Skip to main content

Thank you for visiting You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Dandruff is associated with the conjoined interactions between host and microorganisms


Dandruff is an unpleasant scalp disorder common to human populations. In this study, we systematically investigated the intra- and inter-associations among dandruff, physiological conditions such as sebum of the scalp, host demographics such as gender, age and the region of the scalp, and the microorganisms on the scalp. We found that the physiological conditions were highly relevant to the host age and varied in different regions of the same scalp. The sebum quantity and water content were negatively correlated with the formation of dandruff and had significant relationships with the two dominant but reciprocally inhibited bacteria on the scalp (Propionibacterium and Staphylococcus). The dominant fungus (Malassezia species) displayed contrary roles in its contribution to the healthy scalp micro-environment. Bacteria and fungi didn’t show a close association with each other, but the intramembers were tightly linked. Bacteria had a stronger relationship with the severity of dandruff than fungi. Our results indicated that the severity of dandruff was closely associated with the interactions between the host and microorganisms. This study suggests that adjusting the balance of the bacteria on the scalp, particularly by enhancing Propionibacterium and suppressing Staphylococcus, might be a potential solution to lessen dandruff.


Dandruff is a common scalp disorder that has occurred for centuries and has a prevalence of nearly 50% in the worldwide population1. The formation of dandruff has been studied for decades, but no coincident view has been widely accepted. Dawson and others have proposed that dandruff is the result of individual susceptibility, sebaceous secretion and Malassezia fungi2,3,4. Gaitanis has reported that some metabolic products of tryptophan produced by Malassezia, such as indole derivatives, cause dandruff5. Recently, another study has demonstrated that the disequilibrium in the proportion of the major bacterial and fungal populations are associated with dandruff6.

For a long time, studies on dandruff predominantly focused on fungi, particularly the Malassezia species, which are major fungi colonizing the human scalp and the dominant members of the cutaneous fungal microbiome2,3. Of the 14 known cultured species of Malassezia, the most clinically significant species are M. restricta and M. globosa7,8. These species have been reported to be associated with skin diseases, including dandruff, seborrheic dermatitis, pityriasis dermatitis, and atopic dermatitis9. However, another microorganism community composed of bacteria also inhabits the human scalp and includes facultative anaerobic bacteria, such as P. acnes, and aerobic bacteria, such as Staphylococcus10,11.

The scalp is covered with pilosebaceous units and sweat glands. Human sebum is a complex mixture of triglycerides, squalene, cholesterol esters, wax esters and cholesterols that are secreted from the scalp12,13. The secretion of sebum is controlled by sebaceous gland activity, which has been reported to have a strong correlation with scalp flaking disorders2. The sebum secretion rate increases throughout a person’s teenage years, reaches the highest in the 15- to 35-year-olds and appears to decline continuously throughout the adult age range12,13,14. Throughout the active period of sebum secretion, the secretion rate is higher in males than in females. However, these host physiological conditions could affect the microbial flora living on the scalp by affecting the scalp microenvironment. Sebum is an important food source for the growth of fungi and bacteria. Malassezia produces non-specific lipases that can degrade any available triglycerides15,16. As a result, the saturated fatty acids in sebum are consumed, and the abundant unsaturated fatty acids are left on the skin. Though recently had been challenged17, unsaturated fatty acids had long been considered to penetrate into the stratum corneum and lead to barrier disruption3,18. The bacterium P. acnes can release free fatty acids onto the skin and promote bacterial adherence by hydrolyzing triglycerides and can produce bacteriocins to kill other strains19,20. A person’s age and gender also contribute to the variability of the microbial flora resident on the skin10. Physiological and anatomical differences in the cutaneous environments (i.e., sweat, sebum and hormone production) partially account for the microbial differences between males and females21.

Based on the results of previous studies, scalp dandruff could be affected by many factors, including not only the microorganism residents but also many host factors. However, the associations of the severity of dandruff with the composition structure of the microorganisms, host demographics, and host physiological conditions and their interaction have not been clarified to date. In this study, we constructed an association network based on pyrosequencing data of the bacterial and fungal communities on human scalp samples with slight to moderate dandruff (but not severe scaling such as seborrheic dermatitis) to attempt to systemically analyze their relationships.


