Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis

Vitiligo is an autoimmune skin disease with a complex pathogenesis closely linked to immune imbalance and oxidative stress. Currently, comprehensive curative treatments and effective relapse prevention strategies are lacking. Recently, the “gut-skin axis” hypothesis has offered new insights into the...

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Main Authors: Chuanjian Yuan, Lyuye Liu, Duorong Zeng, Jinxiang Yuan, Liyuan Guo, Junling Zhang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Microbiology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmicb.2025.1566267/full
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author Chuanjian Yuan
Lyuye Liu
Duorong Zeng
Jinxiang Yuan
Liyuan Guo
Junling Zhang
author_facet Chuanjian Yuan
Lyuye Liu
Duorong Zeng
Jinxiang Yuan
Liyuan Guo
Junling Zhang
author_sort Chuanjian Yuan
collection DOAJ
description Vitiligo is an autoimmune skin disease with a complex pathogenesis closely linked to immune imbalance and oxidative stress. Currently, comprehensive curative treatments and effective relapse prevention strategies are lacking. Recently, the “gut-skin axis” hypothesis has offered new insights into the pathological mechanisms of vitiligo. Studies indicate that gut microbiota and their metabolic products significantly affect disease progression by regulating immune homeostasis and inflammatory responses in the host. This review systematically examines the effects of short-chain fatty acids, secondary bile acids, and tryptophan metabolites on the human immune system and the inflammatory milieu, and their direct impact on melanocytes. Furthermore, considering the reduced diversity of gut microbiota in individuals with vitiligo, this article also evaluates methods including probiotic intervention, the Mediterranean diet, and fecal microbiota transplantation, which may emerge as potential therapeutic strategies for vitiligo by restoring microbiota balance. Future multidimensional therapeutic strategies that target gut microbiota metabolites show promise for pioneering innovative approaches in vitiligo management.
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publishDate 2025-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Microbiology
spelling doaj-art-a3c5e6d01a464c81a08723df1d2ab6c22025-07-09T05:37:13ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2025-07-011610.3389/fmicb.2025.15662671566267Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axisChuanjian Yuan0Lyuye Liu1Duorong Zeng2Jinxiang Yuan3Liyuan Guo4Junling Zhang5Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaGraduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaGraduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaGraduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, ChinaDepartment of Dermatology, Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine, Tianjin, ChinaDepartment of Dermatology, Affiliated Hospital of Tianjin Academy of Traditional Chinese Medicine, Tianjin, ChinaVitiligo is an autoimmune skin disease with a complex pathogenesis closely linked to immune imbalance and oxidative stress. Currently, comprehensive curative treatments and effective relapse prevention strategies are lacking. Recently, the “gut-skin axis” hypothesis has offered new insights into the pathological mechanisms of vitiligo. Studies indicate that gut microbiota and their metabolic products significantly affect disease progression by regulating immune homeostasis and inflammatory responses in the host. This review systematically examines the effects of short-chain fatty acids, secondary bile acids, and tryptophan metabolites on the human immune system and the inflammatory milieu, and their direct impact on melanocytes. Furthermore, considering the reduced diversity of gut microbiota in individuals with vitiligo, this article also evaluates methods including probiotic intervention, the Mediterranean diet, and fecal microbiota transplantation, which may emerge as potential therapeutic strategies for vitiligo by restoring microbiota balance. Future multidimensional therapeutic strategies that target gut microbiota metabolites show promise for pioneering innovative approaches in vitiligo management.https://www.frontiersin.org/articles/10.3389/fmicb.2025.1566267/fullvitiligogut microbiotashort-chain fatty acidssecondary bile acidstryptophan
spellingShingle Chuanjian Yuan
Lyuye Liu
Duorong Zeng
Jinxiang Yuan
Liyuan Guo
Junling Zhang
Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis
Frontiers in Microbiology
vitiligo
gut microbiota
short-chain fatty acids
secondary bile acids
tryptophan
title Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis
title_full Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis
title_fullStr Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis
title_full_unstemmed Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis
title_short Exploring the influence of gut microbiota metabolites on vitiligo through the gut-skin axis
title_sort exploring the influence of gut microbiota metabolites on vitiligo through the gut skin axis
topic vitiligo
gut microbiota
short-chain fatty acids
secondary bile acids
tryptophan
url https://www.frontiersin.org/articles/10.3389/fmicb.2025.1566267/full
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