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Orismilast, a Potent and Selective PDE4B/D Inhibitor, Reduces Protein Levels of Key Disease Driving Cytokines in the Skin of Patients With Plaque Psoriasis Orismilast是一种有效的选择性PDE4B/D抑制剂,可降低斑块型银屑病患者皮肤中关键疾病驱动因子的蛋白水平。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-19 DOI: 10.1111/exd.70153
Richard B. Warren, Anne Weiss, Jakob Felding, Morten O. A. Sommer, Sandra Garcet, James G. Krueger

Minimally invasive sampling of the skin using tape strips for conducting biomarker research is a growing research area in medical dermatology. The goal of this study was to utilise tape strip sampling to investigate changes in protein skin levels of psoriasis patients after oral treatment with orismilast (a PDE4B/D inhibitor). The proteins were measured in extracts of tape-strip samples taken from the skin of patients with moderate–severe psoriasis participating in a 16-week Ph2b study (IASOS). The proteins were measured using the Olink technology or an ELISA assay. Our results show that protein levels of multiple proteins (32/71) were upregulated at baseline in the lesional skin compared to non-lesional skin, including three key biomarkers of the psoriasis disease pathology (IL-17A, CCL20 and TNFα). The protein levels of these three biomarkers were significantly reduced at Week 16, reaching a percent reduction of 52% and 51% for IL-17A, 66% and 60% for TNFα, and 41% and 54% for CCL20 for the two doses analysed (20 and 30 mg bid, respectively). In addition, we observed that the clinical response of a 75% reduction in PASI (PASI75) was associated with a 98% reduction in IL-17A protein levels in lesional skin, irrespective of the orismilast dose. In summary, a significant reduction of key proteins related to the TH17 axis and TH1 axis was observed in the skin of psoriasis patients after treatment with oral orismilast, supporting the observed clinical effect. Finally, this constitutes the first report where protein levels from the skin of psoriasis patients are quantified using tape strips as a minimally invasive skin sampling technology in combination with the Olink technology.

Trial Registration: ClinicalTrials.gov identifier: NCT05190419

在医学皮肤病学中,使用胶带进行生物标志物研究的皮肤微创取样是一个正在发展的研究领域。本研究的目的是利用胶带取样来调查口服orismilast(一种PDE4B/D抑制剂)治疗后银屑病患者皮肤蛋白水平的变化。这些蛋白在参与为期16周的Ph2b研究(IASOS)的中重度牛皮癣患者皮肤胶带样品的提取物中进行了测量。使用Olink技术或ELISA法测定蛋白质。我们的研究结果显示,与非病变皮肤相比,病变皮肤中多种蛋白(32/71)的蛋白水平在基线水平上调,包括银屑病病理的三个关键生物标志物(IL-17A, CCL20和TNFα)。这三种生物标志物的蛋白水平在第16周显著降低,IL-17A降低了52%和51%,tnf - α降低了66%和60%,CCL20降低了41%和54%(分别为20和30 mg)。此外,我们观察到PASI (PASI75)减少75%的临床反应与病变皮肤中IL-17A蛋白水平减少98%相关,与奥利米司特剂量无关。综上所述,口服奥利司司特治疗后,银屑病患者皮肤中TH17轴和TH1轴相关关键蛋白明显减少,支持观察到的临床效果。最后,这是第一个使用胶带条作为微创皮肤采样技术与Olink技术相结合来量化牛皮癣患者皮肤蛋白质水平的报告。试验注册:ClinicalTrials.gov标识符:NCT05190419。
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引用次数: 0
IL-13 From Murine Epidermal γδ T Cells Promotes Wound Healing by Inducing Arginase-1-Positive Hypodermal Macrophages in the Early Inflammatory Phase 来自小鼠表皮γδ T细胞的IL-13在炎症早期诱导精氨酸酶-1阳性皮下巨噬细胞促进伤口愈合
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-17 DOI: 10.1111/exd.70169
Atsuko Ibusuki, Kazuhiro Kawai, Akiko Ito, Gyohei Egawa, Takuro Kanekura

