Asian journal of pediatric dermatology.,
Journal Year:
2024,
Volume and Issue:
2(2), P. 63 - 67
Published: May 1, 2024
Abstract
Netherton
syndrome
(NS)
is
an
inherited
ichthyosis
without
targeted
therapies,
and
current
treatment
remains
largely
symptomatic.
Herein,
we
report
the
case
of
a
6-year-old
patient
with
NS
successfully
managed
dupilumab
for
3
years.
The
literature
regarding
in
this
population
summarized,
potential
role
altering
pathogenesis
discussed.
Journal of Clinical Medicine,
Journal Year:
2025,
Volume and Issue:
14(10), P. 3273 - 3273
Published: May 8, 2025
Palmoplantar
pustulosis
(PPP)
is
a
chronic
inflammatory
skin
disease
characterized
by
recurrent
pustules,
erythema,
and
scaling
on
the
palms
soles,
leading
to
significantly
reduced
quality
of
life.
Although
PPP
shares
some
immunopathological
features
with
psoriasis
vulgaris,
it
distinguished
unique
genetic
predispositions,
including
higher
prevalence
in
East
Asian
populations,
complex
immune
profile,
particularly
dysregulation
IL-23/Th17
axis
IL-36
cytokines.
Recent
advances
treatment
have
highlighted
IL-23
inhibitors,
which
target
p19
subunit
suppress
Th17
activation
Clinical
trials
show
that
inhibitors
improve
severity
patient-reported
outcomes
while
maintaining
favorable
safety
profiles.
Notably,
guselkumab
risankizumab
recently
been
approved
for
Japan
Korea.
In
contrast,
IL-17
blockers
yielded
mixed
results.
A
recent
phase
3
trial
demonstrated
significant
efficacy
apremilast
treating
PPP,
suggesting
may
be
promising
option
PPP.
Due
PPP’s
lower
compared
clinical
remain
limited.
Further
large-scale,
controlled
studies
are
needed
clarify
long-term
these
therapies
diverse
populations.
This
review
summarizes
emerging
evidence
other
treatments
detailing
their
mechanisms
action,
efficacy,
profiles,
current
challenges,
future
perspectives
optimizing
therapy.
Journal of the European Academy of Dermatology and Venereology,
Journal Year:
2024,
Volume and Issue:
unknown
Published: July 29, 2024
Netherton
syndrome
(NS)
is
an
autosomal
recessive
disorder
characterized
by
the
triad
of
congenital
ichthyosiform
erythroderma
or
ichthyosis
linearis
circumflexa,
hair
shaft
abnormalities
and
high
serum
IgE
levels
with
atopic
manifestations.
Therapeutic
options
for
NS
are
limited,
often
failing
to
elicit
a
satisfactory
response
in
patients.
Multiomic
analyses
revealed
IL-36
signature
be
hallmark
NS.1
In
this
report,
we
present
case
successfully
treated
spesolimab,
interleukin
(IL)-36R
inhibitor.
A
5-year-old
girl
prior
diagnosis
(due
compound
heterozygous
c.80A>G
c.710delT
mutations
SPINK5
gene)
was
referred
treatment.
She
presented
generalized
erythema,
scaling
severe
pruritus.
had
history
at
birth,
alongside
signs
delayed
growth.
The
patient
first
child
non-consanguineous
parents.
Physical
examination
sparse,
brittle
eyebrows,
superficial
scaling,
facial
redness
widespread
serpiginous
polycyclic
erythematous
plaques
double-edged
peripheral
on
her
trunk
extremities
(Figure
1).
Trichoscopy
showed
invagination
consistent
trichorrhexis
invaginate
(bamboo
hair).
Laboratory
investigations
demonstrated
significantly
elevated
total
level
exceeding
5000
KU/L
(normal
range:
0~100
KU/L).
White
blood
count
20.92
×
10E9/L
4.0~12.0
10E9/L).
Her
treatment
included
topical
emollients,
corticosteroids,
calcineurin
inhibitors
oral
antihistamines.
However,
improvement
not
significant.
Treatment
dupilumab
300
mg
every
4
weeks
attempted
but
discontinued
after
8
due
ineffectiveness.
After
obtaining
parental
consent,
spesolimab
initiated
monthly
dose
450
thereafter.
Pruritus
Numeric
Rating
Scale
(NRS),
Area
Severity
Assessment
(NASA)
Ichthyosis
Index
(IASI)
were
evaluated
baseline
4,
12
post-treatment.
Remarkable
2)
noted
NRS
pruritus
from
9
4;
IASI
NASA
scores
decreased
29
45
7.8
16.4,
respectively.
diagnosed
gene,
encoding
lymphoepithelial
Kazal-type-related
inhibitor,
novel
serine
protease
inhibitor
crucial
skin
barrier
formation
immunity.
There
currently
no
established
NS,
existing
literature
primarily
consists
individual
reports.
Traditional
therapeutic
approaches
have
shown
only
limited
effectiveness
addressing
condition.
