Evidence map›Paper›PMID 42800844›Full record

ArticleCurrent microbiology2026

Whole Genome Sequencing Reveals Antibiotic Resistance Heterogeneity and Metabolic Signatures of Cutibacterium acnes in Atopic Dermatitis.

Tianze Yu, Yuwen Gao, Xiaoqiang Xu, Yang Liu, Xu Yao, Shi Wu, Wei Li

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Article in Current microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Tianze Yu *Department of Dermatology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Yuwen Gao *Department of Allergy and Rheumatology, Jiangsu Provincial Key Laboratory of Dermatology, Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, Jiangsu, China.
Xiaoqiang XuDepartment of Dermatology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China.
Yang Liu01life Institute, Shenzhen, 518000, China.
Xu YaoDepartment of Allergy and Rheumatology, Jiangsu Provincial Key Laboratory of Dermatology, Hospital for Skin Diseases, Institute of Dermatology, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, 210042, Jiangsu, China. dryao_xu@126.com.
Shi WuInstitute of Antibiotics, Huashan Hospital, Fudan University, Shanghai, 200040, China. wu_shi@fudan.edu.cn.
Wei LiDepartment of Dermatology, Huashan Hospital, Fudan University, 12 Wulumuqi Middle Road, Shanghai, 200040, China. liweiderma@fudan.edu.cn.

Funding

Clinical Research Funding of Shanghai Municipal Health Commission 202440121Clinical Research Plan of Shanghai Shenkang Hospital Development Center SHDC22022302Hangzhou Municipal Natural Science Foundation 2025SZRJJ0718Key Project of the Innovation Program of Shanghai Municipal Education Commission 2021-01-07-00-07-E00078National Natural Science Foundation of China 82273531National Natural Science Foundation of China 82330098Program of Shanghai Academic/Technology Research Leader 23XD1400400Shanghai Municipal Commission of Science and Technology 23Y31920300Shanghai Municipal Health and Family Planning Commission No. 2023ZZ02018Shanghai Municipal Key Clinical Specialty No-shslczdzk01002
6 · The paper itself

Abstract

Cutibacterium acnes (C. acnes), the most abundant microbe of the skin microbiota, has been reported playing a protective role in atopic dermatitis (AD), in contrast to its proinflammatory role in acne. While antibiotic resistance in C. acnes has been extensively studied in acne, little is known about its characteristics in AD. Here, we performed an integrated genomic and functional analysis of 405 AD-derived C. acnes isolates using whole genome sequencing (WGS) and antimicrobial susceptibility testing. The result showed that antibiotic resistance genes (ARGs) were highly clustered within specific individuals and phylogenetic subtypes of C. acnes, with erm(X) being the most prevalent determinant conferring cross-resistance to erythromycin and clindamycin. To verify the high genotype-phenotype concordance (95.45%) of erythromycin and clindamycin resistance of 110 ARGs-carried C. acnes isolates, minimum inhibitory concentration (MIC) was performed. AD isolates exhibited low-level acquired resistance to tetracyclines, chloramphenicol, and fusidic acid, indicating distinct antibiotic exposure pressures in AD patients. Comparative genomic analysis and genome-wide association study both showed that metabolism and quorum sensing related pathways were enriched in pan-genome of ARG-containing strains. These findings suggest that resistance in AD-associated C. acnes is linked to metabolic adaptations that may facilitate survival in the AD skin environment. Together, these findings provide a genomic and functional framework for understanding the antibiotic resistance of AD-associated C. acnes, underscoring the need for careful antibiotic stewardship in AD management.

Indexed as

Anti-Bacterial AgentsDermatitis, AtopicDrug Resistance, BacterialGram-Positive Bacterial InfectionsPropionibacterium acnesGenome, BacterialHumansMicrobial Sensitivity TestsPhylogenySkin MicrobiomeWhole Genome SequencingAnti-Bacterial Agents

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.