Murine epidermal γδ T cells, known as dendritic epidermal T cells (DETCs), play critical roles in cutaneous wound healing by secreting chemokines, cytokines and growth factors. Although DETCs predominantly produce IL-13 early after activation, the specific role of DETC-derived IL-13 in wound repair remains unknown. Here, we show that periwound DETCs are the primary source of IL-13 at early wound sites (4 h after full-thickness skin wounding). The delayed wound closure in DETC-deficient Tcrd−/− mice was restored by the local application of IL-13 immediately after wounding. Previous studies have demonstrated that macrophages infiltrating the wound granulation tissue undergo a phenotypic shift from iNOS-positive, proinflammatory type to arginase-1-positive, anti-inflammatory type during the late inflammatory phase (3–5 days post injury). At 24 h post wounding, however, most macrophages infiltrating the periwound hypodermis expressed arginase-1. In Tcrd−/− mice, both the number of macrophages in the periwound hypodermis and their arginase-1 expression were significantly reduced. Local IL-13 administration restored arginase-1 expression in the hypodermal macrophages without altering their overall number in Tcrd−/− mice. These results indicate that IL-13 rapidly produced by DETCs upon skin injury plays a critical role in wound healing by inducing arginase-1-positive macrophages in the periwound hypodermis during the early inflammatory phase.

小鼠表皮γδ T细胞,被称为树突状表皮T细胞(DETCs),通过分泌趋化因子、细胞因子和生长因子在皮肤伤口愈合中发挥关键作用。尽管detc在激活后早期主要产生IL-13,但detc衍生的IL-13在伤口修复中的具体作用尚不清楚。在这里,我们发现伤口周围的detc是早期伤口部位(全层皮肤损伤后4小时)IL-13的主要来源。损伤后立即局部应用IL-13可恢复detc缺陷Tcrd-/-小鼠的延迟伤口愈合。先前的研究表明,浸润创面肉芽组织的巨噬细胞在炎症后期(损伤后3-5天)经历了从inos阳性、促炎型向精氨酸酶-1阳性、抗炎型的表型转变。然而,在损伤后24小时,大多数浸润创面周围皮下的巨噬细胞表达精氨酸酶-1。在Tcrd-/-小鼠中,创面周围皮下巨噬细胞数量和精氨酸酶-1表达均显著降低。局部给予IL-13可恢复Tcrd-/-小鼠皮下巨噬细胞中精氨酸酶-1的表达,但不改变其总数。这些结果表明,detc在皮肤损伤后迅速产生的IL-13在伤口愈合中发挥关键作用,在早期炎症期诱导伤口周围皮下精氨酸酶-1阳性巨噬细胞。
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引用次数: 0
Visible Light-Induced Pigmentation: Improved In Vivo Methodology for Measuring Efficacy of 30 Products in 9 Randomised Controlled Trials and Correlation With In Vitro Assessment 可见光诱导的色素沉着:在9个随机对照试验中改进的30种产品的体内疗效测量方法及其与体外评估的相关性
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-08 DOI: 10.1111/exd.70167
Pascale Renoux, Hussein Jouni, Clément Laloux, Rita Touti, Diane-Lore Vieu, François Lamarche, Silvia Morim Santos, Françoise Bernerd, Claire Marionnet

As hyperpigmentation can worsen with exposure to ultraviolet (UV) and visible light (VL), sunscreens with well-balanced UVB/UVA protection and VL-blocking pigments are recommended. Assessing efficiency against VL-induced pigmentation is then mandatory. Recently, an in vivo pigmentation assessment allowing a VL protection factor (pVL-PF) determination, and an in vitro predictive method based on transmittance measures were introduced. However, the number of volunteers, tested sunscreens, and protection range were limited. Moreover, no statistical assessment was associated. This study aimed at testing the robustness and improving these methodologies by conducting a series of 9 monocentric, double-blind, randomised controlled in vivo studies involving 188 volunteers and 30 products, alongside an in vitro approach, in 2 independent laboratories. Our results first allowed us to improve pVL-PF calculation by better fitting to VL-induced pigmentation dynamics. Based on the 30 established pVL-PF, we evidenced that VL-protection level strongly correlated with the amount of pigments in products. Second, a statistical Bayesian approach, accounting for kinetic and inter-individual response variability over time, was proposed. This enabled us to determine that 24 out of 30 products significantly reduced VL-induced pigmentation. Finally, we showed that in vitro transmittance reduction was highly predictive of in vivo results. In conclusion, through several independent studies involving a large number of products and volunteers, a refined pVL-PF calculation associated with statistical indicators was proposed together with a predictive in vitro assessment. These methodologies to assess the efficacy of tinted products against VL-induced pigmentation are complementary and could also be of interest for other pathologies induced or aggravated by VL.

