ArticleDermatology and therapy2026
Urban Exposome and Skin Microbiome in Atopic Dermatitis: A Comparative Study Between Two Brazilian Municipalities.
Article in Dermatology and therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
introductionAtopic dermatitis (AD) is thought to arise from the interplay of skin barrier dysfunction, type 2 immune dysregulation, and cutaneous dysbiosis, the last of these characterized by reduced bacterial diversity and predominance of Staphylococcus aureus. The urban exposome, including air pollution and reduced environmental microbial diversity, may modulate this dysbiosis. We hypothesized that patients with AD residing in a metropolitan area with a higher pollutant burden would show greater skin dysbiosis, reflected by a higher relative abundance of S. aureus, than patients residing in a municipality with a lower pollutant load and greater environmental biodiversity.
methodsThis cross-sectional, comparative study enrolled ten children (6-12 years) and ten adults (20-31 years) with active AD, without specific treatment in the preceding 30 days, residing in the metropolitan region of São Paulo or in Botucatu, an interior municipality of São Paulo State, Brazil. Skin swabs were collected from eczematous lesions and characterized by 16S ribosomal RNA (rRNA) gene (V3-V4) sequencing. Alpha and beta diversity and the relative abundance of S. aureus, S. epidermidis, and S. hominis were compared between municipalities and age groups using generalized linear models, Bray-Curtis dissimilarity, principal coordinates analysis (PCoA), and permutational multivariate analysis of variance (PERMANOVA).
resultsThe sample (n = 20) had a predominance of male sex (60%) and moderate AD severity (75%). A total of 658 taxa were identified. Alpha diversity did not differ by municipality or age group, and PERMANOVA revealed no global difference in bacterial community composition (p > 0.1). However, participants residing in the metropolitan municipality showed a significantly higher relative abundance of S. aureus and higher proportions of S. aureus relative to total bacteria and to other staphylococci than those residing in the interior municipality.
conclusionDespite similar overall microbial diversity, patients with AD living in a metropolitan municipality showed selective enrichment of S. aureus compared with those in a less polluted interior municipality. These exploratory findings generate the hypothesis that the urban exposome contributes to cutaneous dysbiosis in AD and warrant confirmation in larger studies with objective exposure measurement.
Indexed as
Identifiers
42754802What OpenQuestion holds
Registered trials
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.