Relationship among dandruff, host demographics and host physiological conditions

The dandruff level was represented with a score from 0–8 on the basis of the adherent scalp flaking scale (ASFS)22. According to the dandruff severity, we grouped samples with ASFS scores from 0–2 as the normal group and the rest of the samples as the dandruff group (Supplementary Fig. S1). The host physiological conditions (i.e., sebum, water content and transepidermal water loss (TEWL)) of each sample were also measured. We investigated the effects of host demographics (sampling regions, age and gender) on the degree of dandruff (Table 1) as well as the relationship between dandruff and three physiological conditions (Supplementary Fig. S2). First, dandruff on the top region of the scalp was heavier than dandruff on the side region. The top region also had higher sebum and TEWL but a lower water content. Moreover, dandruff was negatively associated with the sebum (p = 2.21 × 10−6) and water content (p = 2.25 × 10−3), indicating that the sebum and water content on different regions of the scalp had important relationships with dandruff. The negative relationship between dandruff and sebum might also due to a greater sebum penetration into dandruff scalp stratum corneum23. Next, we measured the impact of age on dandruff. Here, the age cutoff value was set at 40, which was somewhat arbitrary but could be informative regarding the secretion of sebum12,13. We found that the younger group had less dandruff than the older group. Moreover, the younger group had relatively higher sebum than the older group. Considering the negative relationship between dandruff and sebum described above, this result suggested that the secretion of sebum, which is influenced by age, could affect the degree of dandruff. No differences in dandruff, sebum and water content were found between the male and female groups. Although the female group had a higher TEWL, the difference between the two groups was not significant.

Table 1 Sample information and physiological characteristics of recruited volunteers.

We measured the interaction relationships among host demographics on dandruff and physiological conditions. The results indicated that the sampling regions and age had significant interactions with dandruff (p = 8.80 × 10−3) and sebum (p = 8.57 × 10−3) (Supplementary Fig. S2b,S2c). These relationships suggested that the severity of dandruff represented by the ASFS score was co-affected by many factors instead of a single unique factor.

Microbiota profiling of the dandruff samples and their interactions

Using 454 pyrosequencing, we obtained 1,042,946 high quality reads from the total bacterial 16S rDNA V1–V3 sequences from 170 samples. There was a median of 5,602 reads per sample, with a range from 3,047 to 39,516. A total of 753 operational taxonomic units (OTUs) were identified at a threshold of 97% sequence similarity identity (median = 58 OTUs per sample, ranging from 18 to 193 OTUs). Eleven bacterial phyla were detected, but most sequences were assigned to two bacterial phyla: Actinobacteria (64.9%) and Firmicutes (32.5%). Of the 123 identified genera, Propionibacterium (63.3%, Actinobacteria) and Staphylococcus (32.4%, Firmicutes) comprised more than 95% of the total sequences. A total of 99.7% of the Propionibacterium belonged to P. acne, and 94.9% of the Staphylococcus were Staphylococcus spp (including S. epidermidis, S. capitis and S. caprae, whose 16S rDNA V1–V3 sequences were highly similar). Interestingly, we found that Propionibacterium decreased from 70.8% to 50.2% in the dandruff group (p = 1.89 × 10−5), whereas Staphylococcus increased from 26.0% to 43.5% (p = 2.12 × 10−4) (Fig. 1a); these results were consistent with those of previous studies6. Moreover, the proportion of the other low abundance bacteria increased in the dandruff group from 3.2% to 6.4%.

Figure 1: Distribution of the bacterial genera and fungal species in normal and dandruff samples.
figure 1

The distribution of bacteria at the genus level (a) and fungi at the species level (b) in the normal (left) and dandruff (right) groups. Results are presented as the percentage (%) of total sequences.

For fungi sequencing, 599,004 high quality ITS reads from 162 samples were obtained, with a median of 3,277 reads per sample and a range from 1,003 to 10,154. A total of 378 OTUs were identified in our study (median = 51 OTUs per sample, ranging from 27 to 102 OTUs). The majority of the fungi on the scalp were Malassezia, with 88.5% M. restricta and 5.1% M. globosa. Several cultured Malassezia (M. sympodialis, M. dermatis, and M. slooffiae), uncultured Malassezia (M. sp M8 and M. sp LCP-2008a) and other Malassezia species accounted for less than 4.0% of the total sequences. The remaining 2.5% were other non-Malassezia species. The most predominant fungal species (M. restricta) was present on the scalps in both the normal and dandruff groups, with frequencies of 87.2% and 90.6% of the sequences, respectively. M. globosa, which followed M. restricta in abundance, accounted for 6.4% of the sequences in the normal samples but decreased to 3.0% in the dandruff samples (p = 0.047). The abundance distributions of other Malassezia and non-Malassezia were quite similar in the two groups (Fig. 1b).

