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A Comprehensive Analysis of Type I Interferon Risk Gene Signatures in Systemic Lupus Erythematosus 系统性红斑狼疮I型干扰素危险基因特征的综合分析。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-02-03 DOI: 10.1111/exd.70211
Xiangbin Mi, Kuan Lai, Lu Yan, Jie Yang, Hang Wu, Shanshan Wei

Systemic lupus erythematosus (SLE) is a chronic, heterogeneous autoimmune disease influenced by various genetic and environmental factors, and recent advances have established type I interferons (IFN-I) as pivotal drivers. This study comprehensively characterises IFN-I risk gene signatures in SLE. The IFN-I–related genes were obtained from GSE185047, and then Mendelian randomisation analysis using data from the FinnGen cohort (705 SLE cases, 385 509 controls) was utilised as a discovery set to identify IFN-I related risk genes. Single-cell RNA sequencing (scRNA-seq) and external cohorts were used to validate the four key signatures. Univariate and multivariate linear regression models assessed associations between gene expression and clinical parameters. DNA methylation analysis further evaluated epigenetic dysregulation in SLE immune subsets. Thirty-eight IFN-I-related genes were identified, and Mendelian randomisation analysis revealed robust causal associations between four genes (HERC5, IFIT3, IFI44L and IFI6) and SLE risk, with no heterogeneity or pleiotropy. ScRNA-seq demonstrated significant upregulation of these gene signatures in SLE PBMCs and monocytes (except IFIT3 in monocytes), along with altered immune cell proportions—specifically, increased monocytes and decreased T cells. External validation confirmed elevated expression of all four genes in SLE, with high diagnostic accuracy. Clinically, increased expression of these genes correlated with SLEDAI, reduced lymphocyte counts and lower complement C4 levels. Furthermore, DNA hypomethylation of IFI44L was observed across multiple SLE immune subsets, indicating epigenetic dysregulation. This study establishes HERC5, IFIT3, IFI44L and IFI6 as causal IFN-I risk genes in SLE and identifies IFI44L hypomethylation as a key epigenetic driver of IFN-I pathway activation. These findings offer new insights into SLE pathogenesis and highlight potential diagnostic biomarkers and therapeutic targets.

系统性红斑狼疮(SLE)是一种受多种遗传和环境因素影响的慢性异质性自身免疫性疾病,最近的进展已经确定I型干扰素(IFN-I)是关键驱动因素。本研究全面表征了SLE中IFN-I风险基因特征。从GSE185047中获得IFN-I相关基因,然后使用FinnGen队列(705例SLE病例,385 509例对照)的数据进行孟德尔随机化分析作为发现集,以确定IFN-I相关风险基因。使用单细胞RNA测序(scRNA-seq)和外部队列来验证四个关键特征。单变量和多变量线性回归模型评估了基因表达与临床参数之间的关系。DNA甲基化分析进一步评估SLE免疫亚群的表观遗传失调。鉴定出38个ifn - i相关基因,孟德尔随机化分析显示4个基因(HERC5、IFIT3、IFI44L和IFI6)与SLE风险之间存在强大的因果关系,无异质性或多效性。ScRNA-seq显示,这些基因特征在SLE pbmc和单核细胞中显著上调(单核细胞中的IFIT3除外),同时免疫细胞比例发生改变,特别是单核细胞增加,T细胞减少。外部验证证实SLE中所有四种基因表达升高,诊断准确性高。在临床上,这些基因的表达增加与SLEDAI、淋巴细胞计数减少和补体C4水平降低相关。此外,在多个SLE免疫亚群中观察到IFI44L的DNA低甲基化,表明表观遗传失调。本研究确立了HERC5、IFIT3、IFI44L和IFI6是SLE中IFN-I的致病风险基因,并确定了IFI44L低甲基化是IFN-I通路激活的关键表观遗传驱动因素。这些发现为SLE的发病机制提供了新的见解,并突出了潜在的诊断生物标志物和治疗靶点。
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引用次数: 0
miR-382-5p Drives Dermal Aging by Suppressing the Ion Exchanger SLC26A3. miR-382-5p通过抑制离子交换剂SLC26A3促进皮肤老化
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-02-01 DOI: 10.1111/exd.70218
Kyeong-No Yoon, Yidan Cui, Seon Min Lee, Min-Kyoung Kim, Dong Hun Lee
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引用次数: 0
Facial Skin Mycobiome in Atopic Dermatitis With and Without Facial Involvement and Healthy Controls: A Case-Control Study. 特应性皮炎患者的面部皮肤真菌群:一项病例-对照研究
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-02-01 DOI: 10.1111/exd.70221
Jing He, Jiaying Chen, Yan Liao, Kaoyuan Zhang, Chener Yang, Haiyan Huang, Xia Dou