Trial Registration: NCT06827392, NCT06796192, NCT06803901, NCT06796140, NCT06796153, NCT06796010, NCT06796088, NCT06796205, NCT06796179

由于暴露在紫外线(UV)和可见光(VL)下会加剧色素沉着,因此建议使用含有平衡的UVB/UVA保护和VL阻断色素的防晒霜。评估抗vl诱导的色素沉着的效率是强制性的。最近,介绍了一种允许VL保护因子(pVL-PF)测定的体内色素沉着评估方法,以及一种基于透光率测量的体外预测方法。然而,志愿者的数量、测试防晒霜的数量和保护范围都是有限的。此外,没有相关的统计评估。本研究旨在通过在2个独立实验室进行一系列9个单中心、双盲、随机对照的体内研究,包括188名志愿者和30种产品,以及体外方法,来测试这些方法的稳健性并改进这些方法。我们的结果首先允许我们通过更好地拟合vl诱导的色素沉着动力学来改进pVL-PF计算。基于已建立的30个pVL-PF,我们证明了vl保护水平与产品中色素的含量密切相关。其次,提出了一种统计贝叶斯方法,该方法考虑了动态和个体间反应随时间的变化。这使我们能够确定30个产品中的24个显著减少vl诱导的色素沉着。最后,我们发现体外透光率降低高度预测体内结果。总之,通过几项涉及大量产品和志愿者的独立研究,提出了一种与统计指标相关的精细pVL-PF计算方法以及预测性体外评估方法。这些评估着色产品对VL诱导的色素沉着的功效的方法是互补的,也可能对VL诱导或加重的其他病理感兴趣。试验注册号:NCT06827392、NCT06796192、NCT06803901、NCT06796140、NCT06796153、NCT06796010、NCT06796088、NCT06796205、NCT06796179
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引用次数: 0
Rice Bran Extract Alleviates Inflammation and Promotes Wound Healing in Radiation Dermatitis 米糠提取物减轻辐射性皮炎的炎症,促进伤口愈合
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-08 DOI: 10.1111/exd.70162
Chen-Hsiang Kuan, Takatori Hideki, Chun-Ho Wu, Pin-Jui Kung, Wei-Hung Wang, Sung-Jan Lin, Cherng-Kang Perng

Radiation dermatitis is a common side effect of radiotherapy, affecting up to 95% of cancer patients receiving radiation therapy and often leading to skin damage, inflammation, and ulceration. The pathogenesis of radiation dermatitis involves complex mechanisms, such as the production of reactive oxygen species (ROS) and sustained inflammatory responses. Current treatments, including topical steroids, moisturisers, and non-steroidal anti-inflammatory drugs (NSAIDs), often provide limited efficacy, primarily addressing symptoms rather than the underlying pathophysiological processes. In this study, we evaluated the therapeutic potential of rice bran extract (RBE) in mitigating radiation-induced skin injury. High-performance liquid chromatography (HPLC) analysis revealed that RBE is rich in bioactive compounds, including pyrogallol, gallic acid, and ferulic acid, known for their antioxidant and anti-inflammatory properties. In vitro assays demonstrated that RBE exhibited fair biocompatibility, reduced IL-6 production, enhanced 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging activity, stimulated procollagen synthesis, and promoted fibroblast migration. In a murine dorsal skin irradiation model, topical RBE application alleviated dermatitis severity, reduced skin ulceration, minimised histological signs of inflammation and fibrosis, and promoted epithelial regeneration. Bulk RNA sequencing revealed that RBE modulated key pathways related to inflammation resolution, epidermal repair, and metabolic adaptation, with Pparg identified as a central upstream regulator. Overall, RBE demonstrates antioxidant, anti-inflammatory, and pro-regenerative activities that support its potential for preventing and treating radiation dermatitis.

