Targeting the gut‐skin axis—Probiotics as new tools for skin disorder management?
Open accessAbstract
The existence of a gut-skin axis is supported by increasing evidence, but its translational potential is not widely recognized. Studies linked inflammatory skin diseases to an imbalanced gut microbiome; hence, the modulation of the gut microbiota to improve skin condition seems to be a feasible approach. Today, there is a growing interest in natural products as alternatives to synthetic drugs. In this respect, oral probiotics could be a simple, safe and cheap modality in the therapeutic management of skin inflammation. Unfortunately, very few studies have looked into how probiotic supplementation influences inflammatory skin disorders. The result, though promising, are difficult to implement in clinical practice due to the heterogeneity of the applied supplemental regimen in the different studies. In this Viewpoint, we aim to encourage the conduction of more research in that direction to explore unambiguously the therapeutic potential of oral probiotics in dermatology. We focus on the most common inflammatory skin diseases (atopic dermatitis, psoriasis, rosacea, acne vulgaris) with an associated gut dysbiosis, but we also discuss some less common, but very serious skin pathologies (eg erythema nodosum, pyoderma gangrenosum, hidradenitis suppurativa) that are possibly linked to a disturbed gut flora composition. We dissect the possible mechanisms along the gut-skin axis and highlight novel points where probiotics could interfere in this communication in the diseased state.
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Oral probiotics significantly improve the condition of patients with psoriasis in clinical studies.
“Also, there are clinical studies in which the effects of oral probiotics on psoriasis were described, and these effects were found to significantly improve the condition of the patients [134].”
From The Potential Impact of Probiotics on Human Health: An Update on Their Health-Promoting Properties (2024) · cites this paper as [134]
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Gut Microbiome in Psoriasis: An Updated Review
Sikora, M., Stec, A., Chrabaszcz, M., Knot, A., Waskiel-Burnat, A., Rakowska, A., Olszewska, M., & Rudnicka, L. (2020) · Pathogens · doi:10.3390/pathogens9060463 · Cited by 118 · see citing works
Non-Melanoma Skin Cancer: news from microbiota research
Squarzanti, D. F., Zavattaro, E., Pizzimenti, S., Amoruso, A., Savoia, P., & Azzimonti, B. (2020) · Critical Reviews in Microbiology · doi:10.1080/1040841x.2020.1794792 · Cited by 40 · see citing works
Mollazadeh-Narestan, Z., Yavarikia, P., Homayouni-Rad, A., Samadi Kafil, H., Mohammad-Alizadeh-Charandabi, S., Gholizadeh, P., & Mirghafourvand, M. (2023) · Probiotics and Antimicrobial Proteins · doi:10.1007/s12602-022-09997-3 · Cited by 29 · see citing works
Merk, V. M., Phan, T. S., & Brunner, T. (2021) · Frontiers in Immunology · doi:10.3389/fimmu.2021.672808 · Cited by 27 · see citing works
- Authors
- Szántó, M., Dózsa, A., Antal, D., Szabó, K., Kemény, L., & Bai, P.
- Affiliations
- University of Debrecen (HU)
- Borsod-Abaúj-Zemplén Megyei Kórház és Egyetemi Oktató Kórház (HU)
- University of Szeged (HU)
- Corresponding author
- Szántó, Magdolna
- Bai, Péter
- Venue
- Experimental Dermatology
- Publisher
- Wiley
- Published
- 2019-08-28
- Volume
- 28
- Issue
- 11
- Pages
- 1210-1218
- ISSN
- 0906-6705 (ISSN-L)
- 1600-0625
- OpenAlex
- W2965164867
- Cited by
- 189
- References
- 118
- Citations by year
- 2026: 19 · 2025: 30 · 2024: 27 · 2023: 29 · 2022: 37 · 2021: 30 · 2020: 14 · 2019: 3
- FWCI
- 16.20
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Experimental Dermatology (publishedVersion)
- PubMed (publishedVersion)
- SZTE Publicatio Repozitórium (University of Szeged) (acceptedVersion)
- Repository of the Academy's Library (Library of the Hungarian Academy of Sciences) (acceptedVersion)
- University of Debrecen Electronic Archive (University of Debrecen) (submittedVersion)
- Funders
- Nemzeti Kutatási Fejlesztési és Innovációs Hivatal (K123975, PD121138, GINOP‐2.3.2‐15‐2016‐00006, GINOP‐2.3.2‐15‐2016‐00015, EFOP_363_VEKOP_16201700009)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- gut-skin axis, oral probiotics, gut microbiota, inflammatory skin diseases, atopic dermatitis, psoriasis, rosacea, acne, erythema nodosum, pyoderma gangrenosum, hidradenitis suppurativa, gut dysbiosis, probiotic mechanisms of action
- MeSH terms
- Gastrointestinal Microbiome, Humans, Skin Diseases, Probiotics
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