What lives on our skin: ecology, genomics and therapeutic opportunities of the skin microbiome
Open accessAbstract
Our skin is home to a rich community of microorganisms. Recent advances in sequencing technology have allowed more accurate enumeration of these human-associated microbiota and investigation of their genomic content. Staphylococcus, Corynebacterium and Propionibacterium represent the dominant bacterial genera on skin and illustrate how bacteria adapt to life in this harsh environment and also provide us with unique benefits. In healthy states, our skin peacefully co-exists with commensal bacteria while fending off potentially dangerous invaders. Disruption of this equilibrium, termed "dysbiosis", can result from changes in the composition of our skin bacteria, an altered immune response to them, or both and may be a driving factor in certain types of inflammatory skin disease. Engineering topical therapeutics to favourably influence the composition of our skin flora and optimize interactions with them represents a real therapeutic opportunity for the field of dermatology and warrants additional investigation into skin microbial ecology and disease mechanisms related to host-microbe dysbiosis.
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Sebaceous glands produce triglycerides, free fatty acids, and waxes that provide additional nutrients for microbial metabolism and growth.
“Sebaceous glands produce triglycerides, free fatty acids, and waxes that also provide additional nutrients for metabolism and growth (28).”
From <i>Candida auris</i> metabolism and growth preferences in physiologically relevant skin-like conditions (2026) · cites this paper as [28]
The Key Players sections on Corynebacterium and Propionibacterium say that microbes obtain nutrients from lipid-rich sebum, supporting the general nutrient claim. Our copy does not specify that sebaceous glands produce triglycerides, free fatty acids, and waxes, or establish that each of those components provides microbial nutrients. No page numbers are available in our copy. (LLM, conf=0.86)
Experimental — accuracy not yet measuredSweat glands secrete glucose, amino acids, salts, and other nutrients that microorganisms can use to metabolize and grow.
“Sweat glands (eccrine and apocrine) secrete glucose, amino acids, salts, and other nutrients that microorganisms can use to metabolize and grow (28).”
From <i>Candida auris</i> metabolism and growth preferences in physiologically relevant skin-like conditions (2026) · cites this paper as [28]
The Key Players > Staphylococcus says sweat contains salt and urea that bacteria may use as a nitrogen source; The Key Players > Corynebacterium says some bacteria rely on vitamins in sweat for survival. The paper does not state that eccrine and apocrine glands secrete glucose or amino acids for microbial growth. Page numbers are unavailable in our copy. (LLM, conf=0.86)
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Establishing Tolerance to Commensal Skin Bacteria
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The applications of 3D printing in wound healing: The external delivery of stem cells and antibiosis
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Dermatological Health in the Light of Skin Microbiome Evolution
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Early life host-microbe interactions in skin
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Marine mammal skin microbiotas are influenced by host phylogeny
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Do the Microbiota Influence Vaccines and Protective Immunity to Pathogens?Preprint
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Bacteria Display Differential Growth and Adhesion Characteristics on Human Hair Shafts
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Promising Essential Oils/Plant Extracts in the Prevention and Treatment of Dandruff Pathogenesis
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Metagenomic Assay for Identification of Microbial Pathogens in Tumor Tissues
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Therapeutic Potential of an Endolysin Derived from Kayvirus S25-3 for Staphylococcal Impetigo
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Cobamide Sharing Is Predicted in the Human Skin Microbiome
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Secretory Proteases of the Human Skin Microbiome
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Skin microbiota interact with microbes on office surfaces
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Skin microbiome attributes associate with biophysical skin ageing
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Behaviour and sun exposure in holidaymakers alters skin microbiota composition and diversity
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Human Microbiome Engineering: The Future and Beyond
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The Cutaneous Microbiome: Implications for Dermatology Practice
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Is the skin microbiota a modifiable risk factor for breast disease?: A systematic review
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Impact of Kangaroo Mother Care on Skin Microbiome of Very Preterm Infants - A Pilot Study
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Microecology in vitro model replicates the human skin microbiome interactions
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- Authors
- Scharschmidt, T. C., & Fischbach, M. A.
- Affiliations
- University of California, San Francisco (US)
- Corresponding author
- Scharschmidt, Tiffany C.
- Venue
- Drug Discovery Today: Disease Mechanisms
- Publisher
- Elsevier BV
- Published
- 2013-12
- Volume
- 10
- Issue
- 3-4
- Pages
- e83-e89
- ISSN
- 1740-6765 (ISSN-L)
- PMC
- PMC3833721
- OpenAlex
- W1971075491
- Cited by
- 215
- References
- 50
- Citations by year
- 2026: 15 · 2025: 20 · 2024: 22 · 2023: 35 · 2022: 34 · 2021: 27 · 2020: 9 · 2019: 11 · 2018: 8 · 2017: 11 · 2016: 10 · 2015: 5 · 2014: 7 · 2013: 1
- FWCI
- 9.00
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Drug Discovery Today Disease Mechanisms (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- David and Lucile Packard Foundation
- W. M. Keck Foundation
- Dermatology Foundation
- National Institutes of Health (1dp2od007290-01, UL1TR001120, 8ul1tr000149-05)
- National Institute of Allergy and Infectious Diseases (R01AI101018)
- National Center for Research Resources (M01RR001346)
- National Center for Advancing Translational Sciences (UL1-TR000149)
- Topics
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Health Sciences › Medicine › Dermatology › Contact Dermatitis and Allergies
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Keywords
- skin microbiome, commensal bacteria, Staphylococcus, Corynebacterium, Propionibacterium, dysbiosis, host-microbe interactions, inflammatory skin diseases
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