1. Distinct anti-microbial peptides expression patterns and microbiome profiles in skin of Tunisian endemic Pemphigus foliaceus patients.
- Author
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Abida O, Ramiro R, Bahloul E, Frikha R, Charfi S, Turki H, Gonçalves CP, and Masmoudi H
- Subjects
- Humans, Female, Male, Middle Aged, Adult, Tunisia, Aged, Dysbiosis microbiology, RNA, Ribosomal, 16S genetics, Ribonucleases metabolism, Antimicrobial Cationic Peptides metabolism, Skin microbiology, Skin pathology, Microbiota, Pemphigus microbiology, Pemphigus diagnosis, S100 Calcium Binding Protein A7 metabolism, beta-Defensins metabolism, Antimicrobial Peptides metabolism, Cathelicidins
- Abstract
Pemphigus foliaceus (PF) is a multifactorial skin disease. Substantial evidence for microbiota dysbiosis in skin disorders was gradually revealed. In PF patients' skin lesions, we characterized the profile of microbial communities and the expression of microbial peptides. Using real-time reverse transcriptase PCR and immunohistochemistry, skin lesions were analyzed for gene and protein expression of human β-defensin (hBD) 1, 2, and 3, cathelicidin (LL-37), RNAse-7, and psoriasin. Bacterial 16S rRNA gene sequencing was used for assessing skin microbial communities in 15 samples from PF patients' lesioned skin and 11 PF patients' non-lesioned skin. Gene expression of hBD 2 and 3 and psoriasin were significantly downregulated in skin samples from remittent patients compared to chronic or de novo diagnosed patients. Protein expression of hBD 2, Psoriasin, and LL-37 was increased in skin from de novo patients compared to skin from healthy donors showing markedly different distribution patterns. The skin microbial analysis revealed a substantial difference in microbiome diversity between lesioned and non-lesioned skin of de novo PF patients and, non-lesioned skin of remittent patients. In addition, microbiome diversity within samples of lesioned skin from de novo PF patients showed lower diversity with a lower abundance of specific bacterial genera, namely Dermabacter, Psychrobacter, and Bradyrhizobium. Thus, there is a noticeable over-representation of Staphylococcus and decreased richness in the bacterial communities of PF-active skin lesions. Our data supports the hypothesis that active skin lesions in PF patients exhibit alterations in skin bacterial diversity interlinked with increased expression of AMPs., Competing Interests: Declarations. Ethics approval and consent to participate: This case-control study was approved by the local ethical board of the Habib Bourguiba University Hospital of Sfax (protocol number of ethical committee, 4/12). The patients in this manuscript have given written informed consent to the publication of their case details. Bulleted statements: Accumulated knowledge suggests that several autoimmune processes are triggered by a disturbed microbiome, which in turn causes a dysregulated immune system that favors pro-inflammatory pathways. It has been gradually discovered that there may be a connection between gut microbiota and autoimmune bullous disorders. Pemphigus vulgaris and pemphigoid showed promising results. Nevertheless, the role of antimicrobial peptides (AMPs) and the skin microbiota in pemphigus foliaceus remains unclear. Our study comprehensively explains the AMP and skin microbiota in Tunisian endemic PF patients. A markedly different AMP distribution pattern was observed among PF-stratified patients. In addition, compared to non-lesioned skin, lesioned skin exhibited a reduced microbiome diversity and a lower abundance of specific bacterial genera, namely Dermabacter, Psychrobacter, and Bradyrhizobium. Thus, bacterial communities of PF active skin lesions show reduced richness and a notable over-representation of Staphyloccocaceae. Competing interests: The authors declare no competing interests., (© 2025. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2025
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