Evidence map›Paper›PMID 19966777›Full record

ArticleNature medicine2009

Commensal bacteria regulate Toll-like receptor 3-dependent inflammation after skin injury.

Yuping Lai, Anna Di Nardo, Teruaki Nakatsuji, Anke Leichtle, Yan Yang, Anna L Cogen, Zi-Rong Wu, Lora V Hooper, Richard R Schmidt, Sonja von Aulock and 4 more

Open access · bronzeAbstract read
In one paragraph

Article in Nature medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 391 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
391citing papers in PubMed, 1 pooled it
11.8field-weighted citation impact, top 1% 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

391 citing papers in PubMed, 1 synthesis or guideline pooled it, 762 citations in OpenAlex.

  1. Pathogenic characterization and drug resistance of neonatal sepsis in China: a systematic review and meta-analysis.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2025
    Pooled it
  2. Trial
  3. Article
  4. Keratinocytes: A key player in skin immunity and their emerging roles in secondary lymphedema.JID innovations : skin science from molecules to population health · 2026
    Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Atopic Dermatitis-like mouse model using early inoculation of patient-derivedJID innovations : skin science from molecules to population health · 2026
    Article
  15. Review
  16. Microbiology spectrum · 2026
    Article
  17. Frontiers in immunology · 2026
    Article
  18. Review
  19. Review
  20. Review

331 more citing papers are in PubMed but not listed here.

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

14 authors at 5 institutions in 3 countries.

Yuping Lai[Division of Dermatology, Department of Medicine, University of California-San Diego, San Diego, California, USA.
Anna Di Nardo
Teruaki Nakatsuji
Anke Leichtle
Yan Yang
Anna L Cogen
Zi-Rong Wu
Lora V Hooper
Richard R Schmidt
Sonja von Aulock
Katherine A Radek
Chun-Ming Huang
Allen F Ryan
Richard L Gallo
VA San Diego Healthcare System · USUniversity of California, San Diego · USEast China Normal University · CNUniversity of Konstanz · DEHoward Hughes Medical Institute · US

Funding

Microbial Regulation of Retinol Transport and its Role in Intestinal ImmunityR01DK070855 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI LORA V HOOPER · 2005 to 2026
$7.9M
Middle ear responses in Otitis MediaR01DC000129 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI RYAN, ALLEN F. · 1989 to 2021
$6.8M
Cathelicidins in Skin ImmunityR01AI052453 · NIAID · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI GALLO, RICHARD L, NIZET, VICTOR · 2002 to 2017
$5.3M
Cathelicidin in Skin ImmunityR37AI052453 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Richard L Gallo, Victor Nizet · 2019 to 2026
$4.6M
Proteolysis and Skin AntimicrobialsR01AR052728 · NIAMS · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI GALLO, RICHARD L · 2006 to 2015
$3.3M
Mechanisms of Persistence and Recovery in Otitis MediaR01DC006279 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WASSERMAN, STEPHEN I · 2003 to 2014
$3.1M
Skin Microbiome in epidermal immune defenseR01AI083358 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GALLO, RICHARD L · 2010 to 2014
$1.9M
Skin Microbiome in epidermal immune defenseR56AI083358 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GALLO, RICHARD L · 2009 to 2009
$123k
Howard Hughes Medical InstituteNIAID NIH HHS R01 AI052453NIAID NIH HHS R01 AI083358NIAID NIH HHS R37 AI052453NIAID NIH HHS R56 AI083358NIAID NIH HHS R56AI083358NIAMS NIH HHS R01 AR052728NIAMS NIH HHS R01AR052728NIDCD NIH HHS DC00129NIDCD NIH HHS DC006279NIDCD NIH HHS R01 DC000129NIDCD NIH HHS R01 DC006279NIDDK NIH HHS R01 DK070855
6 · The paper itself

Abstract

The normal microflora of the skin includes staphylococcal species that will induce inflammation when present below the dermis but are tolerated on the epidermal surface without initiating inflammation. Here we reveal a previously unknown mechanism by which a product of staphylococci inhibits skin inflammation. This inhibition is mediated by staphylococcal lipoteichoic acid (LTA) and acts selectively on keratinocytes triggered through Toll-like receptor 3(TLR3). We show that TLR3 activation is required for normal inflammation after injury and that keratinocytes require TLR3 to respond to RNA from damaged cells with the release of inflammatory cytokines. Staphylococcal LTA inhibits both inflammatory cytokine release from keratinocytes and inflammation triggered by injury through a TLR2-dependent mechanism. To our knowledge, these findings show for the first time that the skin epithelium requires TLR3 for normal inflammation after wounding and that the microflora can modulate specific cutaneous inflammatory responses.

Indexed as

HumansInflammationSkin Diseases, BacterialStaphylococcal InfectionsToll-Like Receptor 3Toll-Like Receptor 3

Identifiers

PMID19966777
PMCPMC2880863
OpenAlexW2054259512

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.