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Scoring systems for pemphigus 天疱疮的评分系统
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103//DS.V41-1_Editorial
C. Hsu
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引用次数: 0
Platelet-rich plasma in the treatment of alopecia areata: A retrospective evaluation of 17 patients 富血小板血浆治疗斑秃:17例患者的回顾性评价
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-22-00205
Yusuf Kelleci, F. Aydın, Gokhan Sahin, E. Yuksel
Background: Alopecia areata (AA) is a disease of unknown etiology which is thought to be autoimmune, that presents challenges in terms of treatment. Platelet-rich plasma (PRP) can induce the development of new hair follicles through various growth factors it contains. PRP could be a treatment option for patients with AA. Objectives: We aim to evaluate the effectiveness and safety of PRP treatment in patients with patch-type AA. Methods: The study included 17 patients diagnosed with patch-type AA who received PRP treatment at least 3 sessions every 4 weeks. Treatment response was evaluated by calculating the severity of alopecia tool (SALT) scores. Results: The mean age of patients was 29.70 ± 10.09, and the mean disease duration was 18.17 ± 39.46 months. The mean SALT score of 17 patients was 6.82 ± 4.96 and 4.35 ± 4.58 before treatment and at the end of the 3rd month, respectively. The reduction in SALT scores was statistically significant (P = 0.01). At the end of the 3rd month, six patients (35.3%) had an excellent response, one patient (5.9%) had a good response, one patient (5.9%) had a partial response, and nine patients (52.9%) showed no response. The mean SALT scores of four patients who received six sessions of PRP of treatment were 6.00 ± 2.94 and 1.75 ± 2.06 at the end of the 6th month. No serious side effects were noted. Relapse was observed in one patient within 1 year of follow-up. Conclusion: As a result of our study, PRP treatment was found to be an effective and reliable treatment method in patients with mild AA.
背景:斑秃(AA)是一种病因不明的疾病,被认为是自身免疫性疾病,在治疗方面提出了挑战。富血小板血浆(PRP)可以通过其所含的多种生长因子诱导新毛囊的发育。PRP可能是AA患者的一种治疗选择。目的:评价PRP治疗贴片型AA的有效性和安全性。方法:研究纳入17例诊断为贴片型AA的患者,每4周至少接受3次PRP治疗。通过计算脱发工具(SALT)评分来评估治疗效果。结果:患者平均年龄29.70±10.09岁,平均病程18.17±39.46个月。17例患者治疗前和治疗3月末的平均SALT评分分别为6.82±4.96和4.35±4.58。SALT评分降低有统计学意义(P = 0.01)。第3个月末,极缓解6例(35.3%),良好缓解1例(5.9%),部分缓解1例(5.9%),无缓解9例(52.9%)。接受6次PRP治疗的4例患者6月末SALT平均评分分别为6.00±2.94和1.75±2.06。没有发现严重的副作用。1例患者随访1年内复发。结论:本研究发现PRP治疗是治疗轻度AA患者有效可靠的方法。
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引用次数: 1
Expression of acyl-CoA synthetase medium-chain 3 is associated with obesity in melanoma patients and correlates with androgen receptor 酰基辅酶a合成酶中链3的表达与黑色素瘤患者肥胖相关,并与雄激素受体相关
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-22-00141
Yuan Zheng, Pingdong Jiang, Liyin Zhang
Background: Malignant melanoma is a typical type of cancer that feature the obesity paradox. Objectives: We aim to evaluate the role of acyl-CoA synthetase medium-chain 3 (ACSM3) in obesity paradox in malignant melanoma (MM). Methods: With reproduction of the Cancer Genome Atlas (TCGA) MM dataset and validation using immunohistochemistry, we evaluated correlations of ACSM3 expression with body mass index (BMI), gender, and androgen receptor (AR) expression. Results: ACSM family genes were downregulated in MM and in normal skin exposed to ultraviolet. Higher expression of ACSM3 was associated with improved overall survival in men but not in women. Subgroup analysis showed the best survival outcome in obese patients with high ACSM3 expression. ACSM3 expression was significantly lower in cases with ulceration. NET-GE-based gene enrichment analysis of ACSM-overexpressed cases showed significant enrichment in lipid metabolism and butanoate metabolism. AR stood as the top possible transcription factor of ACSM3 using multiple algorithms. Expressions of ACSM3 and AR were positively correlated in obese men and overweight women. ACSM3 expression was positively correlated with BMI in men and overweight women. Conclusion: ACSM3 expression is associated with obesity in MM patients and correlates with AR. Functional analysis linking the findings to the obesity paradox warrants further study.