With the growing interest in the skin microbiome in atopic dermatitis (AD), alterations in cutaneous fungal communities have garnered increasing attention. However, their role in AD pathogenesis and their association with clinical parameters remain unclear. This study characterised the facial skin mycobiome in AD patients with and without facial involvement, compared to healthy controls. Fungal composition was analysed across multiple taxonomic levels, along with assessments of alpha and beta diversity and predicted functional pathways. Basidiomycota and Ascomycota were the predominant phyla across all groups, with Malassezia as the dominant genus. At the species level, Malassezia_globosa and Malassezia_japonica were enriched in AD patients with facial involvement, whereas Malassezia_restricta was reduced compared with the other groups. In the full cohort, no significant differences in overall fungal diversity were observed; however, richness-based alpha diversity indices differed between facial AD and healthy controls in an adult-only sensitivity analysis, while Shannon and Simpson indices remained comparable. Notably, distinct differences in predicted metabolic pathways were identified among groups. Correlation analyses showed that Malassezia_restricta abundance was positively associated with body mass index (BMI), whereas Malassezia_globosa was negatively associated with disease severity. Collectively, these findings indicate that facial AD is associated with distinct mycobiome alterations, with potential age-related effects on specific taxa and diversity metrics. Further longitudinal and mechanistic studies are warranted to elucidate causal relationships and explore therapeutic implications.

随着人们对特应性皮炎(AD)中皮肤微生物群的兴趣日益浓厚,皮肤真菌群落的变化引起了越来越多的关注。然而,它们在阿尔茨海默病发病机制中的作用及其与临床参数的关系尚不清楚。与健康对照组相比,本研究表征了有或无面部受累的AD患者面部皮肤真菌组。在多个分类水平上分析了真菌组成,同时评估了α和β多样性并预测了功能途径。担子菌门和子囊菌门是各类群的优势门,马拉色菌属为优势属。在种水平上,Malassezia_globosa和Malassezia_japonica在面部受损伤的AD患者中富集,而Malassezia_restricta在其他组中减少。在整个队列中,没有观察到总体真菌多样性的显著差异;然而,在仅针对成人的敏感性分析中,基于丰富度的α多样性指数在面部AD和健康对照组之间存在差异,而Shannon和Simpson指数仍然具有可比性。值得注意的是,各组之间在预测代谢途径上存在明显差异。相关分析表明,Malassezia_restricta丰度与身体质量指数(BMI)呈正相关,而Malassezia_globosa与疾病严重程度呈负相关。总的来说,这些发现表明面部AD与明显的真菌组改变有关,对特定的分类群和多样性指标具有潜在的年龄相关影响。进一步的纵向和机制研究是必要的,以阐明因果关系和探索治疗意义。
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引用次数: 0
PI3Kγ Deficiency Suppresses Cutaneous Squamous Cell Carcinoma Formation by Modulating the Tumour Microenvironment Rather Than by Directly Regulating Keratinocyte Proliferation. PI3Kγ缺乏通过调节肿瘤微环境而不是直接调节角质细胞增殖来抑制皮肤鳞状细胞癌的形成。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-02-01 DOI: 10.1111/exd.70219
Aya Toyoshima, Natsuko Noguchi, Tomoko Suzuki, Takako Kuroki, Masami Kagaya, Fumino Oda, Michihiro Kono, Junko Sasaki, Takehiko Sasaki, Hidehisa Saeki, Shin-Ichi Osada

