Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study

Abstract Background Previous observational studies have indicated a correlation between the skin microbiome and Type 2 diabetes (T2DM). It is hypothesized that this causal relationship may be influenced by inflammatory responses. However, these factors as determinants of T2DM remain largely unexplor...

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Main Authors: Zhe Zhang, Chunyu Jiang, Yi-qi Xing, Tianke Yang, Linxuan Zou, Zhuqiang Jia, Lin Zhao, Xin Han, Xueling Qu, Zhen Zhang, Junwei Zong, Shouyu Wang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:Nutrition & Metabolism
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Online Access:https://doi.org/10.1186/s12986-025-00922-3
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author Zhe Zhang
Chunyu Jiang
Yi-qi Xing
Tianke Yang
Linxuan Zou
Zhuqiang Jia
Lin Zhao
Xin Han
Xueling Qu
Zhen Zhang
Junwei Zong
Shouyu Wang
author_facet Zhe Zhang
Chunyu Jiang
Yi-qi Xing
Tianke Yang
Linxuan Zou
Zhuqiang Jia
Lin Zhao
Xin Han
Xueling Qu
Zhen Zhang
Junwei Zong
Shouyu Wang
author_sort Zhe Zhang
collection DOAJ
description Abstract Background Previous observational studies have indicated a correlation between the skin microbiome and Type 2 diabetes (T2DM). It is hypothesized that this causal relationship may be influenced by inflammatory responses. However, these factors as determinants of T2DM remain largely unexplored. Method This study incorporated data from the GWAS database on the skin microbiome, 91 types of inflammatory cytokines, and T2DM. We employed two-sample MR and multivariable MR methods to assess the correlation between the skin microbiome and T2DM, and to investigate whether this correlation is affected by inflammatory cytokines. Results The results of the two-sample MR analysis indicate that within the skin microbiome, genetically predicted genus: Acinetobacter, class: Alphaproteobacteria, genus: Bacteroides, ASV005[Propionibacterium granulosum], and ASV072[Rothia mucilaginosa] are associated with an increased risk of T2DM, while phylum: Proteobacteria, genus: Enhydrobacter, family: Clostridiales, ASV006[Staphylococcus hominis] serve as protective factors against T2DM. Among the inflammatory cytokines, levels of Macrophage colony-stimulating factor 1, Tumor necrosis factor receptor superfamily member 9, Urokinase-type plasminogen activator, and C–C motif chemokine 28 are associated with an increased risk of T2DM. Multivariable MR analysis further revealed that Macrophage colony-stimulating factor 1 levels act as a mediating factor between ASV072[Rothia mucilaginosa] and T2DM. Conclusion In this study, we found a connection between the skin microbiome and T2DM, with inflammatory cytokines playing a key role in this relationship. This research helps us better understand this complex link and shows that addressing inflammation is important for preventing and treating diabetes. This could greatly benefit public health by reducing the impact of diabetes and its complications. Our results suggest that future studies should explore the specific biological interactions between the skin microbiome and diabetes to develop more effective risk management and treatment strategies from a microbial perspective.
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spelling doaj-art-112b3b7829a14d72aec69f2c3582f1932025-08-20T02:11:46ZengBMCNutrition & Metabolism1743-70752025-04-0122111610.1186/s12986-025-00922-3Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization studyZhe Zhang0Chunyu Jiang1Yi-qi Xing2Tianke Yang3Linxuan Zou4Zhuqiang Jia5Lin Zhao6Xin Han7Xueling Qu8Zhen Zhang9Junwei Zong10Shouyu Wang11Department of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityDepartment of Trauma Surgery, The Second Affiliated Hospital of Harbin Medical UniversityDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityThe First Affiliated Hospital of Dalian Medical UniversityDepartment of Quality Management, Dalian Municipal Central HospitalDepartment of Orthopaedic Surgery, The Second Affiliated Hospital of Dalian Medical UniversityPelvic Floor Repair Center, Dalian Women and Children Medical Center (Group)Department of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityDepartment of Orthopaedic Surgery, The First Affiliated Hospital of Dalian Medical UniversityAbstract Background Previous observational studies have indicated a correlation between the skin microbiome and Type 2 diabetes (T2DM). It is hypothesized that this causal relationship may be influenced by inflammatory responses. However, these factors as determinants of T2DM remain largely unexplored. Method This study incorporated data from the GWAS database on the skin microbiome, 91 types of inflammatory cytokines, and T2DM. We employed two-sample MR and multivariable MR methods to assess the correlation between the skin microbiome and T2DM, and to investigate whether this correlation is affected by inflammatory cytokines. Results The results of the two-sample MR analysis indicate that within the skin microbiome, genetically predicted genus: Acinetobacter, class: Alphaproteobacteria, genus: Bacteroides, ASV005[Propionibacterium granulosum], and ASV072[Rothia mucilaginosa] are associated with an increased risk of T2DM, while phylum: Proteobacteria, genus: Enhydrobacter, family: Clostridiales, ASV006[Staphylococcus hominis] serve as protective factors against T2DM. Among the inflammatory cytokines, levels of Macrophage colony-stimulating factor 1, Tumor necrosis factor receptor superfamily member 9, Urokinase-type plasminogen activator, and C–C motif chemokine 28 are associated with an increased risk of T2DM. Multivariable MR analysis further revealed that Macrophage colony-stimulating factor 1 levels act as a mediating factor between ASV072[Rothia mucilaginosa] and T2DM. Conclusion In this study, we found a connection between the skin microbiome and T2DM, with inflammatory cytokines playing a key role in this relationship. This research helps us better understand this complex link and shows that addressing inflammation is important for preventing and treating diabetes. This could greatly benefit public health by reducing the impact of diabetes and its complications. Our results suggest that future studies should explore the specific biological interactions between the skin microbiome and diabetes to develop more effective risk management and treatment strategies from a microbial perspective.https://doi.org/10.1186/s12986-025-00922-3Skin microbiotaT2DMInflammatory responsesMediating factorMendelian randomization
spellingShingle Zhe Zhang
Chunyu Jiang
Yi-qi Xing
Tianke Yang
Linxuan Zou
Zhuqiang Jia
Lin Zhao
Xin Han
Xueling Qu
Zhen Zhang
Junwei Zong
Shouyu Wang
Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study
Nutrition & Metabolism
Skin microbiota
T2DM
Inflammatory responses
Mediating factor
Mendelian randomization
title Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study
title_full Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study
title_fullStr Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study
title_full_unstemmed Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study
title_short Unveiling the interplay among skin microbiota, cytokines, and T2DM: an insightful Mendelian randomization study
title_sort unveiling the interplay among skin microbiota cytokines and t2dm an insightful mendelian randomization study
topic Skin microbiota
T2DM
Inflammatory responses
Mediating factor
Mendelian randomization
url https://doi.org/10.1186/s12986-025-00922-3
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