放射性皮炎是放射治疗的常见副作用,95%接受放射治疗的癌症患者会受到影响,通常会导致皮肤损伤、炎症和溃疡。放射性皮炎的发病机制复杂,包括活性氧(ROS)的产生和持续的炎症反应。目前的治疗方法,包括局部类固醇、保湿剂和非甾体抗炎药(NSAIDs),通常提供有限的疗效,主要解决症状而不是潜在的病理生理过程。在这项研究中,我们评估了米糠提取物(RBE)在减轻辐射引起的皮肤损伤方面的治疗潜力。高效液相色谱(HPLC)分析显示,RBE含有丰富的生物活性化合物,包括邻苯三酚、没食子酸和阿魏酸,这些化合物具有抗氧化和抗炎作用。体外实验表明,RBE具有良好的生物相容性,减少了IL-6的产生,增强了2,2-二苯基-1-picrylhydrazyl (DPPH)自由基清除能力,刺激了前胶原合成,促进了成纤维细胞的迁移。在小鼠背部皮肤照射模型中,局部RBE应用减轻了皮炎的严重程度,减轻了皮肤溃疡,减少了炎症和纤维化的组织学迹象,并促进了上皮细胞的再生。大量RNA测序显示,RBE调节了与炎症消退、表皮修复和代谢适应相关的关键通路,其中Pparg被确定为一个主要的上游调节因子。总的来说,RBE显示出抗氧化、抗炎和促进再生的活性,支持其预防和治疗放射性皮炎的潜力。
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引用次数: 0
The Association Between Non-High-Density Lipoprotein Cholesterol to High-Density Lipoprotein Cholesterol Ratio With Psoriasis: A Cross-Sectional Survey and Genetic Approach 非高密度脂蛋白胆固醇与高密度脂蛋白胆固醇比值与牛皮癣的关系:横断面调查和遗传学方法
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-05 DOI: 10.1111/exd.70165
Hao Dai, Zihao Li, Jiahui Hu, Wanying Chen, Quan Wang, Kaibo Liu, Yucang He, Liqun Li

This study utilised NHANES data from 2003 to 2006 and 2009 to 2014 to explore the association between the non-high-density lipoprotein to high-density lipoprotein cholesterol ratio (NHHR) and psoriasis. A total of 15 437 U.S. adults were analysed using multivariable logistic regression models that adjusted for cardiovascular disease, medication use, glucocorticoid therapy, and other covariates. Subgroup analyses by age, sex, and income were conducted. In addition, severity-stratified analyses were performed using data from the 2003 to 2006 and 2011 to 2014 cycles, where psoriasis severity information was available. Additional regression models comparing NHHR with traditional lipid markers (HDL-C, TC, non-HDL-C) were performed. Subsequently, Mendelian randomisation (MR) using GWAS summary statistics across European, East Asian, African, and Middle Eastern populations was conducted, with meta-analysis applied to improve precision. The results showed that NHHR was significantly associated with psoriasis (OR = 1.08, 95% CI: 1.00–1.17, p = 0.039), and those in the highest NHHR quartile had a 48% higher likelihood of developing psoriasis compared to those in the lowest quartile (OR = 1.48, 95% CI: 1.09–2.00).

本研究利用2003 - 2006年和2009 - 2014年的NHANES数据,探讨非高密度脂蛋白与高密度脂蛋白胆固醇比值(NHHR)与牛皮癣之间的关系。采用多变量logistic回归模型对15437名美国成年人进行了分析,该模型校正了心血管疾病、药物使用、糖皮质激素治疗和其他协变量。按年龄、性别和收入进行亚组分析。此外,使用2003 - 2006年和2011 - 2014年周期的数据进行严重程度分层分析,其中牛皮癣严重程度信息可用。将NHHR与传统的脂质标志物(HDL-C、TC、非HDL-C)进行回归模型比较。随后,使用GWAS在欧洲、东亚、非洲和中东人群中的汇总统计数据进行孟德尔随机化(MR),并应用荟萃分析来提高精度。结果显示,NHHR与牛皮癣显著相关(OR = 1.08, 95% CI: 1.00-1.17, p = 0.039), NHHR最高四分位数的人患牛皮癣的可能性比最低四分位数的人高48% (OR = 1.48, 95% CI: 1.09-2.00)。
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引用次数: 0
Targeting Melanin Heterogeneity in Metastatic Melanoma: A Dual-Tumour Mouse Melanoma Model 转移性黑色素瘤的靶向黑色素异质性:双肿瘤小鼠黑色素瘤模型
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-02 DOI: 10.1111/exd.70159
Marine Delmas, Benjamin Chaussin, Nathan Harismendy, Aurore Dougé, Paul-Olivier Rouzaire, Christopher Montemagno, Jérôme Durivault, Emmanuel Moreau, Elisabeth Miot-Noirault, Mercedes Quintana, Sophie Besse, Michel D'Incan, Emmanuel Chautard, Elodie Jouberton, Jacques Rouanet