Phosphatidylinositol-3 kinase (PI3K) is a central regulator of cell proliferation, survival, metabolism, and migration via the downstream AKT/mTOR pathway. Although activating mutations in the catalytic subunit of PI3Kα (p110α) have been documented in various cancers, including cutaneous squamous cell carcinoma (cSCC), the role of PI3Kγ (p110γ), which is predominantly expressed in immune cells, remains poorly defined in cSCC. To elucidate the function of p110γ in cSCC development, we compared tumour formation in wild-type and p110γ-deficient mice using both a chemical carcinogenesis model and a syngeneic cSCC cell implantation model. While genetic deletion or pharmacological inhibition of PI3Kγ did not affect keratinocyte proliferation or migration in vitro, p110γ-deficient mice exhibited significantly delayed tumour onset, reduced tumour burden, and suppressed growth of implanted cSCC tumours in vivo. Immunohistochemical analyses revealed that total CD4+ T cell infiltration was unchanged, whereas CD8+ cytotoxic T cell infiltration was markedly increased and FoxP3+ regulatory T cells were significantly reduced in tumours from p110γ-deficient mice, resulting in a substantially elevated CD8+/FoxP3+ ratio. Immunoblot analyses of tumour lysates further demonstrated increased CD8 expression and enhanced NF-κB p65 phosphorylation in p110γ-deficient tumours. These results indicate that PI3Kγ contributes to cSCC development not by directly driving tumour cell proliferation but by shaping an immunosuppressive tumour microenvironment. Targeting PI3Kγ may therefore represent a promising immunotherapeutic strategy to enhance cytotoxic T-cell-mediated antitumour immunity in cSCC.

磷脂酰肌醇-3激酶(PI3K)通过下游AKT/mTOR通路调控细胞增殖、存活、代谢和迁移。尽管PI3Kα (p110α)催化亚基的激活突变已在多种癌症中得到证实,包括皮肤鳞状细胞癌(cSCC),但主要在免疫细胞中表达的PI3Kγ (p110γ)在cSCC中的作用仍不明确。为了阐明p110γ在cSCC发育中的作用,我们使用化学致癌模型和同基因cSCC细胞植入模型比较了野生型和p110γ缺乏小鼠的肿瘤形成情况。虽然基因缺失或药理抑制PI3Kγ在体外不影响角质细胞的增殖或迁移,但p110γ缺陷小鼠在体内表现出明显的肿瘤发病延迟、肿瘤负担减轻和植入cSCC肿瘤生长抑制。免疫组织化学分析显示,p110γ-缺陷小鼠肿瘤中CD4+ T细胞浸润总量不变,而CD8+细胞毒性T细胞浸润显著增加,FoxP3+调节性T细胞显著减少,导致CD8+/FoxP3+比值显著升高。肿瘤裂解物的免疫印迹分析进一步表明,在p110γ-缺乏的肿瘤中,CD8表达增加,NF-κB p65磷酸化增强。这些结果表明,PI3Kγ不是通过直接驱动肿瘤细胞增殖,而是通过形成免疫抑制肿瘤微环境来促进cSCC的发展。因此,靶向PI3Kγ可能是一种很有前途的免疫治疗策略,可以增强cSCC中细胞毒性t细胞介导的抗肿瘤免疫。
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引用次数: 0
A Recombinant Elastic Peptide Rescues Elasticity From a Self-Assembled Dermal Sheet Model Treated With Ascorbic Acid. 重组弹性肽恢复抗坏血酸处理的自组装真皮片模型的弹性。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-02-01 DOI: 10.1111/exd.70205
Chloé Chave, Jorgan Guard, Thibault Massias, Aurore Berthier, Julie Leignadier, Jérôme Sohier, Romain Debret

The extracellular matrix (ECM) plays a pivotal role in determining the structure and function of the skin. Collagen and elastin, in particular, are responsible for providing tensile strength and elasticity, respectively. However, imbalances in the components of the extracellular matrix (ECM) during tissue engineering often result in the deterioration of the mechanical properties and physiological relevance of dermal substitutes, in part due to the detrimental effect of ascorbic acid (AA) on elastic fibre biosynthesis. The objective of this study is to investigate the potential of a synthetic elastic protein (SEP) to improve ECM remodelling and to restore the equilibrium between collagen and elastin in reconstructed dermal tissues. Primary fibroblasts monolayers were treated with increasing concentrations of SEP in the presence or not of AA without affecting cytotoxicity. Western blot and immunofluorescence analyses showed that in the presence of AA - which typically reduced elastin synthesis- SEP improved elastic fibre formation without affecting type I collagen assembly. Additionally, 3D dermal substitutes treated with SEP and AA were analysed at the ultrastructural scale showing a specific colocalization of SEP with fibrillin-rich fibrils. Finally, dynamic mechanical analyses were conducted to measure mechanical properties of decellularized ECM. In the presence of SEP, we observed an increase of 46% and 40% of elastic and Young's moduli respectively. By restoring ECM integrity, SEP is emerging as a promising biomimetic tool for the development of 3D skin substitutes. Its application has the potential to improve the physiological relevance and therapeutic value of engineered skin tissues.

