Abstract
18
The skin microbiome plays an important role in immune homeostasis and skin health, 19
and yet our understanding of in vivo microbial gene activity is hindered by the lack of 20
a robust, non -invasive protocol for metatranscriptomics across skin sites . 21
Circumventing the challenges of low microbial biomass, host contamination, and RNA 22
stability, we developed a clinically tractable skin metatranscriptomics workflow that 23
provides high technical reproducibility of profiles (Pearson r>0.95), uniform coverage 24
across gene bodies, and strong enrichment of microbial mRNAs ( 2.5-40). Applying 25
this protocol to a cohort of healthy adults (n=27) across five different skin sites (n=102, 26
paired metatranscriptomes and metagenomes) , identified a striking di vergence 27
between transcriptomic and genomic abundances, with Staphylococcus species and 28
the skin fungi Malassezia having an outsized contribution to the metatranscriptomic 29
landscape at most sites despite their modest representation in metagenomes. 30
Species-level analysis showed skin site-specific enrichment of gene expression (e.g. 31
increased levels of secreted fungal phospholipase C on cheeks relative to scalp), and 32
revealed how key pathways were transcriptionally active in vivo (e.g. propionate and 33
4-aminobutyrate metabolism, potentially impacting skin barrier function ). Gene-level 34
analysis identified diverse antimicrobial genes transcribed by skin commensals in situ, 35
including several uncharacterized bacteriocins, some of which are expressed at levels 36
comparable to known antimicrobial genes . Correlation of microbial gene expression 37
with organismal abundances uncovered >20 gene s that putatively mediate 38
interactions between microbes (e.g. a secreted Malassezia restricta protein with 39
strongly negative in vivo association with Cutibacterium acnes; Spearman ρ>0.7). This 40
work showcases the potential for leveraging skin metatranscriptomics to identify 41
microbes whose activities play an outsized role in the community, and for uncovering 42
pivotal microbial pathways and biomarkers linked to skin health and disease. 43
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Introduction
44
The human skin is home to diverse communities of microorganisms (bacteria, fungi, 45
and viruses) that can interact with each other and the host to impact the skin 46
microenvironment, immune homeostasis and skin health 1. In recent year s, o ur 47
understanding of the role of the skin microbiome in various diseases has greatly 48
benefited from the increasing accessibility of whole metagenome sequencing to 49
identify key organisms and associated genetic potential differences2–4. This has been 50
complemented by a growing number of ex vivo5,6 and in vitro7,8 studies that provide 51
insights into mechanistic pathways through which the crosstalk between the host and 52
the microbiome may be mediated . However, our understanding of whether these 53
pathways are indeed utilized in vivo remains limited, as metagenomics only estimates 54
functional potential of microbes 9 (DNA content) . Metagenomic DNA signals are a 55
composite from living and dead cells , and even among living microbes, their genes 56
can be variably expressed or transcriptionally silent in response to nutrient availability 57
and other environmental cues 10–12. Consequently, much remains unknown about 58
which skin microbial species and pathways are transcriptionally active in vivo, their 59
variability across skin sites and subjects, and their relationship to the skin 60
metagenome. 61
Metatranscriptomics, which assays the pool of messenger RNAs (mRNAs) in a 62
microbial community, has been used to study the transcriptional activity of microbiota 63
in environments as diverse as the gut 13 and ocean water 14, but has not yet been 64
broadly applied to the skin microbiome. Skin metatranscriptomics is hampered by the 65
lack of a robust, non -invasive protocol that can accommodate a range of skin sites 66
which have low microbial biomass , but substantial host and environmental 67
contamination. This is because human skin is relatively sparsely colonized by 68
microbes, with an estimated average density of 10 3-104 prokaryotes/cm2, several 69
orders of magnitude lower than that of the gut 15. Till date, there has been only one 70
other published study which has leveraged RNA sequencing to reveal how microbes 71
contribute to acne, albeit restricted to analyzing data from a single microbe 72
(Cutibacterium acnes ), and specifically applied for nose skin follicles using pore -73
stripping16. While biopsies are not limited to follicles and can capture more microbial 74
biomass17, their invasive nature makes them impractical for adoption in large -scale 75
clinical studies . Consequently, data from transcriptionally active microbes and 76
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microbial pathways across different skin sites is scarce and highlights the need for a 77
generalized protocol to characterize skin metatranscriptomes18. 78
To address these challenges, we developed a robust workflow for non-invasive 79
sampling and skin metatranscriptomics across body sites that demonstrates high 80
technical reproducibility (Pearson r>0.95), uniform coverage across bacterial and 81
fungal gene bodies, and strong enrichment of microbial mRNAs (2.5-40). We further 82
developed a data analysis workflow with rigorous control of “kitome” contaminants and 83
taxonomic misclassification artifacts. The workflow is customized for profiling the skin 84
metatranscriptome with the use of an updated skin microbial gene catalog based on 85
metagenome-assembled genomes (MAGs) for diverse populations19. Leveraging this 86
capability, we present the first multi-site metatranscriptomic survey of healthy human 87
skin (n=27 subjects) from physiologically diverse skin sites (n=5; scalp, cheek, volar 88
forearm, antecubital fossae and toe web ). Analysis of paired metagenomes and 89
metatranscriptomes (n=102 paired libraries; n=260 libraries in total) revealed a striking 90
divergence between transcriptomic and genomic abundances, with Staphylococcus 91
species and the skin fungi Malassezia having an outsized contribution to the 92
metatranscriptomic landscape at most sites despite their l imited representation in 93
metagenomes. Species-level analysis showed skin site -specific enrichment of gene 94
expression (e.g. increased levels of secreted fungal phospholipase C on cheeks 95
relative to scalp), as well as revealed transcriptional activity in vivo of key pathways 96
(e.g. propionate and 4 -aminobutyrate metabolism, potentially impacting skin barrier 97
function). Gene-level analysis identified diverse antimicrobial genes transcribed by 98
skin commensals in situ , including several uncharacterized bacteriocins, some of 99
which are expressed at levels comparable to known microbially produced antimicrobial 100
genes. Correlation of microbial gene expression with organismal abundances 101
uncovered >20 genes that putatively mediate interactions between microbes (e.g. a 102
secreted Malassezia restricta protein with strongly negative in vivo association with 103
Cutibacterium acnes; Spearman ρ>0.7). Overall, this work highlights the importance 104
of metatranscriptomics for a holistic view of active species, expressed microbial 105
functions, key pathways and microbe-microbe interactions occurring in situ on skin. 106
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Results
107
Development of a robust skin metatranscriptomics workflow 108
We optimized an experimental workflow that is robust for metatranscriptomics across 109
different skin sites by systematically and extensively testing different sampling tools 110
(skin tapes versus swabs), lysis conditions and RNA purification techniques 111
(Supplementary Data 1; Methods). Our final optimized protocol utilized skin swabs, 112
sample collection in DNA/RNA shield, bead beating, rRNA depletion using a custom 113
oligonucleotide mix and a direct-to-column TRIzol purification step ( Methods). The 114
robustness of our protocol was assessed with a pilot cohort consisting of both a cross-115
sectional group (n=2 4 samples) and a longitudinal group sampled across three 116
consecutive days (n=45 samples), representing five distinct skin microenvironments: 117
scalp (Sc), cheek (Ch), volar forearm (Vf), antecubital fossae (Ac) and toe web (Tw). 118
A notably high proportion of metatranscriptomic libraries were successfully sequenced 119
in this cohort (66/69=95%), enabling generation of a target million microbial reads per 120
sample in most samples (>84%, median=2.2 million microbial reads, 0.66 Gbp; 121
Supplementary Data 1; Methods). Depletion of rRNAs resulted in substantial 122
enrichment (2.5-40) of reads corresponding to non-rRNAs (median>79.5% of reads; 123
Figure 1A ). Analysis of the resulting reads showed that the corresponding s kin 124
metatranscriptomes were highly reproducible across different skin site s, with very 125
strong consistency of species profiles ( Sorensen similarity≥0.98; Figure 1B) as well 126
as microbial gene expression (Pearson’s r≥0.99; Figure 1 C) between technical 127
replicates. Analysis of samples from the longitudinal group highlighted that 128
metatranscriptomes can exhibit substantial temporal stability at the gene level (median 129
Pearson’s r≥0.897 within individuals; Figure 1C), while being slightly more variable at 130
the species level (median Sorensen similarity≥ 0.768; Figure 1B), with the temporal 131
gene/species level variation being significantly lower than inter-individual variation at 132
the same skin site (Wilcoxon p-value<10-11; Figure 1B-C). 133
We next developed a computational workflow that could annotate skin 134
metatranscriptomic reads with high sensitivity, while accounting for potential 135
contamination signals and off -target matches. We firstly noted that using a skin-136
specific microbial gene catalog19 (IHSMGC) and a custom workflow, as opposed to a 137
widely used general-purpose workflow (HUMAnN320), resulted in a significantly higher 138
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median percentage of reads being functionally annotated (81% vs 60%, Wilcoxon p-139
value<3.110-5; Supplementary Figure 1A ; Methods). We then used data from 140
negative controls as well as prior reports 21 to systematically identify potential DNA 141
contaminant taxa22 (i.e. the kitome) and filtered corresponding reads from our analysis 142
(Supplementary Figure 2A; Methods). Correlation analysis confirmed that skin 143
microbes and potential kitome taxa (e.g. Achromobacter, Bradyrhizobium, 144
Mycolibacterium, Mycobacterium and Brevundimonas species) formed distinct 145
clusters of co-occurring taxa (Supplementary Figure 2B). To account for potential 146
taxonomic classification errors, particularly in low complexity or misassembled regions 147
of microbial genomes 23, we compared a measure of unique matches in the genome 148
based on minimizers with the total read count 23,24 to identify false-positive taxa 149
(Methods). Using data from spike-ins we found that an empirically determined 150
threshold of unique minimizers per million microbial reads could discriminate false 151
from true positive taxa at relative abundances as low as 0.1%, over a range of read 152
counts (10 4-106 reads; Supplementary Figure 2C; Methods) and was therefore 153
consistently applied as a filter. 154
We applied the combined experimental and computational skin 155
metatranscriptomics workflow to the full cohort of 27 healthy individuals at 5 skin sites 156
collected specifically for this study to provide comprehensive in vivo characterization 157
of microbial gene expression on skin (n=135 paired samples for metagenomics and 158
metatranscriptomics; Figure 1D, Supplementary Data 1; Methods). In the full cohort, 159
the success rate for metatranscriptomic ( 102/135=75%) and metagenomic 160
(130/135=96%) libraries was moderate-to-high, emphasizing the robustness of this 161
protocol across a group of individuals. Typically, >1Gbp of de-duplicated non-rRNA 162
sequencing data (median of 3.7 million read pairs) was generated per library similar 163
to other metatranscriptomic studies 13,25, with a relatively high median RNA quality 164
across skin sit es (DV200≥76; Figure 1D, Supplementary Figure 1B ). In addition, 165
paired metagenomes were sequenced to sufficient depth to obtain a median of 7 166
million microbial read pairs after filtering for human reads (Supplementary Figure 1C). 167
Rarefaction analysis confirmed that libraries in the full cohort were typically sequenced 168
at sufficient depths for representing active microbial functions/orthologous groups (>1 169
million read pairs ; Supplementary Figure 3). Interestingly, t he proportion of non -170
human reads was found to be significantly higher in metatranscriptomes versus 171
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metagenomes (98% vs 10%, Wilcoxon signed rank p -value<0.05; Supplementary 172
Figure 1 D), underscoring the feasibility of skin metatranscriptomic sequencing . 173
Microbial rRNAs across all the sites were effectively depleted (2 -25% of remaining 174
RNA compared to 80 -90% in a typical cell 26) during the library preparation process 175
(Figure 1E). In addition, the sequenced reads exhibited relatively even coverage 176
across bacterial (Figure 1F) as well as fungal (Figure 1G) gene bodies in all five skin 177
sites, and across a range of metatranscriptomic read depths. Similar to the pilot cohort, 178
annotation rates for reads were found to be moderate -to-high across various body 179
sites (median=69-80%, Supplementary Figure 1E). In addition, most of the reads 180
mapping to the genome of the common skin fungi Malassezia globosa were in coding 181
regions of mRNAs (>80%), with a minority mapping to intergenic regions and introns, 182
indicating that our metatranscriptome libraries achieved DNA depletion levels similar 183
to other high-quality M. globosa RNA-seq datasets derived from in vitro cultures27 184
(Figure 1 H). Overall, these results emphasize that the generalized skin 185
metatranscriptomics protocol presented here enables robust and reproducible profiling 186
of microbial mRNAs across a wide spectrum of body sites and subjects. 187
Skin metatranscriptomics identifies niche-specific active species and functions 188
distinct from metagenomes 189
Different skin microenvironments (e.g. sebaceous, moist, or dry) greatly influence the 190
composition of microbes that are present4, but much remains unknown about species 191
or gene activities in vivo. While some studies have reported discordance between RNA 192
and DNA abundances for specific species and gene families in gut and environmental 193
microbiomes14,25, the scale and extent to which gene abundances and transcript levels 194
correlate in the skin microbiome is not known. In this context, we observed a striking 195
