Evidence map›Paper›PMID 33800045›Full record

ArticleBiomedicines2021

Dysbiosis and Enhanced Beta-Defensin Production in Hair Follicles of Patients with Lichen Planopilaris and Frontal Fibrosing Alopecia.

Andria Constantinou, Katarzyna Polak-Witka, Marios Tomazou, Anastasis Oulas, Varvara Kanti, Rolf Schwarzer, Johannes Helmuth, Anke Edelmann, Ulrike Blume-Peytavi, George M Spyrou and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Biomedicines, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06946550 (1470 nm Non-Ablative Laser for the Treatment of Scarring Alopecia), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

NCT06946550 narecruitingnot on this mapstarted 2025, after this paper: background citation

1470 nm Non-Ablative Laser for the Treatment of Scarring Alopecia: A Clinical and Mechanistic Study

TypeinterventionalSponsorMontefiore Medical CenterRan2025 to 2027Enrolled5ConditionsScarring AlopeciaArms1470nm non-ablative fractional laser
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 16 citations in OpenAlex.

  1. Article
  2. Article
  3. Frontal Fibrosing Alopecia: An Update.American journal of clinical dermatology · 2025
    Review
  4. Skin microbiome and dermatologic disorders.The Journal of clinical investigation · 2025
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Review
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

11 authors at 4 institutions in 3 countries.

Andria ConstantinouCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Charitéplatz 1, 10117 Berlin, Germany.ORCID 0000-0002-6569-8636
Katarzyna Polak-WitkaCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Charitéplatz 1, 10117 Berlin, Germany.
Marios TomazouBioinformatics ERA Chair, The Cyprus Institute of Neurology and Genetics & The Cyprus School of Molecular Medicine, 2371 Nicosia, Cyprus.ORCID 0000-0002-0836-5579
Anastasis OulasBioinformatics ERA Chair, The Cyprus Institute of Neurology and Genetics & The Cyprus School of Molecular Medicine, 2371 Nicosia, Cyprus.
Varvara KantiCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Charitéplatz 1, 10117 Berlin, Germany.
Rolf SchwarzerDepartment Molecular Diagnostics, Labor Berlin Charité Vivantes GmbH, 13353 Berlin, Germany.
Johannes HelmuthDepartment Molecular Diagnostics, Labor Berlin Charité Vivantes GmbH, 13353 Berlin, Germany.ORCID 0000-0002-5380-4577
Anke EdelmannDepartment Molecular Diagnostics, Labor Berlin Charité Vivantes GmbH, 13353 Berlin, Germany.
Ulrike Blume-PeytaviCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Charitéplatz 1, 10117 Berlin, Germany.ORCID 0000-0003-3528-3752
George M SpyrouBioinformatics ERA Chair, The Cyprus Institute of Neurology and Genetics & The Cyprus School of Molecular Medicine, 2371 Nicosia, Cyprus.ORCID 0000-0002-2470-3363
Annika VogtCharité-Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Clinical Research Center for Hair and Skin Science, Department of Dermatology, Venereology and Allergology, Charitéplatz 1, 10117 Berlin, Germany.
Humboldt-Universität zu Berlin · DECharité - Universitätsmedizin Berlin · DECyprus Institute of Neurology and Genetics · CYMedical University of Warsaw · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite their distinct clinical manifestation, frontal fibrosing alopecia (FFA) and lichen planopilaris (LPP) display similar histopathologic features. Aberrant innate immune responses to endogenous or exogenous triggers have been discussed as factors that could drive inflammatory cascades and the collapse of the stem cell niche. In this exploratory study, we investigate the bacterial composition of scalp skin and plucked hair follicles (HF) of patients with FFA, LPP and alopecia areata circumscripta (AAc), as well as healthy individuals, in relation to cellular infiltrates and the expression of defense mediators. The most abundant genus in lesional and non-lesional HFs of LPP and FFA patients was Staphylococcus, while Lawsonella dominated in healthy individuals and in AAc patients. We observed statistically significant differences in the ratio of Firmicutes to Actinobacteria between healthy scalp, lesional, and non-lesional sites of FFA and LPP patients. This marked dysbiosis in FFA and LPP in compartments close to the bulge was associated with increased HβD1 and HβD2 expression along the HFs from lesional sites, while IL-17A was increased in lesional HF from AAc patients. The data encourage further studies on how exogenous factors and molecular interactions across the HF epithelium could contribute to disease onset and propagation.

Indexed as

alopeciabacteriahair diseasehair folliclehair losshistologymetagenomicsmicrobiomenext-generation sequencingscalp

Identifiers

PMID33800045
PMCPMC7999846
OpenAlexW3133763457

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.