Full article
- Preliminary characterization of the skin microbiota in basal cell carcinoma: An exploratory pilot study in Korean patients
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Hye Lim Keum, Woo Jun Sul, Suyeon Kim, In-Young Chung, Ara Koh, Hei Sung Kim
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Received November 14, 2025 Accepted December 23, 2025 Published online February 13, 2026
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DOI: https://doi.org/10.71150/jm.2511012
[Epub ahead of print]
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Abstract
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Basal cell carcinoma (BCC) is the most common form of skin cancer, with ultraviolet radiation recognized as the primary environmental driver; however, the potential contribution of alterations in the skin microbiota remains incompletely understood, particularly in Asian populations. This exploratory pilot study describes bacterial community patterns in BCC lesions compared with contralateral clinically normal skin in 20 Korean patients. Lesional and contralateral samples were obtained using paired skin swabs and punch biopsies and analyzed by full-length 16S rRNA gene sequencing, with targeted quantitative PCR (qPCR) of the roxP antioxidant gene of Cutibacterium acnes. Given the low-biomass nature of skin samples and the exploratory design, analyses focused on descriptive trends rather than confirmatory inference.
Across available samples, C. acnes was the dominant taxon, with a trend toward lower relative abundance in BCC lesions, particularly in biopsy-derived datasets. Microbial evenness appeared higher in lesions than controls. Predictive functional profiling suggested reduced representation of vitamin B6 metabolism pathways in lesions, while qPCR analysis of swab samples showed a trend toward lower roxP/16S rRNA ratios in BCC-associated microbiota. These findings should be interpreted cautiously in light of methodological constraints, including sample heterogeneity, lidocaine exposure prior to biopsy, absence of sequencing-based negative controls, and reliance on predictive functional inference.
Overall, this pilot study highlights potential differences in skin bacterial community structure between BCC lesions and contralateral skin in a Korean cohort. Larger, methodologically optimized studies incorporating metagenomic and functional validation will be required to determine whether these microbiota shifts contribute to, or result from, BCC-associated changes in the cutaneous environment.
Journal Articles
- Repositioning of a mucolytic drug to a selective antibacterial against Vibrio cholerae
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In-Young Chung† , Bi-o Kim† , Hye-Jeong Jang† , You-Hee Cho
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J. Microbiol. 2020;58(1):61-66. Published online January 2, 2020
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DOI: https://doi.org/10.1007/s12275-020-9590-9
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379
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Abstract
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Drug repositioning, the approach to explore existing drugs
for use in new therapeutic indications, has emerged as an alternative
drug development strategy. In this study, we found
that a mucolytic drug, N-acetylcysteine (NAC) showed antibacterial
activity against Vibrio cholerae. NAC can provide
acid stress that selectively inhibited the growth of V. cholerae
among other bacterial pathogens. To address the antibacterial
mechanism of NAC against V. cholerae, six acr (acetylcysteine-
resistant) mutants were isolated from 3,118 random
transposon insertion clones. The transposon insertion sites
of the six mutants were mapped at the five genes. All these
mutants did not display NAC resistance under acidic conditions,
despite their resistance to NAC under alkaline conditions,
indicating that the NAC resistance directed by the
acr mutations was independent of the unusual pH-sensitivity
of V. cholerae. Furthermore, all these mutants displayed
attenuated virulence and reduced biofilm formation, suggesting
that the acr genes are required for pathogenesis of
V. cholerae. This study validates the relevance of drug repositioning
for antibacterials with new modes of action and will
provide an insight into a novel antibacterial therapy for V.
cholerae infections to minimize side effects and resistance
emergence.
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Citations
Citations to this article as recorded by

- Identification of brevinin-1EMa-derived stapled peptides as broad-spectrum virus entry blockers
Mi Il Kim, Thanh K. Pham, Dahee Kim, Minkyung Park, Bi-o Kim, You-Hee Cho, Young-Woo Kim, Choongho Lee
Virology.2021; 561: 6. CrossRef
- Differential expression of the major catalase, KatA in the two wild type Pseudomonas aeruginosa strains, PAO1 and PA14
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Bi-o Kim , In-Young Chung , You-Hee Cho
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J. Microbiol. 2019;57(8):704-710. Published online June 11, 2019
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DOI: https://doi.org/10.1007/s12275-019-9225-1
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484
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KatA is the major catalase required for hydrogen peroxide
(H2O2) resistance and acute virulence in Pseudomonas aeruginosa
PA14, whose transcription is governed by its dual
promoters (katAp1 and katAp2). Here, we observed that KatA
was not required for acute virulence in another wild type P.
aeruginosa strain, PAO1, but that PAO1 exhibited higher
KatA expression than PA14 did. This was in a good agreement
with the observation that PAO1 was more resistant
than PA14 to H2O2 as well as to the antibiotic peptide, polymyxin
B (PMB), supposed to involve reactive oxygen species
(ROS) for its antibacterial activity. The higher KatA expression
in PAO1 than in PA14 was attributed to both katAp1
and katAp2 transcripts, as assessed by S1 nuclease mapping.