disparity between the most active species in skin metatranscriptomes versus the most 196
highly abundant species in skin metagenomes (Figure 2A). For example, 197
Cutibacterium acnes which is a dominant component of the metagenome at most skin 198
sites (46-90% median relative abundance; except toe webs) has a relatively modest 199
contribution to the metatranscriptome (2-31% median relative abundance). In contrast, 200
while the skin fungi Malassezia restricta and Malassezia globosa were present at 201
relatively low metagenomic abundances relative to bacteria (3-8% and 0. 1-12% 202
median relative abundance , respectively), they contribute substantially to 203
metatranscriptomes in a niche dependent manner . M. restricta RNAs are heavily 204
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represented in cheek and scalp sites (23-30% median relative abundance), whereas 205
M. globosa RNAs predominate on the scalp, antecubital fossae and volar forearms 206
(21-81% median relative abundance). Toe webs were the exception to this observation, 207
with a distinct microbial composition dominated by Staphylococcus hominis and 208
Staphylococcus epidermidis in metagenomes and metatranscriptomes ( Figure 2A). 209
While n ormalized RNA counts of many commonly reported skin microbes varied 210
positively with genomic DNA counts , several species had relatively large differences 211
(≥4-fold) in RNA and DNA abundances, with disproportionately higher contributions to 212
transcriptional activity (Supplementary Figure 4). M. restricta and M. globosa’s 213
outsized contribution to the active biomass across different skin sites is likely driven 214
by the larger cell volume of eukaryotes compared to prokaryotes 28. Interestingly, 215
Staphylococcus and Corynebacterium species also contributed proportionally more 216
RNAs at the scalp, cheek, volar forearm and antecubital fossa a fter accounting for 217
their metagenomic abundances (Supplementary Figure 4). The opposite was true 218
for C. acnes and Micrococcus luteus, likely reflecting a relatively low proportion of cells 219
present that are transcriptionally active . Overall, the stark differences between DNA 220
and RNA abundances for various skin microbes underlines the need for skin 221
metatranscriptomic measurements to characterize in vivo microbial activity. 222
To profile the landscape of skin microbial activity across different niches, we 223
categorized skin microbial species in terms of their prevalence as belonging to ‘core’ 224
(present in >75% of samples), ‘common’ (present in 50-75% of samples) and ‘variable’ 225
(present in <50% of samples) components of metagenomes and metatranscriptomes 226
at each site. The median ratio of RNA/DNA levels per species was used to quantify 227
transcriptional activity while accounting for variations in genom ic abundances and 228
sequencing depth ( Figure 2B ). Several species were found to be core in the 229
metagenomes of all or most surveyed skin sites such as Corynebacterium 230
kefirresidentii, C. acnes, M. globosa, M. restricta, Staphyloccocus capitis and S. 231
epidermidis (Figure 2B). However fewer species were core components of the skin 232
metatranscriptome across sites (e.g. C. acnes , M. globosa and M. restricta ), with 233
Staphylococcus species in particular exhibiting site -specific activity (e.g. S. 234
epidermidis on cheek with median activity >17, S. hominis on volar forearm with 235
median activity >9.5, and S. capitis on scalp with median activity > 3.5), and variable 236
prevalence across sites (e.g. in antecubital fossae; Figure 2B). 237
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The same species also exhibited site-specific differences in overall gene 238
expression activity that could reflect their preferences for certain skin 239
microenvironments. Microbes that were prevalently found across multiple skin sites 240
such as C. acnes, S. capitis and S. epidermidis showed higher overall transcriptional 241
activity in sebaceous ( scalp and cheek) versus non -sebaceous (antecubital fossae, 242
volar forearm and toe web) sites, reflecting a general preference for environments 243
richer in host lipids 29,30 (Supplementary Figure 5). Intriguingly, although M. globosa 244
and M. restricta are closely related lipophilic fungi, the latter showed larger variation in 245
transcriptional activity between sebaceous and non -sebaceous sites, indicating that 246
M. restricta may have greater sensitivity to host lipid availability (Figure 2B , 247
Supplementary Figure 6). This is also in line with other reports demonstrating that M. 248
globosa can be readily isolated from facial skin, the upper trunk and arms, while M. 249
restricta recovery is mostly restricted to the scalp and face 31. Within skin sites, 250
individual heterogeneity is also evident in the species that are dominant in the 251
metatranscriptome. For instance, while transcripts from Malassezia spp. make up 252
most of the metatranscriptomes of the antecubital fossae (median relative abundance 253
98%), two individuals exhibited metatranscriptomes primarily dominated by S. hominis 254
and C. acnes respectively (SMT003_Ac and SMT011_Ac; Supplementary Figure 7, 255
3rd and 8th column from the left). These observations highlight that the distribution of 256
active skin microbes is shaped by skin site-specific differences but also individual-257
specific variations in the microenvironment. 258
To determine what functions are relatively important for microbial communities 259
in distinct niches, we performed differential expression analysis of microbial genes 260
clustered into orthologous groups (OGs), accounting for variations in DNA 261
abundances (Methods). Compared to those on a sebum rich environment such as the 262
cheek, bacteria colonizing the relatively dry volar forearms were found to upregulate 263
gene clusters important for glucose catabolism, energy generation and protein 264
synthesis, reflecting differences in resource availability (Supplementary Figure 8A, 265
Supplementary Figure 9A). Malassezia fungi colonizing the cheeks upregulated 266
gene clusters involved in mitotic growth, aromatic compound biosynthesis and protein 267
modification relative to those in the volar forearms , consistent with increased lipid 268
availability on the cheek for fungal growth and metabolism 28,32 (Supplementary 269
Figure 8A, Supplementary Figure 9A). Gene clusters involved in the citric acid cycle, 270
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amino acid metabolism, heme biosynthesis, RNA modification and kinase activities 271
were upregulated in the toe webs relative to the volar forearms, indicative of microbes 272
adapting their metabolism to an amino-acid rich environment there (Supplementary 273
Figure 8B). Amino acid metabolic pathways are noteworthy because s weat is a rich 274
source of free amino acids33 and the toe webs represent an environment high in sweat 275
content relative to the volar forearm. The biosynthesis of heme, an important co-factor 276
for many microbial processes involved in Staphylococcal colonization is also 277
associated with increased availability of amino acids 34,35. Consequently, most 278
enzymes in the heme biosynthetic pathway from glutamate were upregulated by two-279
fold or more in toe webs compared to the volar forearm ( Supplementary Figure 9B-280
C). Consistent with the more exposed nature of volar forearms and lower 281
concentrations of protective secretions compared to cheeks 36, microbes on volar 282
forearms had upregulated expression of genes important for antioxidant protection 283
relative to cheeks (Supplementary Figure 8A) and toe webs (Supplementary Figure 284
8B). These examples highlight the utility of metatranscriptomics for identifying key 285
niche-specific functions in the skin microbiome. 286
We evaluated the importance of different species to core (present in >75% of 287
individuals) biochemical pathways across different skin sites, as well as within-sample 288
(alpha) and between-sample (beta) contributional diversities per pathway9 (Methods). 289
At all sites besides the toe webs, Malassezia fungi were the predominant (>50% 290
contribution) effectors of a substantial fraction (median 56%) of all core pathways 291
compared to other bacterial genera (Wilcoxon p -value<0.05; Supplementary Figure 292
10A). Within bacteria genera, Staphylococcus was the major contributor to more core 293
pathways than Cutibacterium at moist environments such as antecubital fossae and 294
toe webs (Wilcoxon p -value<0.05; Supplementary Figure 10A ). At any given site, 295
some pathways might be redundantly expressed by multiple microbes while other s 296
might only be driven by one or a few species. Most core microbial pathways on skin 297
were expressed by a few species within the same individual, but the same functions 298
were expressed by diverse sets of species across individuals, indicating high 299
functional plasticity in skin microbial communities (Figure 2C). For example, 300
staphyloferrin A biosynthesis from L -ornithine is usually expressed by 1-2 301
Staphylococcus species in individual toe web communities but multiple possible 302
Staphylococcus species can drive expression of this pathway across individuals 303
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(Figure 2D ). Some metabolic functions were solely represented by fungi such as 304
pathways for beta oxidation of very long chain fatty acids (VLCFA ) being primarily 305
expressed by Malassezia species on both sebaceous (scalp) and non-sebaceous sites 306
(antecubital fossae) within and across individuals (Supplementary Figure 10B). 307
Interestingly, other metabolic functions such as galactose degradation or arginine 308
biosynthesis could be shared between skin bacteria and fungi, especially in nutrient -309
rich niches like the scalp or cheeks ( Supplementary Figure 10C-D). While bacterial 310
arginine has been described as a source of natural moisturizing factor (NMFs) for skin 311
health37, our dataset indicates that fungi may be substantial contributors to the arginine 312
pool. Overall, these results showcase how skin metatranscriptomics can be a 313
complementary approach to metagenomics and demonstrates how different genera or 314
species can act as the predominant effectors of niche -specific metabolic functions 315
across skin sites. 316
Species-level transcriptome analysis identifies signatures of microbial adaption 317
to in vivo nutrient availability 318
Given the presence of niche-specific metatranscriptomic signatures, we next 319
conducted species -level differential gene expression analyses to identify 320
transcriptional variation in different environments that may highlight specific metabolic 321
pathways essential for supporting in vivo colonization. We focused on RNA sequences 322
belonging to the skin commensals M. restricta, M. globosa, C . acnes and S. 323
epidermidis, because of their abundant transcript levels and importance for skin 324
health28,38. In particular, Malassezia are highly represented in the metatranscriptomes 325
of sebaceous sites (scalp and cheeks), while S. epidermidis can colonize both 326
sebaceous and non-sebaceous sites (especially toe webs) and can be readily cultured 327
in vitro . Differential expression analysis of M. restricta transcripts on scalp versus 328
cheek showed that fungal genes and pathways associated with fructose and mannose 329
metabolism, metabolism in diverse environments (e.g. ACU7_1 and acuE of the 330
glyoxylate cycle; FBA1 and KGD1 of the citric acid cycle; TLK1 of the pentose 331
phosphate pathway), and free fatty acid breakdown in peroxisomes (e.g. POX2, POT1, 332
PEX11B and ACOT8) were upregulated on scalp relative to cheeks ( Figure 3A-B, 333
Supplementary Data 2). Conversely, genes and pathways associated with the 334
breakdown of glycerides such as ether lipid and glycerophospholipid metabolism, as 335
well as various secreted phospholipase C enzymes were relatively upregulated on 336
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cheeks (PLC_1-7; Figure 3A-B, Supplementary Data 2). This is consistent with 337
distinct metaboli te and lipid profiles on scalp and cheeks , with the former being 338
relatively richer in nutritionally complex apocrine secretions and free fatty acids, while 339
the latter being richer in glycerides 39,40. Intriguingly, although M. globosa is another 340
lipophilic skin fungi with comparable metatranscriptomic abundances to M. restricta on 341
sebaceous sites (Figure 2A), there were few differences in gene expression between 342
scalp and cheek sites for M. globosa (<30; Figure 3C). Another core skin commensal, 343
C. acnes, had a similar number of differentially expressed features between the scalp 344
and cheeks as M. restricta, but showed fewer significantly enriched pathways, with 345
only those related to ribosome biogenesis, translation, and ATP generation being 346
upregulated on the scalp (Figure 3C, Supplementary Data 2). These observations 347
highlight how skin commensals may employ different gene expression strategies to 348
thrive across body sites, including using specialized nutrient sources (M. restricta) and 349
responding to energetic considerations (C. acnes). 350
The transcriptomes of various skin microbes such as S. epidermidis have been 351
well studied in vitro41,42 but not in vivo, raising important questions about how closely 352
these culture models reflect their actual behaviour on human skin . Skin 353
metatranscriptomics enabled the c omparison of S. epidermidis gene expression in 354
vivo versus three in vitro conditions comprising of cultures at log phase, stationary 355
phase and subjected to osmotic stress , using the same RNA extraction and 356
sequencing protocols (Figure 3D). Gene expression profiles between in vivo and in 357
vitro conditions were clearly separated within the same experimental batch, or across 358
different studies (generated in -house, Avican et al 42 and Wang et al 41) after batch 359
correction (Figure 3E left, Supplementary Figure 11 ). Th ere were many more 360
differentially expressed genes between on -skin versus laboratory -grown conditions 361
(n=1108-1664; Figure 3 E right , Supplementary Data 3, Supplementary Data 6; 362
Methods), relative to the modest changes between moist toe webs and sebaceous 363
cheek/scalp sites in vivo (n=64 differentially expressed genes; Supplementary Data 364
4). Gene set enrichment analysis (GSEA) for in vivo vs in vitro comparisons revealed 365
over 300 gene sets which were significantly enriched in either condition, with most 366
differences observed between sebaceous sites and various in vitro conditions 367
(Supplementary Figure 12, Supplementary Data 5; Methods). While S. epidermidis 368
cultures in vitro upregulated genes in pathways primarily related to carbohydrate 369
metabolism, reflecting the abundance of sugars in rich media , enriched pathways in 370
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sebaceous sites skewed towards sulphur metabolism, peptide and vitamin 371
