[HTML][HTML] Dysbiosis and Staphylococcus aureus colonization drives inflammation in atopic dermatitis

T Kobayashi, M Glatz, K Horiuchi, H Kawasaki… - Immunity, 2015 - cell.com
T Kobayashi, M Glatz, K Horiuchi, H Kawasaki, H Akiyama, DH Kaplan, HH Kong, M Amagai
Immunity, 2015cell.com
Staphylococcus aureus skin colonization is universal in atopic dermatitis and common in
cancer patients treated with epidermal growth factor receptor inhibitors. However, the causal
relationship of dysbiosis and eczema has yet to be clarified. Herein, we demonstrate that
Adam17 fl/fl Sox9-Cre mice, generated to model ADAM17-deficiency in human, developed
eczematous dermatitis with naturally occurring dysbiosis, similar to that observed in atopic
dermatitis. Corynebacterium mastitidis, S. aureus, and Corynebacterium bovis sequentially …
Summary
Staphylococcus aureus skin colonization is universal in atopic dermatitis and common in cancer patients treated with epidermal growth factor receptor inhibitors. However, the causal relationship of dysbiosis and eczema has yet to be clarified. Herein, we demonstrate that Adam17fl/flSox9-Cre mice, generated to model ADAM17-deficiency in human, developed eczematous dermatitis with naturally occurring dysbiosis, similar to that observed in atopic dermatitis. Corynebacterium mastitidis, S. aureus, and Corynebacterium bovis sequentially emerged during the onset of eczematous dermatitis, and antibiotics specific for these bacterial species almost completely reversed dysbiosis and eliminated skin inflammation. Whereas S. aureus prominently drove eczema formation, C. bovis induced robust T helper 2 cell responses. Langerhans cells were required for eliciting immune responses against S. aureus inoculation. These results characterize differential contributions of dysbiotic flora during eczema formation, and highlight the microbiota-host immunity axis as a possible target for future therapeutics in eczematous dermatitis.
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