口服米诺环素对疹的皮肤微生物群的影响
Yiyi Zhang1, Ying Zhou2, Philippe Humbert3
1Department of Skin & Cosmetic Research, The Shanghai Skin Disease Hospital of Tongji Medical University, Shanghai 200433, People's Republic of China.
Acta dermato-venereologica
|October 3, 2023
概括
对疹的全身抗生素治疗显著改变了皮肤微生物群,增加了有益的代谢物,并可能有助于修复皮肤屏障. 然而,它也导致皮肤细菌中的抗生素耐药性基因增加.
科学领域:
- 皮肤病学 皮肤病学
- 微生物学 微生物学
- 基因组学就是基因组学.
背景情况:
- 不稳定的皮肤微生物群与粉红病的进展有关.
- 关于全身抗生素如何影响疹患者皮肤微生物群的数据有限.
研究的目的:
- 为了研究口服米诺环素对皮肤微生物群的组成和功能在患有粉红的患者的影响.
- 评估抗生素治疗期间细菌多样性,丰富性和代谢途径的变化.
主要方法:
- 一个单臂试验,涉及使用口服米诺环素 (50毫克每天两次,持续6周) 治疗的粉红患者.
- 在基线,第3周和第6周对16S rRNA扩增和元基因组测序进行皮肤病变采样.
- 非侵入性生理参数测量. 非侵入性生理参数测量.
主要成果:
- 在治疗后的调查员全球评估得分显著改善.
- 增加了皮肤微生物群的α多样性和结构变化.
- 减少了Cutibacterium和Staphylococcus的相对丰度,与增加的酸盐合成和L-三酸降解途径相关.
- 增加四环素和多药耐药基因的丰富性.
结论:
- 口服米诺环林治疗调节疹皮肤微生物群,通过增加有益代谢物,可能增强抗炎和皮肤屏障修复机制.
- 这项研究强调了治疗效益和皮肤微生物群中抗生素耐药基因的出现之间的权衡.
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