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KMID : 1225720230150020186
Allergy, Asthma & Immunology Research : AAIR
2023 Volume.15 No. 2 p.186 ~ p.200
Alterations of Epidermal Lipid Profiles and Skin Microbiome in Children With Atopic Dermatitis
Kim Ji-Hyun

Kim Byung-Eui
Elena Goleva
Evgeny Berdyshev
Bae Jae-Woong
Kim Seok-Jin
Kim Hye-Young
Lee Un-Ha
Kim Myoung-Shin
Jung Min-Young
Kim Hyun-Mi
Lee Jin-Young
Donald Y.M. Leung
Ahn Kang-Mo
Abstract
Purpose: We aimed to investigate epidermal lipid profiles and their association with skin microbiome compositions in children with atopic dermatitis (AD).

Methods: Specimens were obtained by skin tape stripping from 27 children with AD and 18 healthy subjects matched for age and sex. Proteins and lipids of stratum corneum samples from nonlesional and lesional skin of AD patients and normal subjects were quantified by liquid chromatography tandem mass spectrometry. Skin microbiome profiles were analyzed using bacterial 16S rRNA sequencing.

Results: Ceramides with nonhydroxy fatty acids (FAs) and C18 sphingosine as their sphingoid base (C18-NS-CERs) N-acylated with C16, C18 and C22 FAs, sphingomyelin (SM) N-acylated with C18 FAs, and lysophosphatidylcholine (LPC) with C16 FAs were increased in AD lesional skin compared to those in AD nonlesional skin and that of control subjects (all P < 0.01). SMs N-acylated with C16 FAs were increased in AD lesional skin compared to control subjects (P < 0.05). The ratio of NS-CERs with long-chain fatty acids (LCFAs) to short-chain fatty acids (SCFAs) (C24-32:C14-22), the ratio of LPC with LCFAs to SCFAs (C24-30:C16-22) as well as the ratio of total esterified omega-hydroxy ceramides to total NS-CERs were negatively correlated with transepidermal water loss (rho coefficients = ?0.738, ?0.528, and ?0.489, respectively; all P < 0.001). The proportions of Firmicutes and Staphylococcus were positively correlated to SCFAs including NS ceramides (C14-22), SMs (C17-18), and LPCs (C16), while the proportions of Actinobacteria, Proteobacteria, Bacteroidetes, Corynebacterium, Enhydrobacteria, and Micrococcus were negatively correlated to these SCFAs.

Conclusions: Our results suggest that pediatric AD skin shows aberrant lipid profiles, and these alterations are associated with skin microbial dysbiosis and cutaneous barrier dysfunction.
KEYWORD
Atopic dermatitis, child, microbiota, Staphylococcus, ceramides, lipids, fatty acids
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