Skin microbiota and diabetic foot ulcers

Skin microbiota is the microbial population on the skin surface, which has a symbiotic relationship with the host skin and plays an important role in maintaining skin health and regulating immune responses. In patients with diabetic foot ulcers (DFUs), the skin microbiota is unbalanced. The abundanc...

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Main Authors: Jiaqi Lou, Ziyi Xiang, Xiaoyu Zhu, Jiliang Li, Guoying Jin, Shengyong Cui, Neng Huang, Xin Le, Youfen Fan, Qionghui Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2025.1575081/full
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author Jiaqi Lou
Ziyi Xiang
Xiaoyu Zhu
Jiliang Li
Guoying Jin
Shengyong Cui
Neng Huang
Xin Le
Youfen Fan
Qionghui Sun
author_facet Jiaqi Lou
Ziyi Xiang
Xiaoyu Zhu
Jiliang Li
Guoying Jin
Shengyong Cui
Neng Huang
Xin Le
Youfen Fan
Qionghui Sun
author_sort Jiaqi Lou
collection DOAJ
description Skin microbiota is the microbial population on the skin surface, which has a symbiotic relationship with the host skin and plays an important role in maintaining skin health and regulating immune responses. In patients with diabetic foot ulcers (DFUs), the skin microbiota is unbalanced. The abundance of pathogenic bacteria such as Staphylococcus aureus and Pseudomonas aeruginosa increases, forming biofilms, destroying the skin barrier function, aggravating infection, and leading to poor wound healing. Studies have shown that the diversity of skin microbiota is positively correlated with the severity of ulcers, and regulating its composition and function may be an important strategy to improve DFUs healing. In recent years, with the development of molecular biology technology, progress has been made in the study of skin microbiota, such as 16S rRNA gene sequencing technology to understand its composition changes and explore the interaction mechanism with the host immune system. Based on this, some new therapeutic approaches are being explored, such as the use of probiotics or antibacterial drugs to modulate the composition of the microbiota and the development of microbiota-based personalized treatment regimens. However, there are still challenges in current research. For example, the composition and function of skin microbiota are affected by many factors, and there are relatively few studies on other microorganisms such as fungi and viruses. In the future, it is necessary to further explore its diversity and the interaction mechanism with the host, and develop more effective treatment methods to improve the prognosis of patients with DFUs.
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publisher Frontiers Media S.A.
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spelling doaj-art-1ec929a951ad4e1da770749b5308a07b2025-08-20T03:59:22ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2025-07-011610.3389/fmicb.2025.15750811575081Skin microbiota and diabetic foot ulcersJiaqi Lou0Ziyi Xiang1Xiaoyu Zhu2Jiliang Li3Guoying Jin4Shengyong Cui5Neng Huang6Xin Le7Youfen Fan8Qionghui Sun9Burn Department, Ningbo No.2 Hospital, Ningbo, ChinaInstitute of Pathology, Faculty of Medicine, University of Bonn, Bonn, GermanyHealth Science Center, Ningbo University, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaBurn Department, Ningbo No.2 Hospital, Ningbo, ChinaSkin microbiota is the microbial population on the skin surface, which has a symbiotic relationship with the host skin and plays an important role in maintaining skin health and regulating immune responses. In patients with diabetic foot ulcers (DFUs), the skin microbiota is unbalanced. The abundance of pathogenic bacteria such as Staphylococcus aureus and Pseudomonas aeruginosa increases, forming biofilms, destroying the skin barrier function, aggravating infection, and leading to poor wound healing. Studies have shown that the diversity of skin microbiota is positively correlated with the severity of ulcers, and regulating its composition and function may be an important strategy to improve DFUs healing. In recent years, with the development of molecular biology technology, progress has been made in the study of skin microbiota, such as 16S rRNA gene sequencing technology to understand its composition changes and explore the interaction mechanism with the host immune system. Based on this, some new therapeutic approaches are being explored, such as the use of probiotics or antibacterial drugs to modulate the composition of the microbiota and the development of microbiota-based personalized treatment regimens. However, there are still challenges in current research. For example, the composition and function of skin microbiota are affected by many factors, and there are relatively few studies on other microorganisms such as fungi and viruses. In the future, it is necessary to further explore its diversity and the interaction mechanism with the host, and develop more effective treatment methods to improve the prognosis of patients with DFUs.https://www.frontiersin.org/articles/10.3389/fmicb.2025.1575081/fullskin microbiotadiabetic foot ulcersStaphylococcusPseudomonasmicroorganisms
spellingShingle Jiaqi Lou
Ziyi Xiang
Xiaoyu Zhu
Jiliang Li
Guoying Jin
Shengyong Cui
Neng Huang
Xin Le
Youfen Fan
Qionghui Sun
Skin microbiota and diabetic foot ulcers
Frontiers in Microbiology
skin microbiota
diabetic foot ulcers
Staphylococcus
Pseudomonas
microorganisms
title Skin microbiota and diabetic foot ulcers
title_full Skin microbiota and diabetic foot ulcers
title_fullStr Skin microbiota and diabetic foot ulcers
title_full_unstemmed Skin microbiota and diabetic foot ulcers
title_short Skin microbiota and diabetic foot ulcers
title_sort skin microbiota and diabetic foot ulcers
topic skin microbiota
diabetic foot ulcers
Staphylococcus
Pseudomonas
microorganisms
url https://www.frontiersin.org/articles/10.3389/fmicb.2025.1575081/full
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AT guoyingjin skinmicrobiotaanddiabeticfootulcers
AT shengyongcui skinmicrobiotaanddiabeticfootulcers
AT nenghuang skinmicrobiotaanddiabeticfootulcers
AT xinle skinmicrobiotaanddiabeticfootulcers
AT youfenfan skinmicrobiotaanddiabeticfootulcers
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