Next, we used Cytoscape to construct a correlation network of the microbiome resident on the scalp using the Kendall relationship. To obtain the relative robustness, the exhibited relationship threshold was set at |r| > 0.4 and the sample coverage for the shown node was above 20% (Fig. 2). As a result, we obtained three isolated clusters. One cluster was the negative interaction network of Staphylococcus and Propionibacterium, which were the major commensal bacteria on the scalp. Another cluster consisted of low abundance bacteria that were positively correlated with one another; most of them belonged to two phyla (Proteobacteria and Actinobacteria) that have been reported to be widely distributed in nature and commonly occur in soil and water6. The third cluster was the fungal network, with M. restricta as the key member and a negative correlation with other Malassezia species. These results indicated that the bacteria and fungi located on the scalp were independent, and each had its own member relationships for competition or mutualistic symbiosis.

Figure 2: Correlation network of microbiota resident on the scalp.
figure 2

Each node shows one genus of bacteria or one species of fungi. The size of the node corresponds to the log-transformed relative abundance of the microbiota. The thickness of the edges corresponds to the |r| value of the Kendall relationship. The color of the edges corresponds to the positive (red) or negative (blue) relationship. The length of the edges has no meaning.

Relationship between the microbiota and dandruff

Redundancy analysis (RDA) identified 35 key bacterial genera (p = 0.002 at a variance contribution of 1.8%) related to the severity of dandruff. Of them, 33 genera including Staphylococcus showed a significant positive correlation with dandruff. In contrast, only two genera (Propionibacterium and Labrys) showed a significant negative correlation with dandruff (Fig. 3a,c). Because Staphylococcus and Propionibacterium were the two dominant but reciprocally inhibited bacterial genera on the scalp, these results indicated that dandruff was mainly associated with the balance of these two genera.

Figure 3: Relationship between the microbiota and dandruff.
figure 3

(a,b) Redundancy analysis (RDA) of the bacterial genera (a) and fungal OTUs (b) corresponding to dandruff. Responding genera and OTUs are indicated by blue arrows. The top 10 key bacterial genera and the fungal OTU serial numbers were listed near the arrows. (c,d) Heat-map of RDA-identified key bacterial genera (c) and fungal OTUs (d) corresponding to dandruff. The color of the spot corresponds to the log-transformed relative abundance. The genera or OTUs and samples are clustered according to Kendall correlations.

For the fungi, we found that the relationship between the fungal community at the species level and dandruff was very weak (p = 0.272 by RDA). The relationships obtained at the OTU level tended to be stronger but were still not significant (p = 0.06). A total of 27 OTUs showed a significant positive correlation with danduff (by RDA at the variance contribution of 0.8%). These 27 OTUs belonged to M. restricta (n = 11), M. sp. M8 (n = 7), M. globosa (n = 1) and uncultured Malassezia (n = 8). Another 21 OTUs were significantly negatively correlated with dandruff; these OTUs belonged to M. globosa (n = 7) and M. restricta (n = 14) (Fig. 3b,d). Notably, the relationship between the OTUs of M. restricta and dandruff showed some inconformity. Fourteen OTUs of M. restricta were negatively correlated with dandruff, including OTU276 (the most abundant OTU, which belongs to M. restricta isolate HA414, GenBank EU00587.1) and OTU263 (the second most abundant OTU, which belongs to M. restricta isolate ITC58, GenBank KJ412033.1). An additional 11 OTUs showed a positive relationship with dandruff, including OTU536 (the third most abundant OTU, which belongs to M. restricta isolate POL.1.11.II, GenBank KC152885.1). These results suggested that different strains of M. restricta might have opposing contributions to dandruff, and analysis at the strain level might be more precise for studies of the relationship between fungi and dandruff.

