Evidence map›Paper›PMID 37054679›Full record

ArticleCell host & microbe2023

On-person adaptive evolution of Staphylococcus aureus during treatment for atopic dermatitis.

Felix M Key, Veda D Khadka, Carolina Romo-González, Kimbria J Blake, Liwen Deng, Tucker C Lynn, Jean C Lee, Isaac M Chiu, Maria T García-Romero, Tami D Lieberman

Open access · hybridAbstract read
In one paragraph

Article in Cell host & microbe, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
18.2field-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

45 citing papers in PubMed, 68 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Unraveling the mouse model ofMicrobiology spectrum · 2026
    Article
  5. Atopic Dermatitis-like mouse model using early inoculation of patient-derivedJID innovations : skin science from molecules to population health · 2026
    Article
  6. Article
  7. Emergence of a methicillin-susceptibleFrontiers in cellular and infection microbiology · 2026
    Article
  8. Article
  9. Article
  10. The skin microbiome in dermatologic disease.Journal of the American Academy of Dermatology · 2025
    Review
  11. Review
  12. Article
  13. Population sequencing for phylogenetic diversity and transmission analyses.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
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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

10 authors at 5 institutions in 2 countries.

Felix M KeyInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
Veda D KhadkaInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
Carolina Romo-GonzálezExperimental Bacteriology Laboratory, National Institute for Pediatrics, Mexico City, Mexico.
Kimbria J BlakeDepartment of Immunology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA.
Liwen DengDepartment of Immunology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA.
Tucker C LynnInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA.
Jean C LeeDivision of Infectious Disease, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA, USA.
Isaac M ChiuDepartment of Immunology, Blavatnik Institute, Harvard Medical School, Boston, MA, USA.
Maria T García-RomeroDepartment of Dermatology, National Institute for Pediatrics, Mexico City, Mexico. Electronic address: mgarciar@pediatria.gob.mx.
Tami D LiebermanInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Civil and Environmental Engineering, Massachusetts Institute of Technology, Cambridge, MA, USA; Broad Institute, Massachusetts Institute of Technology, Cambridge, MA, USA; Ragon Institute, Massachusetts Institute of Technology, Cambridge, MA, USA. Electronic address: tami@mit.edu.
Harvard University · USMassachusetts Institute of Technology · USBrigham and Women's Hospital · USBroad Institute · USVietnam National Children's Hospital · VN

Funding

An Evolutionary Framework For Identifying Determinants Of Colonization In Human MicrobiomesDP2GM140922 · NIGMS · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI LIEBERMAN, TAMI D · 2020 to 2020
$2.3M
NIAID NIH HHS N01 AI030019NIGMS NIH HHS DP2 GM140922
6 · The paper itself

Abstract

The opportunistic pathogen Staphylococcus aureus frequently colonizes the inflamed skin of people with atopic dermatitis (AD) and worsens disease severity by promoting skin damage. Here, we show, by longitudinally tracking 23 children treated for AD, that S. aureus adapts via de novo mutations during colonization. Each patient's S. aureus population is dominated by a single lineage, with infrequent invasion by distant lineages. Mutations emerge within each lineage at rates similar to those of S. aureus in other contexts. Some variants spread across the body within months, with signatures of adaptive evolution. Most strikingly, mutations in capsule synthesis gene capD underwent parallel evolution in one patient and across-body sweeps in two patients. We confirm that capD negativity is more common in AD than in other contexts, via reanalysis of S. aureus genomes from 276 people. Together, these findings highlight the importance of the mutation level when dissecting the role of microbes in complex disease.

Indexed as

Dermatitis, AtopicStaphylococcal InfectionsChildHumansMutationSkinStaphylococcus aureusatopic dermatitiscapsuleeczemagenomicsmicroevolutionnatural selectionskin infectionskin microbiomeStaphylococcus aureuswithin-person evolution

Identifiers

PMID37054679
PMCPMC10263175
OpenAlexW4365136997

What OpenQuestion holds

Textmetadata
LicenceTDM
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.