biosynthesis, reflective of the more complex nutritional landscape in vivo 372
(Supplementary Figure 1 2). In contrast, there were far fewer significantly enriched 373
gene sets/pathways in toe web sites relative to in vitro conditions despite having 374
similar numbers of differentially expressed genes a s sebaceous versus in vitro 375
comparisons (Figure 3 E, Supplementary Data 3, Supplementary Data 6). 376
Nonetheless, sets of genes involved in metal ion homeostasis (GO:0030001) and 377
copper ion binding (GO:0005507) were consistently upregulated in S. epidermidis 378
colonizing toe webs relative to cultures at log phase or exposed to osmotic stress 379
(Supplementary Figure 13A, Supplementary Data 7). These upregulated genes in 380
the toe webs typically include pumps (e.g. efflux systems and P -type ATPases 43) 381
which couple ATP hydrolysis with the influx and efflux of different substrates and metal 382
ions like copper and zinc ( Supplementary Figure 13B). The upregulation of these 383
pumps could be crucial for survival in toe webs, a “closed" environment rich in sweat 384
containing trace metals excreted by the host44,45, where maintaining a fine balance of 385
intracellular metal levels is essential for microbial cells46. 386
To contextualize overall differences in metabolic activity between in vivo and in 387
vitro conditions via integration through metabolic networks, we performed flux balance 388
analysis (FBA) based on genome-scale metabolic models constrained with our 389
metatranscriptomic data47 (Methods). S. epidermidis showed distinct metabolic fluxes 390
under all the conditions tested (83 metabolic reactions differing across all conditions, 391
PERMANOVA Adonis R 2=0.54, p-value<0.001), with a clear distinction observed for 392
the in vitro conditions (log phase, osmotic stress and stationary phase) and even 393
between in vivo conditions (sebaceous and toe web; Supplementary Figure 14A and 394
Supplementary Data 8). For example, fluxes associated with the production and 395
export of propionate, a key short chain fatty acid impacting skin barrier function and 396
immunity48, were higher in vivo for S. epidermidis compared to in vitro conditions 397
(Figure 4A). Analysis of fluxes through glycolysis and pyruvate generation revealed 398
that unlike under in vitro conditions, S. epidermidis predominantly generates the 399
glycolytic intermediate glyceraldehyde-3-phosphate (G3P) via the pentose phosphate 400
pathway (TALA, PFK_3) and the uptake of L -lactate (L_LACD2) to produce pyruvate 401
for energy generation (Figure 4B). Pyruvate production in vivo is further supported by 402
an active cataplerosis reaction (PPCKr), which generates intermediates contributing 403
to pyruvate synthesis (Figure 4B). Under in vivo conditions, the NADH5 reaction which 404
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regenerates NAD, showed no flux ( Supplementary Figure 14B). Instead, NAD 405
regeneration might be driven by other compensatory cyclic reactions such as those 406
involving 4-aminobutyrate consumption (ABUTR) and produc tion (ABUTD) 407
(Supplementary Figure 14C). While significant differences were identified in 58 408
reactions between the two in vivo conditions, overall C. acnes exhibited lesser 409
variation in metabolic flux between the scalp and cheek (PERMANOVA Adonis 410
R2=0.053, p-value<0.001; Supplementary Figure 15 and Supplementary Data 9). 411
On both scalp and cheeks, C. acnes displayed an active Wood-Werkman cycle which 412
facilitates propionic acid production49, with higher propionic acid production and export 413
observed on the cheek compared to the scalp (GLM, adjusted p-value<0.001; Figure 414
4C). In vivo site-specific adaptations of C. acnes were also observed in the metabolism 415
of specific amino acids . Flux analysis revealed that glutamate, a critical amino acid 416
integral to linking key carbon and nitrogen pathways 50, was produced via distinct 417
metabolic routes in the scalp and cheek. On the scalp, glutamate production primarily 418
occurred through histidine metabolism (Figure 4 D), whereas on the cheek, it was 419
synthesized predominantly through proline metabolism ( Figure 4 D), emphasizing 420
niche-specific adaptation of metabolic pathways based on resource availability. 421
Overall, these results highlight that species-specific analysis of metatranscriptomic 422
data can be invaluable for identifying metabolic requirements for organismal survival 423
on skin that would not otherwise be reflected in typical in vitro culture conditions. 424
Gene level analysis identifie s key antimicrobial functions and interactions in 425
vivo 426
As antimicrobial peptides and proteins can further shape niche adaptation and inter -427
species interactions, we searched for actively expressed genes that play a role in 428
microbial competition in vivo . Antimicrobial peptides (AMPs) and proteins were 429
sensitively detected by scoring “hit” database genes with profile hidden Markov Models 430
(pHMMs; Methods). Skin microbes showed in vivo expression of a diversity of 431
bacteriocins, phenol soluble modulins, enzymes that generate free radicals, and auto-432
inducing peptides (AIPs) , representing classes of antimicrobial products that have 433
been validated using in vitro or ex vivo models7,8 (Figure 5A). We also determined 434
which species in our dataset expressed various classes of antimicrobial products 435
(Figure 5B), motivated by the importance of identifying candidate species or bio -436
actives for antimicrobial therapies and further experimental follow -up. AIPs were 437
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expressed by different Staphylococcus species, consistent with the role s of these 438
peptides in Staphylococcal quorum sensing and inter-staphylococcal competition8. Of 439
particular interest are a diverse class of peptides called bacteriocins, which are 440
secreted by bacteria or archaea to inhibit the growth or activities of other microbes in 441
the community 51. For example, some individuals were colonized by strains of S. 442
hominis and S. epidermidis which expressed two peptides of the lacticin 481 family 443
that were recently characterized to have broad antimicrobial activity against a range 444
of gram -positive bacteria 52 (Figure 5B). In contrast, relatively few individuals 445
harboured Staphylococcal species with measurable expression of the well -446
characterized gallidermin/nisin family of bacteriocins which c ould be due to strain 447
differences or its documented autotoxicity53. 448
There were notable examples of site -specific distribution of antimicrobial 449
products. For example, transcripts belonging to cyclic lactone AIPs, thiazolylpeptides 450
and their precursors were more frequently detected on sebaceous sites like the scalp 451
and cheeks compared to other sites (Fisher’s exact test, adjusted p -value<0.001; 452
Figure 5A ). In some cases, site -specific expression was detected despite similar 453
abundances of their host genomes in the community. For example, expression of the 454
lacticin 481 family of lantibiotics by S. hominis and S. epidermidis was not evenly 455
distributed across skin sites, with higher frequencies at the volar forearms and toe 456
webs (Fisher’s exact test, adjusted p-value<0.05; Figure 5A). However, there were no 457
statistically significant differences in metagenomic or total RNA abundances of these 458
two species between lacticin 481 expressors versus non-expressors (Wilcoxon rank 459
sum test, p-value>0.05; Supplementary Figure 16A-B). Such expression variability 460
could be due to strain or environmentally driven differences. In contrast, thiopeptide 461
expression on skin was associated with increased metagenomic and total RNA 462
abundances of C. acnes, pointing to this species as an important source of thiopeptide 463
AMPs (Wilcoxon rank sum test, p-value<0.05; Supplementary Figure 16C-D). 464
Several of the skin microbial bacteriocins detected in this study remain 465
uncharacterized, representing an untapped source for development of new 466
antimicrobials. Thiopeptides are important bio -actives that can shape skin microbial 467
communities, e.g. cutimycin is secreted by C. acnes colonizing the hair follicles and 468
can inhibit the growth of Staphylococcus species2. Two different thiopeptides 469
(MET_03151623 and MET_02967399) were expressed by C. acnes in vivo 470
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(Supplementary Figure 17). While the thiopeptide MET_03151623 was identical to 471
cutimycin, the other thiopeptide (MET_02967399) represents a putative bacteriocin 472
with uncharacterized properties because it shared <50% amino acid identity with 473
cutimycin and other members of the thiopeptide family (Supplementary Figure 17). 474
Some Cutibacterium and Corynebacterium strains also expressed peptides of the 475
lactococcin 972 family, but most of them had primary sequences which differed from 476
those characterized in bacilli such as Lactococcus (<40% identity ; Figure 5B, 477
Supplementary Figure 18). Unexpectedly, several individuals had strains of S. 478
epidermidis and Staphylococcus pettenkoferi colonizing the toe webs which 479
expressed putative bacteriocins homologous to those of the halocin family (Figure 5B, 480
Supplementary Figure 19). Previously, members of this family were only described 481
in halophilic archaea and bacteria 54,55. These examples highlight the unexplored 482
landscape of antimicrobial mechanisms deployed by various skin microbial species 483
and strains to thrive in their in vivo niches. 484
Finally, we leveraged paired metatranscriptomics and metagenomics to identify 485
putative host -microbe and microbe-microbe interactions . Despite the relatively low 486
fraction of human reads in our metatranscriptomic libraries ( median <3%), a median 487
of 0.8 million human reads per library was obtained, similar to the depth of sequencing 488
commonly seen in single -cell transcriptomic s studies 56,57 (Supplementary Figure 489
20A). Assessing our swab-based metatranscriptomics libraries relative to previous 490
biopsy-based studies 58,59 highlighted that a substantial proportion of human reads 491
were exonic (median 31% versus <15% in a previous biopsy-based study59) and the 492
proportion of intergenic reads was low (median 18%) relative to transcriptomic data 493
generated in-house from skin biopsies (median 32%; Supplementary Figure 20B). 494
Gene Set Variation Analysis60 (GSVA) was used to estimate sample-specific immune 495
pathway activities to find associations between host immunity markers and 496
metagenomic abundances of different microbes. This analysis revealed three 497
statistically significant relationships, all of which involved Staphylococcus capitis 498
(FDR<0.25; Supplementary Data 10; Methods). The IL -6/JAK/STAT3 and Toll -like 499
receptor signalling pathways which are involved in Th17 function61 and microbial 500
detection by the immune system respectively, were positively correlated with 501
Staphylococcus capitis abundances on cheeks ( Supplementary Figure 21). This is 502
consistent with observations showing that high Staphylococcus capitis abundances on 503
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skin are associated with an IL-17 dominated immune profile in skin disease62. Testing 504
this hypothesis further, we noted that exposure to the supernatants of different strains 505
of S. capitis led to consistently higher levels of both pro-IL-1B and cleaved IL -1B in 506
human keratinocytes relative to th e induction by other commensal Staphylococcal 507
species, in line with our findings that S. capitis is associated with induction of specific 508
immune responses on skin (post-hoc Dunn’s test, adjusted p-value<0.05; Figure 5D). 509
To identify putative m icrobe-microbe interactions , the abundances of 510
transcripts encoding proteins entering the secretory pathway in one species were 511
correlated with organismal abundances of another species within the same skin site 512
(Methods). A total of 13 different combinations of common skin commensals were 513
tested transcriptome-wide and >30 significant associations were identified (FDR<0.1; 514
Supplementary Data 10). Notably, transcript abundances of a protein (DNF11_2196) 515
predicted to enter the secretory pathway in Malassezia restricta were strongly 516
negatively correlated with normalized C. acnes abundances on scalp (Spearman’s ρ<-517
0.7, adjusted p -value<0.05; Supplementary Figure 22A). DNF11_2196 is a poorly 518
characterized gene (https://alphafold.ebi.ac.uk/entry/A0A3G2S5R5) with low primary 519
sequence identity to the top hit in the PDB100 structure database (28.9% identity, 81.2% 520
query sequence coverage ; Foldseek web server, 3Di/AA mode). This makes it 521
challenging to infer function based on sequence-based homology alone. However, the 522
availability of accurate protein structure folding and searching algorithms enables 523
functional inferences based on similarities in 3D structure 63,64. There was greater 524
similarity at the protein structural level indicated by both Foldseek (TM-Score=0.77894, 525
RMSD=2.36) and Dali (Z -score=14.5) between DNF11_2196 and the structure of a 526
Streptomyces papain inhibitor (5ntb-B), which has antimicrobial properties due to its 527
inhibition of bacterial cysteine proteases 65 (Figure 5 C). Importantly, the negative 528
correlation between DNF11_2196 and C. acnes abundances could not be explained 529
by an inverse relationship between the organismal abundances of M. restricta and C. 530
acnes (Supplementary Figure 22B-D). A similar analysis done in cheek samples 531
showed that Cutibacterium granulosum abundances were positively correlated with 532
expression levels of a C. acnes triacylglycerol lipase, independent of relationships 533
between organismal abundances , indicating a potential symbiotic interaction and 534
mechanism (Spearman’s ρ>0.7, adjusted p-value<0.05; Supplementary Figure 22E-535
G). Overall, these results showcase that skin metatranscriptomic and metagenomic 536
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data can be integrated to identify sets of expressed genes mediating host-microbe and 537
microbe-microbe interactions in vivo, and thus help to prioritize candidate bioactive 538
molecules or signalling pathways for further characterization and validation in model 539
systems and clinical trials. 540
Discussion
541
We report here the development of a robust experimental and computational workflow 542
tailored for metatranscriptomics of diverse skin sites, circumventing the challenges of 543
relatively low biomass by optimising the sampling, extraction, rRNA depletion, 544
contamination removal , and functional classification steps (Figure 1A -C; 545
Supplementary Figure 1-2). By applying this to a cohort of healthy individuals across 546
multiple skin sites, we reveal the landscape of active species, microbial signatures of 547