Relationship between the microbiota and host factors

Redundancy analysis was performed on the relationship between host factors (demographics and physiological conditions) and bacteria (Table 2 and Supplementary Table S1). This analysis indicated that the bacteiral community was significantly affected by the age, gender, sebum and TEWL and showed weak relationships with the sampling region and water content. Of the two major genera, Propionibacterium was affected by the three host demographics, sebum and water content and prefered to exist on the side region, in males and the younger group. It also showed positive relationships with the sebum and water content. Staphylococcus was affected by the sampling region, TEWL and water content, showed a higher ratio with the top region of the scalp, and was positively associated with the TEWL and negatively associated with the water content.

Table 2 Relationship between microbiota and host factors.

However, only the gender of the host showed a significant correlation with the fungal community (p = 0.03, at the contribution of 0.9%). A total of 16 OTUs were positively correlated with males, and 7 OTUs showed positive relationships with females. The other host factors had no significant relationships with the fungal community (p > 0.05) (Table 2 and Supplementary Table S2).


In this study, we provide the first systematic view of the relationship among the host physiological conditions, demographics, commensal microbiota and dandruff. We found that dandruff was associated with the interactions between the host and the microorganisms on the human scalp (Fig. 4).

Figure 4: Overview of the relationships among dandruff, host demographics, physiological conditions and microorganisms.
figure 4

The shape of the nodes corresponds to the type of each factor. The color of the edges corresponds to the positive (red), negative (blue) or sole effect (black) relationship. The shape of edges corresponds to the interaction (↔) or effect (→) of the relationship. The full line of the edges corresponds to P < 0.05, and the imaginary line corresponds to P > 0.05.

Microorganisms on the scalp, especially fungi, have been predominantly thought to be the main cause of the development of dandruff. In this work, we were surprised to observe that there was not a close association between the bacteria in genus and fungi in species. Furthermore, the relationship between bacteria and dandruff was stronger than the relationship between fungi and dandruff. The most abundant bacteria on the scalp (Propionibacterium and Staphylococcus) showed reciprocal inhibition with each other, concurrent with Clavaud and Wang’s works6,24. This finding may be explained because Propionibacterium can secrete bacteriocins to suppress the growth of Staphylococcus25, whereas Staphylococcus can mediate the fermentation of glycerol and inhibit the overgrowth of Propionibacterium26. Compared with a normal scalp, the dandruff region had decreased Propionibacterium and increased Staphylococcus, suggesting that the balance between Propionibacterium and Staphylococcus might be important to the severity of dandruff. Clavaud has recently noted that the disequilibrium in the proportion of the major bacterial and fungal populations was associated with dandruff6. Our result is somewhat different in that we did not find close linkages between the bacteria and fungi. Moreover, overall fungi did not exhibit an important role in the severity of dandruff at either the species or OTU level. This discordance in the evaluation may be partially due to the functional diversity within the fungal species. Indeed, we found that different OTUs of the same Malasseiza species showed opposing relationships with dandruff, which consists with the studies in Brazilian and Japanese population that different Malassezia subtypes were found in different proportions in samples27,28. This finding suggests that not all of the Malassezia are bad for healthy scalps. Thus, studies of the relationship between fungi and dandruff might be more reasonable at the OTU level instead of the species level.

Our study revealed that the physiological conditions were highly relevant to the host age and varied in different regions of the same scalp. Scalp sebum could act as a food source for Propionibacterium, and a high water content provided a suitable environment for Propionibacterium growth. The relationship between the severity of dandruff and the bacteria suggested that adjusting the equilibrium of the bacteria, particularly by increasing the Propionibacterium and decreasing the Staphylococcus on the scalp, might be a novel way to lessen the severity of dandruff. The interactions among host factors and microorganisms imply that regulating host physiological conditions may also be a solution to inhibit the development of dandruff.