The combination of melanin-targeted radionuclide therapy (TRT) and immunotherapy offers potential in overcoming melanoma resistance to conventional therapies. Studying the potential abscopal effect induced by TRT is essential to evaluate such combination. We develop here a preclinical murine model comprising a target (pigmented) and non-target (non-pigmented) tumour to study the abscopal effect induced by melanin-TRT in melanoma. Murine melanoma cell lines were tested: two pigmented (B16-F10 and B16-OVA) and one non-pigmented (B16-G4F), inoculated in C57BL/6 mice to assess pigmentation levels and immune infiltration. Heterogeneous tumour growth and repigmentation of the B16-G4F tumour led us to develop a non-pigmented cell line (B16-OVAmTYR−/−) by tyrosinase invalidation using CRISPR/Cas9. A dual-tumour model comprising the B16-OVA tumour and the B16-OVAmTYR tumour was evaluated in terms of tumour growth, pigmentation, and immune infiltrate. The B16-OVA model displayed homogeneous tumour growth, pigmentation and high immune infiltrate (CD8+ T cells p < 0.001; CD4+ T cells p < 0.05, regulatory T cells p < 0.001). The new B16-OVAmTYR−/− cell line ensured a consistent genetic background for comparative studies. The B16-OVAmTYR−/− maintained a non-pigmented phenotype without repigmentation (no melanin expression) and demonstrated similar tumour growth characteristics to its pigmented counterpart (DT = 2.4 ± 0.5 days). Establishing a dual-tumour model using both B16-OVA and B16-OVAmTYR−/− cell lines enabled concurrent study of pigmented and non-pigmented tumours in a single host, closely mirroring clinical scenarios of metastatic melanoma. We have successfully developed a new dual-tumour pigmented and non-pigmented mouse melanoma model mimicking clinical observations to study the abscopal effect in metastatic melanoma.

黑色素靶向放射性核素治疗(TRT)和免疫治疗的结合为克服黑色素瘤对常规治疗的耐药性提供了潜力。研究TRT诱导的潜在体外效应是评价这一组合的必要条件。我们在此建立了一个包括目标(色素)和非目标(非色素)肿瘤的临床前小鼠模型,以研究黑色素- trt在黑色素瘤中诱导的体外效应。小鼠黑色素瘤细胞系:两种色素(B16-F10和B16-OVA)和一种非色素(B16-G4F)接种于C57BL/6小鼠,以评估色素沉着水平和免疫浸润。B16-G4F肿瘤的异质生长和重着色使我们利用CRISPR/Cas9使酪氨酸酶失效,开发了一种非色素细胞系(B16-OVAmTYR−/−)。双肿瘤模型包括B16-OVA肿瘤和B16-OVAmTYR肿瘤,在肿瘤生长、色素沉着和免疫浸润方面进行评估。B16-OVA模型显示肿瘤生长均匀,色素沉着,免疫浸润高(CD8+ T细胞p <; 0.001; CD4+ T细胞p <; 0.05,调节性T细胞p <; 0.001)。新的B16-OVAmTYR - / -细胞系为比较研究提供了一致的遗传背景。B16-OVAmTYR - / -维持无色素沉着(无黑色素表达)的非色素沉着表型,并表现出与色素沉着相似的肿瘤生长特征(DT = 2.4±0.5天)。使用B16-OVA和B16-OVAmTYR - / -细胞系建立双肿瘤模型,可以在单个宿主中同时研究色素瘤和非色素瘤,密切反映转移性黑色素瘤的临床情况。我们成功地建立了一种新的模拟临床观察的双肿瘤色素和非色素小鼠黑色素瘤模型,以研究转移性黑色素瘤的体外效应。
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引用次数: 0
Targeting Melanoma Cell Adhesion Molecule as a Novel Therapeutic Approach for Acral Melanoma 靶向黑色素瘤细胞粘附分子治疗肢端黑色素瘤的新方法
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-02 DOI: 10.1111/exd.70164
Yuka Tanaka, Takamichi Ito, Kiichiro Nishio, Keiko Tanegashima, Takeshi Nakahara

