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The Acari Hypothesis, VIII: the human apocrine-mammary-microbiota axis and Staphylococcus epidermidis mutualism
1Department of Emergency Medicine, Camden Clark Medical Center, West Virginia University, Parkersburg, WV, United States.
Abstract:
Human integument is unusual among primates for its expanded eccrine network, glandular specialization, acidic surface pH, and enrichment of staphylococcal taxa. Framed within the Acari Hypothesis, this manuscript proposes a unifying apocrine-mammary-microbiota axis in which human integumentary glands cultivate protective symbionts, with Staphylococcus epidermidis as a keystone. Reviewed evidence encompasses acid mantle biochemistry and glandular antimicrobials that favor acid- and lipid-tolerant staphylococci while restricting pathogens and possibly ectoparasites. Mammalian apocrine secretions rely on microbial metabolism to convert precursor molecules into bioactive compounds that mediate species-specific physiological functions. This reliance may be consistent with the enrichment of staphylococci at apocrine-rich sites in humans. Mammary biology indicates vertical transfer of skin- and milk-associated microbes that stabilize epithelial ecosystems across generations. The manuscript develops a mutualist model for S. epidermidis on human epithelia, reconsiders device-associated infections, and surveys staphylococcal dysbiosis across dermatologic conditions. As proposed, human integumentary and mammary glands co-evolved to cultivate and vertically transmit symbiotic staphylococci, whose metabolites and niche competition defend against ectoparasites and pathogens while balancing epithelial and metabolic homeostasis.
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