Evidence map›Paper›PMID 41425939›Full record

ReviewFrontiers in microbiology2025

Psoriasis and gut microbes: research advances from mechanism to therapy.

Jianfei Chen, Keyun Sun, Xinyu Zhang, Xiaojie Chen, Yunning Chu, Limin Geng, Ziwen Bian, Yang Su, Xuefei Cong, Guoli Wang

Abstract readReview
In one paragraph

Review in Frontiers in microbiology, 2025. 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
–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

5 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. 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

10 authors.

Jianfei Chen *School of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.
Keyun Sun *Han Guang Traditional Chinese Medicine Clinic, Yantai, China.
Xinyu Zhang *Yantai Hi-tech Industrial Development Zone Hospital, Yantai, China.
Xiaojie ChenSchool of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.
Yunning ChuSchool of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.
Limin GengSchool of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.
Ziwen BianSchool of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.
Yang SuSchool of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.
Xuefei CongChina Institute for History of Medicine and Medical Literature, China Academy of Chinese Medical Sciences, Beijing, China.
Guoli WangSchool of Traditional Chinese Medicine, Binzhou Medical University, Yantai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Psoriasis is a chronic, immune-mediated, relapsing inflammatory skin condition, with its pathogenesis remaining incompletely understood and clinical eradication presenting significant challenges. Recent studies have highlighted the role of gut microbiota in psoriasis pathogenesis, emerging as a focal point of research. Objective: This review aims to systematically elucidate the core mechanisms by which gut microbiota contribute to psoriasis pathogenesis, summarize advances in gut microbiota-based therapeutic strategies, and provide theoretical support and innovative insights for both basic research and clinical treatment of psoriasis. Methods: Comprehensively retrieve and analyze recent research literature on the gut microbiota characteristics of psoriasis patients, the regulatory mechanisms of the gut-skin axis, and related therapeutic interventions, focusing on the microbiota's effects on immune modulation, intestinal barrier integrity, and metabolic products. Results: Accumulating evidence supports a complex, bidirectional regulatory relationship between gut dysbiosis and skin inflammation, with notable alterations in the diversity and relative abundance of gut microbial communities in patients with psoriasis compared to healthy individuals. This review comprehensively examines the mechanisms through which gut microbes contribute to psoriasis development via the gut-skin axis, influencing immune regulation, intestinal barrier integrity, and related metabolites. Additionally, the potential of gut microbiota-based therapies-such as oral probiotics, prebiotics, synbiotics, and fecal microbiota transplantation-in alleviating psoriasis symptoms and reducing disease recurrence is emphasized. Conclusion: Dysbiosis of the gut microbiota is a key factor in the pathogenesis of psoriasis. The regulatory mechanisms of the gut-skin axis offer new insights into the multisystemic associations of psoriasis. Gut microbiota-based therapeutic strategies hold promise as important adjuncts to conventional treatments, laying the foundation for developing novel targeted therapies. This approach carries significant clinical implications for improving the prognosis of psoriasis patients.

Indexed as

gut dysbiosisgut microbiotagut-skin axisimmune regulationpsoriasis

Identifiers

PMID41425939
PMCPMC12712605

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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.