背景:恶性黑色素瘤是一种典型的以肥胖悖论为特征的癌症。目的:探讨酰基辅酶a合成酶中链3 (ACSM3)在恶性黑色素瘤(MM)肥胖悖论中的作用。方法:通过复制癌症基因组图谱(TCGA) MM数据集并使用免疫组织化学进行验证,我们评估了ACSM3表达与体重指数(BMI)、性别和雄激素受体(AR)表达的相关性。结果:ACSM家族基因在MM和正常皮肤暴露于紫外线下均下调。在男性中,ACSM3的高表达与总生存率的提高有关,而在女性中则无关。亚组分析显示,ACSM3高表达的肥胖患者生存率最高。溃疡组ACSM3表达明显降低。基于net - ge的基因富集分析显示,acsm过表达病例的脂质代谢和丁酸盐代谢显著富集。在多种算法下,AR被认为是ACSM3最可能的转录因子。在肥胖男性和超重女性中,ACSM3和AR的表达呈正相关。在男性和超重女性中,ACSM3的表达与BMI呈正相关。结论:ACSM3的表达与MM患者的肥胖相关,并与AR相关。将该发现与肥胖悖论联系起来的功能分析值得进一步研究。
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引用次数: 0
A case of new-onset palmoplantar pustulosis following mRNA COVID-19 vaccination mRNA - COVID-19疫苗接种后新发掌足底脓疱病1例
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-23-00004
Y. Hsu, T. Tsai
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引用次数: 1
Giant perforating pilomatricoma: A case report 巨大穿孔性毛囊基质瘤1例
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-23-00001
W. Nho, Junyoung Kim, S. Kee, Dong-Jin Kim, K. Yoon
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引用次数: 0
The reduced expression of trimethylation of histone H3 at lysine 27 in primary cutaneous mucinous carcinoma 原发性皮肤黏液癌中赖氨酸27处组蛋白H3三甲基化表达的降低
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.DS-D-22-00103
Shu-Hao Li, C. Chiou, Chien-Chin Chen
Primary cutaneous mucinous carcinoma (PCMC) is rare, and its carcinogenesis is unclear. Trimethylation of histone H3 at lysine 27 (H3K27me3) is a key regulator in chromatin remodeling-controlled transcription. Focusing on the epigenetic mechanism, we aimed to investigate the expression of H3K27me3 in PCMC by immunohistochemistry. A retrospective cohort of PCMC patients from a tertiary hospital in Taiwan was enrolled to evaluate the clinicopathologic features, treatment outcome, and protein expression. Immunohistochemistry for H3K27me3 was performed on all PCMCs and a comparison group of colonic mucinous adenocarcinoma and pure mucinous carcinoma of the breast. The percentage of H3K27me3-negative tumor cells was calculated and analyzed. Three patients with PCMC were recruited. All PCMCs were solitary and slow growing, arising from the head-and-neck region. All PCMCs had tumor excision without local recurrence or metastasis. The loss of H3K27me3 expression was significant in PCMCs (mean ± standard deviation [SD]: 21.0% ± 6.6%) compared to other mucinous carcinomas (mean ± SD: 3.8% ± 1.7%) (P = 0.019). In conclusion, we report a reduction in H3K27me3 expression in PCMC. In contrast, H3K27me3 expression is retained or mildly reduced in other mucinous carcinomas. This is the first study to indicate a possible role of epigenetic events in the pathobiology of PCMC.
