Dysfunction of the skin barrier, immune system, and microbiome all occur in atopic dermatitis (AD), but a single cause for this disease has not been clearly identified for all patients. Evidence supporting that AD is a multistep process that can involve lipid synthesis has been provided in a recent publication by Morimoto et al. (2022). In Tmem79‒/‒ mice used in this study, previous work of Ito et al. (2021) showed that skin inflammation occurs in a biphasic pattern, with a first phase of dermatitis that occurs independently of the microbiota and a second phase that is microbiota dependent.
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