Several
reports
proven
efficacy
various
biotherapies
targeting
IL-17A,
IL-12/IL-23,
IL-4Rα,
TNF-α
IL-1β
paediatric
patients.2,
3
our
exhibited
failure
dupilumab,
IL-4Rα
Recent
research
has
underscored
potential
interleukin-36-driven
inflammatory
pathway
as
effective
strategy
NS.4
studies
IL-17/IL-36
upregulated
IL-36-driven
immune
responses
evident
both
blood.1
Increased
expression
IL-36α
IL-36γ
cytokines
correlates
disease
severity.4
patients
increased
risk
Staphylococcus
aureus
infections,
which
also
activates
axis,
thereby
exacerbating
inflammation.5
Spesolimab
human
antagonistic
monoclonal
IgG1
antibody
that
blocks
IL36α,
IL36β
Il36γ-induced
activation
IL36R.
patient,
treatment,
patient's
pruritus,
erythema
remarkable
improvement.
Thus,
emerges
promising
NS.
Currently,
registered
clinical
trial
underway,
its
outcomes
eagerly
anticipated.
views
expressed
manuscript
those
author
do
necessarily
reflect
official
policy
position
any
institution,
organization,
employer
funding
source.
No
conflicts
interest
relevant
article
been
reported.
parents
given
written
informed
consent
publication
their
details.
original
contributions
study
article;
further
inquiries
can
directed
corresponding
author.
Molecular and Cellular Biology,
Journal Year:
2024,
Volume and Issue:
44(11), P. 489 - 504
Published: Sept. 28, 2024
Fibroblast
growth
factors
(FGFs)
are
key
orchestrators
of
development,
tissue
homeostasis
and
repair.
FGF
receptor
(FGFR)
deficiency
in
mouse
keratinocytes
causes
an
inflammatory
skin
phenotype
with
similarities
to
atopic
dermatitis,
but
the
human
relevance
is
unclear.
Therefore,
we
generated
a
CRISPR/Cas9-induced
knockout
Cells,
Journal Year:
2024,
Volume and Issue:
13(9), P. 787 - 787
Published: May 6, 2024
IL-36
cytokines
are
emerging
as
beneficial
in
immunity
against
pathogens
and
cancers
but
can
also
be
detrimental
when
dysregulated
autoimmune
autoinflammatory
conditions.
Interest
targeting
activity
for
therapeutic
purposes
is
rapidly
growing,
yet
many
unknowns
about
the
functions
of
these
remain.
Thus,
availability
robust
research
tools
essential
both
fundamental
basic
science
pre-clinical
studies
to
fully
access
outcomes
any
manipulation
system.
For
this
purpose,
a
floxed
BMC Genomics,
Journal Year:
2024,
Volume and Issue:
25(1)
Published: May 22, 2024
Abstract
Background
While
numerous
allergy-related
biomarkers
and
targeted
treatment
strategies
have
been
developed
employed,
there
are
still
signifcant
limitations
challenges
in
the
early
diagnosis
for
allegic
diseases.
Our
study
aims
to
identify
circulating
proteins
causally
associated
with
allergic
disease-related
traits
through
Mendelian
randomization
(MR)-based
analytical
framework.
Methods
Large-scale
cis-MR
was
employed
estimate
effects
of
thousands
plasma
on
five
main
Additional
analyses
including
MR
Steiger
analyzing
Bayesian
colocalisation,
were
performed
test
robustness
associations;
These
findings
further
validated
utilizing
meta-analytical
methods
replication
analysis.
Both
proteome-
transcriptome-wide
association
studies
approach
applied,
then,
a
protein-protein
interaction
conducted
examine
interplay
between
identified
targets
existing
medications.
Results
Eleven
links
atopic
asthma
(AA),
dermatitis
(AD),
rhinitis
(AR).
Subsequently,
these
classified
into
four
distinct
target
groups,
focus
tier
1
2
due
their
higher
potential
become
drug
targets.
analysis
extra
validation
revealed
STAT6
TNFRSF6B
be
Tier
IL1RL2
IL6R
AA
treatment.
Two
proteins,
CRAT
TNFRSF6B,
ERBB3,
IL6R,
MMP12,
ICAM1,
IL1RL2,
linked
AD,
three
MANF,
STAT6,
TNFSF8,
AR.
Conclusion
protein
that
promising
candidates
AA,
AR,
which
influence
development
diseases
expose
new
diagnostic
therapeutic
Biochemical Society Transactions,
Journal Year:
2024,
Volume and Issue:
52(4), P. 1591 - 1604
Published: June 28, 2024
Interleukin-36
(IL-36)
cytokines
are
structurally
similar
to
other
Interleukin-1
superfamily
members
and
essential
convey
inflammatory
responses
at
epithelial
barriers
including
the
skin,
lung,
gut.
Due
their
potent
effects
on
immune
cells,
IL-36
cytokine
activation
is
regulated
multiple
levels,
from
expression
receptor
binding.
Different
isoforms
specific
as
a
consequence
of
particular
danger-
or
pathogen-associated
molecular
patterns.
by
exogenous
pathogens,
fungi,
viruses
bacteria
but
also
endogenous
factors
such
antimicrobial
peptides
cytokines.
Processing
into
bioactive
forms
necessary
for
host
protection
can
elevate
tissue
damage.
Indeed,
exacerbated
signalling
hyperactivation
linked
pathogenesis
diseases
plaque
pustular
psoriasis,
emphasising
importance
understanding
aspects
regulating
activation.
Here,
we
summarise
facets
electrochemical
properties,
regulation
extracellular
cleavage
various
proteases
pro-inflammatory
anti-inflammatory
family
members.
Additionally,
this
intriguing
subfamily
displays
many
characteristics
that
unique
prototypical
IL-1
these
key
distinctions
outlined
here.