MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations

Acne inversa (AI; also designated as hidradenitis suppurativa) is a chronic inflammatory disease with still unknown pathogenesis that affects the intertriginous skin of perianal, inguinal, and axillary sites. It leads to painful nodules, abscesses, and fistulas with malodorous secretion and is frequ...

Full description

Saved in:
Bibliographic Details
Main Authors: Athanasia Tsaousi, Ellen Witte, Katrin Witte, Hans-Joachim Röwert-Huber, Hans-Dieter Volk, Wolfram Sterry, Kerstin Wolk, Sylke Schneider-Burrus, Robert Sabat
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2016/4097574
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832564745539944448
author Athanasia Tsaousi
Ellen Witte
Katrin Witte
Hans-Joachim Röwert-Huber
Hans-Dieter Volk
Wolfram Sterry
Kerstin Wolk
Sylke Schneider-Burrus
Robert Sabat
author_facet Athanasia Tsaousi
Ellen Witte
Katrin Witte
Hans-Joachim Röwert-Huber
Hans-Dieter Volk
Wolfram Sterry
Kerstin Wolk
Sylke Schneider-Burrus
Robert Sabat
author_sort Athanasia Tsaousi
collection DOAJ
description Acne inversa (AI; also designated as hidradenitis suppurativa) is a chronic inflammatory disease with still unknown pathogenesis that affects the intertriginous skin of perianal, inguinal, and axillary sites. It leads to painful nodules, abscesses, and fistulas with malodorous secretion and is frequently associated with metabolic alterations. Here, we demonstrate that one of the most highly upregulated molecules in AI lesions is matrix metalloproteinase 8 (MMP8), an enzyme specialized in the degradation of extracellular matrix components and the HDL component apolipoprotein A-I. Granulocytes, which were present in AI lesions, secreted high amounts of MMP8 especially after TNF-α stimulation. Furthermore, activated fibroblasts but not keratinocytes were found to express MMP8. The high lesional MMP8 levels were accompanied by elevated blood levels that positively correlated with TNF-α blood levels and disease severity assessed by Sartorius score, especially with the number of regions with inflammatory nodules/abscesses and fistulas. Additionally, we found a negative correlation between blood MMP8 and HDL-cholesterol levels, suggesting a contributory role of MMP8 in metabolic alterations in AI. In summary, we demonstrate elevated MMP8 levels in AI lesions, suggest their role in skin destruction and metabolic alterations, and recommend the use of MMP8 as blood biomarker for AI disease activity assessment.
format Article
id doaj-art-47844aac5be04fbfa1e590c230609030
institution Kabale University
issn 0962-9351
1466-1861
language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Mediators of Inflammation
spelling doaj-art-47844aac5be04fbfa1e590c2306090302025-02-03T01:10:14ZengWileyMediators of Inflammation0962-93511466-18612016-01-01201610.1155/2016/40975744097574MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic AlterationsAthanasia Tsaousi0Ellen Witte1Katrin Witte2Hans-Joachim Röwert-Huber3Hans-Dieter Volk4Wolfram Sterry5Kerstin Wolk6Sylke Schneider-Burrus7Robert Sabat8Interdisciplinary Group of Molecular Immunopathology, Dermatology/Medical Immunology, University Hospital Charité, Berlin, GermanyInterdisciplinary Group of Molecular Immunopathology, Dermatology/Medical Immunology, University Hospital Charité, Berlin, GermanyInterdisciplinary Group of Molecular Immunopathology, Dermatology/Medical Immunology, University Hospital Charité, Berlin, GermanyDepartment of Dermatology and Allergy, University Hospital Charité, Berlin, GermanyBerlin-Brandenburg Center for Regenerative Therapies, University Hospital Charité, Berlin, GermanyDepartment of Dermatology and Allergy, University Hospital Charité, Berlin, GermanyInterdisciplinary Group of Molecular Immunopathology, Dermatology/Medical Immunology, University Hospital Charité, Berlin, GermanyDepartment of Dermatology and Allergy, University Hospital Charité, Berlin, GermanyInterdisciplinary Group of Molecular Immunopathology, Dermatology/Medical Immunology, University Hospital Charité, Berlin, GermanyAcne inversa (AI; also designated as hidradenitis suppurativa) is a chronic inflammatory disease with still unknown pathogenesis that affects the intertriginous skin of perianal, inguinal, and axillary sites. It leads to painful nodules, abscesses, and fistulas with malodorous secretion and is frequently associated with metabolic alterations. Here, we demonstrate that one of the most highly upregulated molecules in AI lesions is matrix metalloproteinase 8 (MMP8), an enzyme specialized in the degradation of extracellular matrix components and the HDL component apolipoprotein A-I. Granulocytes, which were present in AI lesions, secreted high amounts of MMP8 especially after TNF-α stimulation. Furthermore, activated fibroblasts but not keratinocytes were found to express MMP8. The high lesional MMP8 levels were accompanied by elevated blood levels that positively correlated with TNF-α blood levels and disease severity assessed by Sartorius score, especially with the number of regions with inflammatory nodules/abscesses and fistulas. Additionally, we found a negative correlation between blood MMP8 and HDL-cholesterol levels, suggesting a contributory role of MMP8 in metabolic alterations in AI. In summary, we demonstrate elevated MMP8 levels in AI lesions, suggest their role in skin destruction and metabolic alterations, and recommend the use of MMP8 as blood biomarker for AI disease activity assessment.http://dx.doi.org/10.1155/2016/4097574
spellingShingle Athanasia Tsaousi
Ellen Witte
Katrin Witte
Hans-Joachim Röwert-Huber
Hans-Dieter Volk
Wolfram Sterry
Kerstin Wolk
Sylke Schneider-Burrus
Robert Sabat
MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations
Mediators of Inflammation
title MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations
title_full MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations
title_fullStr MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations
title_full_unstemmed MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations
title_short MMP8 Is Increased in Lesions and Blood of Acne Inversa Patients: A Potential Link to Skin Destruction and Metabolic Alterations
title_sort mmp8 is increased in lesions and blood of acne inversa patients a potential link to skin destruction and metabolic alterations
url http://dx.doi.org/10.1155/2016/4097574
work_keys_str_mv AT athanasiatsaousi mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT ellenwitte mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT katrinwitte mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT hansjoachimrowerthuber mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT hansdietervolk mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT wolframsterry mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT kerstinwolk mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT sylkeschneiderburrus mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations
AT robertsabat mmp8isincreasedinlesionsandbloodofacneinversapatientsapotentiallinktoskindestructionandmetabolicalterations