细胞外基质(ECM)在决定皮肤的结构和功能方面起着关键作用。尤其是胶原蛋白和弹性蛋白,分别负责提供抗拉强度和弹性。然而,在组织工程中,细胞外基质(ECM)成分的不平衡经常导致真皮替代品的机械性能和生理相关性的恶化,部分原因是抗坏血酸(AA)对弹性纤维生物合成的有害影响。本研究的目的是探讨合成弹性蛋白(SEP)在改善ECM重建和恢复重建真皮组织中胶原蛋白和弹性蛋白平衡方面的潜力。在AA存在或不存在的情况下,增加SEP浓度处理原代成纤维细胞单层而不影响细胞毒性。Western blot和免疫荧光分析显示,在AA存在的情况下(AA通常会减少弹性蛋白的合成),SEP可以改善弹性纤维的形成,而不影响I型胶原的组装。此外,用SEP和AA处理的3D真皮代用品在超微结构尺度上进行分析,显示SEP与富含纤维蛋白的原纤维特异性共定位。最后,进行动态力学分析,测量脱细胞ECM的力学性能。在SEP存在下,我们观察到弹性模量和杨氏模量分别增加了46%和40%。通过恢复ECM的完整性,SEP正在成为一种有前途的仿生工具,用于开发3D皮肤替代品。它的应用有可能提高工程皮肤组织的生理相关性和治疗价值。
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引用次数: 0
Correction to ‘Senolytic Targeting of Anti-Apoptotic Bcl Family Increases Cell Death in UV-Irradiated Senescent Melanocytes: Search for Senolytics’ 对“抗凋亡Bcl家族的抗衰老靶向性增加紫外线照射下衰老黑色素细胞的细胞死亡:寻找抗衰老药物”的更正。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-01-23 DOI: 10.1111/exd.70216

Kim, J.C., N. Y. Kim, Y. Kim, D. J. Baek, T. J. Park, and H. Y. Kang. 2025. “Senolytic Targeting of Anti-Apoptotic Bcl Family Increases Cell Death in Uv-Irradiated Senescent Melanocytes: Search for Senolytics,” Experimental Dermatology 34, no. 1: e70037, https://doi.org/10.1111/exd.70037.

In the article, the authors acknowledged that due to an error during scale bar insertion, the same microscopic images were inadvertently duplicated in Figures 1B, 3C and S1D (25 and 50 μM resveratrol normal/UVSM in Figure 1B; 0.1 and 0.5 μM ABT-737 normal in Figure 1B; DMSO and 0 Z-VAD/ABT-737 normal in Figure 3C; 10 and 50 nM dasatinib UVSM in Figure S1D).

The corrected Figures 1B, 3C and S1D are shown below and the authors confirm that all experimental results and the corresponding conclusions in the paper remain unaffected.

We apologise for this error.

