Evidence map›Paper›PMID 32640045›Full record

ArticleAllergy2021

Biofilm propensity of Staphylococcus aureus skin isolates is associated with increased atopic dermatitis severity and barrier dysfunction in the MPAACH pediatric cohort.

Tammy Gonzalez, Mariana L Stevens, Asel Baatyrbek Kyzy, Rosario Alarcon, Hua He, John W Kroner, Daniel Spagna, Brittany Grashel, Elaine Sidler, Lisa J Martin and 3 more

Open access · greenAbstract read
In one paragraph

Article in Allergy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed
4.4field-weighted citation impact, top 5% 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

35 citing papers in PubMed, 57 citations in OpenAlex.

  1. Article
  2. Article
  3. Microbiome dysbiosis and therapeutic restoration in atopic dermatitis.Frontiers in cellular and infection microbiology · 2026
    Review
  4. Frontiers in cellular and infection microbiology · 2026
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  6. Antibacterial and Antibiofilm Properties of Postbiotics Derived fromInternational journal of molecular sciences · 2025
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  7. Host-Microbiome Interactions in Chronic Itch.Journal of clinical medicine · 2025
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  9. Life (Basel, Switzerland) · 2025
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  14. Synthetic Peptides Capable of Potent MultigroupJournal of the American Chemical Society · 2024
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  17. The extracellular serine protease fromFrontiers in immunology · 2024
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  18. Investigating genomic diversity ofFrontiers in microbiology · 2024
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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

13 authors at 1 institution in 1 country.

Tammy GonzalezDivision of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Mariana L StevensDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Asel Baatyrbek KyzyDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Rosario AlarconDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Hua HeDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
John W KronerDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Daniel SpagnaDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Brittany GrashelDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Elaine SidlerDivision of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Lisa J MartinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Jocelyn M Biagini MyersDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Gurjit K Khurana HersheyDivision of Asthma Research, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0001-6663-977X
Andrew B HerrDivision of Immunobiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.ORCID 0000-0002-3598-3399
Cincinnati Children's Hospital Medical Center · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
TSLP, IL-9-producing mucosal mast cells, and allergic inflammationU19AI070235 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI Marc E. Rothenberg · 2006 to 2026
$31.3M
Medical Scientist Training ProgramT32GM063483 · NIGMS · UNIVERSITY OF CINCINNATI · PI KHURANA HERSHEY, GURJIT K. · 2002 to 2022
$6.7M
Role and Regulation of TSLP in Childhood Allergic DiseaseR01AI127392 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI KHURANA HERSHEY, GURJIT K. · 2018 to 2022
$3.8M
NCATS NIH HHS UL1 TR001425NIAID NIH HHS R01 AI127392NIAID NIH HHS U19 AI070235NIGMS NIH HHS T32 GM063483
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) patients are often colonized with Staphylococcus aureus, and staphylococcal biofilms have been reported on adult AD skin lesions. The commensal S epidermidis can antagonize S aureus, although its role in AD is unclear. We sought to characterize S aureus and S epidermidis colonization and biofilm propensity and determine their associations with AD severity, barrier function, and epidermal gene expression in the first US early-life cohort of children with AD, the Mechanisms of Progression of Atopic Dermatitis to Asthma in Children (MPAACH).

methodsThe biofilm propensity of staphylococcal isolates was assessed by crystal violet assays. Gene expression of filaggrin and antimicrobial alarmins S100A8 and S100A9 was measured in keratinocyte RNA extracted from skin tape strips. Staphylococcal biofilms sampled from MPAACH skin were visualized using scanning electron microscopy.

resultsSixty-two percent of staphylococcal isolates (sampled from 400 subjects) formed moderate/strong biofilms. Sixty-eight percent of subjects co-colonized with both staphylococcal species exhibited strains that formed cooperative mixed-species biofilms. Scanning electron microscopy verified the presence of staphylococcal biofilms on the skin of MPAACH children. Staphylococcus aureus strains showing higher relative biofilm propensity compared with S epidermidis were associated with increased AD severity (P = .03) and increased lesional and nonlesional transepidermal water loss (P = .01, P = .03).

conclusionsOur data suggest a pathogenic role for S aureus biofilms in AD. We found that strain-level variation in staphylococcal isolates governs the interactions between S epidermidis and S aureus and that the balance between these two species, and their biofilm propensity, has important implications for AD.

Indexed as

Dermatitis, AtopicStaphylococcal InfectionsAdultBiofilmsChildFilaggrin ProteinsHumansSkinStaphylococcus aureusStaphylococcus epidermidisFilaggrin Proteinsatopic dermatitisbiofilmfilaggrinS100A8/S100A9Staphylococcus aureus

Identifiers

PMID32640045
PMCPMC8561741
OpenAlexW3041046423

What OpenQuestion holds

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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.