Evidence map›Paper›PMID 40340458›Full record

ArticlemSphere2025

Unique dermal bacterial signature differentiates atopic dermatitis skin from healthy.

Lene Bay, Christopher James Barnes, Blaine Gabriel Fritz, Nanna Ravnborg, Iben Frier Ruge, Anne-Sofie Halling-Sønderby, Sif Ravn Søeborg, Kathrine Hald Langhoff, Claus Lex, Anders Johannes Hansen and 2 more

Abstract read
In one paragraph

Article in mSphere, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Life (Basel, Switzerland) · 2025
    Article
  3. 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

12 authors.

Lene Bay *Department of Immunology and Microbiology, Costerton Biofilm Center, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-4164-5900
Christopher James Barnes *Centre for GeoGenetics, Globe Institute, University of Copenhagen, Copenhagen, Denmark.
Blaine Gabriel FritzDepartment of Immunology and Microbiology, Costerton Biofilm Center, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Nanna RavnborgDepartment of Dermatology, Gentofte Hospital, Copenhagen, Denmark.
Iben Frier RugeDepartment of Dermatology, Gentofte Hospital, Copenhagen, Denmark.
Anne-Sofie Halling-SønderbyDepartment of Dermatology, Gentofte Hospital, Copenhagen, Denmark.
Sif Ravn SøeborgDepartment of Immunology and Microbiology, Costerton Biofilm Center, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Kathrine Hald LanghoffDepartment of Immunology and Microbiology, Costerton Biofilm Center, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Claus LexDepartment of Immunology and Microbiology, Costerton Biofilm Center, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Anders Johannes HansenCentre for GeoGenetics, Globe Institute, University of Copenhagen, Copenhagen, Denmark.
Jacob P ThyssenDepartment of Dermatology, Gentofte Hospital, Copenhagen, Denmark.
Thomas BjarnsholtDepartment of Immunology and Microbiology, Costerton Biofilm Center, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.ORCID 0000-0002-8003-7414

Funding

LEO Fondet (LEO Foundation) LF17067LEO Fondet (LEO Foundation) LF-OC-19-0003
6 · The paper itself

Abstract

Gaining a deeper understanding of the variation in skin microbiota across habitats and layers provides critical insights into the complex host-microbial interactions that drive inflammatory skin diseases. Our study investigated dermal versus epidermal microbiota in lesional and non-lesional skin of 37 adult atopic dermatitis (AD) patients and 37 healthy controls. Skin biopsies were partitioned into epidermal and dermal compartments, while serial tape strips collected the superficial epidermis. Bacterial communities were analyzed by cultivation, matrix-assisted laser desorption ionization time-of-flight mass spectrometry, confocal laser scanning microscopy, and metagenomic sequencing. We found that the effects of AD were evident across skin layers. The natural variation between skin layers and habitats diminishes in AD-affected skin, intensifying the impact of the microenvironment and host factors. A remarkably distinct dermal bacterial community was discovered among AD patients, being more conserved and providing a clearer difference between skin habitats, while the epidermis varied substantially. Importantly, comparisons between AD patients and controls revealed more genera differed when studying the dermal samples than the epidermal ones. IMPORTANCE: This study sheds light on the profound impact of skin microbiota's complex composition and distribution in atopic dermatitis (AD). The distinctive bacterial profile and activity, especially within the dermal skin compartment, vividly mirrored the cutaneous conditions in this inflamed microenvironment. The striking similarity in bacterial communities across different skin habitats in atopic skin underscores the high influence of atopic dermatitis-the genetic predisposition to an amplified immune response. This finding suggests that the dermal bacterial profile could be a valuable tool for longitudinally monitoring changes during the disease's relapsing phases, allowing for a precise categorization of patients into specific AD endotypes. Broadening the focus throughout the entire eczema-affected skin paves the way for treatments capable of modulating dermal biological factors, offering more effective management of AD. By further centering the interest in host-microbial interactions, we can refine personalized treatments, ultimately improving the lives of millions suffering from atopic dermatitis.

Indexed as

BacteriaDermatitis, AtopicDermisMicrobiotaSkinAdultCase-Control StudiesEpidermisFemaleHumansMaleMetagenomicsMiddle AgedYoung Adultatopic dermatitiscore microbiomecutaneous communitydermal microbiotamicrobial functionalityskin microbiota

Identifiers

PMID40340458
PMCPMC12188723

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.