金j.c.,金n.y.,金yy,白德杰,朴廷杰,姜海英。2025。“抗凋亡Bcl家族的抗衰老靶向性增加紫外线照射下衰老黑色素细胞的细胞死亡:寻找抗衰老药物”,《实验皮肤病学》34,no. 5。1: e70037, https://doi.org/10.1111/exd.70037.In在文章中,作者承认由于比例尺插入时的错误,在图1B、3C和S1D中无意中重复了相同的显微图像(图1B为25和50 μM白藜芦醇正常/UVSM;图1B为0.1和0.5 μM ABT-737正常;图3C为DMSO和0 Z-VAD/ABT-737正常;图S1D为10和50 nM达沙替尼UVSM)。修改后的图1B、图3C、图S1D如下图所示,作者确认文中所有实验结果及相应结论不受影响。我们为这个错误道歉。
{"title":"Correction to ‘Senolytic Targeting of Anti-Apoptotic Bcl Family Increases Cell Death in UV-Irradiated Senescent Melanocytes: Search for Senolytics’","authors":"","doi":"10.1111/exd.70216","DOIUrl":"10.1111/exd.70216","url":null,"abstract":"<p>Kim, J.C., N. Y. Kim, Y. Kim, D. J. Baek, T. J. Park, and H. Y. Kang. 2025. “Senolytic Targeting of Anti-Apoptotic Bcl Family Increases Cell Death in Uv-Irradiated Senescent Melanocytes: Search for Senolytics,” <i>Experimental Dermatol</i>ogy 34, no. 1: e70037, https://doi.org/10.1111/exd.70037.</p><p>In the article, the authors acknowledged that due to an error during scale bar insertion, the same microscopic images were inadvertently duplicated in Figures 1B, 3C and S1D (25 and 50 μM resveratrol normal/UVSM in Figure 1B; 0.1 and 0.5 μM ABT-737 normal in Figure 1B; DMSO and 0 Z-VAD/ABT-737 normal in Figure 3C; 10 and 50 nM dasatinib UVSM in Figure S1D).</p><p>The corrected Figures 1B, 3C and S1D are shown below and the authors confirm that all experimental results and the corresponding conclusions in the paper remain unaffected.</p><p>We apologise for this error.</p>","PeriodicalId":12243,"journal":{"name":"Experimental Dermatology","volume":"35 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/exd.70216","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146040582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating Psoriasis Severity Using the Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio: A Systematic Review and Meta-Analysis 利用中性粒细胞与淋巴细胞比率和血小板与淋巴细胞比率评估银屑病严重程度:系统回顾和荟萃分析。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-01-22 DOI: 10.1111/exd.70214
Yi-Hsuan Shen, Pei-Yun Ho, Yu-Chen Huang

Currently, there is a lack of reliable laboratory tests for monitoring the severity of psoriasis and evaluating treatment efficacy. The neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are novel parameters of systemic inflammation. This study aimed to evaluate the association between NLR, PLR and psoriasis. Databases were systematically searched for studies up to May 2025. Publications meeting any of the following criteria were eligible: (1) comparison of NLR and PLR between psoriasis patients and healthy controls, (2) correlation coefficient of NLR and PLR and Psoriasis Area Severity Index (PASI) score, and (3) NLR and PLR before and after 3–4 months of biologic therapies. The pooled results showed that the NLR and PLR were significantly higher in patients with psoriasis than in controls (standardised mean difference [SMD] = 0.645, 95% confidence interval [CI] 0.514–0.775; SMD = 0.467, 95% CI 0.304–0.630). Both NLR and PLR were significantly correlated with the PASI score (r = 0.214, 95% CI 0.178–0.250; r = 0.161, 95% CI 0.114–0.207). The NLR and PLR significantly decreased after receiving tumour necrosis factor-α blockers, ustekinumab, and interleukin-23 inhibitors for 3–4 months. The NLR and PLR may serve as convenient tools in monitoring psoriasis treatment and indicators of systemic inflammation.

目前,缺乏可靠的实验室检测来监测银屑病的严重程度和评估治疗效果。中性粒细胞与淋巴细胞比率(NLR)和血小板与淋巴细胞比率(PLR)是全身性炎症的新参数。本研究旨在评估NLR、PLR与银屑病的关系。系统地检索了截至2025年5月的研究数据库。符合以下任何标准的出版物都是合格的:(1)银屑病患者与健康对照的NLR和PLR的比较,(2)NLR和PLR与银屑病区域严重程度指数(PASI)评分的相关系数,(3)生物治疗前后3-4个月的NLR和PLR。合并结果显示,银屑病患者NLR和PLR明显高于对照组(标准化平均差[SMD] = 0.645, 95%可信区间[CI] 0.514-0.775; SMD = 0.467, 95%可信区间[CI] 0.304-0.630)。NLR和PLR均与PASI评分显著相关(r = 0.214, 95% CI 0.178 ~ 0.250; r = 0.161, 95% CI 0.114 ~ 0.207)。在接受肿瘤坏死因子-α阻滞剂、ustekinumab和白细胞介素-23抑制剂治疗3-4个月后,NLR和PLR显著降低。NLR和PLR可作为监测银屑病治疗和全身性炎症指标的便捷工具。
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引用次数: 0
Cluster Analysis Characterising the 3D Spatial Configuration of Human Epidermal Merkel Cells 聚类分析表征人表皮默克尔细胞的三维空间结构。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-01-21 DOI: 10.1111/exd.70213
Saito Sakaguchi, Ayumi Kikuchi, Kentaro Kajiya, Hiroyuki Kitahata, Moe Tsutsumi