Materials and Methods

Volunteer recruitment

Volunteers with overall healthy physical condition but varying dandruff levels were recruited from the Shanghai Skin Disease Hospital (Shanghai, China), which holds a big biobank collecting special samples for scalp and hair test. The bank had been more than two years before our study and all subjects should not use any anti-dandruff products once they joined in the bank. In our survey, 363 subjects in total participated the prescreening process with the inclusion criteria: (1) healthy female or male aged between 18 and 60 years; (2) provided written informed consent willing to participate in complete test process; (3) no hair perming or coloring in the last two months and promised no hair perming or coloring during the study period; (4) the last shampoo was performed 48 ± 2 hours before the formal test. Subjects were excluded if they (1) joined other clinical research in last 3 months; (2) during pregnant or lactation period; (3) had pregnant willing during test period; (4) Body Mass Index (BMI) > 30; (5) suffered from seborrheic dermatitis, psoriasis, allergic dermatitis or eczema; (6) had scar, inflammation, tattoo or other diseases that may interfere with the results of our study; (7) accepted anti-tumor, immunosuppressant or radiation therapy; (8) used external drug or hormone on scalp in last 3 months. After screening, 60 qualified subjects joined the formal test and 59 subjects finished the test. Their physiological information was recorded (Table 1).

The study was approved by the Scientific and Ethical Committee at the Shanghai Skin Disease Hospital. All experiments were performed in accordance with the approved guidelines and regulations. All of the volunteers signed the informed consent, which explained the procedure and purpose of the study.

Sample collection

Sample Region & ASFS Score Determination

All of the subjects washed their hair 48 hours prior to sample collection and did not use any anti-dandruff products. The scalp of each subject was divided into eight divisions by a licensed dermatologist22,29, with four divisions of the top scalp defined as “top” and the other divisions defined as “side”. The dandruff level of each division was graded according to the grading approach of the adherent scalp flaking scale (ASFS) (Supplementary Fig. S1)22. For each subject, 3 divisions with minimum, medium and maximum ASFS scores were marked for sampling.

Host Physiological Measurements

The physiological measurements were performed under a controlled environment with relative humidity between 40–60% and temperature at 25 °C. All subjects stayed at this environment for 30 minutes before the measurements. The sebum of each marked area was examined with a Sebumeter SM815 (Courage+Khazaka Electronic GmbH, Cologne, Germany) using a square probe 8 mm in length and 8 mm in width. In brief, to avoid interference of hair at the each measuring site, the hair was parted by comb and secured with hair clips and then the tape on probe was pressed slightly onto the scalp for 30 seconds to measure sebum. The water content (W value) and barrier function (bP value) of each marked area were examined five times with the ASA-MX (Asahi Techno Lab)30, a patented instrument based on low and high frequency alternating voltages applied to the skin surface, using a probe 2 mm in diameter, and the mean values were used for statistical analysis (Table 1). In brief, subjects held electrode with hands and then the probe was pressed slightly onto the scalp for several seconds until values displayed on the panel. A significant correlation (r = 0.53, p < 0.01) was found between the bP value and TEWL determined by the VapoMeter (Delfin Technologies Ltd., Kuopio, Finland). There was also a significant correlation (r = 0.54, p < 0.01) between the W value and water content measured by the Corneometer (Courage+Khazaka Electronics, Cologne, Germany).


The sample collection was performed on the previously marked division of each subject using swabs based on the procedure proposed by Gemmer et al.31 with minor modifications. The swabs were frozen immediately after sampling, stored at −80 °C and then used for bacterial and fungal DNA extraction.

Extraction of bacterial and fungal DNA from swabs

Bacterial and fungal DNA were extracted using the DNeasy Tissue kit (Qiagen, 69506) according to the provided protocols with minor modifications32. The DNA content was measured by the Qubit dsDNA HS Assay kit (Invitrogen, Q32851).


The barcoded pyrosequencing was performed with the Roche 454 FLX+ automated pyrosequencer by Personal Biotechnology Co., Ltd. (Shanghai, China). The bacterial 16S rRNAV1–V3 region (~470 nucleotides) was amplified with the primers 27-F (5′-AGAGTTTGATCCTGGCTCAG-3′) and 533-R (5′-TTACCGCGGCTGCTGGCAC-3′)33. The fungal ITS region (~750 nucleotides) was amplified with the primers ITS1-F (5′-CTTGGTCATTTAGAGGAAGTAA-3′) and ITS4-R (5′-TCCTCCGCTTATTGATATGC-3′)34. The obtained 454 sequences were archived at the NCBI Sequence Read Archive (SRA) under accession number SRP057641.

