Evidence map›Paper›PMID 35581140›Full record

ArticleJournal of advanced research2023

Characterization of the skin microbiota in bullous pemphigoid patients and controls reveals novel microbial indicators of disease.

Meriem Belheouane, Britt M Hermes, Nina Van Beek, Sandrine Benoit, Philippe Bernard, Kossara Drenovska, Sascha Gerdes, Regine Gläser, Matthias Goebeler, Claudia Günther and 19 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of advanced research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06279858 (Probiotic Intervention for Microbiome Modifications and Consequential Clinical Improvements in Children With Fragile X Syndrome), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.2field-weighted citation impact, top 7% 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.

NCT06279858 naunknown statusnot on this mapstarted 2024, after this paper: background citation

Probiotic Intervention for Microbiome Modifications and Consequential Clinical Improvements in Children With Fragile X Syndrome: Pilot Study

TypeinterventionalSponsorSpecila hospital for cerebral palsy and developmental neurologyRan2024 to 2024Enrolled15ConditionsFragile X SyndromeArmsProbiotics
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 24 citations in OpenAlex.

  1. Selective Expansion of TCR Vβ2Experimental dermatology · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Meeting Report on "10th Anniversary Symposium on Inflammatory Skin Disease".JID innovations : skin science from molecules to population health · 2025
    Article
  7. Bullous pemphigoid.Nature reviews. Disease primers · 2025
    Review
  8. Article
  9. Review
  10. Review
  11. Review
  12. DNA and cell biology · 2024
    Review
  13. Proceedings of the National Academy of Sciences of the United States of America · 2024
    Article
  14. Article
  15. 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

29 authors at 11 institutions in 5 countries.