adaptation to their niches, as well as several key microbe-microbe and host-microbe 548
interactions in vivo. We note that unlike human stool metatranscriptomes 13 and skin 549
metagenomes, skin metatranscriptomes of the stratum corneum are predominantly 550
composed of microbial reads (>97% of all reads before de-duplication). Consequently, 551
skin metatranscriptomes sequenced to relatively modest sequencing depths (5-10 552
million paired-end reads) can capture most active microbial functions at the community 553
level based on rarefaction analysis (Supplementary Figure 3 ). The abundance of 554
microbial reads means that skin metatranscriptomics can be feasibly deployed for 555
population scale or longitudinal studies, especially as sequencing costs continue to 556
decrease with newer platforms. Our protocol is compatible with a diversity of skin sites 557
across individuals and non-invasive sampling using commercially available swabs 558
makes deployment suitable for clinics to investigate disease cohorts. The moderate-559
to-high success rate of library construction from limited input, along with strong 560
technical reproducibility and even coverage of mapped metatranscriptomic reads 561
across microbial gene bodies, enables robust in vivo gene expression measurements 562
and the assessment of changes in microbial activity in highly heterogeneous cohorts 563
or over time. Given the very low biomass in the antecubital fossa and volar forearm 564
relative to other skin sites, further experimental improvements could be explored to 565
decrease the loss of nucleic acids during the extraction process , such as the use of 566
depletable carrier RNAs and single -cell RNA-seq library kits that can tolerate lower 567
inputs and hence increase robustness. Collapsing of read pairs with identical 5’ and 3’ 568
ends is a conservative approach to de -duplication which removes a substantial 569
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proportion of microbial reads. More precise de -duplication methods based on unique 570
molecular identifiers (UMIs) can be incorporated into this workflow to better distinguish 571
PCR and biological duplicates66. While we optimized this workflow using swabs which 572
sample the stratum corneum for their ease of use, o ur extraction and computational 573
workflows are also suitable for profiling metatranscriptomes from deeper skin layers 574
obtained from other sampling modalities such as biopsies, pore strips 16 or follicular 575
extracts67. Such studies will be necessary to enrich for signatures of immune cells 576
which typically reside beneath the stratum corneum 68, or for functional analysis of 577
different Cutibacterium acnes strains which have been shown to colonize individual 578
pores in a clonal fashion despite their co -existence across the skin surface 69. 579
Altogether, our workflow is a widely-applicable and clinically tractable approach to 580
survey microbial activities on skin surfaces in vivo. 581
A key observation in our work is that skin metatranscriptomes yield distinct 582
information about microbial activities compared to their matched metagenomes , 583
similar to previously published studies in other contexts such as from human stool13 584
or ocean water 14. Surprisingly, core microbial pathways on skin were expressed by 585
relatively few species (low metatranscriptomic alpha diversity) in the community 586
(Figure 2C ), in contrast to stool metatranscriptomes which harboured numerous 587
“housekeeping” pathways which were expressed by most species in the community13. 588
This implies that unlike stool communities, a comparatively smaller fraction of 589
microbes on skin surfaces are active, with the remainder being either quiescent or 590
dead. Akin to our observations on skin, l ow metatranscriptomic alpha diversity of 591
microbial pathways has also been previously described in nasal cavities and vaginal 592
surfaces9, possibly reflecting nutrient scarcity in these environments which may 593
support the robust growth of only a limited number of species. Of note, Malassezia 594
and Staphyloccocus species had outsized contributions to skin metatranscriptomes, 595
with disproportionally higher RNA abundances relative to their DNA. This can be 596
attributed to a combination of factors such as cell size and bioactivity. As eukaryotic 597
fungi, Malassezia cells have a volume and biomass that are at least two orders of 598
magnitude greater than the average bacterial cell 28. This means that metagenomes, 599
which measure genome copy numbers, likely underestimate the contribution of 600
Malassezia spp. to the functional potential of the skin microbiome. Malassezia species 601
are important sources of secreted lipases, proteases and metabolites that can shape 602
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host and microbial activities on skin7,70. For example, Malassezia phospholipases can 603
breakdown host lipids to generate polyunsaturated fatty acids (PUFAs) such as 604
arachidonic acid which are potent inflammatory mediators71. The relatively high activity 605
of various Staphylococcus species was unexpected, as they usually make up only a 606
small proportion of bacterial communities on skin, except in sites such as toe webs. 607
This could be reflective of the metabolic versatility of Staphylococcus spp. for survival 608
in diverse skin microenvironments due to their ability to utilize a range of carbon 609
sources, amino acids and lipids for their energetic and cellular demands 72–74. Certain 610
staphylococci such as S. epidermidis have also evolved a range of strategies to 611
escape suppression by the host immune system such as intracellular localization75 or 612
by expressing antigens that lead to commensal -specific T cell responses 76. Our 613
workflow will thus be a useful tool to study how Staphylococcus species contribute to 614
skin health, especially given reported associations of these microbes with skin 615
phenotypes such as malodor77, itch6 and eczema10. 616
Our work represents the first attempt to leverage metatranscriptomics to 617
characterize the metabolic pathways required by different skin microbes to thrive in 618
their in vivo niches. Besides identifying significantly enriched metabolic pathways 619
computed from differential expression analysis, we further extended this approach by 620
integrating transcriptomic data with flux balance analysis (FBA)78. The latter approach 621
models organismal activity as a system of all predicted metabolic reactions instead of 622
examining individual pathways in isolation , allowing us to identify metabolic 623
requirements or dependencies necessary for maximizing biomass in vivo which cannot 624
be readily determined from in vitro co-culture models 79. Interestingly, while the 625
lipophilic fungi Malassezia restricta was present in the metagenomes of both facial 626
skin (cheeks) and scalp, metatranscriptomics revealed differential enrichment of 627
fungal pathways that metabolize distinct classes of host lipids between the two sites . 628
This observation highlights the importance of using metatranscriptomics to study 629
organismal activities or phenotypes, even when there are no significant differences in 630
organismal abundances. When applied to microbes growing under different in vivo 631
versus in vitro conditions, transcriptome aware FBA revealed that the pentose 632
phosphate pathway (PPP) and lactate metabolism were preferentially utilized by S. 633
epidermidis to generate pyruvate as a respiratory substrate in vivo in contrast to in 634
vitro conditions. This observation is consistent with previous reports showing that the 635
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PPP is crucial for energy production, biofilm formation and virulence in staphylococci80. 636
Interestingly, our results also suggest that besides Cutibacterium acnes, commensal 637
S. epidermidis may be an other in vivo exporter of the short -chain fatty acid (SCFA) 638
propionate, which has been linked to immunomodulation in keratinocyte and sebocyte 639
cell lines81. Further studies are needed to determine if propionate mediates crosstalk 640
between skin commensals and host immune cells in vivo and whether enhanced 641
propionate export by S. epidermidis is a consequence of glucose limitation and/or 642
cysteine/methionine bioavailability ( Figure 4A ). Differing fluxes through metabolic 643
pathways for energy generation and metabolite export in the same organism under in 644
vivo versus in vitro conditions can aid in designing strategies to coax microbes to 645
export desirable metabolites such as SCFAs. This also highlights the need for model 646
systems that better recapitulate the cutaneous microenvironment30 when investigating 647
mechanisms by which commensals such as S. epidermidis contribute to skin health 648
and disease. 649
We are the first study to generate in vivo gene expression data across a range 650
of microbial species, individuals and skin sites to identify key antimicrobial functions 651
and interactions . Although there are reports of skin commensals secreting 652
antimicrobial compounds such as peptides or enzymes which can inhibit pathogens 653
like Staphylococcus aureus, these studies were mostly conducted with in vitro or ex 654
vivo models7,8. We confirmed that many of these products , such as the thiopeptide 655
cutimycin2 and peptides of the lacticin 481 family82 which were described in previous 656
studies, were also expressed in vivo on some individuals by Cutibacterium acnes and 657
commensal Staphylococcus species respectively. Importantly, our dataset shows that 658
the skin microbiome is a rich source of additional antimicrobial proteins/peptides 659
whose activities and specificities remain uncharacterized. One intriguing example is a 660
class of proteins harbouring a C terminal cysteine-rich region that is homologous to a 661
class of bacteriocins known as the halocins. This class of bacteriocins have largely 662
been characterized only in archaea but hypothetical proteins harbouring homologous 663
regions have been found in the genomes of many Staphylococcus strains 664
(https://www.ncbi.nlm.nih.gov/Structure/cdd/TIGR04449). Our data indicates that 665
genes encoding these proteins with halocin C8 -like domains are expressed by 666
commensal Staphylococcus species in vivo (toe webs), providing a basis for further 667
experimental validation of their antimicrobial properties. Since our workflow captures 668
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the expression of both host and microbial genes/pathways, correlating those with 669
microbial DNA abundances and integrating these results with other functional 670
annotations is a promising approach to identifying novel candidates mediating 671
microbe-microbe and host-microbe interactions in vivo. We identified the Malassezia 672
restricta gene DNF11_2196 as one such candidate owing to the strong negative 673
correlation between transcript levels and C. acnes abundance, its predicted entry into 674
the secretory pathway and its structural similarity to known protease inhibitors (Figure 675
5). Further application of this approach to population-scale cohorts could be useful for 676
robust identification of physiologically relevant interactions between skin microbes and 677
with host cells. 678
In conclusion, we have developed a systematic workflow to sample and analyze 679
skin meta transcriptomes and have shown its utili ty for capturing in vivo microbial 680
activities distinct from just DNA abundances, as well as identifying interactions that 681
can shape microbial communities and host responses. Our data serves as a baseline 682
for healthy individuals to enable future comparisons with datasets for disease states 683
and gain deeper insights into microbial as well as host pathways that could be 684
leveraged for diagnostic and therapeutic applications. 685
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Methods
686
Subject recruitment 687
The study was conducted in the Genome Institute of Singapore (GIS). All associated 688
protocols for this study were approved by the Agency for Science, Technology and 689
Research Institutional Review Board ( A*STAR IRB reference number 2021-094) on 690
September 8th, 2021, and renewed until September 7th, 2025. All subjects recruited 691
in this study were of Singaporean nationality or permanent residents, aged 21-65 and 692
reported no skin disease at the time of sampling . Five subjects were recruited for 693
cross-sectional and three for longitudinal analysis in a pilot cohort, respectively. For 694
longitudinal analysis, subjects were sampled for 3 visits over 3 consecutive days with 695
a minimum interval of 24 hours. For cross -sectional analysis, 27 subjects were 696
recruited for the full cohort. All subjects were required to abstain from showering for at 697
least 12 hours before sampling. Human skin biops ies from A*STAR Skin Research 698
Laboratories (A*SRL) of 6 and 8mm were obtained from healthy skin donors, with 699
approval from the NHG domain specific review board (NHG DSRB 2017/00224, NHG 700
DSRB 2018/00945) at National University Health System (NUHS) and NSC domain 701
specific review board (NSC DSRB 2019/00806) at National Skin Centre. 702
Optimization of RNA Extraction with pilot cohort 703
Different sample collection methods, bead tubes, purification methods and various 704
combinations of each were tested and are detailed in Supplementary Data 1. The 705
different sample collection modes tested were with FLOQSwabs® (Copan Diagnostics; 706
Cat. No. 502CS01) and tape discs (Cuderm; D-Squame D100). For sample collection 707
with tape discs, tape discs were disinfected with 70% Ethanol for at least 1 minute and 708
dried. Tape discs were applied to skin sites, peeled off and reapplied for a total of 50 709
iterations. Tape discs were then inserted into bead tubes, with the sticky surface facing 710
the inside of the tube. For sample collection with swabs, swabs were first wetted with 711
1× phosphate buffer saline (PBS). The moistened swab was rotated and rubbed with 712
constant pressure in a zig-zag pattern. This procedure was also repeated at an angle 713
of 90° to the first rub, for a total of 1 min ute. Swab contents were either dislodged by 714
vigorous stirring in 800µL or 1300µL of DNA/RNA Shield ( Zymo Research; Cat. No. 715
ZYR.R1100) or were used directly for extraction. RNA extraction with RNeasy 716
PowerMicrobiome kit ( Qiagen; Cat. No. 26000) was carried out according to 717
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manufacturer’s instructions. RNA extraction with the Quick DNA/RNA Microprep Kit 718
(Zymo Research; Cat. No. D7005) or Norgen BioTek RNA/DNA Purification Micro Kit 719
(Norgen BioTek; Cat. No. 48700) w as carried out according to their respective 720
manufacturer’s instructions. Skin swabs were dislodged into DNA/RNA shield and 721