Merkel cells (MCs) are connected to sensory fibres in the skin and contribute to tactile perceptions by acting as mechanoreceptors. MCs in the skin have been reported to be distributed in clusters or to be scattered. While the structural characteristics of MCs may influence tactile perceptions, conventional studies using skin sections could only assess those structures in limited regions. Here, we conducted extensive three-dimensional observations of MCs in epidermal sheets and examined their clustering patterns based on intercellular distances. Skin specimens from female donors at different ages (27, 34, 62, 84 and 91 years old) varied in MC density ranging from 6.7 to 26.4 mm−2. Theoretically, a higher density of MCs would lead to the formation of short-distance clusters, but our results demonstrate that skin with the lowest MC density had a clustering pattern similar to skin with the highest MC density. These results indicate that inter-donor variation in MCs cannot be explained solely by uniform changes in MC density but rather reflects heterogeneous distribution patterns with distinct clustering configurations. Our pilot study provides insight into skin physiology and pathology by considering the spatial configuration of various types of skin cells, such as MCs, Langerhans cells and melanocytes.

默克尔细胞(MCs)与皮肤的感觉纤维相连,并作为机械感受器参与触觉感知。据报道,皮肤中的MCs呈聚集或分散分布。虽然MCs的结构特征可能会影响触觉感知,但使用皮肤切片的传统研究只能评估有限区域的这些结构。在这里,我们对表皮层中的MCs进行了广泛的三维观察,并根据细胞间距离检查了它们的聚类模式。不同年龄(27岁、34岁、62岁、84岁和91岁)的女性供体皮肤标本MC密度在6.7 - 26.4 mm-2之间变化。理论上,较高的MC密度会导致形成短距离的群集,但我们的研究结果表明,最低MC密度的皮肤与最高MC密度的皮肤具有相似的群集模式。这些结果表明,供体间MCs的变化不能仅仅用MCs密度的均匀变化来解释,而是反映了具有不同聚类配置的异质分布模式。我们的初步研究通过考虑各种类型的皮肤细胞(如MCs、朗格汉斯细胞和黑素细胞)的空间结构,提供了对皮肤生理学和病理学的深入了解。
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引用次数: 0
The Roles of Keratinocytes in the Initiation, Progression and Maintenance of Hidradenitis Suppurativa 角化细胞在化脓性汗腺炎的发生、发展和维持中的作用。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-01-20 DOI: 10.1111/exd.70200
Xiaodong Lai, Chong Zhang, Yan Yang, Baoxi Wang, Yan Yan

Hidradenitis suppurativa (HS) is an autoinflammatory skin disease characterised by deep-seated and painful nodules, abscesses and draining tunnels that extensively penetrate the dermis in the axillae, inguinal and gluteal areas. The exact aetiology remains unclear. However, current evidence suggests that HS originates from an intrinsic defect within the hair follicle, leading to follicular obstruction, cyst development and eventual rupture, which triggers an inflammatory reaction. The initiation, progression and maintenance of the disease may involve functional abnormalities in keratinocytes (KCs), significantly contributing to the production of proinflammatory cytokines within and around the affected tissue and increased infiltration of immune cells. This review synthesises current evidence on KCs in HS, emphasising their genetic background and metabolic dysregulation. It comprehensively evaluates the cytokine milieu influenced by KCs within affected tissues. Notably, it highlights the diverse phenotypes of KCs within draining tunnels, underscoring their heterogeneity and implications for disease progression.

化脓性汗腺炎(HS)是一种自身炎症性皮肤病,其特征是深层疼痛的结节、脓肿和引流隧道,广泛渗透腋窝、腹股沟和臀区真皮。确切的病因尚不清楚。然而,目前的证据表明,HS起源于毛囊内的内在缺陷,导致毛囊阻塞,囊肿发展并最终破裂,从而引发炎症反应。该疾病的发生、发展和维持可能涉及角化细胞(KCs)的功能异常,这极大地促进了受影响组织内部和周围促炎细胞因子的产生,并增加了免疫细胞的浸润。本文综述了目前关于HS中KCs的证据,强调了它们的遗传背景和代谢失调。它综合评估了受KCs影响的组织内细胞因子环境。值得注意的是,它强调了排水隧道中KCs的不同表型,强调了它们的异质性和对疾病进展的影响。
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引用次数: 0
Possible Involvement of Skin-Resident Memory T Cells in Refractory Chronic Alopecia Areata 皮肤常驻记忆T细胞可能参与难治性慢性斑秃。
IF 3.1 3区 医学 Q1 DERMATOLOGY Pub Date : 2026-01-19 DOI: 10.1111/exd.70212
Reiko Kageyama, Taisuke Ito, Kazuo Kurihara, Toshiharu Fujiyama, Tetsuya Honda

