Microbial homeostasis and dysbiosis in physiological and pathological skin.

IF 11.8 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Med Pub Date : 2025-09-29 DOI:10.1016/j.medj.2025.100847
Yuyang Gan, Jiarui Zhang, Fangfang Qi, Elizabeth A Grice, Luis A Garza, Gaofeng Wang
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引用次数: 0

Abstract

The human skin serves as a major reservoir of mutualists that penetrate skin appendages and contribute to skin development, barrier repair, appendage health, and wound healing. The skin microbiota exhibits significant shifts in community composition in response to pathological skin conditions, such as impaired barrier integrity, follicular-sebaceous-related diseases, and wound healing, which contribute to the progression of skin diseases. Crosstalk among bacteria, fungi, and viruses and their collective effects on the host are critical determinants of skin health and disease. This review discusses the changes in the skin microbiota under both physiological and pathological conditions, with a particular focus on bacterial strains, virulence factors, and pathogenic genes, and their impact on host outcomes. Additionally, we preview the emerging clinical applications of specific bacterial strains, microbial competition, fungal cooperation, phage therapy, and engineered microbial interventions.

生理和病理皮肤中的微生物稳态和生态失调。
人体皮肤是互生菌的主要储存库,互生菌渗透皮肤附属物,促进皮肤发育、屏障修复、附属物健康和伤口愈合。皮肤微生物群在病理皮肤状况下表现出显著的群落组成变化,如屏障完整性受损、毛囊-皮脂腺相关疾病和伤口愈合,这些都有助于皮肤病的进展。细菌、真菌和病毒之间的相互作用及其对宿主的集体影响是皮肤健康和疾病的关键决定因素。这篇综述讨论了生理和病理条件下皮肤微生物群的变化,特别关注细菌菌株、毒力因子和致病基因,以及它们对宿主结果的影响。此外,我们还预览了特定细菌菌株,微生物竞争,真菌合作,噬菌体治疗和工程微生物干预的新兴临床应用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Med
Med MEDICINE, RESEARCH & EXPERIMENTAL-
CiteScore
17.70
自引率
0.60%
发文量
102
期刊介绍: Med is a flagship medical journal published monthly by Cell Press, the global publisher of trusted and authoritative science journals including Cell, Cancer Cell, and Cell Reports Medicine. Our mission is to advance clinical research and practice by providing a communication forum for the publication of clinical trial results, innovative observations from longitudinal cohorts, and pioneering discoveries about disease mechanisms. The journal also encourages thought-leadership discussions among biomedical researchers, physicians, and other health scientists and stakeholders. Our goal is to improve health worldwide sustainably and ethically. Med publishes rigorously vetted original research and cutting-edge review and perspective articles on critical health issues globally and regionally. Our research section covers clinical case reports, first-in-human studies, large-scale clinical trials, population-based studies, as well as translational research work with the potential to change the course of medical research and improve clinical practice.
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