claims or mechanistic questions.

Yes, the model is well adapted for dermo-cosmetic ingredients, drug candidates, and comparative efficacy studies.