Acral melanoma (AM) is a rare subtype of cutaneous melanoma mainly found in acral locations. The treatment of advanced AM remains challenging due to its rarity and the distinct features of this subtype compared with the other common types of melanomas. There is thus an urgent need to develop effective therapeutic approaches for AM. This study was established to screen and evaluate potential therapeutic targets for AM. DNA microarray analysis comparing normal epidermal melanocytes and AM cell lines (SM2-1 and MMG-1) showed that approximately 500 genes were highly expressed in the AM cell lines compared with the levels in normal melanocytes. Among them, melanoma cell adhesion molecule (MCAM) was selected for further analyses and was found to be significantly highly expressed in AM cell lines compared with the levels in melanocytes and keratinocytes. Knockdown of MCAM significantly inhibited the proliferation of AM cell lines with decreased expression of cyclin D1 and BCL2. The cytotoxicity of MCAM-targeted antibody-drug conjugate was further evaluated and it significantly decreased the viability of AM cell lines. In conclusion, MCAM is highly expressed in AM cell lines and affects their proliferation, likely through modulating the expression of cyclin D1 and BCL2. These findings highlight the potential of MCAM as a therapeutic target of AM.

肢端黑色素瘤(AM)是一种罕见的皮肤黑色素瘤亚型,主要发生在肢端位置。晚期AM的治疗仍然具有挑战性,因为它的罕见性和与其他常见类型的黑色素瘤相比,该亚型的独特特征。因此,迫切需要开发有效的AM治疗方法。本研究旨在筛选和评估AM的潜在治疗靶点。DNA微阵列分析比较了正常表皮黑色素细胞和AM细胞系(SM2-1和MMG-1),结果显示AM细胞系中大约有500个基因高表达,而正常黑色素细胞中则有500个基因高表达。其中,选择黑色素瘤细胞粘附分子(melanoma cell adhesion molecule, MCAM)进行进一步分析,发现其在AM细胞系中的表达水平明显高于黑色素细胞和角质形成细胞。MCAM基因敲低可显著抑制AM细胞株的增殖,细胞周期蛋白D1和BCL2的表达降低。进一步评估了靶向AM的抗体-药物偶联物的细胞毒性,发现它显著降低了AM细胞株的活力。综上所述,MCAM在AM细胞系中高表达并影响其增殖,可能通过调节cyclin D1和BCL2的表达。这些发现突出了MCAM作为AM治疗靶点的潜力。
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引用次数: 0
The Role of Cutaneous B-Cells in Hidradenitis Suppurativa: From Preclinical Evidence to Novel Targeted Therapies 皮肤b细胞在化脓性汗腺炎中的作用:从临床前证据到新的靶向治疗
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-02 DOI: 10.1111/exd.70163
Maurizio Romagnuolo, Laura Calabrese, Martina D'Onghia, Vittoria Cioppa, Pietro Rubegni, Angelo Valerio Marzano, Chiara Moltrasio

Hidradenitis Suppurativa (HS) is a chronic autoinflammatory skin disease of the terminal hair follicle, whose pathogenesis is complex and multifactorial. Alongside a predisposing genetic background, environmental/epigenetic factors, alterations in the skin microbiome, and dysregulation of both innate and adaptive immune responses contribute to the persistent inflammatory network. Despite advancing knowledge, the exact molecular and cellular mechanisms underlying HS have yet to be untangled. Moreover, the lack of experimental disease models that closely mimic disease phenotypes or pathophysiological processes has hindered the development of effective therapeutic strategies. Recent advances in immunology highlighted the important role of B cells in HS pathogenesis, not only in the chronic but also in the early stages of the disease, implying great potential for the development of novel therapeutic targets. This study gathers the preclinical and clinical scientific evidence that supports the role of cutaneous B-cells in HS pathogenesis and the therapeutic potential of their targeting.