Bioinformatics and statistical analysis

Sequence processing was performed using QIIME 1.7.035 with the default parameters. Briefly, sequences were quality trimmed, and chimeric sequences were identified with ChimeraSlayer and removed. Then, the sequences were clustered into operational taxonomic units (OTUs) using the program CD-HIT with a minimum identity of 97%36. Samples were rarefied at 3047 and 1003 sequences per sample for the bacterial 16S rRNA and fungal ITS, respectively. OTUs with at least 3 reads for 16S and 1 read for ITS were kept for further analysis.

The representative sequences of the 16S rRNA genes from each OTU were aligned using PyNAST31 and the Greengenes database37. Taxonomy was assigned using the Ribosomal Database Project (RDP) classifier at an 80% confidence level38. The representative sequences of the fungal ITS genes from each OTU were aligned using DNASIS Taxon (Hitachi Software Engineering Co. Ltd., Tokyo, Japan) and the GenBank data offered by NCBI (

Redundancy analysis (RDA) was performed via Canoco for Windows 5 (Microcomputer Power, NY, USA)39. Permutational multivariate analysis of variance (PERMANOVA) was performed via R-vegan3.0.2 ( The correlation analysis and one-way analysis of variance (ANOVA) were performed in MatLab® (2010b, The MathWorks, Natick, MA, USA) environment. Network drawing was performed in Cytoscape 3.1.1 (

Additional Information

How to cite this article: Xu, Z. et al. Dandruff is associated with the conjoined interactions between host and microorganisms. Sci. Rep. 6, 24877; doi: 10.1038/srep24877 (2016).

Accession codes


Sequence Read Archive


  1. Sommer, B., Overy, D. P. & Kerr, R. G. Identification and characterization of lipases from Malassezia restricta, a causative agent of dandruff. FEMS Yeast Res 15 (2015).

  2. Ro, B. I. & Dawson, T. L. The role of sebaceous gland activity and scalp microfloral metabolism in the etiology of seborrheic dermatitis and dandruff. J Investig Dermatol Symp Proc 10, 194–197 (2005).

    CAS  Article  Google Scholar 

  3. DeAngelis, Y. M. et al. Three etiologic facets of dandruff and seborrheic dermatitis: Malassezia fungi, sebaceous lipids, and individual sensitivity. J Investig Dermatol Symp Proc 10, 295–297 (2005).

    Article  Google Scholar 

  4. Turner, G. A., Hoptroff, M. & Harding, C. R. Stratum corneum dysfunction in dandruff. Int J Cosmet Sci 34, 298–306 (2012).

    CAS  Article  Google Scholar 

  5. Gaitanis, G. et al. AhR ligands, malassezin, and indolo[3,2-b]carbazole are selectively produced by Malassezia furfur strains isolated from seborrheic dermatitis. J Invest Dermatol 128, 1620–1625 (2008).

    CAS  Article  Google Scholar 

  6. Clavaud, C. et al. Dandruff is associated with disequilibrium in the proportion of the major bacterial and fungal populations colonizing the scalp. Plos One 8, e58203 (2013).

    ADS  CAS  Article  Google Scholar 

  7. Buchvald, D. [Lipophilic yeasts of the genus Malassezia and skin diseases. I. Seborrhoeic dermatitis]. Epidemiol Mikrobiol Imunol 59, 119–125 (2010).

    CAS  PubMed  Google Scholar 

  8. Zhang, E. et al. Characterization of the skin fungal microbiota in patients with atopic dermatitis and in healthy subjects. Microbiol Immunol 55, 625–632 (2011).

    CAS  Article  Google Scholar 

  9. Gaitanis, G., Velegraki, A., Mayser, P. & Bassukas, I. D. Skin diseases associated with Malassezia yeasts: facts and controversies. Clin Dermatol 31, 455–463 (2013).

    Article  Google Scholar 

  10. Grice, E. A. & Segre, J. A. The skin microbiome. Nat Rev Microbiol 9, 244–253 (2011).

    CAS  Article  Google Scholar 

  11. Findley, K. et al. Topographic diversity of fungal and bacterial communities in human skin. Nature 498, 367–370 (2013).

    ADS  CAS  Article  Google Scholar 

  12. Harris, H. H., Downing, D. T., Stewart, M. E. & Strauss, J. S. Sustainable rates of sebum secretion in acne patients and matched normal control subjects. J Am Acad Dermatol 8, 200–203 (1983).