原发性皮肤粘液癌(PCMC)是罕见的,其癌变机制尚不清楚。组蛋白H3在赖氨酸27位点的三甲基化(H3K27me3)是染色质重塑控制转录的关键调控因子。针对H3K27me3在PCMC中的表达机制,采用免疫组化方法研究H3K27me3在PCMC中的表达。本研究以台湾某三级医院PCMC病患为研究对象,评估其临床病理特征、治疗结果及蛋白表达。对所有PCMCs以及结肠黏液腺癌和单纯乳腺黏液癌的对照组进行H3K27me3免疫组化。计算并分析h3k27me3阴性肿瘤细胞的百分比。我们招募了3例PCMC患者。所有pcmc均为单生且生长缓慢,起源于头颈部区域。所有pcmc均切除肿瘤,无局部复发或转移。H3K27me3在PCMCs中的表达缺失(平均±标准差[SD]: 21.0%±6.6%)明显高于其他黏液癌(平均±SD: 3.8%±1.7%)(P = 0.019)。总之,我们报告了H3K27me3在PCMC中的表达降低。相比之下,H3K27me3的表达在其他黏液癌中保留或轻度降低。这是第一个表明表观遗传事件在PCMC病理生物学中的可能作用的研究。
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引用次数: 1
One case of a rare dermatosis: Lichen myxedematosus 罕见皮肤病:黏性水肿地衣1例
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-22-00072
Ayinuer Maimaisawuti, Palida Abulizi
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引用次数: 0
Anti-inflammatory effect of hydrogen sulfide donor sodium-sulfide in an experimental mouse model of contact hypersensitivity 硫化氢供体硫化钠对实验性小鼠接触性过敏模型的抗炎作用
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-22-00173
Nermin Ozlen, Deniz Ercetin, M. Sapmaz-Metin, O. Gunduz
Background: Hydrogen sulfide (H2S), synthesized by most immune cells, has been shown to exert anti-inflammatory and antipruritic effects. The effect of H2S on allergic contact dermatitis (ACD), an inflammatory skin disease that negatively affects the quality of life, is unknown. Objectives: We planned to investigate the antipruritic and anti-inflammatory effects of the H2S donor sodium sulfide (Na2S) in the experimental mouse model of contact hypersensitivity (CHS), which is widely used for ACD research. Methods: CHS was created in Balb/c mice using 1-fluoro-2, 4-dinitrobenzene. Na2S was administered systemically (0.2-2-20 mg/kg/i.p.) and locally (1-3-10 nmol/both ear/i.d.) at 3 h and 25 h after the challenge. Ear thickness and the number of scratches were determined at 24 h and 48 h following the challenge. Ear tissue and serum interferon-gamma, interleukin (IL)-2, IL-4, and IL-5 cytokine levels were evaluated by enzyme-linked immunosorbent assay (ELISA). H and E staining was performed for histopathological studies. CD4+ and CD8+ T cells located in the skin were examined by immunohistochemical staining. Results: Locally (1-3-10 nmol/ear/i.d., P < 0.001, P < 0.0001, P < 0.0001, respectively) and systemically (2–20 mg/kg/i.p., P < 0.01, P < 0.0001, respectively), Na2S administration decreased ear thickness dose dependently. Local (1-3-10 nmol/ear/i.d.) Na2S treatment decreased serum IL-2 levels (P < 0.01, P < 0.05, and P < 0.01, respectively). Na2S administered locally (3–10 nmol/ear/i.d., P < 0.05) and systemically (20 mg/kg/i. p., P < 0.05) decreased the number of CD4+ T lymphocytes. Conclusion: Locally and systemically administered Na2S reduces ear thickness, which is one of the symptoms of CHS, probably by preventing CD4+ T lymphocyte infiltration and proliferation and decreasing IL-2 synthesis.
背景:硫化氢(H2S)由大多数免疫细胞合成,已被证明具有抗炎和止痒作用。H2S对过敏性接触性皮炎(ACD)的影响尚不清楚,ACD是一种对生活质量产生负面影响的炎症性皮肤病。目的:研究H2S供体硫化钠(Na2S)对ACD研究中广泛使用的接触性超敏反应(CHS)小鼠模型的止痒和抗炎作用。方法:用1-氟- 2,4 -二硝基苯制备Balb/c小鼠CHS。Na2S分别于攻毒后3 h和25 h全身(0.2-2-20 mg/kg/i.p)和局部(1-3-10 nmol/双耳/i.d)给药。在刺激后24 h和48 h测定耳朵厚度和划痕数量。采用酶联免疫吸附试验(ELISA)检测小鼠耳组织及血清中干扰素- γ、白细胞介素(IL)-2、IL-4和IL-5细胞因子水平。H、E染色进行组织病理学研究。免疫组化染色检测皮肤内CD4+和CD8+ T细胞。结果:局部(1-3-10 nmol/耳/次);, P < 0.001, P < 0.0001, P < 0.0001)和全身(2-20 mg/kg/i.p)。(P < 0.01, P < 0.0001), Na2S对耳厚的影响呈剂量依赖性。局部(1-3-10 nmol/耳/ id)Na2S处理降低了血清IL-2水平(P < 0.01, P < 0.05, P < 0.01)。局部给药Na2S (3 ~ 10 nmol/耳/次)。, P < 0.05)和全身(20 mg/kg/i)。p., p < 0.05)降低CD4+ T淋巴细胞数量。结论:局部及全身给药Na2S可减少耳厚,这是CHS的症状之一,可能通过阻止CD4+ T淋巴细胞的浸润和增殖,降低IL-2的合成。
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引用次数: 1
Pemphigus scoring systems and their validation studies – A review of the literature 天疱疮评分系统及其有效性研究-文献综述
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.DS-D-22-00150
Darby Boucher, Anna L. Wilson, Dedee Murrell
Pemphigus is a rare autoimmune blistering disease that affects the skin and mucous membranes. Despite recent advances in treatment, pemphigus is associated with high patient mortality and has a significantly negative impact on patients' quality of life and mental health. Validated scoring systems to accurately measure pemphigus severity are vital for the monitoring of disease activity, evaluation of treatment efficacy and trialing, comparison and introduction of new treatments. This article reviews the existing scoring systems for pemphigus and their validation studies and proposes a future area of research regarding global assessments for simplistic scoring of pemphigus severity.