化脓性汗腺炎(HS)是一种终末毛囊慢性自身炎症性皮肤病,其发病机制复杂、多因素。除了易感遗传背景外,环境/表观遗传因素、皮肤微生物组的改变以及先天和适应性免疫反应的失调都有助于持续的炎症网络。尽管知识不断进步,但HS背后的确切分子和细胞机制尚未解开。此外,缺乏模拟疾病表型或病理生理过程的实验疾病模型阻碍了有效治疗策略的发展。免疫学的最新进展强调了B细胞在HS发病机制中的重要作用,不仅在慢性而且在疾病的早期阶段,这意味着开发新的治疗靶点具有巨大的潜力。本研究收集了临床前和临床科学证据,支持皮肤b细胞在HS发病机制中的作用及其靶向治疗潜力。
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引用次数: 0
Exploring Novel Biomarkers for Rosacea Through Cohort Study and Mendelian Randomisation 通过队列研究和孟德尔随机化探索新的红斑痤疮生物标志物
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-09-01 DOI: 10.1111/exd.70161
Rui Mao, Fan Wang, Tongtong Zhang, Ji Li

The current therapeutic landscape for rosacea is notably deficient in targeted medications, underscoring an urgent need for the identification of novel biomarkers. Utilising a longitudinal cohort of 54 306 individuals from the UK Biobank (UKB), we conducted a comprehensive assessment of the associations between 2923 serum proteins and the risk for rosacea. Our cohort analysis identified 18 proteins significantly associated with rosacea risk. Next, we complemented the two-sample Mendelian randomisation (TSMR) and Mendelian randomisation (SMR) analysis based on pooled data to identify genetic links between protein targets and rosacea. TSMR analysis refined this list to nine proteins demonstrating significant causal relationships with at least one form of rosacea. Further refinement through SMR and differential expression analysis reduced this to five key proteins, including four (ABHD14B, CHMP6, DBNL and MCFD2) that inhibit rosacea onset and one (MSR1) that promotes it. The differential expression of these five biomarkers was validated by multiple omics datasets as well as in vitro experiments. We calculated the protein score based on the expression levels of these proteins, noting that participants with higher scores demonstrated an increased incidence of rosacea. The integrative examination of proteomic and genetic data from a European adult cohort provides robust causal evidence for several proteins as promising new biomarkers for the development of rosacea treatments.

目前酒渣鼻的治疗前景明显缺乏靶向药物,强调迫切需要鉴定新的生物标志物。利用来自英国生物银行(UKB)的54 306名个体的纵向队列,我们对2923种血清蛋白与酒渣鼻风险之间的关系进行了全面评估。我们的队列分析确定了18种与酒渣鼻风险显著相关的蛋白质。接下来,我们补充了基于汇总数据的双样本孟德尔随机化(TSMR)和孟德尔随机化(SMR)分析,以确定蛋白质靶点与酒渣鼻之间的遗传联系。TSMR分析将这一列表细化为九种蛋白质,表明与至少一种形式的酒渣鼻有显著的因果关系。通过SMR和差异表达分析进一步细化,将其减少到5个关键蛋白,包括4个(ABHD14B、CHMP6、DBNL和MCFD2)抑制酒渣鼻发病,1个(MSR1)促进酒渣鼻发病。通过多个组学数据集和体外实验验证了这五种生物标志物的差异表达。我们根据这些蛋白质的表达水平计算蛋白质得分,注意到得分较高的参与者表明酒渣鼻的发病率增加。来自欧洲成人队列的蛋白质组学和遗传学数据的综合检查为几种蛋白质作为有希望的新生物标志物提供了强有力的因果证据,用于开发酒渣鼻治疗。
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引用次数: 0
Genetic Comorbidity of Psoriasis and Four Cardiovascular Diseases: Uncovering Shared Mechanisms and Potential Therapeutic Targets 银屑病与四种心血管疾病的遗传共病:揭示共同机制和潜在治疗靶点
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2025-08-27 DOI: 10.1111/exd.70158
Xiaojian Li, Zhangren Yan, Hongrong Lan, Yanyu Wu, Shiyu Chen, Guirong Qiu, Yunbo Wu