    CAS  Article  Google Scholar 

  13. Hodgins, M. B. Diseases of the hair and scalp. Br J Dermatol 139, 360 (1998).

    CAS  Article  Google Scholar 

  14. Jacobsen, E. et al. Age-related changes in sebaceous wax ester secretion rates in men and women. J Invest Dermatol 85, 483–485 (1985).

    CAS  Article  Google Scholar 

  15. Leyden, J. J., McGinley, K. J. & Kligman, A. M. Role of microorganisms in dandruff. Arch Dermatol 112, 333–338 (1976).

    CAS  Article  Google Scholar 

  16. Shuster, S. The aetiology of dandruff and the mode of action of therapeutic agents. Br J Dermatol 111, 235–242 (1984).

    CAS  Article  Google Scholar 

  17. James, A. G., Abraham, K. H., Cox, D. S., Moore, A. E. & Pople, J. E. Metabolic analysis of the cutaneous fungi Malassezia globosa and M. restricta for insights on scalp condition and dandruff. Int J Cosmet Sci 35, 169–175 (2013).

    CAS  Article  Google Scholar 

  18. Dawson, T. L. Jr. Malassezia globosa and restricta: breakthrough understanding of the etiology and treatment of dandruff and seborrheic dermatitis through whole-genome analysis. J Investig Dermatol Symp Proc 12, 15–19 (2007).

    CAS  Article  Google Scholar 

  19. Ingham, E., Holland, K. T., Gowland, G. & Cunliffe, W. J. Partial purification and characterization of lipase (EC from Propionibacterium acnes. J Gen Microbiol 124, 393–401 (1981).

    CAS  PubMed  Google Scholar 

  20. Gribbon, E. M., Cunliffe, W. J. & Holland, K. T. Interaction of Propionibacterium acnes with skin lipids in vitro . J Gen Microbiol 139, 1745–1751 (1993).

    CAS  Article  Google Scholar 

  21. Giacomoni, P. U., Mammone, T. & Teri, M. Gender-linked differences in human skin. J Dermatol Sci 55, 144–149 (2009).

    CAS  Article  Google Scholar 

  22. Bacon, R. A., Mizoguchi, H. & Schwartz, J. R. Assessing therapeutic effectiveness of scalp treatments for dandruff and seborrheic dermatitis, part 1: a reliable and relevant method based on the adherent scalp flaking score (ASFS). J Dermatolog Treat 25, 232–236 (2014).

    Article  Google Scholar 

  23. Bonnist, E. Y. et al. Understanding the dandruff scalp before and after treatment: an in vivo Raman spectroscopic study. Int J Cosmet Sci 36, 347–354 (2014).

    CAS  Article  Google Scholar 

  24. Wang, L. et al. Characterization of the major bacterial-fungal populations colonizing dandruff scalps in Shanghai, China, shows microbial disequilibrium. Exp Dermatol 24, 398–400 (2015).

    Article  Google Scholar 

  25. Scharschmidt, T. C. & Fischbach, M. A. What Lives On Our Skin: Ecology, Genomics and Therapeutic Opportunities Of the Skin Microbiome. Drug Discov Today Dis Mech 10 (2013).

  26. Wang, Y. et al. Staphylococcus epidermidis in the human skin microbiome mediates fermentation to inhibit the growth of Propionibacterium acnes: implications of probiotics in acne vulgaris. Appl Microbiol Biotechnol 98, 411–424 (2014).

    CAS  Article  Google Scholar 

  27. Soares, R. C., Zani, M. B., Arruda, A. C., Arruda, L. H. & Paulino, L. C. Malassezia intra-specific diversity and potentially new species in the skin microbiota from Brazilian healthy subjects and seborrheic dermatitis patients. Plos One 10, e0117921 (2015).

    Article  Google Scholar 

  28. Hiruma, M., Cho, O., Kurakado, S., Sugita, T. & Ikeda, S. Genotype analyses of human commensal scalp fungi, Malassezia globosa, and Malassezia restricta on the scalps of patients with dandruff and healthy subjects. Mycopathologia 177, 263–269 (2014).