天疱疮是一种罕见的自身免疫性起泡疾病,影响皮肤和粘膜。尽管最近在治疗方面取得了进展,但天疱疮与高患者死亡率有关,并对患者的生活质量和心理健康产生了显著的负面影响。有效的评分系统,以准确测量天疱疮的严重程度是至关重要的疾病活动监测,治疗效果评估和试验,比较和引进新的治疗方法。本文回顾了现有的天疱疮评分系统及其验证研究,并提出了一个未来的研究领域,关于天疱疮严重程度的简单评分的全球评估。
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引用次数: 1
Transcriptomic profiling and classification of skin melanoma based on ultraviolet response 基于紫外线反应的皮肤黑色素瘤转录组学分析和分类
IF 2.5 4区 医学 Q2 DERMATOLOGY Pub Date : 2023-04-01 DOI: 10.4103/ds.ds-d-22-00178
Dongxing Xiao, Zhaozhao Guo, Yuzhen Xiong, Xinqiang He, Chong Zhao, N. Tang
Background: We aimed to explore the therapeutic biomarker for cutaneous melanoma (CM). Objectives: The objective is to provide a novel direction for improving overall survival (OS) for CM. Methods: We obtained the gene sets related to ultraviolet (UV) reaction from MsigDB database and CM HTSeq-FPKM data from The Cancer Genome Atlas (TCGA). Gene set variation analysis was used to calculate the enrichment scores in each sample. DAVID and Gene Set Enrichment Analysis (GSEA) were used to explore the function of differentially expressed genes (DEGs) between cluster 1 and cluster 2. The ssGSEA was used to analyze the degree of immune infiltration in samples. Weighted gene co-expression network analysis (WGCNA), protein–protein interaction (PPI) network, and mutation analysis were performed to screen the DEGs related to UV response. Results: The samples were divided into the high activity of UV response (cluster 1) and low activity of UV response (cluster 2). We found that cluster 2 was related to poorer OS and had a higher reaction to UV response. Function analysis indicated that the DEGs are involved in angiogenesis, epidermal development, and inflammatory reaction. Furthermore, the cluster 2 had a higher degree of immune infiltration. The results of WGCNA indicated that the genes in the MEyellow module were highly related to UV response, which is involved in the process of angiogenesis, cell migration, and skin development. PPI and mutation analysis indicated that COL5A1 was the risk factor for CM. Conclusion: COL5A1 might be an important biomarker and potential therapeutic target of CM.
背景:我们旨在探索皮肤黑色素瘤(CM)的治疗性生物标志物。目的:目的是为提高CM的总生存期(OS)提供一个新的方向。方法:从美国癌症基因组图谱(the Cancer Genome Atlas, TCGA)中获取与紫外线(UV)反应相关的基因集和CM HTSeq-FPKM数据。基因集变异分析用于计算每个样品的富集分数。采用DAVID和基因集富集分析(Gene Set Enrichment Analysis, GSEA)分析了集群1和集群2之间差异表达基因(differential expression genes, DEGs)的功能。采用ssGSEA分析样品免疫浸润程度。通过加权基因共表达网络分析(WGCNA)、蛋白-蛋白相互作用网络(PPI)和突变分析来筛选与紫外线反应相关的基因。结果:将样品分为高活性紫外响应(簇1)和低活性紫外响应(簇2)。我们发现簇2与较差的OS相关,对紫外响应的反应较高。功能分析表明,deg参与血管生成、表皮发育和炎症反应。此外,簇2具有较高的免疫浸润程度。WGCNA结果表明,MEyellow模块中的基因与紫外线反应高度相关,参与血管生成、细胞迁移和皮肤发育过程。PPI和突变分析显示COL5A1是CM的危险因素。结论:COL5A1可能是CM重要的生物标志物和潜在的治疗靶点。
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引用次数: 0
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Dermatologica Sinica
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