Department of Internal Medicine, School of Medicine, Kangon National University, Chuncheon 24341, Korea.
Division of Biomedical Convergence, Department of Biomedical Sciences, Kangwon National University, Chuncheon 24341, Korea.
Int J Mol Sci. 2020 May 31;21(11):3968. doi: 10.3390/ijms21113968.
Atopic dermatitis (AD) is one of the most common skin diseases with inflammation, chronic relapses, and intense pruritus. Its pathogenesis includes genetic susceptibility, an abnormal epidermal lipid barrier, and an increased production of IgE due to immune dysregulation. Recently, AD has been reported to be associated with intestinal inflammation and dysbiosis in human and murine models. Various probiotics are being used to control intestinal dysbiosis and inflammatory reactions. However, it is difficult to predict or determine the therapeutic effects of the probiotics, since it is rare for clinicians to use the probiotics alone to treat AD. It is also difficult to check whether the intestinal inflammation in patients with AD has improved since probiotic treatment. The aim of the present study was to determine whether mice with induced atopic dermatitis had any changes in fecal calprotectin, an indicator of intestinal inflammation, after probiotic administration. Our results showed that the fecal calprotectin levels in mice with induced dermatitis decreased significantly after the administration of probiotics. In addition, epidermal skin lesions were attenuated and inflammatory-related cytokines were downregulated after the administration of probiotics in mice with induced dermatitis. These results suggest that changes in fecal calprotectin levels could be used to assess the effectiveness of a probiotic strain as an adjuvant treatment for AD.
特应性皮炎(AD)是最常见的皮肤病之一,具有炎症、慢性复发和剧烈瘙痒的特点。其发病机制包括遗传易感性、表皮脂质屏障异常和免疫失调导致 IgE 产生增加。最近,AD 与人类和鼠模型中的肠道炎症和菌群失调有关。各种益生菌被用于控制肠道菌群失调和炎症反应。然而,由于临床医生很少单独使用益生菌来治疗 AD,因此很难预测或确定益生菌的治疗效果。也很难检查 AD 患者的肠道炎症是否因益生菌治疗而得到改善。本研究旨在确定诱导特应性皮炎的小鼠在给予益生菌后粪便钙卫蛋白(肠道炎症的指标)是否有任何变化。我们的结果表明,诱导性皮炎的小鼠在给予益生菌后粪便钙卫蛋白水平显著下降。此外,在诱导性皮炎的小鼠中给予益生菌后,表皮皮肤病变减轻,炎症相关细胞因子下调。这些结果表明,粪便钙卫蛋白水平的变化可用于评估益生菌菌株作为 AD 辅助治疗的有效性。