    CAS  Article  Google Scholar 

  29. VAN ABBE, N. J. & F. P. S. The investigation of dandruff J. Soc. Cosmetic Chemis 15, 609–630 (1964).

  30. Takiwaki, H. M. Y. Clinical evaluation of the new instrument ASA-M2 for measurement of the water content, barrier function, and thickness of the stratum corneum. Nishinihon Journal of Dermatology 67, 644–647 (2005).

    Article  Google Scholar 

  31. Gemmer, C. M., DeAngelis, Y. M., Theelen, B., Boekhout, T. & Dawson Jr, T. L. Jr. Fast, noninvasive method for molecular detection and differentiation of Malassezia yeast species on human skin and application of the method to dandruff microbiology. J Clin Microbiol 40, 3350–3357 (2002).

    CAS  Article  Google Scholar 

  32. Gao, Z., Perez-Perez, G. I., Chen, Y. & Blaser, M. J. Quantitation of major human cutaneous bacterial and fungal populations. J Clin Microbiol 48, 3575–3581 (2010).

    CAS  Article  Google Scholar 

  33. Gonzalez, J. M., Portillo, M. C., Belda-Ferre, P. & Mira, A. Amplification by PCR artificially reduces the proportion of the rare biosphere in microbial communities. Plos One 7, e29973 (2012).

    ADS  CAS  Article  Google Scholar 

  34. Perez-Brandan, C. et al. The effect of crop sequences on soil microbial, chemical and physical indicators and its relationship with soybean sudden death syndrome (complex of Fusarium species). Spanish Journal of Agricultural Research 12, 252–264 (2013).

    Article  Google Scholar 

  35. Caporaso, J. G. et al. QIIME allows analysis of high-throughput community sequencing data. Nat Methods 7, 335–336 (2010).

    CAS  Article  Google Scholar 

  36. Fu, L., Niu, B., Zhu, Z., Wu, S. & Li, W. CD-HIT: accelerated for clustering the next-generation sequencing data. Bioinformatics 28, 3150–3152 (2012).

    CAS  Article  Google Scholar 

  37. DeSantis, T. Z. et al. Greengenes, a chimera-checked 16S rRNA gene database and workbench compatible with ARB. Appl Environ Microbiol 72, 5069–5072 (2006).

    CAS  Article  Google Scholar 

  38. Wang, Q., Garrity, G. M., Tiedje, J. M. & Cole, J. R. Naive Bayesian classifier for rapid assignment of rRNA sequences into the new bacterial taxonomy. Appl Environ Microbiol 73, 5261–5267 (2007).

    CAS  Article  Google Scholar 

  39. Šmilauer, P. & Lepš, J. Multivariate Analysis of Ecological Data Using CANOCO 5. (Cambridge university press, 2014).

Download references


We acknowledge Yanqing Liu and Guangyun Xing for supplying the critical physiological data. We also thank Hajime Soga, Shinzou Oosumi, Hiroyuki Taguchi, Daishi Sakaguchi, Katsutoshi Ara, Takeshi Kaharu and Kazuhiko Higuchi for providing technical support.

Author information

Authors and Affiliations



M.Z., Y.Z. and X.W. designed the experiments. Z.W., F.Y., T.W. and J.W. performed the experiments. Z.X., K.M. and M.Z. analyzed the data. X.L., C.Y. and O.Q. collected the dandruff samples. Z.X., Z.W. and M.Z. wrote the first draft and all authors contributed to review and revision and have seen and approved the final version.

Corresponding authors

Correspondence to Yan Zhang or Menghui Zhang.

Ethics declarations

Competing interests

The authors declare no competing financial interests.

Supplementary information

Rights and permissions

This work is licensed under a Creative Commons Attribution 4.0 International License. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in the credit line; if the material is not included under the Creative Commons license, users will need to obtain permission from the license holder to reproduce the material. To view a copy of this license, visit

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Xu, Z., Wang, Z., Yuan, C. et al. Dandruff is associated with the conjoined interactions between host and microorganisms. Sci Rep 6, 24877 (2016).

Download citation

  • Received:

  • Accepted:

  • Published:

  • DOI:

Further reading


By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.


Quick links

Nature Briefing

Sign up for the Nature Briefing newsletter — what matters in science, free to your inbox daily.

Get the most important science stories of the day, free in your inbox. Sign up for Nature Briefing