bead-beating was carried out with ZR BashingBead Lysis tubes (0.1mm & 0.5mm), 722
with 3 cycles of 1 min at 6m/s with 5 min interval on ice on the FastPrep -24 (MP 723
Biomedicals) homogenizer. Lysates were used as inputs into these kits. 724
Samples which were extracted with hot sodium dodecyl sulfate (SDS) and hot 725
acid phenol-chloroform were processed as follows. Skin samples were dislodged from 726
swabs into DNA/RNA shield (2× concentrate; Zymo Research; Cat. No. R1200) and 727
suspensions were added to 0.5× volume of SDS lysis solution (2% SDS, 16mM EDTA) 728
pre-heated to 100°C. These mixtures were incubated at 100°C for 5 min with periodic 729
mixing. Lysates were added to 1× volume of Acid-Phenol:Chloroform:Isoamyl alcohol, 730
pH 4.5 (125:24:1) which was pre-heated to 65°C (Invitrogen; Cat. No. AM9720). This 731
was mixed by vortexing and further incubated at 65°C for 10 min on a thermomixer 732
with constant shaking at 1400rpm. Samples were transferred to 2mL screw cap tubes 733
containing 550mg of autoclaved and air -dried 0.5mm zirconia/silica beads ( BioSpec 734
Products Inc.; Cat. No. 11079105Z). Bead-beating was carried out with 3 cycles of 1 735
min at 6m/s with 5 min interval on ice, using the FastPrep -24 homogeni zer (MP 736
Biomedicals). Samples were centrifuged for 5 min at 16,000g at 4°C and the aqueous 737
phase was transferred to a new tube. 0.1× volume of 3M sodium acetate (pH5.5) 738
(Invitrogen; Cat. No. AM9740), 2× volume of 100% ethanol and 1µL of linear 739
acrylamide (5mg/ml; Invitrogen; Cat. No. AM9520) were added to the aqueous phase. 740
RNA was allowed to precipitate overnight at -20°C and then centrifuged at 16,000g at 741
4°C for 5 min to obtain the pellet. RNA pellets were washed with 1mL of 70% ethanol 742
and air dried for 5 min. Purified RNA was resuspended in RNase -free water, treated 743
with an RNase -Free DNase Set ( Qiagen; Cat. No. 79254) and cleaned up using 744
RNeasy Min-Elute Clean up Kit (Qiagen; Cat. No. 74204). 745
Samples which were extracted with hot phenol were processed as follows. Skin 746
samples were dislodged from swabs into 500µL DNA/RNA shield ( Zymo Research; 747
Cat. No. R1100). A volume of 800µL of phenol solution (Sigma Aldritch; Cat. No. P4682) 748
pre-warmed to 65°C was added to the samples and gently mixed by pipetting without 749
creating bubbles. The phenol-sample mixture was transferred to a tube containing 750
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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800µL of sodium acetate buffer solution (SAB ; 50mM sodium acetate, 10mM EDTA, 751
pH 5.2). The pre-lysate was transferred into a 2mL screw cap tube containing 550mg 752
of 0.5mm zirconia/silica beads ( BioSpec Products, Inc.; Cat. No. 11079105Z). Bead-753
beating on the FastPrep-24 (MP Biomedicals) homogenizer was carried out at 3 cycles 754
of 1 min at 6.0m/s with 5 min intervals on ice. Lysates were incubated at 65°C for 30 755
min on a thermomixer and mixed at 1400rpm for 10 s every 1 min. Samples were 756
centrifuged at max imum speed for 10 min at 4°C. The aqueous layer was added to 757
750µL of pre-warmed (65°C) phenol and incubated at 65°C for 5 min on a thermomixer, 758
with mixing at 1400rpm for 10 s every 1 min. Samples were centrifuged at 16,000g for 759
10 min at 4°C and the aqueous layer was transferred to a tube containing 750µL of 760
Acid-Phenol:Chloroform:Isoamyl alcohol , pH 4.5 (with IAA, 125:24:1) which was 761
prewarmed to 65°C (Invitrogen; Cat. No. AM9720). The mixture was vortexed for 30 s 762
and left at room temperature for 1 min. Samples were centrifuged at maximum speed 763
for 10 min at 4°C. The aqueous layer was transferred to a new tube and 70µL of 3M 764
sodium acetate and 700µL of isopropanol was added. The mixture was incubated at 765
room temperature for 30 min and centrifuged at 16,000g for 30 min at 4°C to pellet the 766
RNA. The supernatant was removed, and the RNA pellet was washed with 70% cold 767
ethanol. Samples were centrifuged at 16,000g for 5 min, the ethanol was aspirated off 768
and the pellet was air dried. The RNA pellet was then dissolved in 20µL of nuclease 769
free water, treated with RNase-Free DNase Set (Qiagen; Cat. No. 79254) and cleaned 770
up using RNeasy Min-Elute Clean up Kit (Qiagen; Cat. No. 74204). 771
Samples were extracted with the Direct-zol™ RNA MicroPrep kit (Zymo 772
Research, Cat. No. ZYR.R2063) with Lysing matrix E ( MP Biomedicals ; Cat. No. 773
116914500) or ZR BashingBead Lysis tubes (0.1mm & 0.5mm; Zymo Research; Cat. 774
No. S6012) or zirconia/silica beads ( BioSpec Products; Cat. No. 11079105Z). Tape 775
discs were directly added into bead tubes, while skin swabs or bacteria l cells were 776
dislodged into DNA/RNA shield. RNA purification was carried out according to the 777
manufacturer’s protocol, except for some modifications such as the addition of 0.05% 778
Tween 20 and using either 3 or 4 cycles of bead -beating, as detailed in 779
Supplementary Data 1. Purified RNA was treated with RNase -Free DNase Set 780
(Qiagen; Cat. No. 79254) and cleaned up using the RNeasy Min -Elute Clean up Kit 781
(Qiagen; Cat. No. 74204). 782
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Sample collection for full cohort 783
Skin s amples were collected using FLOQSwabs® (Copan Diagnostics ; Cat. No. 784
502CS01) from five different skin sites (scalp, cheek, antecubital fossa, volar forearm, 785
and toe web) from each subject (n=135 metagenomes and n=135 786
metatranscriptomes). For each skin site, three swabs were collected from the left and 787
right side of the body and combined in a tube, except for the scalp, where only three 788
swabs were used in total. Each swab was submerged in 1× phosphate buffer saline 789
(PBS), and the excess solution was removed by pressing the swab against the tube 790
wall. For each skin site, the moistened swab was rotated and rubbed, with constant 791
pressure applied, in a zig-zag pattern and was repeated at an angle of 90° to the first 792
rub, for a total of 1 min. The contents of the swab were dislodged by stirring vigorously 793
in either 800µL or 1300µL of DNA/RNA Shield (Zymo Research; Cat. No. ZYR.R1100) 794
for scalp and other skin sites respectively. Swabs were submerged in DNA/RNA shield 795
for 5 min at room temperature and stirred vigorously again. Excess solution on each 796
swab was collected by pressing the swab against the wall of the tube. This was 797
repeated for the remaining swabs for each site. Negative controls (n=7) for each batch 798
were collected by dislodging three swabs in DNA/RNA Shield (Zymo Research ; Cat. 799
No. ZYR.R1100) without sampling the skin. Each sample or control was split into 2 800
portions for RNA (approximately 600µL) and DNA (approximately 200µL) extraction. 801
All samples were stored at -80°C prior to nucleic acid extraction. 802
RNA extraction for metatranscriptomics (Direct-zol method) 803
RNA was extracted using the Direct -zol™ RNA MicroPrep kit (Zymo Research ; Cat. 804
No. ZYR.R2063). Compared to other extraction methods and kits, this approach was 805
found to be the best performing in terms of RNA yield and RNA integrity 806
(Supplementary Data 1). Bead-beating of samples in TRI Reagent® (Zymo Research; 807
Cat. No. R2050-1-200) was done using ZR BashingBead Lysis Tubes (0.5 & 0.1mm ; 808
Zymo Research; Cat. No. S6012) and Fastprep -24 Instrument (MP Biomedicals) at 809
6.0m/s for a total of 3 min, in 1 min intervals, with 5 min incubation on ice between 810
each interval. Samples were DNase treated and purified according to kit instructions. 811
An additional DNase treatment was carried out by adding 2.5µL of DNase I and 10µL 812
of RDD buffer from RNase -Free DNase Set (Qiagen ; Cat. No. 79254), and 1µL of 813
Recombinant RNasin RNase Inhibitor (10,000U; Promega; Cat. No. N2515) in a total 814
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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volume of 100µL. The mixture was incubated at 37°C for 30 min and purified with 815
RNeasy MinElute Cleanup Kit (Qiagen; Cat. No. 74204) in an elution volume of 14µL 816
of RNase-free water. High Sensitivity RNA ScreenTape analysis (Agilent Technologies; 817
Cat. No. 5067-5579, 5067-5580) was used to assess the quality of RNA and extracted 818
RNAs were stored at -80°C. 819
Mock communities 820
For metagenomic spike-ins, a mock community of 3 different bacteria (Vibrio vulnificus 821
ATCC® 29307 ™, Plesiomonas shigelloides ATCC® 51903 ™, and Listeria 822
monocytogenes ATCC® 35152™) was created by culturing each bacterial species in 823
their respective growth media as recommended by ATCC. A growth curve was 824
established for each bacterial species and the optical density (OD) of each culture was 825
used to estimate the number of colony forming units (CFU s). Equal number of CFUs 826
for each species were resuspended in DNA/RNA shield (Zymo Research ; Cat. No. 827
ZYR.R1100) and pooled together to create a mock community stock of concentration 828
1×105 CFU/µL. Mock community stocks were aliquoted and stored at -80°C. Other 829
mock communities for quality control testing were prepared to consist of 10 different 830
bacterial species commonly part of human skin and gut microbiomes (Supplementary 831
Table 2). Each species was cultured according to the recommended growth conditions 832
and was counted using a hemocytometer. Cultures were centrifuged and each cell 833
pellet was re-suspended in 100-500µL of DNA/RNA Shield (Zymo Research; R1100). 834
Samples were stored at -80°C prior to combining the cells according to the 835
abundances summarized in Supplementary Table 2. 836
DNA extraction for metagenomics (EZ1 method) 837
This approach (EZ1 method) was used for DNA extraction due to relatively poor DNA 838
yields from the Direct-zol method, which is optimized for RNA extraction. Spike-ins of 839
the metagenomic mock community (1.5×104 CFUs) were introduced to each sample 840
prior to DNA extraction. Lysis of samples was carried out by adding 500µL of ATL 841
Buffer (Qiagen; Cat. No. 19076) to the sample and homogenisation in Lysing Matrix E 842
tubes (MP Biomedicals ; Cat. No. 116914500) with a FastPrep-24 Instrument at a 843
speed of 6.0m/s for 40 s, done twice in total. Cell debris was pelleted at 16,000g for 5 844
min and the supernatant was treated with 12µL of Proteinase K at 56°C for 15 min 845
prior to purification with EZ1 DNA Tissue Kit (Qiagen; Cat. No. 953034) using the EZ1 846
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Advanced XL machine (Qiagen). A Qubit fluorimeter was used to quantify the amount 847
of DNA. 848
Extraction quality control 849
To assess the lysis efficiencies of different protocols, each mock community 850
(Supplementary Table 2) was extracted with EZ1 DNA Tissue Kit (Qiagen ; 953034; 851
EZ1 method) and a separate aliquot with TRI Reagent® (Zymo Research; Cat. No. 852
R2050-1-200; Direct-zol method). DNA was obtained from the Direct-zol method using 853
additional steps after lysis according to the TRIzol™ Reagent (DNA isolation) User 854
Guide. DNA was cleaned up and concentrated with 2× AMPure XP beads (Beckman 855
Coulter; A63882). DNA was eluted in 30µL of Buffer EB (Qiagen; 19086). Qubit RNA 856
High Sensitivity assay kit (Thermo Fisher Scientific; Q32852) was used to check for 857
RNA contamination. Samples extracted by the Direct-Zol method that had detectable 858
levels of RNA were treated with RNase A (100mg/mL ; Qiagen; 19101), cleaned up 859
with 2× AMPure XP beads, and eluted in 30µL of Buffer EB. DNA was used for library 860
preparation and sequenced on a Illumina Novaseq X (2×150 bp reads). This data was 861
used to confirm that metagenomic relative abundances obtained based on DNA 862
extracted from both methods were highly co nsistent across the different mock 863
communities that were tested (Pearson’s R=0.95; Supplementary Figure 23). 864
Preparation of ribosomal RNA depletion mix 865
Five different oligo probe pools (desalted) were ordered from Integrated DNA 866
Technologies (IDT) targeting either Malassezia rRNA or other fungal rRNAs 867
(Supplementary Table 1). The probe pools for Malassezia rRNAs were mixed to form 868
a pool of 868 probes, while probe pools for other fung al rRNAs formed a pool of 630 869
probes. Both oligo pools were resuspended to a concentration of 2 µM/probe. The two 870
oligo probe pools were then mixed together (i.e., Malassezia:other fungi – 4:1) to form 871
a pan -fungal rRNA depletion probe pool. The final rRNA depletion probe pool was 872
made by combining the NEBNext rRNA Depletion Solution from NEBNext rRNA 873
Depletion Kit V2 (Human/Mouse/Rat ; New England Biolabs ; Cat. No. E7405) and 874
NEBNext rRNA Depletion Kit V2 (Bacteria ; New England Biolabs ; Cat. No. E7850) 875
with the custom pan-fungal rRNA depletion probe pool at a volume ratio of 40:9:1, with 876
2 µL of this final probe mix used per sample for rRNA depletion. 877
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RNA library preparation 878
Human and microbial ribosomal RNAs were depleted from 5–10 ng of total RNA or the 879
entire volume of eluted total RNA . Libraries were prepared according to 880
manufacturer’s instructions using NEBNext Ultra II Directional RNA Library Prep Kit 881
for Illumina (New England Biolabs ; Cat. No. E7760). Depending on the RIN value of 882
RNA, either Section 2 or 3 of the protocol was used. Library enrichment was carried 883
out using NEBNext Multiplex Oligos for Illumina (96 Unique Dual Index Primer Pairs ; 884
New England Biolabs ; Cat. No. E6440) or NEBNext Multiplex Oligos for Illumina 885
(Unique Dual Index UMI Adaptors RNA Set 1; New England Biolabs; Cat. No. E7416) 886
with 14 cycles of enrichment PCR. The q uality of libraries w as assessed by High 887
Sensitivity D1000 ScreenTape Assay (Agilent Technologies ; Cat. No. 5067 -558). 888
Libraries were pooled in equimolar proportions and sequenced on a Illumina HiSeq X 889
Ten system (~35 million 2×150bp read pairs per library). 890
DNA library preparation 891
NEBNext Ultra II FS DNA Library Prep Kit for Illumina (New England Biolabs; Cat. No. 892
E7805) was used according to manufacturer’s instructions with some modifications. A 893
volume of 26µL of DNA was used as input and subjected to 10 min of fragmentation 894
at 37°C. Fragmented DNA was used for adapter ligation and was cleaned up using 895
0.6× volume of AMPure XP Reagent (Beckman Coulter ; Cat. No. A63882). Adaptor 896
ligated DNA was amplified for 12 cycles using NEBNext Multiplex Oligos for Illumina 897
(96 Unique Dual Index Primer Pairs ; New England Biolabs; Cat. No. E6440) and 898
cleaned up with 0.7× volume of AMPure XP Reagent (Beckman Coulter ; Cat. No. 899
A63882). The final library was eluted in 20µL of EB Buffer (Qiagen ; Cat. No. 19086). 900
Quality of libraries were assessed by the High Sensitivity D1000 ScreenTape Assay 901
(Agilent Technologies ; Cat. No. 5067 -558). Libraries were pooled in equimolar 902
proportions and sequenced on a Illumina HiSeq X Ten system (~25 million 2×150bp 903
