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Our marvelous microbiota

How S. aureus bacteria are trying to get under your skin

Dysbiosis
The skin microbiota Skin disorders Allergic eczema

Understanding the mechanisms through which a simple skin bacterium can trigger itching is the key to preventing one of the steps and being able in the future to produce a simple cream that soothes the irresistible urge to scratch.

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About this article

Created 19 March 2024
Updated 15 May 2024

“Does it tickle, or does it itch?” Dr Knock’s famous question in Jules Romains’ play of the same name may have inspired the authors of a recent study. Their aim? To better understand the mechanisms that trigger  (sidenote: Itch Itch is an unpleasant sensation that evokes a desire to scratch. Itch originates in the nerve endings just beneath the skin, at dedicated receptors called pruriceptors. It then follows nerve pathways up to the brain, where it activates sensory (feeling the itch), emotional (wanting to scratch), and motor (actually scratching) brain areas.  
Source : Ameli
)
and the resulting irresistible urge to scratch. They achieved their results thanks to a series of experiments on mice and samples of human nerves and skin.

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From bacteria to scratching...

The focus of their research: the Staphylococcus aureus bacterium, widely present on our skin. Staphylococcus aureus feeds on the skin lesions of those prone to atopic dermatitis and plays a role in impetigo, a contagious skin disease feared in nurseries and kindergartens. To its resume can be added a direct involvement in pruritus, the scientific name for itching.

Its modus operandi has now been revealed: S. aureus produces a protein called V8, which binds to the skin receptor responsible for itching. By activating this receptor, V8 triggers an alert that travels via a nerve pathway to the brain. The response to the itch is immediate: scratching, often frantic, to the point of damaging the skin.

40 % of those surveyed said they had previously heard the term “skin microbiota” but only 15% could say precisely what it meant

Source:
The International Microbiota Observatory

... then to invasion or spread

Isn’t that exactly what the bacterium wanted? While not wanting to impart to a microorganism any sinister intentions, all of this clearly suits Staphylococcus aureus: scratching is the perfect way for it to reach new tissue, such as the hand or paw used to relieve the itch, or even new individuals, if they happen to be close enough to the skin being scratched. Better still, the lesion induced by scratching is a chance for the bacteria to penetrate a little deeper into the skin. In short, whether through spread or invasion, S. aureus has everything to gain by making us scratch.

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Relieving itchy skin

However, this study also paves the way for possible therapeutic solutions to relieve itching and save your skin. A simple cream containing a molecule that can block the famed nerve receptor should help reduce itching. Another promising option is to target protease V8. All ways to treat itchy skin.

Sources

Deng L, Costa F, Blake KJ et al. S. aureus drives itch and scratch-induced skin damage through a V8 protease-PAR1 axis. Cell. 2023 Nov 22;186(24):5375-5393.e25. doi: 10.1016/j.cell.2023.10.019

Tags
Dysbiosis Skin microbiota Gut-skin axis Microbiome Flora

    See also

    Actu PRO : Dermatite atopique : les microbiotes nasal et cutané associés à la sévérité Atopic dermatitis: the skin microbiome has an accomplice!
    Actu GP : Eczéma + staphylocoque doré = risque accru d’allergies alimentaires ? Eczema + Staphylococcus Aureus = increased risk of food allergy?
    Created 19 March 2024
    Updated 15 May 2024

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