Suction blistering the lesional skin of vitiligo patients reveals useful biomarkers of disease activity - 18/04/17
Abstract |
Background |
Vitiligo is an autoimmune disease of the skin with limited treatment options; there is an urgent need to identify and validate biomarkers of disease activity to support vitiligo clinical studies.
Objective |
To investigate potential biomarkers of disease activity directly in the skin of vitiligo subjects and healthy subjects.
Methods |
Patient skin was sampled via a modified suction-blister technique, allowing for minimally invasive, objective assessment of cytokines and T-cell infiltrates in the interstitial skin fluid. Potential biomarkers were first defined and later validated in separate study groups.
Results |
In screening and validation, CD8+ T-cell number and C-X-C motif chemokine ligand (CXCL) 9 protein concentration were significantly elevated in active lesional compared to nonlesional skin. CXCL9 protein concentration achieved greater sensitivity and specificity by receiver operating characteristic analysis. Suction blistering also allowed for phenotyping of the T-cell infiltrate, which overwhelmingly expresses C-X-C motif chemokine receptor 3.
Limitations |
A small number of patients were enrolled for the study, and only a single patient was used to define the treatment response.
Conclusion |
Measuring CXCL9 directly in the skin might be effective in clinical trials as an early marker of treatment response. Additionally, use of the modified suction-blister technique supports investigation of inflammatory skin diseases using powerful tools like flow cytometry and protein quantification.
Le texte complet de cet article est disponible en PDF.Key words : autoimmunity, biopsy, blisters, biomarkers, CD8, CXCL9, CXCL10, inflammatory skin disease, suction blister, vitiligo
Abbreviations used : CXCL, CXCR, ELISA, IFN-γ, ROC
Plan
Supported by the National Center for Advancing Translational Sciences (UL1-TR001453). Dr Harris is supported by the National Institute of Arthritis and Musculoskeletal and Skin Diseases (AR069114) and by a Stiefel Scholar Award from the Dermatology Foundation. Dr Richmond is supported by a research grant and the Calder Research Scholar Award from the American Skin Association. |
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Conflicts of interest: None declared. |
Vol 76 - N° 5
P. 847 - mai 2017 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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