read pairs per library). 904
Data pre-processing and quality control 905
Short reads from metagenomic and metatranscriptomic libraries were processed using 906
a Nextflow83 pipeline (https://github.com/Chiamh/meta-omics-nf). Quality control and 907
adapter trimming were done using fastp 84 (v0.22.0) with default settings . 908
Metagenomes were further pre -processed by mapping to the hg38 human reference 909
.CC-BY-NC-ND 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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genome using BWA-MEM85 (v0.7.10-r789) and reads that failed to map to hg38 were 910
extracted using samtools 86 (v1.13) with parameters −f12 −F256. Human RNA was 911
removed from metatranscriptomes by mapping to hg38 using STAR87 (2.7.9a). Reads 912
originating from microbial ribosomal RNAs (rRNAs) were computationally removed 913
from metatranscriptomes using bbduk.sh (BBMap v38.93) and a k -mer database for 914
rRNAs. Subsequently, microbial RNA reads were de -duplicated using clumpify.sh 915
(BBMap v38.93) with parameters dedupe=t and optical=f. 916
Taxonomic classification 917
Metagenomic reads were classified using Kraken2 24 (v2.1.2) and Bracken 88 (v2.6.1) 918
with parameters --use-names, --paired and --report-minimizer-data. 919
Metatranscriptomic reads were classified with Kraken2 using the same parameters. A 920
50Gbp Kraken2 database built from Ref Seq bacterial, archaeal, viral, fungal and 921
human (hg38) genomes, as well as plasmid sequences was used. This database also 922
contains additional Malassezia assemblies downloaded from NCBI ( Supplementary 923
Data 11). Samples with at least 10,000 paired reads were retained and reads that 924
were still taxonomically assigned to Homo sapiens were removed. Microbial reads 925
were defined as the sum of reads classified as bacteria (taxid 2), archaea (taxid 2157), 926
virus (taxid 10239), and fungi (taxid 4751). 927
False positive species assignments for metagenomic reads were identified and 928
removed using an approach similar to Breitwieser et al 23. Species assignment of 929
metagenomic reads were considered true positives if there were ≥2000 unique 930
Kraken2 minimizers per 1 million microbial reads or had ≥10 read pairs for the species 931
with ≥10× more unique minimizers than read pairs. False positive species assignments 932
for metatranscriptomic reads were identified and removed using a similar approach, 933
with empirically determined minimizer thresholds. Specifically, RNAs from three 934
biological repeats (MHS445, MHS589 and MHS590), each comprising a mix of non -935
skin bacteria Plesiomonas shigelloides, Vibrio vulnificus and Listeria monocytogenes 936
were extracted, processed, and sequenced in the same way as other 937
metatranscriptomes in this study. Random subsamples of these libraries were added 938
to a skin metatranscriptome (MHS413) such that read pairs from P. shigelloides, V. 939
vulnificus and L. monocytogenes were each present at relative abundances of 940
approximately 0.1%, 1% or 10% of all reads in the metatranscriptome. These 941
metatranscriptome mixtures were subsequently rarefied to either 104 or 106 read pairs 942
.CC-BY-NC-ND 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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and reads were classified using Kraken2. For each true positive spike -in species (P. 943
shigelloides, V. vulnificus and L. monocytogenes ), false positive classifications of 944
reads to other species belonging to the genera Listeria, Plesiomonas, Vibrio, 945
Pseudomonas, Salmonella and Klebsiella were identified. The log 10 ratio of unique 946
species-specific minimizers per million microbial reads was plotted against log10 paired 947
counts of each species to determine that 10 4 unique minimizers per million microbial 948
reads could distinguish most true positive species assignments from false positives 949
(Supplementary Figure 2C). Species assignment of metatranscriptomic reads were 950
considered true positives if there were ≥10 4 unique Kraken2 minimizers per 1 million 951
microbial reads or had ≥10 read pairs for the species with ≥10 × more unique 952
minimizers than read pairs. Species contributing <0.1% RNA relative abundance were 953
removed from metatranscriptomes to avoid false positives from incorrect read 954
classification. Species contributing <0.1% DNA relative abundance were also removed 955
from each metagenome unless they were also present in the matched 956
metatranscriptome (Supplementary Figure 2C). 957
Kitome removal 958
Potential reagent and laboratory contamination-associated species (the “kitome”) 959
were identified and removed via a multi -step process ( Supplementary Figure 2A). 960
Swab extraction controls (n=7 negative control s) were sequenced from fresh swabs 961
unexposed to human skin. Species with ≥0.1% relative abundance in any negative 962
control constituted an initial list of 70 candidate genera. Each of these 70 genera were 963
classified as kitome candidates if they were not previously reported on skin or in skin 964
diseases, based on hits to the Disbiome database89, the MicrophenoDB90 or a PubMed 965
literature search (last accessed 24th Nov 2022) using the search terms ([Genus name] 966
AND "Skin" AND "microbiome" AND "human"). Pairwise Pearson correlations between 967
all species in the metagenomes or metatranscriptomes and these kitome candidates 968
were calculated using SparCC91. Any species with a strong positive correlation (r≥0.8) 969
with kitome candidate species were also marked as potential kitome contaminants and 970
removed from downstream analyses. We observed that abundances of previously 971
reported92 environmental and kit contaminants such as species of the genera 972
Achromobacter, Bradyrhizobium, Mycolibacterium, Mycobacterium and 973
Brevundimonas were not strongly positively correlated with skin or oral microbes and 974
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could hence be easily distinguished from them for removal ( Supplementary Figure 975
2B). 976
Functional classification 977
Metagenomic and metatranscriptomic reads were functionally classified based on a 978
similar strategy to that of HUMAnN3 20, using a custom Nextflow pipeline 979
(https://github.com/Chiamh/meta-omics-nf). Reads were first aligned in single -end 980
mode using Bowtie293 (v2.4.4) in –very-sensitive mode, to the Integrated Human Skin 981
Microbial Gene Catalog 19 (IHSMGC) comprising approximately 10.9 million non -982
redundant genes. A coverage filter of 50% across the length of any given hit pangene 983
sequence was used 20. Reads which failed to align to the IHSMGC were mapped 984
against the Uni Ref9094 database (downloaded 9 th June 2021) using Diamond 95 985
(v2.0.12) with parameters blastx, --id 80 --query-cover 90 and --max-target-seqs 1. For 986
searches against the UniRef90 database, only alignments with ≥80% sequence 987
identity, ≥90% query (read) coverage and ≥50% subject (UniRef90 representative 988
sequence) coverage were considered as hits. These thresholds were the same as the 989
defaults used by HUMAnN3 and were previously shown to increase specificity of 990
alignments to the UniRef90 database with a relatively small reduction in sensitivity20. 991
Pangenes and UniRef90 clusters with valid hits after mapping were annotated 992
and grouped into orthologous groups (OGs) using EggNOG mapper96 (v2.1.6) and the 993
EggNOG 5 .0 database97 with parameters -m diamond and --go_evidence all. This 994
provides annotations for Gene Ontology (GO)98,99 and Kyoto Encyclopaedia of Genes 995
and Genomes100 (KEGG) pathway analysis. Gene-level analysis was done for OGs by 996
summarizing the read counts at the level of bacteria (taxid 2) or fungi (taxid 4751). 997
Rarefaction analysis for bacterial and fungal OGs was conducted in R using the 998
‘rarecurve’ function from the vegan package (v2.6-6.1). 999
Pathway abundance and contributional diversity analysis 1000
Pathway abundances were computed using HUMAnN3 (v3.8), using a custom 1001
structured KEGG module definition file 1002
(https://github.com/CSB5/skin_metatranscriptome), with each definition retrieved 1003
using the KEGG REST API (e.g. https://rest.kegg.jp/get/M00357). Microbial alpha 1004
(Simpson) and beta (Bray -Curtis dissimilarity) diversity for each KEGG module was 1005
calculated as described in Franzosa et al9. Only modules that were core to a skin site 1006
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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(non-zero counts in >75% of individuals) with largely known microbial provenance (0.5 were considered “high” diversity. 1009
Staphyloccocus epidermidis culture experiments 1010
Overnight cultures of S. epidermidis (ATCC 12228) were diluted into 3 volumetric 1011
flasks of culture at OD 600 0.01 and incubated at 37°C for 6h to log phase (OD 600 0.4-1012
0.5). Each flask was split into 3 tubes (biological triplicates) and subjected to different 1013
stress exposures as described in Avican et al 42 (Supplementary Table 2). A portion 1014
(2×500µL) of each culture was transferred into 2mL tubes after stress exposure and 1015
1.5mL of DNA/RNA Shield (Zymo Research; Cat. No. R1100) was added into each 1016
tube and mixed well. Cell mixtures were then centrifuged at 8000g for 10min at 4°C to 1017
pellet cells. Each cell pellet was re -suspended in 500µL of TRI Reagent (Zymo 1018
Research; Cat. No. R2050-1-200) and each technical duplicate was combined into 1 1019
tube with a final volume of 1mL. Samples were stored at -80°C prior to RNA extraction. 1020
Alignment to species-specific pangenomes 1021
Bacterial species-specific analyses w as done by mapping metagenomic and 1022
metatranscriptomic reads to curated pangenomes101 (https://ngdc.cncb.ac.cn/propan/) 1023
of eight commonly found skin microbes ( Staphylococcus aureus, Staphylococcus 1024
epidermidis, Staphylococcus hominis, Staphyloccocus capitis, Cutibacterium acnes, 1025
Cutibacterium modestum, Corynebacterium tuberculostearicum and Corynebacterium 1026
ureicelerivorans), together with decoy genomes of the non -skin microbes 1027
Achromobacter xylosoxidans, Plesiomonas shigelloides, Vibrio vulnificus and Listeria 1028
monocytogenes. All genes in the eight skin species pangenome s were further 1029
clustered using CD -HIT (v4.8.1) at ≥95% protein sequence identity and mutual 1030
alignment coverage ≥90%, following guidelines by Li et al 19. Reads were aligned to 1031
the de-replicated eight skin species pangenome s in single-end mode using Bowtie2 1032
(v2.4.4) in --very-sensitive mode (similar to HUMAnN3) . A coverage filter of 50% 1033
across the length of any given hit pangene sequence was used. Fungal species -1034
specific analyses were done by pseudo-alignment of metatranscriptomic reads to the 1035
Reference
transcriptomes of multiple Malassezia species, with their reference 1036
genomes as decoys to minimize occurrences of non -transcriptomic reads being 1037
erroneously counted due to similarities to the annotated transcriptome, following 1038
.CC-BY-NC-ND 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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recommendations for Salmon102 (v1.10.1). Unlike fungal reads, bacterial reads were 1039
mapped in single-end mode to account for the organization of ORFs in polycistronic 1040
mRNAs, similar to the approach adopted by HUMAnN3. Single-ended read coverage 1041
over bacterial coding sequences w as computed using picard (v3.1.1) 1042
CollectRnaSeqMetrics with arguments -STRAND 1043
FIRST_READ_TRANSCRIPTION_STRAND. Paired -end read coverage over fungal 1044
transcripts were computed using picard CollectRnaSeqMetrics with arguments -1045
STRAND SECOND_READ_TRANSCRIPTION_STRAND. 1046
Transcriptional activity analysis 1047
An organism’s transcriptional activity was calculated in a similar way as described in 1048
Abu-Ali et al 13. Metagenomic or metatranscriptomic reads were mapped to the 1049
IHSMGC19 pangene catalogue and the UniRef90 database. Read counts for any given 1050
species (including all sub-species) were then divided by the length of each feature in 1051
kilobases to obtain the number of reads per kilobase (RPK). Reads belonging to a 1052
species that could not be mapped to pangene or UniRef90 features were assumed to 1053
belong to an unknown gene of length 1 kilobase for computing RPK. RPKs for each 1054
metagenomic or metatranscriptomic library were then summed and divided by 10 6 to 1055
obtain a per-sample scaling factor. Metatranscriptomic transcripts per million (TPM) or 1056
metagenomic copies per million (CPM) values were computed by dividing a feature’s 1057
RPK with the per -sample scaling factor. The transcriptional activity of a species was 1058
estimated by summing species-level TPM values (RNA) and dividing them by species-1059
level CPM (DNA) values. 1060
Differential expression analysis 1061
Differential expression analysis was done using DESeq2 103 (v1.36.0). Raw counts 1062
were summarized at the level of bacterial (taxid 2) and fungal (taxid 4751) orthologous 1063
groups for gene -level differential expression analysis. The design formula was ‘~ 1064
subject ID + skin site (Sc, Ch, Ac, Vf or Tw) + assay (RNA or DNA) + skin site:assay’. 1065
This design formula accounts for within-subject dependencies and variations in gene 1066
copy numbers in metagenomes while testing for differences in microbial gene 1067
expression between skin sites. Only features (rows) with median read count ≥10 for 1068
both DNA and RNA were kept. Size factors were estimated separately for the 1069
metagenomic and metatranscriptomic count matrices using the ‘poscounts’ function to 1070
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account for data sparsity. Differential expression analysis at individual species -level 1071
between two in vivo conditions was similarly done, except that only metatranscriptomic 1072
read counts were used from libraries with ≥200,000 species -specific reads, and the 1073
design formula was ‘~ subject + skin site ’. Differential expression analysis for 1074
Staphylococcus epidermidis comparing in vivo versus in vitro growth conditions was 1075
similarly done, except that the design formula was ‘~ batch + growth condition ’ to 1076
account for experimental batch effects when using in vitro RNA-seq data from different 1077
sources. Batch corrected principal component analysis (PCA) plots were derived from 1078
inputs processed with the removeBatchEffect function from limma104 (v3.60.4). 1079
Gene set enrichment analysis 1080
Gene set enrichment analysis (GSEA) for differentially expressed microbial features 1081
was done using clusterProfiler 105 (v4.4.4) with the arguments : eps=0, 1082
nPermSimple=10000 and seed=TRUE. 1083
Integration of metatranscriptomics data with metabolic models 1084
Genome-scale metabolic models (GSMMs) for Staphylococcus epidermidis ATCC 1085
12228 and Propionibacterium acnes KPA171202 were obtained from the AGORA 1086
