Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review

Cutaneous squamous cell carcinoma (cSCC) is a common type of skin cancer and the second most common type of nonmelanoma skin cancer. Actinic keratosis (AK) is a premalignant lesion that can progress to cSCC over time. AK and cSCC are associated with microbial dysbiosis and an increased abundance of...

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Main Authors: Nilay Duman, Göktürk Oraloğlu, Deniz Ece, Ayse Caner
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Dermatologica Sinica
Subjects:
Online Access:https://journals.lww.com/10.4103/ds.DS-D-24-00248
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author Nilay Duman
Göktürk Oraloğlu
Deniz Ece
Ayse Caner
author_facet Nilay Duman
Göktürk Oraloğlu
Deniz Ece
Ayse Caner
author_sort Nilay Duman
collection DOAJ
description Cutaneous squamous cell carcinoma (cSCC) is a common type of skin cancer and the second most common type of nonmelanoma skin cancer. Actinic keratosis (AK) is a premalignant lesion that can progress to cSCC over time. AK and cSCC are associated with microbial dysbiosis and an increased abundance of the bacterium Staphylococcus aureus. Although AK and cSCC are highly colonized with S. aureus, a bacterium of the skin microbiota, it is not yet known whether this bacterium is associated with cancer development. Here, we analyze the studies on the relationship between S. aureus and keratinocytic skin neoplasia, evaluating the contribution of S. aureus to the development and prognosis of cSCC and AK lesions. The overabundance of S. aureus and the compounds secreted by this bacterium can induce cancer-promoting changes in skin cells. The presence of high amounts of certain S. aureus strains in premalignant skin lesions may constitute a protumorigenic stimulus by inducing oxidative stress and DNA damage and downregulating DNA repair mechanisms. S. aureus associated with AK and cSCC can trigger keratinocytes to produce inflammatory cytokines typically upregulated in cSCC. These circumstances also suggest a potential specific involvement of S. aureus in the progression from AK to cSCC.
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publishDate 2025-04-01
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series Dermatologica Sinica
spelling doaj-art-fa9a5198c6fa4dd1bb7f8a4b60dd5c272025-08-20T02:02:25ZengWolters Kluwer Medknow PublicationsDermatologica Sinica1027-81172223-330X2025-04-0143210010610.4103/ds.DS-D-24-00248Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative reviewNilay DumanGöktürk OraloğluDeniz EceAyse CanerCutaneous squamous cell carcinoma (cSCC) is a common type of skin cancer and the second most common type of nonmelanoma skin cancer. Actinic keratosis (AK) is a premalignant lesion that can progress to cSCC over time. AK and cSCC are associated with microbial dysbiosis and an increased abundance of the bacterium Staphylococcus aureus. Although AK and cSCC are highly colonized with S. aureus, a bacterium of the skin microbiota, it is not yet known whether this bacterium is associated with cancer development. Here, we analyze the studies on the relationship between S. aureus and keratinocytic skin neoplasia, evaluating the contribution of S. aureus to the development and prognosis of cSCC and AK lesions. The overabundance of S. aureus and the compounds secreted by this bacterium can induce cancer-promoting changes in skin cells. The presence of high amounts of certain S. aureus strains in premalignant skin lesions may constitute a protumorigenic stimulus by inducing oxidative stress and DNA damage and downregulating DNA repair mechanisms. S. aureus associated with AK and cSCC can trigger keratinocytes to produce inflammatory cytokines typically upregulated in cSCC. These circumstances also suggest a potential specific involvement of S. aureus in the progression from AK to cSCC.https://journals.lww.com/10.4103/ds.DS-D-24-00248actinic keratosiscancercutaneous squamous cell carcinomaskin microbiomestaphylococcus aureus
spellingShingle Nilay Duman
Göktürk Oraloğlu
Deniz Ece
Ayse Caner
Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review
Dermatologica Sinica
actinic keratosis
cancer
cutaneous squamous cell carcinoma
skin microbiome
staphylococcus aureus
title Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review
title_full Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review
title_fullStr Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review
title_full_unstemmed Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review
title_short Staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma: A narrative review
title_sort staphylococcus aureus as a signature species of skin microbiome in actinic keratosis and squamous cell carcinoma a narrative review
topic actinic keratosis
cancer
cutaneous squamous cell carcinoma
skin microbiome
staphylococcus aureus
url https://journals.lww.com/10.4103/ds.DS-D-24-00248
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