Department of Dermatology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
Department of Dermatology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA; Department of Microbiology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA.
J Invest Dermatol. 2019 Apr;139(4):747-752.e1. doi: 10.1016/j.jid.2019.01.024.
Skin is colonized by microbial communities (microbiota) that participate in immune homeostasis, development and maintenance of barrier function, and protection from pathogens. The past decade has been marked by an increased interest in the skin microbiota and its role in cutaneous health and disease, in part due to advances in next-generation sequencing platforms that enable high-throughput, culture-independent detection of bacteria, fungi, and viruses. Various approaches, including bacterial 16S ribosomal RNA gene sequencing and metagenomic shotgun sequencing, have been applied to profile microbial communities colonizing healthy skin and diseased skin including atopic dermatitis, psoriasis, and acne, among others. Here, we provide an overview of culture-dependent and -independent approaches to profiling the skin microbiota and the types of questions that may be answered by each approach. We additionally highlight important study design considerations, selection of controls, interpretation of results, and limitations and challenges.
皮肤被微生物群落(微生物群)定植,这些微生物参与免疫稳态、发育和维持屏障功能以及抵御病原体。过去十年,人们对皮肤微生物群及其在皮肤健康和疾病中的作用越来越感兴趣,部分原因是下一代测序平台的进步使得能够高通量、无需培养即可检测细菌、真菌和病毒。各种方法,包括细菌 16S 核糖体 RNA 基因测序和宏基因组鸟枪法测序,已被用于分析定植于健康皮肤和疾病皮肤(包括特应性皮炎、银屑病和痤疮等)的微生物群落。在这里,我们提供了一种概述,介绍了用于分析皮肤微生物群的依赖于培养和不依赖于培养的方法,以及每种方法可能回答的问题类型。我们还强调了重要的研究设计注意事项、对照选择、结果解释以及局限性和挑战。