database110. These models were constrained using COBRApy 111 based on specific 1087
exchange flux values corresponding to the conditions under which the simulations 1088
were performed. Genes in the metabolic models were mapped based on transcript 1089
levels, calculated as the geometric mean of transcript abundance (TPMs) across 1090
replicates or samples under the same growth condition. The integration of these TPM 1091
values into genome -scale models and the subsequent flux balance analysis (FBA) 1092
was carried out in Python (v3.12) using R IPTiDe112 (v3.4.81). Briefly, R IPTiDe 1093
incorporates gene expression data using reaction parsimony, generating context -1094
specific GSMMs. The context -specific models were simulated using FBA to identify 1095
flux distributions within the organism under each condition separately. Non-metric 1096
multidimensional scaling (NMDS) of the Bray -Curtis distances between flux 1097
distributions was performed using functions from the vegan package (v2.6-4) in R 1098
(v4.3.0) to compare the flux profiles across conditions. Differentially abundant 1099
reactions were identified using a generalized linear model (GLM: reactions ~ group), 1100
with reactions showing adjusted p -values below 0.001 and absolute estimate values 1101
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greater than 2 being considered significantly different between conditions . These 1102
reactions were plotted using ggplot2 (v3.5.1) in R. 1103
Identification and analysis of antimicrobial genes 1104
Hidden Markov Models (HMMs) of various classes of antimicrobial proteins were 1105
downloaded from NCBI (https://www.ncbi.nlm.nih.gov/protfam; Supplementary Data 1106
12). Microbial pangenes and representative sequences from Uni Ref90 gene clusters 1107
were searched against these HMMs using hmmscan from hmmer 106 (v3.3.2). Hits to 1108
a HMM were only kept if both the “seq” and “best one domain” scores were greater 1109
than or equal to the sequence and domain cutoffs given by NCBI. Antimicrobial genes 1110
were considered “present” in metatranscriptomes if their read counts were ≥5, with 1111
≥50% coverage over the gene body. Multiple sequence alignment (MSA) of microbial 1112
sequences and representative sequences from HMMs was done using MUSCLE107 1113
(v5.1). Matrices of pairwise percentage identities were computed from the MSAs and 1114
coverage statistics were computed using a custom python script 1115
(https://github.com/CSB5/skin_metatranscriptome). 1116
Identification of microbe-gene correlations 1117
SignalP108 (v6.0) was used to classify microbial proteins (features) that can enter the 1118
secretory pathway. Fungal and bacterial proteins were analysed in “fast” mode with 1119
the options --organism “eukarya” or “other” respectively. Microbial features predicted 1120
to enter the secretory pathway were shortlisted for correlation analysis. For a given 1121
pair of microbes at a skin site, pairwise Spearman correlations were computed 1122
between the variance stabilized counts (RNA) of microbial features computed from 1123
DESeq2 and the centered log-ratio109 (clr) transformed counts (averaged across 1000 1124
Monte Carlo instances) of microbial abundances (DNA) computed from aldex2 1125
(v1.28.1) and the aldex2propr function from propr (v2.1.2). Features were considered 1126
significantly correlated only with Spearman’s ρ≥0.7 and FDR adjusted p-value≤0.05. 1127
Structural similarity searches 1128
Protein Data Bank (PDB) files of selected microbial proteins were downloaded from 1129
the AlphaFold Protein Structure Database ( https://alphafold.ebi.ac.uk/). Structural 1130
similarity searches were done using the Foldseek Search server 1131
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(https://search.foldseek.com/search) in 3Di/AA mode and the Dali server 1132
(http://ekhidna2.biocenter.helsinki.fi/dali/) in PDB search mode. 1133
Microbial strain isolation 1134
Commensal Staphylococcal strains were isolated from skin swabs for 4 healthy donors 1135
across 4 separate body sites: antecubital fossa, axilla, cheek and scalp. Swabs were 1136
immersed in 2.5mL BHI broth (Oxoid), incubated at 37°C at 210rpm for 2 hours before 1137
being spread onto TSA -SB (Thermo Scientific) and Baird Parker (Oxoid) plates and 1138
incubated at 37°C for 24 hours. Colonies were then picked and grown in 4ml BHI broth 1139
for 16 hours overnight at 230rpm and 37°C. 200μL of the cultures were spun down at 1140
5000rpm for 5 minutes. To extract gDNA the pellet was resuspended in 50 μL 1141
QuickExtract (Lucigen). Bacterial suspensions were then heated to 65°C for 6 minutes, 1142
briefly vortexed, then heated to 98°C for 4 minutes and briefly vortexed again. PCR 1143
reactions were setup with 10μL KAPA SYBR FAST (Merck), 6.4μL nuclease free water 1144
(Promega), 3μL extracted gDNA and 0.6μL primer mix. Primer mixes were specific for 1145
4 specific Staphylococcal species (Supplementary Table 1 ). PCR was run on an 1146
AriaMx Real Time PCR System (Agilent Technologies). PCR products were sent for 1147
Sanger sequencing to confirm product sequence s. The identified Staphylococcal 1148
colonies were inoculated into 4ml BHI broth and grown overnight for 16 hours at 1149
230rpm a nd 37°C. Optical density (OD) was measured with a SpectraMax M5 1150
Microplate Reader (Molecular Devices). Overnight cultures were then grown from OD 1151
0.1 in fresh BHI for 26 hours at 230rpm a nd 37°C. Final OD measurements for all 1152
strains after 26 hours were normalized to OD 2.75. Bacterial cultures were spun down 1153
at 5000rpm for 5 minutes, pellets were discarded and supernatants stored at 4°C. 1154
Human keratinocyte cell culture 1155
A N/TERT keratinocyte cell line was used for ELISA experiments. A genetically 1156
modified N/TERT keratinocyte cell line was utilized for Nano-Glo HiBiT experiments 1157
which contained a 33 nucleotide HiBiT tag directly adjacent to the IL1B start codon. 1158
Keratinocytes were cultured in keratinocyte serum free medium (KSFM; Gibco) 1159
supplemented with bovine pituitary extract (BPE) at a final concentration of 20μg/mL, 1160
epidermal growth factor (EGF) at a final concentration of 0.2ng/mL, calcium chloride 1161
at a final concentration of 300 μM and 1:1000 penicillin -streptomycin (Gibco). 1162
Keratinocytes were seeded onto 96 well cell culture plate (Greiner) at a density of 1163
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20,000 cells per well and grown for 24 hours in 100 μL KSFM. After 24 hours KSFM 1164
was removed and the keratinocytes were cultured in 100 μL KSFM with either 1 μM 1165
anisomycin (Merck), 0.2% TritonX (Merck), 5% BHI or 5% Staphylococcal 1166
supernatants. Keratinocytes were cultured overnight for 16 hours in treatment 1167
conditions. 1168
Nano-Glo HiBiT for pro-IL-1B measurements 1169
After 16 hours of treatment of the HiBiT N/TERT keratinocytes, 50μL of the KSFM was 1170
transferred to a white-bottom 96 well plate (Sigma-Aldrich) and mixed with 50μL Nano-1171
Glo HiBiT extracellular reagent. Plates were mixed on an orbital shaker for 1 minute, 1172
incubated for 10 minutes at room temperature before luminescence was measured 1173
with a SpectraMax M5 Microplate Reader. 1174
ELISA for cleaved IL-1B 1175
After 16 hours of treatment o f the N/TERT keratinocytes , 100μL of the KSFM was 1176
transferred to a new 96 well cell culture plate and stored at -80 °C until required. 1177
Human IL -1B ELISA were performed in accordance with the manufacturer's 1178
instructions (FineTest), OD measurements were performed with a Spark Multimode 1179
Microplate Reader (Tecan) at 450nm and corrected against 570nm. 1180
Statistical analysis and visualization 1181
Statistical tests and visualizations were done using R (v4.2.0), ggplot (v3.3.6), 1182
EnhancedVolcano (v1.14.0) and ggpubr (v0.4.0). 1183
Data availability 1184
Shotgun metagenomic and metatranscriptomic sequencing data is available from the 1185
European Nucleotide Archive (ENA – https://www.ebi.ac.uk/ena/browser/home) under 1186
project accession number PRJEB82796. All large datasets, Foldseek webserver 1187
outputs, Dali webserver outputs , the Kraken2 database used for taxonomic 1188
classification, and other gene annotation databases are available on Figshare at 1189
https://figshare.com/projects/Skin_metatranscriptomics_manuscript_2024/202683. 1190
Code availability 1191
Source code for scripts used to analyze the data are available at 1192
https://github.com/CSB5/skin_metatranscriptome. 1193
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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Acknowledgements
1194
The authors wish to thank Lim Thiam Chye and Nelson Teo from NUHS, and Steven 1195
Thng and Yew Yik Weng from NSC for collecting patient skin biopsies. This work is 1196
supported by the Asian Skin Microbiome Programme 2.0 (Industry Alignment Fund 1197
Pre-Positioning; H22J1a0040), Agency for Science, Technology and Research BMRC 1198
EDB IAF -PP grants – H17/01/a0/004 and Agency for Science, Technology and 1199
Research BMRC Central Research Funds (ATR) and a National Medical Research 1200
Council (NMRC) Clinician Scientist-Individual Research Grant (CIRG23jul-0018). This 1201
work was also supported by the A*STAR Computational Resource Centre through the 1202
use of its high -performance computing facilities. The N/TERT keratinocyte cell lines 1203
were provided by the Zhong Lab, from LKC-Medicine to A*SRL. 1204
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
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Figure Legends 1205
Figure 1: Robustness and reproducibility of skin metatranscriptomes across 1206
different skin sites . (A) Boxplot showing the fraction of non -ribosomal RNA (non 1207
rRNA) reads with and without experimental rRNA depletion during library preparation 1208
for the pilot cohort . (B) Boxplot of Sorensen Similarity Ind ices (1 – Bray Curtis 1209
dissimilarity) computed from species -level relative abundances for the pilot cohort . 1210
Pairwise similarities were computed between samples in three different categories. 1211
“Technical replicates ” refer to different RNA -seq librar ies prepared and sequenc ed 1212
from the same samples. “Within individuals” refer to data from re -sampling the same 1213
individuals across three consecutive days, while “between individuals” represents 1214
inter-individual variability in our cohort. (C) Same as B but showing Pearson correlation 1215
of gene expression signatures in the pilot cohort . (D) Schematic of the full cohort 1216
comprising 27 healthy adult volunteers and 5 different skin sites and the data analysis 1217
workflow. Boxplot showing the number of metatranscriptomic reads before 1218
computational removal of host and rRNA reads (red), number of non -human, non -1219
rRNA reads after computational filtering (green) and number of microbial reads 1220
(comprising bacteria, viruses, fungi and archaea) after de -duplication (blue). (E) 1221
Boxplot showing the fraction of non -ribosomal RNA (non rRNA) reads with 1222
experimental rRNA depletion during library preparation for the full cohort. (F) Coverage 1223
plots showing the distribution of reads over bacterial gene bodies in samples belonging 1224
to the full cohort . Reads were mapped to bacterial pangenomes and samples with 1225
either >50,000 or ≤50,000 mapped bacteria l reads are coloured differently. (G) 1226
Coverage plots showing the distribution of reads over fungal gene bodies for libraries 1227
(full cohort) with ≥500,000 fungal reads. (H) Percentage of reads mapped to different 1228
regions (intergenic, intronic and exons) of the Malassezia globosa genome. “This 1229
study” refers to samples from the full cohort. “Wu et al 2015” refers to an external RNA-1230
seq dataset from cultured Malassezia globosa isolates27. 1231
Figure 2: Niche specific signatures of core active species and transcribed 1232
functions. (A) Bar plots showing median relative abundances (total sum scaled) of 1233
reads assigned to various skin commensals across different skin sites presented in 1234
log2 scale. Abundances for metagenomes and metatranscriptomes are shown. (B) 1235
Bubble plot showing core, common and variable components of skin metagenomes 1236
(DNA) and metatranscriptomes (RNA) across different body sites . A species was 1237
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called present in a metagenome if it had ≥0.1% relative abundance. A species was 1238
called present in a metatranscriptome if it had ≥0.1% relative abundance and was also 1239
detected in the metagenome. Core species in metagenomes and metatranscriptomes 1240
were defined as those present across >75% of samples at a given skin site. Common 1241
species for a skin site were defined as those present between 50% and 75% of 1242
samples. Variable species for a given skin site refer to other species that do not fall 1243
into the previous two categories, but which are present in ≥3 individuals. For RNA, 1244
bubbles are also shaded according to median transcriptional activity , defined as the 1245
ratio of normalized RNA counts of a species to that of their DNA. For visual clarity, 1246
only species which were core in at least one skin site are represented here. (C) 1247
Scatterplot of mean beta diversity (1 - Bray-Curtis dissimilarity) against mean alpha 1248
diversity (Simpson index) of core microbial pathways. Core microbial pathway 1249
expression was computed using HUMAnN3. Core microbial pathways were defined 1250
as those which were present (non-zero expression) at a skin site in >75% of individuals 1251
and with <25% unclassified reads at species -level. (D) Stacked bar plots for species 1252
level pathway contributions at RNA level, estimated with HUMAnN3 for Staphyloferrin 1253
A biosynthesis, and with Kraken2 for c ommunity level relative abundances at RNA 1254
level. For all sub-figures, Sc, Ch, Ac, Vf and Tw indicate the skin sites scalp, cheek, 1255
antecubital fossa, volar forearm and toe web respectively. 1256
Figure 3: Species-level differential enrichment of metabolic pathways in various 1257
in vivo and in vitro growth conditions. (A) Volcano plot of differentially expressed 1258
genes for Malassezia restricta colonizing scalp versus cheek samples (≥200,000 M. 1259
restricta reads per library) . Genes involved in peroxisomal activity or ether 1260
lipid/glycerophospholipid/sphingolipid metabolism are coloured blue or yellow 1261
respectively. The genes PLCN_1-7 encode secreted phosopholipase C enzymes. The 1262
genes POX2, POT1, PEX11B and ACOT8 encode proteins for peroxisomal function. 1263
(B) Bar plots of Normalized Enrichment Scores (NES) from Gene Set Enrichment 1264
Analysis for Malassezia restricta genes differentially expressed in scalp versus cheek 1265
samples. (C) Bar plots showing the number of differentially expressed genes between 1266
scalp and cheek sites for different species. (D) Schematic showing experimental setup 1267
