Investigation of the skin microbiome: swabs vs. biopsies.


Journal

The British journal of dermatology
ISSN: 1365-2133
Titre abrégé: Br J Dermatol
Pays: England
ID NLM: 0004041

Informations de publication

Date de publication:
09 2019
Historique:
accepted: 21 01 2019
pubmed: 30 1 2019
medline: 21 10 2020
entrez: 30 1 2019
Statut: ppublish

Résumé

Human skin is populated by diverse bacteria and there is increasing evidence that resident bacteria play a key role initiating immune responses in cutaneous diseases such as atopic dermatitis, psoriasis and hidradenitis suppurativa. Bacteria are present at all layers of the skin but many studies have relied on swabs to profile the skin microbiota. As the pathogenesis of many skin conditions is dermal, we wanted to compare the microbiota obtained in swabs (surface) and biopsies (dermis). Using 16S rRNA gene sequencing we established the microbial profiles of skin swabs and skin biopsies in 16 patients. We found differences in both diversity and taxonomic composition of the microbiome obtained from swabs and biopsies of the same individual. Several taxa were found to be more abundant in the swabs, which displayed significantly higher community richness, but Clostridiales and Bacteroidetes were significantly enriched in the biopsies. Most published research on cutaneous microbiota has been based on skin swabs, which represent the surface of the skin. Our study demonstrated a clear difference between the microbiome observed from skin swabs and skin biopsies. These findings may be highly relevant in disorders such as psoriasis where pathogenesis arises in the dermis. What's already known about this topic? 16S RNA gene sequencing has facilitated study of the skin microbiome. Several studies have sequenced the microbiome sampled by skin swabs. What does this study add? The microbiome data obtained using swabs and biopsies were different. Diseases that are predominantly dermal should be studied using both swabs and biopsies.

Sections du résumé

BACKGROUND
Human skin is populated by diverse bacteria and there is increasing evidence that resident bacteria play a key role initiating immune responses in cutaneous diseases such as atopic dermatitis, psoriasis and hidradenitis suppurativa. Bacteria are present at all layers of the skin but many studies have relied on swabs to profile the skin microbiota.
OBJECTIVES
As the pathogenesis of many skin conditions is dermal, we wanted to compare the microbiota obtained in swabs (surface) and biopsies (dermis).
METHODS
Using 16S rRNA gene sequencing we established the microbial profiles of skin swabs and skin biopsies in 16 patients.
RESULTS
We found differences in both diversity and taxonomic composition of the microbiome obtained from swabs and biopsies of the same individual. Several taxa were found to be more abundant in the swabs, which displayed significantly higher community richness, but Clostridiales and Bacteroidetes were significantly enriched in the biopsies. Most published research on cutaneous microbiota has been based on skin swabs, which represent the surface of the skin.
CONCLUSIONS
Our study demonstrated a clear difference between the microbiome observed from skin swabs and skin biopsies. These findings may be highly relevant in disorders such as psoriasis where pathogenesis arises in the dermis. What's already known about this topic? 16S RNA gene sequencing has facilitated study of the skin microbiome. Several studies have sequenced the microbiome sampled by skin swabs. What does this study add? The microbiome data obtained using swabs and biopsies were different. Diseases that are predominantly dermal should be studied using both swabs and biopsies.

Identifiants

pubmed: 30693476
doi: 10.1111/bjd.17691
doi:

Substances chimiques

DNA, Bacterial 0
RNA, Ribosomal, 16S 0

Types de publication

Comparative Study Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

572-579

Subventions

Organisme : Skin Research Foundation Imperial College London
Pays : International

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2019 British Association of Dermatologists.

Références

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Grice EA, Kong HH, Renaud G et al. A diversity profile of the human skin microbiota. Genome Res 2008; 18:1043-50.
Fahlén A, Engstrand L, Baker BS et al. Comparison of bacterial microbiota in skin biopsies from normal and psoriatic skin. Arch Dermatol Res 2012; 304:15-22.
Baker BS, Laman JD, Powles A et al. Peptidoglycan and peptidoglycan-specific Th1 cells in psoriatic skin lesions. J Pathol 2006; 209:174-81.
Nakatsuji T, Chiang H-I, Jiang SB et al. The microbiome extends to subepidermal compartments of normal skin. Nat Commun 2013; 4:1431.
Gao Z, Tseng C, Strober BE et al. Substantial alterations of the cutaneous bacterial biota in psoriatic lesions. PLOS ONE 2008; 3:e2.
Alekseyenko AV, Perez-Perez GI, De Souza A et al. Community differentiation of the cutaneous microbiota in psoriasis. Microbiome 2013; 1:31.
Statnikov A, Alekseyenko AV, Li Z et al. Microbiomic signatures of psoriasis: feasibility and methodology comparison. Sci Rep 2013; 3:2620.
Martin R, Henley JB, Sarrazin P et al. Skin microbiome in patients with psoriasis before and after balneotherapy at the Thermal Care Center of La Roche-Posay. J Drugs Dermatol 2015; 14:1400-5.
Kong HH, Andersson B, Clavel T et al. Performing skin microbiome research: a method to the madness. J Invest Dermatol 2017; 137:561-8.
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Zmora N, Zilberman-Schapira G, Suez J et al. Personalized gut mucosal colonization resistance to empiric probiotics is associated with unique host and microbiome features. Cell 2018; e21.
Leyden JJ, Marples RR, Kligman AM. Staphylococcus aureus in the lesions of atopic dermatitis. Br J Dermatol 1974; 90:525-30.
Salter S, Cox MJ, Turek EM et al. Reagent contamination can critically impact sequence-based microbiome analyses. bioRxiv 2014; 007187; https://doi.org/10.1101/007187

Auteurs

S Prast-Nielsen (S)

Department of Microbiology, Tumor and Cell Biology, Stockholm, Sweden.
Centre for Translational Microbiome Research (CTMR), Karolinska Institute, Stockholm, Sweden.

A-M Tobin (AM)

Centre for Translational Microbiome Research (CTMR), Karolinska Institute, Stockholm, Sweden.
Department of Dermatology, St Vincent's University Hospital, Dublin, Ireland.

K Adamzik (K)

Department of Dermatology, St Vincent's University Hospital, Dublin, Ireland.

A Powles (A)

Imperial College, London, U.K.

L W Hugerth (LW)

Department of Microbiology, Tumor and Cell Biology, Stockholm, Sweden.
Centre for Translational Microbiome Research (CTMR), Karolinska Institute, Stockholm, Sweden.

C Sweeney (C)

Department of Dermatology, St Vincent's University Hospital, Dublin, Ireland.

B Kirby (B)

Department of Dermatology, St Vincent's University Hospital, Dublin, Ireland.

L Engstrand (L)

Department of Microbiology, Tumor and Cell Biology, Stockholm, Sweden.
Centre for Translational Microbiome Research (CTMR), Karolinska Institute, Stockholm, Sweden.

L Fry (L)

Imperial College, London, U.K.

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