Evidence map›Paper›PMID 30476499›Full record

ReviewThe Journal of allergy and clinical immunology2019

The microbiome in patients with atopic dermatitis.

Amy S Paller, Heidi H Kong, Patrick Seed, Shruti Naik, Tiffany C Scharschmidt, Richard L Gallo, Thomas Luger, Alan D Irvine

Erratum issuedOpen access · bronzeAbstract readReview
In one paragraph

Review in The Journal of allergy and clinical immunology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 260 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
260citing papers in PubMed, 5 pooled it
39.6field-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

260 citing papers in PubMed, 5 syntheses or guidelines pooled it, 515 citations in OpenAlex.

  1. Correlation betweenFrontiers in immunology · 2026
    Pooled it
  2. Pooled it
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  4. The microbiota in eosinophilic esophagitis: A systematic review.Journal of gastroenterology and hepatology · 2022
    Pooled it
  5. Pooled it
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  19. Keratinocytes: pleiotropic orchestrators of cutaneous immunity and Inflammation - Emerging therapeutic paradigms in dermatological pathologies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  20. Article

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 7 institutions in 3 countries.

Amy S PallerDermatology and Infectious Disease, Northwestern University Feinberg School of Medicine and the Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Ill. Electronic address: apaller@northwestern.edu.
Heidi H KongDermatology Branch, National Institute of Arthritis and Musculoskletal and Skin Diseases, Bethesda, Md.
Patrick SeedDermatology and Infectious Disease, Northwestern University Feinberg School of Medicine and the Ann and Robert H Lurie Children's Hospital of Chicago, Chicago, Ill.
Shruti NaikRonald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY.
Tiffany C ScharschmidtDepartment of Dermatology, University of California, San Francisco, Calif.
Richard L GalloDermatology, University of California, San Diego, Calif.
Thomas LugerDermatology, University of Muenster, Munster, Germany.
Alan D IrvinePaediatric Dermatology, Our Lady's Children's Hospital Crumlin, National Children's Research Centre and Trinity College, Dublin, Ireland. Electronic address: irvinea@tcd.ie.
Lurie Children's Hospital · USNational Children’s Research Centre · IENational Institute of Arthritis and Musculoskeletal and Skin Diseases · USNew York University · USUniversity of California, San Diego · USUniversity of California, San Francisco · USUniversity of Münster · DE

Funding

Studies of Skin Microflora in Healthy Individuals and Atopic Dermatitis PatientsZIABC010938 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI KONG, HEIDI · 2009 to 2021
$5.4M
Conflict and Cooperation between AMP Species on the skinR01AR076082 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI GALLO, RICHARD L, NAKATSUJI, TERUAKI · 2019 to 2023
$2.3M
NIAMS NIH HHS R01 AR076082
6 · The paper itself

Abstract

As an interface with the environment, the skin is a complex ecosystem colonized by many microorganisms that coexist in an established balance. The cutaneous microbiome inhibits colonization with pathogens, such as Staphylococcus aureus, and is a crucial component for function of the epidermal barrier. Moreover, crosstalk between commensals and the immune system is now recognized because microorganisms can modulate both innate and adaptive immune responses. Host-commensal interactions also have an effect on the developing immune system in infants and, subsequently, the occurrence of diseases, such as asthma and atopic dermatitis (AD). Later in life, the cutaneous microbiome contributes to the development and course of skin disease. Accordingly, in patients with AD, a decrease in microbiome diversity correlates with disease severity and increased colonization with pathogenic bacteria, such as S aureus. Early clinical studies suggest that topical application of commensal organisms (eg, Staphylococcus hominis or Roseomonas mucosa) reduces AD severity, which supports an important role for commensals in decreasing S aureus colonization in patients with AD. Advancing knowledge of the cutaneous microbiome and its function in modulating the course of skin disorders, such as AD, might result in novel therapeutic strategies.

Indexed as

Adaptive ImmunityDermatitis, AtopicImmunity, InnateStaphylococcal Skin InfectionsFemaleHumansMaleMicrobiotaSkinStaphylococcus aureusAtopic dermatitisbiotherapycommensalhost-microbiome interactionimmune regulationmicrobiomeStaphylococcus aureus

Identifiers

PMID30476499
PMCPMC7163929
OpenAlexW2901011713

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.