Correlation analysis between gut microbiota characteristics and melasma

Cong Liu1, Dan He2, Anye Yu1

  • 1Department of Dermatology, First Affiliated Hospital of Dalian Medical University, Dalian, China.

Frontiers in Microbiology
|December 5, 2022
PubMed

Insights

Gut microbiota alterations are linked to melasma development, potentially through estrogen metabolism. This study identifies specific bacterial differences in melasma patients, offering insights for future treatments.

Area of Science:

  • Microbiology
  • Dermatology
  • Human Physiology

Background:

  • The gut microbiota influences various human diseases, including skin conditions like psoriasis, atopic dermatitis, and acne, via the gut-skin axis.
  • Gut microbial dysbiosis is implicated in disease development, affecting estrogen metabolism through enzymes like β-glucuronidase, which impacts estrogen reabsorption.
  • Melasma's occurrence is linked to abnormal estrogen metabolism, but the specific role of gut microbiota structure remains unclear.

Purpose of the Study:

  • To investigate the relationship between gut microbiota structure and melasma.
  • To compare the gut microbial diversity between melasma patients and healthy individuals.
  • To explore the potential role of specific gut bacteria in melasma pathogenesis through estrogen metabolism.

Main Methods:

  • Epidemiological surveys were conducted on melasma patients and a healthy control group.
  • Fecal samples were collected for 16S rRNA sequencing to analyze gut microbiota composition.
  • Alpha-diversity and beta-diversity indices were calculated to compare species diversity between groups.

Main Results:

  • Significant differences in the abundance of specific gut bacteria, including *Collinsella* spp. and *Actinomyces* spp. (Actinobacteria), were observed between melasma patients and healthy controls.
  • Actinobacteria showed the most significant difference, with notable variations in Coriobacteriia, Actinobacteria, Coriobacteriales, Coriobacteriaceae, and *Collinsella* spp. (p < 0.05).
  • These microbial differences are associated with β-glucuronidase production and estrogen metabolism, suggesting a link to melasma development.

Conclusions:

  • Alterations in gut microbiota structure, particularly the role of *Collinsella* spp., may significantly contribute to melasma occurrence and progression by influencing estrogen metabolism.
  • This research provides a foundational understanding and data for further investigation into the gut microbiota-melasma connection.
  • Findings may aid in developing novel preventive and therapeutic strategies for melasma targeting the gut microbiome.

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