Evidence map›Paper›PMID 40681534›Full record

ArticleScientific reports2025

Severity of atopic dermatitis is associated with gut-derived metabolites and leaky gut-related biomarkers.

Leszek Blicharz, Emilia Samborowska, Radosław Zagożdżon, Iwona Bukowska-Ośko, Joanna Czuwara, Michał Zych, Aleksander Roszczyk, Karol Perlejewski, Karolina Makowska, Joanna Nowaczyk and 8 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

  1. Article
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  7. Nutrients · 2026
    Article
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  11. Skin and gut microbiome in atopic dermatitis: Mechanisms and therapeutic opportunities.Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology · 2025
    Review
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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

18 authors.

Leszek BlicharzDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland. lblicharz@gmail.com.
Emilia SamborowskaMass Spectrometry Laboratory, Institute of Biochemistry and Biophysics, Polish Academy of Sciences, 02-106, Warsaw, Poland.
Radosław ZagożdżonLaboratory of Cellular and Genetic Therapies, Medical University of Warsaw, 02-097, Warsaw, Poland.
Iwona Bukowska-OśkoDepartment of Immunopathology of Infectious and Parasitic Diseases, Medical University of Warsaw, 02-106, Warsaw, Poland.
Joanna CzuwaraDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland. jczuwara@yahoo.com.
Michał ZychDepartment of Clinical Immunology, Medical University of Warsaw, 02-006, Warsaw, Poland.
Aleksander RoszczykDepartment of Clinical Immunology, Medical University of Warsaw, 02-006, Warsaw, Poland.
Karol PerlejewskiDepartment of Immunopathology of Infectious and Parasitic Diseases, Medical University of Warsaw, 02-106, Warsaw, Poland.
Karolina MakowskaDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Joanna NowaczykDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Michał ZarembaDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Karolina KazimierskaDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Anna Waśkiel-BurnatDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Michał DadlezMass Spectrometry Laboratory, Institute of Biochemistry and Biophysics, Polish Academy of Sciences, 02-106, Warsaw, Poland.
Zbigniew SamochockiDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Małgorzata OlszewskaDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.
Marek RadkowskiDepartment of Immunopathology of Infectious and Parasitic Diseases, Medical University of Warsaw, 02-106, Warsaw, Poland.
Lidia RudnickaDepartment of Dermatology, Medical University of Warsaw, Nowogrodzka 59, 02-006, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Dysbiosis of the gut microbiota may contribute to metabolic dysregulation, intestinal barrier disruption, and inflammatory disorders. The objective was to identify gut-derived metabolites and leaky gut biomarkers linked to atopic dermatitis. Fifty adult patients with atopic dermatitis and 25 controls were studied. Blood levels of 30 biomarkers were analyzed using liquid chromatography-mass spectrometry, ELISA, and Luminex assays, and correlated with clinical outcomes (EASI, SCORAD, extent of skin lesions). We discovered higher concentrations of caproic acid, glycerophosphocholine, Reg3A, I-FABP, IL-10, and IL-22 in patients with atopic dermatitis compared to controls, while the concentration of trimethylamine was lower. Disease severity was associated with lower caproic acid and isocaproic acid levels. Indoxyl and leaky gut biomarkers (LBP, Reg3A, IL-10, IL-22) correlated with higher disease activity. Leaky gut-related biomarkers were positively associated with C6 short-chain fatty acids and negatively with indoxyl. These findings highlight potential biomarkers of the gut-skin axis that could aid in predicting the onset and evolution of atopic dermatitis. Given that short-chain fatty acids and indoxyl are fermentation products of fiber and protein, respectively, our results suggest that a fiber-rich diet and moderation of protein intake could be beneficial not only for metabolic health but also in managing atopic dermatitis.

Indexed as

BiomarkersDermatitis, AtopicGastrointestinal MicrobiomeAdultCase-Control StudiesDysbiosisFemaleHumansInterleukin-10Interleukin-22InterleukinsMaleMiddle AgedPancreatitis-Associated ProteinsSeverity of Illness IndexYoung AdultBiomarkersInterleukin-10Interleukin-22InterleukinsPancreatitis-Associated ProteinsREG3A protein, humanAtopic dermatitisBiomarkerDietGut-skin axisLeaky gutMetaboliteMicrobiome

Identifiers

PMID40681534
PMCPMC12274536

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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.