In addition, it was confirmed that the PMB resistance is attributed
to both katAp1 and katAp2 in a complementary manner
in PA14 and PAO1, by exploiting the promoter mutants
for each -10 box (p1m, p2m, and p1p2m). These results provide
an evidence that the two widely used P. aeruginosa strains
display different virulence mechanisms associated with OxyR
and Anr, which need to be further characterized for better
understanding of the critical virulence pathways that may
differ in various P. aeruginosa strains.
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Citations
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Journal of Medical Microbiology
.2021;[Epub] CrossRef
Review
- REVIEW] Antibacterial strategies inspired by the oxidative stress and response networks
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So Youn Kim , Chanseop Park , Hye-Jeong Jang , Bi-o Kim , Hee-Won Bae , In-Young Chung , Eun Sook Kim , You-Hee Cho
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J. Microbiol. 2019;57(3):203-212. Published online February 26, 2019
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DOI: https://doi.org/10.1007/s12275-019-8711-9
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862
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Abstract
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Oxidative stress arises from an imbalance between the excessive
accumulation of reactive oxygen species (ROS) and
a cell’s capability to readily detoxify them. Although ROS are
spontaneously generated during the normal oxygen respiration
and metabolism, the ROS generation is usually augmented
by redox-cycling agents, membrane disrupters, and
bactericidal antibiotics, which contributes their antimicrobial
bioactivity. It is noted that all the bacteria deploy an arsenal
of inducible antioxidant defense systems to cope with the
devastating effect exerted by the oxidative stress: these systems
include the antioxidant effectors such as catalases and
the master regulators such as OxyR. The oxidative stress response
is not essential for normal growth, but critical to survive
the oxidative stress conditions that the bacterial pathogens
may encounter due to the host immune response and/or
the antibiotic treatment. Based on these, we here define the
ROS-inspired antibacterial strategies to enhance the oxidative
stress of ROS generation and/or to compromise the bacterial
response of ROS detoxification, by delineating the ROSgenerating
antimicrobials and the core concept of the bacterial
response against the oxidative stress.
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Journal Article
- [PROTOCOL] Drosophila melanogaster as a polymicrobial infection model for Pseudomonas aeruginosa and Staphylococcus aureus
-
Young-Joon Lee , Hye-Jeong Jang , In-Young Chung , You-Hee Cho
-
J. Microbiol. 2018;56(8):534-541. Published online July 25, 2018
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DOI: https://doi.org/10.1007/s12275-018-8331-9
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515
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1
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18
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Abstract
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Non-mammalian infection models have been developed over
the last two decades, which is a historic milestone to understand
the molecular basis of bacterial pathogenesis. They also
provide small-scale research platforms for identification of
virulence factors, screening for antibacterial hits, and evaluation
of antibacterial efficacy. The fruit fly, Drosophila melanogaster
is one of the model hosts for a variety of bacterial
pathogens, in that the innate immunity pathways and tissue
physiology are highly similar to those in mammals. We here
present a relatively simple protocol to assess the key aspects
of the polymicrobial interaction in vivo between the human
opportunistic pathogens, Pseudomonas aeruginosa and Staphylococcus
aureus, which is based on the systemic infection
by needle pricking at the dorsal thorax of the flies. After infection,
fly survival and bacteremia over time for both P.
aeruginosa and S. aureus within the infected flies can be monitored
as a measure of polymicrobial virulence potential.
The infection takes ~24 h including bacterial cultivation. Fly
survival and bacteremia are assessed using the infected flies
that are monitored up to ~60 h post-infection. These methods
can be used to identify presumable as well as unexpected phenotypes
during polymicrobial interaction between P. aeruginosa
and S. aureus mutants, regarding bacterial pathogenesis
and host immunity.
-
Citations
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DOI: https://doi.org/10.1007/s12275-014-4012-5
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469
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Abstract
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Temperate siphophages (MP29, MP42, and MP48) were isolated from the culture supernatant of clinical Pseudomonas aeruginosa isolates. The complete nucleotide sequences and annotation of the phage genomes revealed the overall synteny
to the known temperate P. aeruginosa phages such as MP22, D3112, and DMS3. Genome-level sequence analysis showed the conservation of both ends of the linear genome and the divergence at the previously identified dissimilarity
regions (R1 to R9). Protein sequence alignment of the c repressor (ORF1) of each phage enabled us to divide the six phages into two groups: D3112 group (D3112, MP29, MP42, and MP48) and MP22 group (MP22 and DMS3). Superinfection
exclusion was observed between the phages belonging to the same group, which was mediated by the specific interaction between the c repressor and the cognate operator. Based on these, we suggest that the temperate siphophages prevalent in the clinical strains of P. aeruginosa represent at least two distinct heteroimmunity groups.
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Citations
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