The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis

Background: The promotion of epidermal barrier dysfunction is attributed to abnormalities in the lipid-microbiome positive feedback loop which significantly influences the imbalance of the epithelial immune microenvironment (EIME) in atopic dermatitis (AD). This imbalance encompasses impaired lamell...

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Main Authors: Junchao Wu, Lisha Li, Tingrui Zhang, Jiaye Lu, Zongguang Tai, Quangang Zhu, Zhongjian Chen
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:Journal of Advanced Research
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Online Access:http://www.sciencedirect.com/science/article/pii/S2090123224000882
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author Junchao Wu
Lisha Li
Tingrui Zhang
Jiaye Lu
Zongguang Tai
Quangang Zhu
Zhongjian Chen
author_facet Junchao Wu
Lisha Li
Tingrui Zhang
Jiaye Lu
Zongguang Tai
Quangang Zhu
Zhongjian Chen
author_sort Junchao Wu
collection DOAJ
description Background: The promotion of epidermal barrier dysfunction is attributed to abnormalities in the lipid-microbiome positive feedback loop which significantly influences the imbalance of the epithelial immune microenvironment (EIME) in atopic dermatitis (AD). This imbalance encompasses impaired lamellar membrane integrity, heightened exposure to epidermal pathogens, and the regulation of innate and adaptive immunity. The lipid-microbiome loop is substantially influenced by intense adaptive immunity which is triggered by abnormal loop activity and affects the loop's integrity through the induction of atypical lipid composition and responses to dysregulated epidermal microbes. Immune responses participate in lipid abnormalities within the EIME by downregulating barrier gene expression and are further cascade-amplified by microbial dysregulation which is instigated by barrier impairment. Aim of review: This review examines the relationship between abnormal lipid composition, microbiome disturbances, and immune responses in AD while progressively substantiating the crosstalk mechanism among these factors. Based on this analysis, the “lipid-microbiome” positive feedback loop, regulated by immune responses, is proposed. Key scientific concepts of review: The review delves into the impact of adaptive immune responses that regulate the EIME, driving AD, and investigates potential mechanisms by which lipid supplementation and probiotics may alleviate AD through the up-regulation of the epidermal barrier and modulation of immune signaling. This exploration offers support for targeting the EIME to attenuate AD.
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publishDate 2025-02-01
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spelling doaj-art-2d3e9c81a78b42c1ad0ebbcbdd5d4eb62025-01-18T05:04:22ZengElsevierJournal of Advanced Research2090-12322025-02-0168359374The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitisJunchao Wu0Lisha Li1Tingrui Zhang2Jiaye Lu3Zongguang Tai4Quangang Zhu5Zhongjian Chen6School of Medicine, Shanghai University, Shanghai 200444, China; Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, ChinaSchool of Medicine, Shanghai University, Shanghai 200444, China; Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, ChinaSchool of Medicine, Shanghai University, Shanghai 200444, China; Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, ChinaSchool of Medicine, Shanghai University, Shanghai 200444, China; Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, ChinaShanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, China; Shanghai Engineering Research Center for Topical Chinese Medicine, Shanghai, 200443, China; Corresponding authors.Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, China; Shanghai Engineering Research Center for Topical Chinese Medicine, Shanghai, 200443, China; Corresponding authors.School of Medicine, Shanghai University, Shanghai 200444, China; Shanghai Skin Disease Hospital, School of Medicine, Tongji University, Shanghai, 200443, China; Shanghai Engineering Research Center for Topical Chinese Medicine, Shanghai, 200443, China; Corresponding authors.Background: The promotion of epidermal barrier dysfunction is attributed to abnormalities in the lipid-microbiome positive feedback loop which significantly influences the imbalance of the epithelial immune microenvironment (EIME) in atopic dermatitis (AD). This imbalance encompasses impaired lamellar membrane integrity, heightened exposure to epidermal pathogens, and the regulation of innate and adaptive immunity. The lipid-microbiome loop is substantially influenced by intense adaptive immunity which is triggered by abnormal loop activity and affects the loop's integrity through the induction of atypical lipid composition and responses to dysregulated epidermal microbes. Immune responses participate in lipid abnormalities within the EIME by downregulating barrier gene expression and are further cascade-amplified by microbial dysregulation which is instigated by barrier impairment. Aim of review: This review examines the relationship between abnormal lipid composition, microbiome disturbances, and immune responses in AD while progressively substantiating the crosstalk mechanism among these factors. Based on this analysis, the “lipid-microbiome” positive feedback loop, regulated by immune responses, is proposed. Key scientific concepts of review: The review delves into the impact of adaptive immune responses that regulate the EIME, driving AD, and investigates potential mechanisms by which lipid supplementation and probiotics may alleviate AD through the up-regulation of the epidermal barrier and modulation of immune signaling. This exploration offers support for targeting the EIME to attenuate AD.http://www.sciencedirect.com/science/article/pii/S2090123224000882Atopic dermatitisLipid-microbiome loopAdaptive immunityEpidermal lipidMicrobe
spellingShingle Junchao Wu
Lisha Li
Tingrui Zhang
Jiaye Lu
Zongguang Tai
Quangang Zhu
Zhongjian Chen
The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis
Journal of Advanced Research
Atopic dermatitis
Lipid-microbiome loop
Adaptive immunity
Epidermal lipid
Microbe
title The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis
title_full The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis
title_fullStr The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis
title_full_unstemmed The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis
title_short The epidermal lipid-microbiome loop and immunity: Important players in atopic dermatitis
title_sort epidermal lipid microbiome loop and immunity important players in atopic dermatitis
topic Atopic dermatitis
Lipid-microbiome loop
Adaptive immunity
Epidermal lipid
Microbe
url http://www.sciencedirect.com/science/article/pii/S2090123224000882
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