Evidence map›Paper›PMID 36633910›Full record

ArticleJCI insight2023

Type I IFNs link skin-associated dysbiotic commensal bacteria to pathogenic inflammation and angiogenesis in rosacea.

Alessio Mylonas, Heike C Hawerkamp, Yichen Wang, Jiaqi Chen, Francesco Messina, Olivier Demaria, Stephan Meller, Bernhard Homey, Jeremy Di Domizio, Lucia Mazzolai and 3 more

Open access · goldAbstract read
In one paragraph

Article in JCI insight, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
8.0field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Pathogens (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Current Trends and Future Insights on Rosacea Treatment: A Bibliometric Analysis.Clinical, cosmetic and investigational dermatology · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. The Gut and Skin Microbiome and Its Association with Aging Clocks.International journal of molecular sciences · 2024
    Review
  16. Article
  17. Review
  18. Review
  19. Review
  20. 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

13 authors at 3 institutions in 3 countries.

Alessio MylonasDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
Heike C HawerkampDepartment of Dermatology, Dusseldorf University Hospital, Dusseldorf, Germany.
Yichen WangINSERM UMR 1163, Institut IMAGINE, Necker Hospital for Sick Children, Paris, France.
Jiaqi ChenDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
Francesco MessinaDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
Olivier DemariaDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
Stephan MellerDepartment of Dermatology, Dusseldorf University Hospital, Dusseldorf, Germany.
Bernhard HomeyDepartment of Dermatology, Dusseldorf University Hospital, Dusseldorf, Germany.
Jeremy Di DomizioDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
Lucia MazzolaiDepartment of Angiology, University Hospital CHUV, Lausanne, Switzerland.
Alain HovnanianINSERM UMR 1163, Institut IMAGINE, Necker Hospital for Sick Children, Paris, France.
Michel GillietDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
Curdin ConradDepartment of Dermatology, University Hospital CHUV, Lausanne, Switzerland.
University Hospital of Lausanne · CHDüsseldorf University Hospital · DEInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rosacea is a common chronic inflammatory skin disease with a fluctuating course of excessive inflammation and apparent neovascularization. Microbial dysbiosis with a high density of Bacillus oleronius and increased activity of kallikrein 5, which cleaves cathelicidin antimicrobial peptide, are key pathogenic triggers in rosacea. However, how these events are linked to the disease remains unknown. Here, we show that type I IFNs produced by plasmacytoid DCs represent the pivotal link between dysbiosis, the aberrant immune response, and neovascularization. Compared with other commensal bacteria, B. oleronius is highly susceptible and preferentially killed by cathelicidin antimicrobial peptides, leading to enhanced generation of complexes with bacterial DNA. These bacterial DNA complexes but not DNA complexes derived from host cells are required for cathelicidin-induced activation of plasmacytoid DCs and type I IFN production. Moreover, kallikrein 5 cleaves cathelicidin into peptides with heightened DNA binding and type I IFN-inducing capacities. In turn, excessive type I IFN expression drives neoangiogenesis via IL-22 induction and upregulation of the IL-22 receptor on endothelial cells. These findings unravel a potentially novel pathomechanism that directly links hallmarks of rosacea to the killing of dysbiotic commensal bacteria with induction of a pathogenic type I IFN-driven and IL-22-mediated angiogenesis.

Indexed as

CathelicidinsDysbiosisInterferon Type IMicrobiotaRosaceaSkinBacillusBacteriaDNA, BacterialEndothelial CellsHumansInflammationKallikreinsNeovascularization, PathologicCathelicidinsDNA, BacterialInterferon Type IKallikreinsDermatologyInflammationInnate immunityMouse modelsSkin

Identifiers

PMID36633910
PMCPMC9977509
OpenAlexW4315707324

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.