Psoriasis (PSO) is a chronic, systemic immune-mediated inflammatory disease that has been increasingly recognised as being significantly comorbid with various cardiovascular diseases (CVDs). However, the underlying shared genetic architecture and biological mechanisms connecting these conditions remain largely unclear. This study aimed to systematically evaluate the genetic correlations between PSO and four major CVDs—hypertension, coronary heart disease, coronary atherosclerosis, and heart failure—and to identify shared genetic loci, functional genes, and immune-mediated pathways that may serve as potential targets for comorbidity intervention. We integrated multiple large-scale publicly available genome-wide association study datasets and employed a multidimensional genetic analysis framework. This included linkage disequilibrium score regression (LDSC), high-definition likelihood (HDL), stratified LDSC (S-LDSC), multi-dimensional gene-set enrichment (MAGMA), pleiotropy analysis under the composite null hypothesis (PLACO), and summary-data-based Mendelian randomisation (SMR). These approaches were used to elucidate the shared genetic architecture and to functionally annotate the biological mechanisms underlying PSO–CVD comorbidity. LDSC and HDL analyses revealed significant positive genetic correlations between PSO and all four CVDs (p < 0.05). PLACO identified a total of 653 pleiotropic SNPs, enriched in key genomic loci such as 12q24.12 (e.g., SH2B3, BRAP) and 5q31.1 (e.g., IL3, C5orf56). S-LDSC results demonstrated significant enrichment of these shared signals in disease-relevant tissues including the aorta, coronary arteries, peripheral blood, and spleen. Immune colocalization analysis further highlighted the involvement of T cells, monocytes/macrophages, and NK cells in the genetic comorbidity between PSO and CVDs. Integrative analyses combining MAGMA, SMR, and FUMA identified multiple potential therapeutic targets, such as APOE, IL13, and C5orf56, that may play key roles in the pathogenesis of both diseases. This study provides the first comprehensive genetic dissection of the comorbidity between PSO and CVDs. We propose a “genetics–immunity–tissue” regulatory model underlying the shared pathophysiology. Our findings provide potential evidence that PSO, as a systemic condition, may influence cardiovascular pathophysiology.

银屑病(PSO)是一种慢性、全身性免疫介导的炎症性疾病,已越来越多地被认为与各种心血管疾病(cvd)共病。然而,潜在的共享遗传结构和连接这些条件的生物机制在很大程度上仍然不清楚。本研究旨在系统评估PSO与四种主要心血管疾病(高血压、冠心病、冠状动脉粥样硬化和心力衰竭)之间的遗传相关性,并确定共享的遗传位点、功能基因和免疫介导的途径,这些基因可能作为合并症干预的潜在靶点。我们整合了多个大规模公开的全基因组关联研究数据集,并采用了多维遗传分析框架。这包括连锁不平衡评分回归(LDSC)、高清晰度似然(HDL)、分层LDSC (S-LDSC)、多维基因集浓缩(MAGMA)、复合零假设下的多效性分析(PLACO)和基于汇总数据的孟德尔随机化(SMR)。这些方法被用来阐明共享的遗传结构,并功能性地注释PSO-CVD合并症的生物学机制。LDSC和HDL分析显示PSO与所有四种cvd之间存在显著的正遗传相关性(p < 0.05)。PLACO共鉴定出653个多效性snp,富集于12q24.12(如SH2B3、BRAP)和5q31.1(如IL3、C5orf56)等关键基因组位点。S-LDSC结果显示,这些共同信号在疾病相关组织中显著富集,包括主动脉、冠状动脉、外周血和脾脏。免疫共定位分析进一步强调了T细胞、单核/巨噬细胞和NK细胞参与PSO和cvd的遗传共病。结合MAGMA、SMR和FUMA的综合分析发现了多个潜在的治疗靶点,如APOE、IL13和C5orf56,这些靶点可能在这两种疾病的发病机制中发挥关键作用。本研究首次对PSO和cvd的合并症进行了全面的遗传解剖。我们提出了一个“遗传-免疫-组织”的调节模型,其基础是共同的病理生理。我们的研究结果为PSO作为一种全身性疾病可能影响心血管病理生理提供了潜在的证据。
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Experimental Dermatology
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