Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk

Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease with intense pruritus. Dupilumab, an anti-IL-4 receptor alpha antibody, has been revealed to be highly effective against the symptoms of AD; however, dupilumab takes longer to improve facial dermatitis in some patients. We thu...

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Main Authors: Makiko Kido-Nakahara, Takahito Chiba, Yuta Mizusawa, Yuko Higashi, Atsuko Ibusuki, Satomi Igawa, Yumi Murakami, Hiroshi Matsunaka, Yoko Kuba-Fuyuno, Gaku Tsuji, Takeshi Nakahara
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Allergology International
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Online Access:http://www.sciencedirect.com/science/article/pii/S1323893024001114
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author Makiko Kido-Nakahara
Takahito Chiba
Yuta Mizusawa
Yuko Higashi
Atsuko Ibusuki
Satomi Igawa
Yumi Murakami
Hiroshi Matsunaka
Yoko Kuba-Fuyuno
Gaku Tsuji
Takeshi Nakahara
author_facet Makiko Kido-Nakahara
Takahito Chiba
Yuta Mizusawa
Yuko Higashi
Atsuko Ibusuki
Satomi Igawa
Yumi Murakami
Hiroshi Matsunaka
Yoko Kuba-Fuyuno
Gaku Tsuji
Takeshi Nakahara
author_sort Makiko Kido-Nakahara
collection DOAJ
description Background: Atopic dermatitis (AD) is a chronic inflammatory skin disease with intense pruritus. Dupilumab, an anti-IL-4 receptor alpha antibody, has been revealed to be highly effective against the symptoms of AD; however, dupilumab takes longer to improve facial dermatitis in some patients. We thus examined whether the cytokine profiles in AD lesions differ between different anatomical locations. Methods: Stratum corneum was collected by tape stripping from lesions of the forehead and abdomen of 24 patients with moderate to severe AD and at the same anatomical locations of 14 control subjects. These samples were then used to determine the expression profiles of Th1, Th2, and Th17 cytokines/chemokines by multiplex assay and immunocytochemistry. Results: We found that cytokines/chemokines in the stratum corneum differed in their expression between different anatomical areas in AD patients and also in healthy control subjects. The expression of Th1 and Th17 cytokines/chemokines such as IP-10, MIG, and IL-17 tended to be higher in the forehead than in the abdomen in the AD group. Regarding Th2 cytokines/chemokines, some (e.g., IL-13 and IL-33) were highly expressed in the abdomen, others (e.g., IL-4 and IL-31) were highly expressed in the forehead, and a third group (e.g., TARC and TSLP) did not differ significantly in their expression between the forehead and abdomen. These patterns of Th2 cytokines were almost identical in the stratum corneum of healthy individuals. Conclusions: Differences in cytokine/chemokine profiles in the stratum corneum between different anatomical areas might affect the responsiveness to AD treatment.
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spelling doaj-art-d9a8066b1e8f4886bc9ca34e38295d272025-08-20T03:42:19ZengElsevierAllergology International1323-89302025-04-0174222223210.1016/j.alit.2024.08.010Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunkMakiko Kido-Nakahara0Takahito Chiba1Yuta Mizusawa2Yuko Higashi3Atsuko Ibusuki4Satomi Igawa5Yumi Murakami6Hiroshi Matsunaka7Yoko Kuba-Fuyuno8Gaku Tsuji9Takeshi Nakahara10Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan; Corresponding author. Department of Dermatology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.Department of Dermatology and Plastic Surgery, Akita University Graduate School of Medicine, Akita, JapanDepartment of Dermatology and Plastic Surgery, Akita University Graduate School of Medicine, Akita, JapanDepartment of Dermatology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, JapanDepartment of Dermatology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, JapanDepartment of Dermatology, Asahikawa Medical University, Asahikawa, JapanNOV Academic Research, Tokiwa Pharmaceutical Co., Ltd., Tokyo, JapanNOV Academic Research, Tokiwa Pharmaceutical Co., Ltd., Tokyo, JapanDepartment of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanDepartment of Dermatology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, JapanBackground: Atopic dermatitis (AD) is a chronic inflammatory skin disease with intense pruritus. Dupilumab, an anti-IL-4 receptor alpha antibody, has been revealed to be highly effective against the symptoms of AD; however, dupilumab takes longer to improve facial dermatitis in some patients. We thus examined whether the cytokine profiles in AD lesions differ between different anatomical locations. Methods: Stratum corneum was collected by tape stripping from lesions of the forehead and abdomen of 24 patients with moderate to severe AD and at the same anatomical locations of 14 control subjects. These samples were then used to determine the expression profiles of Th1, Th2, and Th17 cytokines/chemokines by multiplex assay and immunocytochemistry. Results: We found that cytokines/chemokines in the stratum corneum differed in their expression between different anatomical areas in AD patients and also in healthy control subjects. The expression of Th1 and Th17 cytokines/chemokines such as IP-10, MIG, and IL-17 tended to be higher in the forehead than in the abdomen in the AD group. Regarding Th2 cytokines/chemokines, some (e.g., IL-13 and IL-33) were highly expressed in the abdomen, others (e.g., IL-4 and IL-31) were highly expressed in the forehead, and a third group (e.g., TARC and TSLP) did not differ significantly in their expression between the forehead and abdomen. These patterns of Th2 cytokines were almost identical in the stratum corneum of healthy individuals. Conclusions: Differences in cytokine/chemokine profiles in the stratum corneum between different anatomical areas might affect the responsiveness to AD treatment.http://www.sciencedirect.com/science/article/pii/S1323893024001114Atopic dermatitisChemokineCytokineFaceTape stripping
spellingShingle Makiko Kido-Nakahara
Takahito Chiba
Yuta Mizusawa
Yuko Higashi
Atsuko Ibusuki
Satomi Igawa
Yumi Murakami
Hiroshi Matsunaka
Yoko Kuba-Fuyuno
Gaku Tsuji
Takeshi Nakahara
Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
Allergology International
Atopic dermatitis
Chemokine
Cytokine
Face
Tape stripping
title Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
title_full Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
title_fullStr Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
title_full_unstemmed Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
title_short Cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
title_sort cytokine profile of the stratum corneum in atopic dermatitis lesions differs between the face and the trunk
topic Atopic dermatitis
Chemokine
Cytokine
Face
Tape stripping
url http://www.sciencedirect.com/science/article/pii/S1323893024001114
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