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Lactobacilli, well known as beneficial bacteria, are also reported to modulate the immune system, yet their role in cutaneous immunity remains largely unknown. We explored the therapeutic potential of bacteria\u2010free postbiotics, bioactive lysates of lactobacilli, to reduce intracellular\n                    <jats:italic>S. aureus<\/jats:italic>\n                    colonization and promote healing. Fourteen postbiotics derived from various lactobacilli species were screened, and\n                    <jats:italic>Latilactobacillus curvatus<\/jats:italic>\n                    BGMK2\u201041 was selected for further analysis based on the most efficient ability to reduce intracellular infection by\n                    <jats:italic>S. aureus<\/jats:italic>\n                    diabetic foot ulcer clinical isolate and\n                    <jats:italic>S. aureus<\/jats:italic>\n                    USA300. Treatment of both infected keratinocytes in\u00a0vitro and infected human skin ex\u00a0vivo with BGMK2\u201041 postbiotic cleared\n                    <jats:italic>S. aureus<\/jats:italic>\n                    . Keratinocytes treated in\u00a0vitro with BGMK2\u201041 upregulated expression of antimicrobial response genes, of which\n                    <jats:italic>DEFB4<\/jats:italic>\n                    ,\n                    <jats:italic>ANG<\/jats:italic>\n                    , and\n                    <jats:italic>RNASE7<\/jats:italic>\n                    were also found upregulated in treated ex\u00a0vivo human skin together with CAMP exclusively upregulated ex\u00a0vivo. Furthermore, BGMK2\u201041 postbiotic treatment has a multifaceted impact on the wound healing process. Treatment of keratinocytes stimulated cell migration and the expression of tight junction proteins, while in ex\u00a0vivo human skin BGMK2\u201041 increased expression of anti\u2010inflammatory cytokine IL\u201010, promoted re\u2010epithelialization, and restored the epidermal barrier via upregulation of tight junction proteins. Together, this provides a potential therapeutic approach for persistent intracellular\n                    <jats:italic>S. aureus<\/jats:italic>\n                    infections.\n                  <\/jats:p>","DOI":"10.1096\/fj.202400054rr","type":"journal-article","created":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T11:45:36Z","timestamp":1721216736000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Postbiotic lactobacilli induce cutaneous antimicrobial response and restore the barrier to inhibit the intracellular invasion of\n                    <i>Staphylococcus aureus<\/i>\n                    in\u00a0vitro and ex\u00a0vivo"],"prefix":"10.1096","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5275-4531","authenticated-orcid":false,"given":"Miroslav","family":"Dini\u0107","sequence":"first","affiliation":[{"name":"Wound Healing and Regenerative Medicine Research Program, Dr. Phillip 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