Evidence map›Paper›PMID 37768448›Full record

ArticleDermatology and therapy2023

Thermal Therapy Modulation of the Psoriasis-Associated Skin and Gut Microbiome.

Serena Manara, Francesco Beghini, Giulia Masetti, Federica Armanini, Davide Geat, Giulia Galligioni, Nicola Segata, Stefania Farina, Mario Cristofolini

Open access · goldAbstract read
In one paragraph

Article in Dermatology and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Review
  2. Challenges of blinding in clinical balneology trials: a scoping review.BMC complementary medicine and therapies · 2025
    Article
  3. Article
  4. Review
  5. Article
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

9 authors at 3 institutions in 2 countries.

Serena Manara *Laboratory of Computational Metagenomics, Department CIBIO, University of Trento, Via Sommarive 9, Povo, 38123, Trento, Italy.ORCID http://orcid.org/0000-0001-6371-528X
Francesco Beghini *Laboratory of Computational Metagenomics, Department CIBIO, University of Trento, Via Sommarive 9, Povo, 38123, Trento, Italy.ORCID http://orcid.org/0000-0002-8105-9607
Giulia Masetti *Laboratory of Computational Metagenomics, Department CIBIO, University of Trento, Via Sommarive 9, Povo, 38123, Trento, Italy.ORCID http://orcid.org/0000-0002-8513-2509
Federica ArmaniniLaboratory of Computational Metagenomics, Department CIBIO, University of Trento, Via Sommarive 9, Povo, 38123, Trento, Italy.ORCID http://orcid.org/0009-0007-4030-2002
Davide GeatDepartment of Dermatology, ASST Spedali Civili Di Brescia, Brescia, Italy.ORCID http://orcid.org/0000-0003-3430-2077
Giulia GalligioniClinical Unit of Occupational Medicine, Health Agency Trento, Trento, Italy.ORCID http://orcid.org/0009-0006-4002-1369
Nicola Segata *Laboratory of Computational Metagenomics, Department CIBIO, University of Trento, Via Sommarive 9, Povo, 38123, Trento, Italy. nicola.segata@unitn.it.ORCID http://orcid.org/0000-0002-1583-5794
Stefania Farina *Istituto G.B. Mattei, Stenico, TN, Italy.ORCID http://orcid.org/0009-0003-3083-0224
Mario Cristofolini *Istituto G.B. Mattei, Stenico, TN, Italy.ORCID http://orcid.org/0009-0007-4174-6705
University of Trento · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITProvincia Autonoma di Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPsoriasis is a systemic immune-mediated disease primarily manifesting as skin redness and inflammation. Balneotherapy proved to be a successful non-pharmacological option to reduce the skin areas affected by the disease, but the specific mechanisms underlying this effect have not been elucidated yet. Here we test the hypothesis that the effect of thermal treatments on psoriatic lesions could be partially mediated by changes in the resident microbial population, i.e., the microbiome.

methodsIn this study, we enrolled patients with psoriasis and monitored changes in their skin and gut microbiome after a 12-bath balneotherapy course with a combination of 16S rRNA amplicon sequencing and metagenomics. Changes in the resident microbiome were then correlated with thermal therapy outcomes evaluated as changes in Psoriasis Area and Severity Index (PASI) and Body Surface Area index (BSA).

resultsThe amplicon sequencing analysis of the skin microbiome showed that after thermal treatment the microbiome composition of affected areas improved to approach that typical of unaffected skin. We moreover identified some low-abundance bacterial biomarkers indicative of disease status and treatment efficacy, and we showed via metagenomic sequencing that thermal treatments and thermal water drinking affect the fecal microbiome to host more species associated with favorable metabolic health.

conclusionsChanges in lower-abundance microbial taxa presence and abundance could be the basis for the positive effect of thermal water treatment and drinking on the cutaneous and systemic symptomatology of psoriasis.

Indexed as

Bacterial biomarkersBalneotherapyGut microbiomePsoriasisSkin microbiomeThermal therapyThermal water drinking

Identifiers

PMID37768448
PMCPMC10613183
OpenAlexW4387116197

What OpenQuestion holds

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Registered trials

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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.