for in vitro cultures of Staphylococcus epidermidis under different growth conditions 1268
and stress exposures. (E) Left: Principal component analysis (PCA) plot for S. 1269
epidermidis gene expression profiles from various in vitro and in vivo samples after 1270
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batch correction using Limma. Right: Bar plots showing the number of differentially 1271
expressed genes for S. epidermidis between in vivo transcriptomes and 1272
transcriptomes for different in vitro conditions. Sebaceous sites refer to both scalp and 1273
cheek samples with ≥200,000 S. epidermidis reads per library (n=6). Toe webs refer 1274
to toe web samples with ≥200,000 S. epidermidis reads per library (n=12). 1275
Figure 4: Transcriptome-aware, genome scale metabolic models reveal 1276
metabolic dependencies in various in vivo and in vitro growth conditions. (A) 1277
Bar plots showing mean flux values of various reactions associated with propionate 1278
production during cysteine and methionine metabolism in different in vivo and in vitro 1279
growth conditions for Staphylococcus epidermidis. Flux values were estimated using 1280
transcriptome-aware genome scale metabolic models for S. epidermidis. EX_ppae(e) 1281
represents the reaction exporting propionate out of bacterial cells. All reaction fluxes 1282
are significantly higher for in vivo relative to in vitro conditions (GLM adjusted p -1283
value<0.001). (B) Same as A, except showing various reactions involved in pyruvate 1284
generation during glycolysis. All reaction fluxes are significantly different between in 1285
vivo and in vitro conditions. Reaction names highlighted in red are alternative means 1286
of generating pyruvate that have higher mean fluxes for in vivo versus in vitro 1287
conditions, consistent with in vivo metabolic dependency. (C) Bar plots showing mean 1288
flux values of various reactions associated with propionate production during cysteine 1289
and methionine metabolism in different in vivo growth conditions (Scalp or Cheek) for 1290
Cutibacterium acnes. Flux values were estimated using transcriptome-aware genome 1291
scale metabolic models for C. acnes. (D) Same as C, except showing various 1292
reactions involved in histidine and proline/glutamate metabolism. EX_his_L(e) and 1293
EX_pro_L(e) refer to transport reactions exporting histidine and proline respectively. 1294
Figure 5: Inferring host-microbe and microbe-microbe interactions from 1295
metatranscriptomes. (A) Heatmap of various classes of antimicrobial genes with 1296
detected expression (≥5 reads) in individual metatranscriptomes grouped by skin site. 1297
Blue tiles denote detected expression in a given metatranscriptome. Red labels denote 1298
genes with site -specific enrichments based on Fisher’s exact test. Bacterial genes 1299
were grouped into categories of antimicrobial features based on information from 1300
profile Hidden Markov Models downloaded from NCBI. (B) Heatmap of various classes 1301
of antimicrobial genes with expression associated with species -level classified 1302
metatranscriptomic reads. The number of metatranscriptomes with detected 1303
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expression (≥5 reads) is shown in the figure . (C) Overlaid protein structures of the 1304
Malassezia restricta protein DNF11_2196 and a Streptomyces papain inhibitor. 1305
Structures were obtained from the publicly available Alpha Fold database. Structural 1306
similarity scores from Foldseek (TM-score and Root Mean Square Deviation) and Dali 1307
(Z-score) are shown. Primary amino acid sequence identity between the two proteins 1308
is also given. (D) Left: Boxplots of pro -IL-1B levels from human keratinocytes as 1309
measured by HiBiT and averaged across multiple strains of Staphylococcus capitis 1310
(n=4), Staphylococcus epidermidis (n=4), Staphylococcus hominis (n=8) and 1311
Staphylococcus warneri (n=4). Data are from two biological repeats, each comprising 1312
of three technical replicates. A Kruskal -Wallis test was conducted to assess whether 1313
levels differed significantly between groups (Kruskal-Wallis chi-squared=19.854, df=5, 1314
p-value<0.0014) and the adjusted p -values from post -hoc Dunn tests are shown. 1315
Right: Boxplots of cleaved IL -1B levels from human keratinocytes as measured by 1316
ELISA and averaged across multiple strains of Staphylococcus capitis , 1317
Staphylococcus epidermidis , Staphylococcus hominis and Staphylococcus warneri . 1318
Data are from two biological repeats, each comprising of three technical replicates. A 1319
Kruskal-Wallis test was conducted to assess whether levels differed significantly 1320
between groups (Kruskal-Wallis chi-squared=33.864, df=5, p-value<2.6e-06) and the 1321
adjusted p-values from post-hoc Dunn tests are shown. 1322
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Species leveltechnical
replicates
within
individuals
between
individuals
Sorensen Similarity Index
0.9
0.6
0.3
0.0
Gene family level
A C DB
Ac
Sc
Ch
Sc
Ch
Ac
Vf
Tw
1.0
0.5
1.0
0.5
5' 3'
Vf
Tw
Map to bacterial pangenomes Map to M. globosa/M. restricta
CDS 5' 3'CDS
normalized coverage
normalized coverage
Pearson correlation
<=50k mapped reads
1.0
0.5
1.0
0.5
1.0
0.5
(n=23)
(n=19) (n=16)
(n=7)(n=18)
(n=18)
(n=24) (n=18)
(n=18)
(n=1)
1.0
0.5
1.0
0.6
0.9
0.3
0.9
0.3
1.0
0.5
% mapping to genomic regions of M. globosa
Intergenic Intronic mRNA
80
60
40
20
0
percentage mapped
thisstudy Wu etal 2015 thisstudy Wu etal 2015 thisstudy Wu etal 2015
QC
n = 27
b) Cheek (Ch)
e) T oe webs (Tw)
Sebaceous
Moist
Dry
Full cohort
d) Volar
forearm (Vf)
a) Scalp (Sc)
c) Antecubital
fossa (Ac)
Annotate
Kitome
removal T axonomic
classificationSkin microbial
reads Functional
inference
n=19
Ac
n=18
Vf
n=18
T w
n=23n=24
Sc Ch
Sc Ch Ac Vf T w
0.00
0.25
0.50
0.75
1.00
p < 2.2e−06
p < 6e−12
technical
replicates
within
individuals
between
individuals
p < 1.8e−12
p < 6.8e−09
No
rRNA
depletion
Yes
p = 0.014
Figure 1
75
100
50
25
80
100
60
40 % non rRN A reads% non rRN A reads
All reads
non-human,
non-rRNAs
microbial reads
de-duplicated
6.0
6.5
7.0
7.5
8.0log10 read pairs
Metatranscriptomes (n=102)
E F G H
>50k mapped reads
.CC-BY-NC-ND 4.0 International licenseperpetuity. It is made available under a
preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted December 4, 2024. ; https://doi.org/10.1101/2024.12.02.626500doi: bioRxiv preprint
Sc Ch Ac Vf T w Sc Ch Ac Vf T w
core (>75%)
common (>50%)
variable (≥3 individuals)
Transcriptional
activity
log2 median
(RNA/DNA)
5
0
10
-5
Prevalence at site (%)
100
80
60
40
20
Corynebacterium kefirresidentii
Corynebacterium segmentosum
Corynebacterium tuberculostearicum
Corynebacterium ureicelerivorans
Cutibacterium acnes
Cutibacterium granulosum
Cutibacterium modestum
Deinococcus wulumuqiensis
Malassezia arunalokei
Malassezia dermatis
Malassezia furfur
Malassezia globosa
Malassezia restricta
Malassezia sympodialis
Moraxella osloensis
Rothia mucilaginosa
Staphylococcus capitis
Staphylococcus caprae
Staphylococcus epidermidis
Staphylococcus haemolyticus
Staphylococcus hominis
Staphylococcus warneri
Figure 2
0.1
0.2
0.4
0.6
0.8
0.2 0.3 0.4 0.5 0.1 0.2 0.3 0.4 0.5 0.1 0.2 0.3 0.4 0.5 0.1 0.2 0.3 0.4 0.5 0.1 0.2 0.3 0.4 0.5
Mean alpha diversity
Mean beta diversity
Sc Ch Ac Vf Tw
High alpha, High beta
Low alpha, High beta
Low alpha, Low beta
Community taxonomic diversity
RNADNA
Scalp
log2 (median rel. abundance)
−3
0
3
6
−2.5
0.0
2.5
5.0
−2.5
0.0
2.5
5.0
Cheek Antecubital fossa
Metagenomes
Metatranscriptomes
Volar forearm T oe web
Staphylococcus capitis
Staphylococcus epidermidis
Staphylococcus hominis
Malassezia globosa
Malassezia restricta
Cutibacterium acnes
Staphylococcus capitis
Staphylococcus epidermidis
Staphylococcus hominis
Malassezia globosa
Malassezia restricta
Cutibacterium acnes
Staphylococcus capitis
Staphylococcus epidermidis
Staphylococcus hominis
Malassezia globosa
Malassezia restricta
Cutibacterium acnes
Staphylococcus capitis
Staphylococcus epidermidis
Staphylococcus hominis
Malassezia globosa
Malassezia restricta
Cutibacterium acnes
Staphylococcus capitis
Staphylococcus epidermidis
Staphylococcus hominis
Malassezia globosa
Malassezia restricta
Cutibacterium acnes
−2
0
2
4
−2.5
0.0
2.5
Staphylococcus capitis
Staphylococcus caprae
Staphylococcus epidermidis
Staphylococcus haemolyticus
Staphylococcus hominis
Staphylococcus warneri
others
unclassified at species level
L-ornithine Staphyloferrin A
0
25
50
75
100
0
25
50
75
100
Pathway (M00876)
T oe web communitySMT001_Tw
SMT002_Tw
SMT003_Tw
SMT008_Tw
SMT012_Tw
SMT014_Tw
SMT015_Tw
SMT016_Tw
SMT017_Tw
SMT018_Tw
SMT019_Tw
SMT020_Tw
SMT021_Tw
SMT023_Tw
SMT026_Tw
SMT001_Tw
SMT002_Tw
SMT003_Tw
SMT008_Tw
SMT012_Tw
SMT014_Tw
SMT015_Tw
SMT016_Tw
SMT017_Tw
SMT018_Tw
SMT019_Tw
SMT020_Tw
SMT021_Tw
SMT023_Tw
SMT026_Tw
Low alpha diversity
High beta diversity
Pathway relativecontribution (RNA) Species relativeabundance (RNA)
B
C D
A
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Figure 3
−2 −1 0 31 2
Normalized Enrichment Score
STT4
PEX11B
ACOT8
POX2
PLCN_5
PLCN_6
PLCN_3PLCN_4 LACS7
POT1
PLCN_1
PLCN_2
PLCN_7
PIK1
Scalp
Scalp
Oily
Cheek
Cheek
Oily
Inositol phosphate
metabolism
Quorum sensing
Glycerophospholipid
metabolism
Ether lipid metabolism
Cell cycle − yeast
Microbial metabolism
diverse environments
Protein processing
in ER
Fructose & mannose
metabolism
Proteasome
Peroxisome
Ribosome
Peroxisome
KEGG Pathways
-Log10 (p-value)
Log2 fold change
Ether lipid/Glycerophospholipid/Sphingolipid metabolism
Malassezia restricta Scalp vs CheekMalassezia restricta
Differentially expressed genes
300
200
100
0
C. acnesM. globosaM. restricta
upregulated in scalp
downregulated in scalp
−50
−25
0
25
50
−50 −25 0 25 50
PC1: 66% variance
PC2: 8% variance
Log phase
Osmotic stress
Stationary phase
in vitro Sebaceous site
T oe Web
in vivo
upregulated in vivo
downregulated in vivo
0
250
500
750
1000
log phase
osmotic
stress
stationary
phase
log phase
osmotic
stress
stationary
phase
Sebaceous
site vs.
T oe web vs.
S. epidermidis in vivo versus in vitro
Differentially expressed genes
1) Log phase
in vitro
dataset
other
published
studies
2) Osmotic
stress
3) Stationary
phase
sub-
culture
S. epidermidis
overnight
cultures
log phase
cultures
0.5M
NaCl
16h
30
-5.0 -2.5 2.50.0
20
10
0
D E
A B C
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The copyright holder for thisthis version posted December 4, 2024. ; https://doi.org/10.1101/2024.12.02.626500doi: bioRxiv preprint
A B
C D
Figure 4
Cys & Met metabolism
2-Oxobutanoate
L-Cystathionine
Propanoyl phosphate
Propionate
OBTFL & PTA2
PPAKr
CYSTGL
Propionate metabolism
Staphylococcus epidermidis Staphylococcus epidermidis
Glycolytic pathway Glucose
F6P
G3P DHAP S7P
Pyruvate
FDP
Phosphotransferase system
Various
enzymes
L-Lactate dehydrogenase
(L_LACD2)
Transaldolase
(TALA)
PFK (PFK_3)
S1,7P G3P lyase (FBA3)
L-Lactate
Glucose-6-phosphate isomerase
Pentose
Phosphate
Pathway
0
2
4
6
8
CYSTGL
OBTFL
PPAKr
PTA2
EX_ppa(e)
Mean flux value
(mmol/gDCW hr)
in vitro
in vivo
Growth condition
Log phase
Osmotic stress
Stationary phase
Sebaceous site
T oe web
in vitro
in vivo
Growth condition
Log phase
Osmotic stress
Stationary phase
Sebaceous site
T oe web
Reactions:
Reactions: Reactions:
Reactions:
−5.0
−2.5
0.0
2.5
5.0
7.5
Mean flux value
(mmol/gDCW hr)
FBA
FBA3
L_LACD2
PFK
PPCKr
PFK_3
TALA
0
2
4
6
8
10
0.25
-0.25
0.00
0.25
0.50
-0.25
0.00
MME
MMM2r
PPAKr
PTA2
PYRCT
EX_ppa(e)
Mean flux value
(mmol/gDCW hr)
Mean flux value
(mmol/gDCW hr)
Cheek
Scalp
Propionate metabolism
Cutibacterium acnes
Histidine metabolism
Cutibacterium acnes
EX_his_L(e)
HISt2r
HISD
IZPN
NFLGLNH
NFORGLUAH
URCN
Proline and glutamate metabolism
Cheek
Scalp
EX_pro_L(e)
PROt2r
PRO1x
P5CD
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preprint (which was not certified by peer review) is the author/funder, who has granted bioRxiv a license to display the preprint in
The copyright holder for thisthis version posted December 4, 2024. ; https://doi.org/10.1101/2024.12.02.626500doi: bioRxiv preprint
2 7
46
48
2
2
4
6
28
3
4
4 39
7
8
7
2
4 23
13
1
1
2
1
4
1
6
1
3 3
1
1
1
cyclic lactone autoinducer peptide
L−lactate oxidase
pyruvate oxidase
epsilon family phenol−soluble modulin
Delta lysin family
salivaricin M family lantibiotic
plantaricin C family lantibiotic
gallidermin/nisin family lantibiotic
lacticin 481 family lantibiotic
lactococcin 972 family bacteriocin
thiazolylpeptide−type bacteriocin
thiazolylpeptide−type bacteriocin precursor
bacteriocin halocin C8−like domain
halocin C8 precursor−like protein
Corynebacterium tuberculostearicum
Cutibacterium acnes
Cutibacterium granulosum
Staphylococcus sp.
Staphylococcus capitisStaphylococcus caprae
Staphylococcus epidermidisStaphylococcus haemolyticus
Staphylococcus hominis
Staphylococcus pettenkoferi
Staphylococcus saccharolyticus
Staphylococcus warneri
Streptococcus sp.Streptococcus mitisStreptococcus oralis
Streptococcus pneumoniae
Streptococcus salivarius
10
20
30
40
Number of
metatranscriptomes
MHS388
MHS349
MHS381
MHS393
MHS598
MHS378
MHS398
MHS376
MHS357
MHS344
MHS421
MHS333
MHS426
MHS407
MHS432
MHS373
MHS442
MHS385
MHS406
MHS414
MHS429
MHS437
MHS440
MHS399
Scalp Cheek Antecubital fossa Volar forearm T oe Web
MHS389
MHS390
MHS394
MHS396
MHS379
MHS411
MHS418
MHS422
MHS374
MHS427
MHS384
MHS433
MHS331
MHS443
MHS386
MHS435
MHS328
MHS405
MHS415
MHS430
MHS438
MHS594
MHS439
MHS371
MHS391
MHS341
MHS350
MHS380
MHS355
MHS336
MHS419
MHS423
MHS334
MHS360
MHS408
MHS387
MHS329
MHS416
MHS362
MHS366
MHS441
MHS593
MHS412
MHS382
MHS351
MHS338
MHS337
MHS345
MHS424
MHS335
MHS361
MHS342
MHS364
MHS369
MHS343
MHS365
MHS330
MHS363
MHS368
MHS367
MHS413
MHS392
MHS383
MHS339
MHS377
MHS358
MHS425
MHS375
MHS428
MHS409
MHS434
MHS332
MHS370
MHS410
MHS436
MHS372
MHS347
MHS402
cyclic lactone autoinducer peptide
* : p < 0.05
*** : p < 0.001
***
***
*
***Autoinducing peptide
Free radical generation
Phenol soluble modulinswith anti-microbial potential
Bacteriocins andanti-microbial peptides
Site-specific
enrichment
L−lactate oxidase
pyruvate oxidase
epsilon family phenol−soluble modulin
Delta lysin family phenol-soluble modulin γ
PSM−delta family phenol−soluble modulin
lichenicidin A2 family type 2 lantibiotic
salivaricin M family lantibiotic
class IIb bacteriocin, lactobin A/cerein 7B family
plantaricin C family lantibiotic
gallidermin/nisin family lantibiotic
lacticin 481 family lantibiotic
lactococcin 972 family bacteriocin
thiazolylpeptide−type bacteriocin
thiazolylpeptide−type bacteriocin precursor
bacteriocin halocin C8−like domain
halocin C8 precursor−like protein
Metatranscriptome detection
Figure 5
A
TM-score: 0.77894
RMSD: 2.36
Streptomyces
papain inhibitor (5ntb_B)
Barwin domain containing
protein (DNF11_2196)
Z-score (DALI): 14.5
Seq. identity: 28.9 %
n.s.
p = 5.32e−04
n.s.
p = 1.48e−02
n.s.
1
2
3
0.2%
TritonX
5%
BHI
S.
cap
S.
epi
S.
hom
S.
war
0.2%
TritonX
5%
BHI
S.
cap
S.
epi
S.
hom
S.
war
pro−IL−1B Relative Light Units
n.s.
p = 5.76e−04
p = 5.01e−04
n.s.
n.s.
0
100
200
300
400
500cleaved IL−1B concentration
B C D
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