An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis

Skin and gut microbiota play an important role in the pathogenesis of atopic dermatitis (AD). An alteration of the microbiota diversity modulates the development and course of AD, e.g., decreased microbiome diversity correlates with disease severity, particularly in lesional skin of AD. Itch is a ha...

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Main Authors: Catharina Sagita Moniaga, Mitsutoshi Tominaga, Kenji Takamori
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/11/23/3930
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author Catharina Sagita Moniaga
Mitsutoshi Tominaga
Kenji Takamori
author_facet Catharina Sagita Moniaga
Mitsutoshi Tominaga
Kenji Takamori
author_sort Catharina Sagita Moniaga
collection DOAJ
description Skin and gut microbiota play an important role in the pathogenesis of atopic dermatitis (AD). An alteration of the microbiota diversity modulates the development and course of AD, e.g., decreased microbiome diversity correlates with disease severity, particularly in lesional skin of AD. Itch is a hallmark of AD with unsatisfying treatment until now. Recent evidence suggests a possible role of microbiota in altering itch in AD through gut–skin–brain interactions. The microbial metabolites, proinflammatory cytokines, and impaired immune response lead to a modulation of histamine-independent itch, disruption of epidermal barrier, and central sensitization of itch mechanisms. The positive impact of probiotics in alleviating itch in AD supports this hypothesis, which may lead to novel strategies for managing itchy skin in AD patients. This review summarizes the emerging findings on the correlation between an altered microbiota and gut–skin–brain axis in AD, especially in modulating itchy skin.
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spelling doaj.art-a9fe0428bbe4430797ffce5993b060b62023-11-24T10:46:11ZengMDPI AGCells2073-44092022-12-011123393010.3390/cells11233930An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic DermatitisCatharina Sagita Moniaga0Mitsutoshi Tominaga1Kenji Takamori2Juntendo Itch Research Center (JIRC), Institute for Environmental and Gender-Specific Medicine, Juntendo University Graduate School of Medicine, Chiba 279-0021, JapanJuntendo Itch Research Center (JIRC), Institute for Environmental and Gender-Specific Medicine, Juntendo University Graduate School of Medicine, Chiba 279-0021, JapanJuntendo Itch Research Center (JIRC), Institute for Environmental and Gender-Specific Medicine, Juntendo University Graduate School of Medicine, Chiba 279-0021, JapanSkin and gut microbiota play an important role in the pathogenesis of atopic dermatitis (AD). An alteration of the microbiota diversity modulates the development and course of AD, e.g., decreased microbiome diversity correlates with disease severity, particularly in lesional skin of AD. Itch is a hallmark of AD with unsatisfying treatment until now. Recent evidence suggests a possible role of microbiota in altering itch in AD through gut–skin–brain interactions. The microbial metabolites, proinflammatory cytokines, and impaired immune response lead to a modulation of histamine-independent itch, disruption of epidermal barrier, and central sensitization of itch mechanisms. The positive impact of probiotics in alleviating itch in AD supports this hypothesis, which may lead to novel strategies for managing itchy skin in AD patients. This review summarizes the emerging findings on the correlation between an altered microbiota and gut–skin–brain axis in AD, especially in modulating itchy skin.https://www.mdpi.com/2073-4409/11/23/3930skingutmicrobiotaitchatopic dermatitis
spellingShingle Catharina Sagita Moniaga
Mitsutoshi Tominaga
Kenji Takamori
An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis
Cells
skin
gut
microbiota
itch
atopic dermatitis
title An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis
title_full An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis
title_fullStr An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis
title_full_unstemmed An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis
title_short An Altered Skin and Gut Microbiota Are Involved in the Modulation of Itch in Atopic Dermatitis
title_sort altered skin and gut microbiota are involved in the modulation of itch in atopic dermatitis
topic skin
gut
microbiota
itch
atopic dermatitis
url https://www.mdpi.com/2073-4409/11/23/3930
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