Alopecia areata is a typical skin disease with unmet needs. So far, it has been understood that the main cause of the intractability of chronic cases is the decrease in inflammatory cell infiltration and falling into the telogen-like phase. However, in some cases, even in long-term chronic cases, inflammatory cell infiltration can be seen, so that we speculate that the long-term persistence of these perifollicular cells may be the reason for the lack of improvement as skin resident memory T (TRM) cells. To investigate the presence of TRM, nine treatment-resistant chronic AA patients and 5 acute AA patients were employed for staining with CD69 and CD103 as markers for identifying skin TRM cells. This study revealed the number of CD8+CD103+ T and CD69+CD103+ T cells tended to increase with increasing disease duration and refractoriness. In one case of AA refractory to conventional treatment, an oral JAK inhibitor (JAKi) showed dramatic efficacy with a reduction in the number of infiltrating CD103+ cells, including CD8+CD103+ T and CD69+CD103+ T cells. These results suggest that refractory cases in the chronic phase tend to have more infiltrating skin TRM cells, and JAKi may be effective in the refractory cases of chronic AA.

斑秃是一种典型的未满足需求的皮肤病。到目前为止,已经了解到慢性病例难治性的主要原因是炎症细胞浸润减少,进入休止素样期。然而,在某些情况下,即使在长期慢性病例中,也可以看到炎症细胞浸润,因此我们推测这些滤泡周围细胞的长期存在可能是皮肤常驻记忆T (TRM)细胞缺乏改善的原因。为了研究TRM的存在,我们用CD69和CD103作为标记物,对9例治疗抵抗的慢性AA患者和5例急性AA患者进行皮肤TRM细胞的染色。本研究显示CD8+CD103+ T和CD69+CD103+ T细胞的数量随着病程和难治性的增加而增加。在一例常规治疗难治性AA病例中,口服JAK抑制剂(JAKi)显示出显著的疗效,可减少浸润CD103+细胞的数量,包括CD8+CD103+ T和CD69+CD103+ T细胞。这些结果提示,慢性AA难治性病例在慢性期往往有更多的皮肤TRM细胞浸润,JAKi可能对慢性AA难治性病例有效。
{"title":"Possible Involvement of Skin-Resident Memory T Cells in Refractory Chronic Alopecia Areata","authors":"Reiko Kageyama,&nbsp;Taisuke Ito,&nbsp;Kazuo Kurihara,&nbsp;Toshiharu Fujiyama,&nbsp;Tetsuya Honda","doi":"10.1111/exd.70212","DOIUrl":"10.1111/exd.70212","url":null,"abstract":"<p>Alopecia areata is a typical skin disease with unmet needs. So far, it has been understood that the main cause of the intractability of chronic cases is the decrease in inflammatory cell infiltration and falling into the telogen-like phase. However, in some cases, even in long-term chronic cases, inflammatory cell infiltration can be seen, so that we speculate that the long-term persistence of these perifollicular cells may be the reason for the lack of improvement as skin resident memory T (T<sub>RM</sub>) cells. To investigate the presence of T<sub>RM</sub>, nine treatment-resistant chronic AA patients and 5 acute AA patients were employed for staining with CD69 and CD103 as markers for identifying skin T<sub>RM</sub> cells. This study revealed the number of CD8<sup>+</sup>CD103<sup>+</sup> T and CD69<sup>+</sup>CD103<sup>+</sup> T cells tended to increase with increasing disease duration and refractoriness. In one case of AA refractory to conventional treatment, an oral JAK inhibitor (JAKi) showed dramatic efficacy with a reduction in the number of infiltrating CD103<sup>+</sup> cells, including CD8<sup>+</sup>CD103<sup>+</sup> T and CD69<sup>+</sup>CD103<sup>+</sup> T cells. These results suggest that refractory cases in the chronic phase tend to have more infiltrating skin T<sub>RM</sub> cells, and JAKi may be effective in the refractory cases of chronic AA.</p>","PeriodicalId":12243,"journal":{"name":"Experimental Dermatology","volume":"35 1","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12816445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146003497","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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