Meriem BelheouaneMax Planck Institute for Evolutionary Biology, August-Thienemann-Str. 2, 24306 Plön, Germany; Section of Evolutionary Medicine, Institute for Experimental Medicine, Kiel University, Arnold-Heller-Str. 3, 24105 Kiel, Germany; Research Center Borstel, Evolution of the Resistome, Leibniz Lung Center, Parkallee 1-40, 23845 Borstel, Germany.
Britt M HermesMax Planck Institute for Evolutionary Biology, August-Thienemann-Str. 2, 24306 Plön, Germany; Section of Evolutionary Medicine, Institute for Experimental Medicine, Kiel University, Arnold-Heller-Str. 3, 24105 Kiel, Germany.
Nina Van BeekDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany.
Sandrine BenoitDepartment of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.
Philippe BernardDepartment of Dermatology, Reims University Hospital, University of Reims Champagne-Ardenne, Reims, France.
Kossara DrenovskaDepartment of Dermatology and Venereology, Medical University - Sofia, 1, St. G. Sofiiski str, 1431 Sofia, Bulgaria.
Sascha GerdesDepartment of Dermatology, Venereology and Allergology, University of Kiel, 24105 Kiel, Germany.
Regine GläserDepartment of Dermatology, Venereology and Allergology, University of Kiel, 24105 Kiel, Germany.
Matthias GoebelerDepartment of Dermatology, Venereology and Allergology, University Hospital Würzburg, Würzburg, Germany.
Claudia GüntherDepartment of Dermatology, University Hospital, TU Dresden, 01307 Dresden, Germany.
Anabelle von GeorgDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany.
Christoph M HammersDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany; Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany.
Maike M HoltscheDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany.
Bernhard HomeyDepartment of Dermatology, University Hospital Düsseldorf, Medical Faculty, Heinrich-Heine-University Düsseldorf, Moorenstr. 5, 40225 Düsseldorf, Germany.
Orsolya N HorváthDepartment of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany.
Franziska HübnerDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany.
Beke LinnemannDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany.
Pascal JolyDepartment of Dermatology, Rouen University Hospital, INSERM U1234, Normandie University, Rouen, France.
Dalma MártonDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
Aikaterini PatsatsiAutoimmune Bullous Diseases Unit, 2(nd) Dermatology Department, Aristotle University School of Medicine, Papageorgiou General Hospital, 56403 Thessaloniki, Greece.
Claudia PföhlerDepartment of Dermatology, University of Saarland, Homburg/ Saar, Germany.
Miklós SárdyDepartment of Dermatology and Allergy, University Hospital, LMU Munich, Munich, Germany; Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
Laura HuilajaPEDEGO Research Unit, University of Oulu; Department of Dermatology and Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland.
Snejina VassilevaDepartment of Dermatology and Venereology, Medical University - Sofia, 1, St. G. Sofiiski str, 1431 Sofia, Bulgaria.
Detlef ZillikensDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany; Center for Research on Inflammation of the Skin (CRIS), University of Lübeck, 23538 Lübeck, Germany.
Saleh IbrahimCenter for Research on Inflammation of the Skin (CRIS), University of Lübeck, 23538 Lübeck, Germany; Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany; College of Medicine and Sharjah Institute for Medical Research, University of Sharjah, 27272 Sharjah, UAE.
Christian D SadikDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany; Center for Research on Inflammation of the Skin (CRIS), University of Lübeck, 23538 Lübeck, Germany.
Enno SchmidtDepartment of Dermatology, Allergy, and Venereology, University of Lübeck, 23538 Lübeck, Germany; Center for Research on Inflammation of the Skin (CRIS), University of Lübeck, 23538 Lübeck, Germany; Lübeck Institute of Experimental Dermatology (LIED), University of Lübeck, Lübeck, Germany.
John F BainesMax Planck Institute for Evolutionary Biology, August-Thienemann-Str. 2, 24306 Plön, Germany; Section of Evolutionary Medicine, Institute for Experimental Medicine, Kiel University, Arnold-Heller-Str. 3, 24105 Kiel, Germany. Electronic address: baines@evolbio.mpg.de.
University of Lübeck · DEChristian-Albrechts-Universität zu Kiel · DEMedical University of Sofia · BGTechnische Universität Dresden · DEUniversitätsklinikum Würzburg · DECentre Hospitalier Universitaire de Reims · FRDüsseldorf University Hospital · DEInserm · FRLMU Klinikum · DEOulu University Hospital · FISemmelweis University · HU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionBullous pemphigoid (BP) is the most common autoimmune blistering disease. It predominately afflicts the elderly and is significantly associated with increased mortality. The observation of age-dependent changes in the skin microbiota as well as its involvement in other inflammatory skin disorders suggests that skin microbiota may play a role in the emergence of BP blistering. We hypothesize that changes in microbial diversity associated with BP might occur before the emergence of disease lesions, and thus could represent an early indicator of blistering risk.

objectivesThe present study aims to investigate potential relationships between skin microbiota and BP and elaborate on important changes in microbial diversity associated with blistering in BP.

methodsThe study consisted of an extensive sampling effort of the skin microbiota in patients with BP and age- and sex-matched controls to analyze whether intra-individual, body site, and/or geographical variation correlate with changes in skin microbial composition in BP and/or blistering status.

resultsWe find significant differences in the skin microbiota of patients with BP compared to that of controls, and moreover that disease status rather than skin biogeography (body site) governs skin microbiota composition in patients with BP. Our data reveal a discernible transition between normal skin and the skin surrounding BP lesions, which is characterized by a loss of protective microbiota and an increase in sequences matching Staphylococcus aureus, a known inflammation-promoting species. Notably, Staphylococcus aureus is ubiquitously associated with BP disease status, regardless of the presence of blisters.

conclusionThe present study suggests Staphylococcus aureus may be a key taxon associated with BP disease status. Importantly, we however find contrasting patterns in the relative abundances of Staphylococcus hominis and Staphylococcus aureus reliably discriminate between patients with BP and matched controls. This may serve as valuable information for assessing blistering risk and treatment outcomes in a clinical setting.

Indexed as

Autoimmune DiseasesMicrobiotaPemphigoid, BullousAgedBlisterHumansSkin16s rRNA gene sequencingAutoimmune blistering diseaseBullous pemphigoidRisk factorSkin microbiota

Identifiers

PMID35581140
PMCPMC9936408
OpenAlexW4226091752

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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.