角质层和微生物生物标志物在儿童亚托皮性皮肤炎之前存在,并且是其特征
Melina Fonfara1, Jan Hartmann1, Dora Stölzl1
1Department of Dermatology and Allergy, University Hospital Schleswig-Holstein, Kiel, Germany.
Journal of the European Academy of Dermatology and Venereology : JEADV
|February 29, 2024
概括
增加的皮肤生物标志物和改变的微生物组在婴儿亚托皮炎 (AD) 发病之前就出现了. 这些分子变化是早期AD的特征,为这种常见的炎症性皮肤病提供了潜在的预测见解.
科学领域:
- 皮肤病学 皮肤病学
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 亚托皮炎 (AD) 是最常见的儿科炎症性皮肤病.
- 目前缺乏预测AD发病的生物标志物.
- 儿科阿尔茨海默病的分子机制比成人阿尔茨海默病的理解要少.
研究的目的:
- 为了确定在新生儿中AD发作之前的表皮蛋白质组和微生物组变化.
- 在分子层面上描述早期的AD.
- 以此前的AD发展研究为基础.
主要方法:
- 对表皮生物标志物和微生物概况的纵向分析.
- 研究队列:50名高风险新生儿来自早期软化剂使用随机对照试验.
- 数据收集年龄在24个月以下.
主要成果:
- 26%的婴儿在24个月后发展为AD,大约在10个月开始发病.
- 在AD开始之前观察到特定生物标志物 (例如IL-1Ra,TNFβ,TSLP) 的水平增加.
- 在阿尔茨海默病发作之前,已注意到皮肤微生物组成熟的延迟和成分的改变.
- 在AD表现时,发现Th2,Th17/22,Th1和先天性免疫标志物升高,Streptococcus减少和Staphylococcus epidermidis增加.
结论:
- 在儿科AD之前,角层中的促炎生物标志物增加.
- 皮肤微生物组的变化在儿童阿尔茨海默病的出现之前和表征.
相关概念视频
Renewal of Skin Epidermal Stem Cells
2.5K
The skin is divided into epidermis, dermis, and hypodermis, the skin's outermost, middle, and inner layers. The human epidermal layer regularly undergoes renewal, where old, dead cells are replaced by new cells. Epidermal stem cells or EpiSCs divide and differentiate to restore the lost cells. For the renewal process, some EpiSCs continuously self-renew. In contrast, few others differentiate into transit-amplifying cells, which later form prickle or spinous cells, followed by granular...
2.5K
Skin Diseases and Disorders
3.8K
Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
3.8K
Clinical Applications of Epidermal Stem Cells
2.7K
Epidermal stem cells (EpiSCs) are mainly located at the basal layer of the epidermis. These cells repair minor injuries of the skin and replace dead skin cells. However, EpiSCs’ cannot heal severe wounds such as major burns or those from diabetes or hereditary disorders. In such cases, culturing the epidermal stem cells from the patient is possible and has yielded successful treatment options, such as laboratory-grown skin grafts. These grafts are synthesized using a patient’s own...
2.7K


