New research confirms correlation of common bacteria (including MRSA) and eczema
July 25, 2016 – Biotechnology –
25 July 2016: A new study published in the British Journal of Dermatology1 has shown that, on average, 70% of eczema patients are colonised with Staphylococcus aureus bacteria (S. aureus,
including MRSA) on their skin lesions. Patients with more severe
disease had a greater risk of being colonised. These results provide an
indication of the importance of colonisation as a possible trigger in
eczema.
The systematic review from Erasmus MC University looked
at 95 observational studies comprising over 9000 patients.
Interestingly, 39% of eczema patients carried S. aureus on
healthy skin, compared with 70% that carried it on lesional skin where
the dermatitis is present. This is an almost twenty-fold increase
compared to healthy controls.
In addition, up to 80% of eczema
patients were found to have a strain of S. aureus that produced a toxin.
These toxins have been known to stimulate the inflammatory response,
contributing to the skin barrier defects in eczema, and may therefore be
a primary trigger of the condition.
Currently, eczema is mainly
treated with corticosteroids and in the case of infection, with
antibiotics. However, these drugs can result in side effects,
drug-resistance and damage to the skinís normal beneficial bacteria,
making them unsuitable for long-term use.
Professor of
Paediatric Dermatology at the Erasmus MC University Suzanne Pasmans, and
senior author of the paper said: ‘This review demonstrates the
importance of colonisation with S. aureus, as a factor in the pathogenesis of atopic dermatitis. To decipher the exact role of S. aureus, studies using targeted antistaphylococcal therapy for the skin need to be done.”
Micreos,
a Dutch biotech company who helped fund the review, is leading the way
with the development of Staphefekt™, a bacteria-killing enzyme, or
endolysin, specific to S. aureus, which is as effective in killing MRSA as other strains of S. aureus.
The
mechanism of action of endolysins is unrelated to that of antibiotics,
so even resistant bacteria, such as MRSA, are susceptible. Staphefekt™
is the first endolysin registered for use on the skinís microbiome, and
is currently used as the active compound in Gladskin (a range of topical
creams and gels for inflammatory skin conditions, such as eczema).
Unlike
antibiotics, bacterial resistance to Staphefekt has not been observed
or expected, and its specificity means beneficial bacteria are
preserved, making it suitable for long-term daily use.
Prof
Pasmans added: “We have just enrolled the first patients in a
prospective, randomised, placebo controlled trial using Gladskin. This
study will provide insight in the effects of targeted S. aureus elimination on the overall skin-microbiome and clinical symptoms of eczema’.
