SKIN ALLERGY: Edited by Thomas Werfel and Torsten ZuberbierMicrobiome and skin biologyLunjani, Nonhlanhlaa,b; Hlela, Carolb; O’Mahony, Liama,c Author Information aAPC Microbiome Ireland, University College Cork, Cork, Ireland bDepartment of Dermatology, University of Cape Town, Cape Town, South Africa cDepartment of Medicine and Microbiology, University College Cork, Cork, Ireland Correspondence to Liam O’Mahony, Office 450, 4th Floor Food Science and Technology Building, University College Cork, Cork, Ireland. Tel: +353 21 4901316; e-mail: [email protected] Current Opinion in Allergy and Clinical Immunology: August 2019 - Volume 19 - Issue 4 - p 328-333 doi: 10.1097/ACI.0000000000000542 Buy Metrics Abstract Purpose of review The skin is home to a diverse milieu of bacteria, fungi, viruses, bacteriophages, and archaeal communities. The application of culture-independent approaches has revolutionized the characterization of the skin microbiome and have revealed a previously underappreciated phylogenetic and functional granularity of skin-associated microbes in both health and disease states. Recent findings The physiology of a given skin-niche drives the site-specific differences in bacterial phyla composition of healthy skin. Changes in the skin microbiome have consistently been associated with atopic dermatitis. In particular, Staphylococcus aureus overgrowth with concomitant decline in Staphylococcus epidermidis is a general feature associated with atopic dermatitis and is not restricted to eczematous lesions. Changes in fungal species are now also being described. Changes in the composition and metabolic activity of the gut microbiota are associated with skin health. Summary We are now beginning to appreciate the intimate and intricate interactions between microbes and skin health. Multiple studies are currently focused on the manipulation of the skin or gut microbiome to explore their therapeutic potential in the prevention and treatment of skin inflammation. Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.