{"title":"The Acid Mantle Reimagined: Unveiling the Role of Stepwise pH Zonation in the Stratum Corneum.","authors":"Keitaro Fukuda, Yoshihiro Ito, Masayuki Amagai","doi":"10.1016/j.jid.2025.02.129","DOIUrl":"https://doi.org/10.1016/j.jid.2025.02.129","url":null,"abstract":"<p><p>The stratum corneum (SC), the outermost layer of the skin comprising corneocytes, is essential for maintaining skin barrier function. Although all components of the SC are nonliving, their homeostasis is maintained through the controlled shedding of corneocytes, ensuring a constant number of layers and consistent thickness; however, the mechanisms underlying this regulation remain largely unknown. Although previous studies have suggested a neutral-to-acidic pH gradient in the SC, recent intravital imaging at single-corneocyte resolution revealed a 3-stepwise pH zonation: lower-moderately acidic, middle acidic, and upper neutral. This perspective review highlights the importance of understanding SC homeostasis using this 3-tiered pH model and emphasizes how its disruption may contribute to inflammatory skin diseases. Determination of the mechanisms that establish and maintain these pH zones offers promising insights for the development of targeted therapies.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kerry Yang, Sonia Czyz, Rayyan Zuberi, Jason Kreutz, Christopher G Bunick, Fatemeh Jafarian
{"title":"A Disproportionality Analysis on Benzoyl Peroxide and Its Risk of Malignancy Using the FDA Adverse Event Reporting System.","authors":"Kerry Yang, Sonia Czyz, Rayyan Zuberi, Jason Kreutz, Christopher G Bunick, Fatemeh Jafarian","doi":"10.1016/j.jid.2025.02.139","DOIUrl":"10.1016/j.jid.2025.02.139","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Blood Transcriptome Signature as Indicator and Predictor for Efficacy of Abrocitinib in Treatment of Atopic Dermatitis.","authors":"Yu Wang, Huibin Yin, Zheng Li, Hao Wu, Qianhao Wang, Xingyu Chen, Liya Mao, Yuemeng Wu, Shangshang Wang, Haihong Qin, Chaoying Gu, Xu Yao, Wei Li","doi":"10.1016/j.jid.2025.02.145","DOIUrl":"10.1016/j.jid.2025.02.145","url":null,"abstract":"<p><p>Patients with atopic dermatitis (AD) exhibit significant blood transcriptome alterations, reflecting systemic inflammation. The effects of abrocitinib, a Jak1 inhibitor, on the blood transcriptome of AD remain unclear. This study aimed to investigate abrocitinib's effects on the blood transcriptome in patients with AD and identify transcriptomic predictors of treatment efficacy. Blood cell mRNA sequencing was conducted on 31 patients with AD at baseline and 4 and 12 weeks of 100 mg abrocitinib daily treatment. Differential gene expression, immune infiltration, and weighted gene coexpression network analyses were performed, along with correlation analysis of transcriptomic data and clinical traits. We observed that abrocitinib treatment significantly improved clinical signs of AD. Correspondingly, blood transcriptome normalization, including downregulation of T helper 2, T helper 1, and eosinophil and an increase in type 1 regulatory T-cell abundance, rapidly occurred by week 4, with slight rebound by week 12. Higher baseline eosinophil counts predicted greater transcript normalization. Weighted gene coexpression network analyses identified an efficacy-related gene module, leading to a 5-gene (PLIN2, CAT, CLC, RAB44, and SMPD3) efficacy-predictive model, which was validated in another independent cohort of 30 patients with AD treated with abrocitinib. In conclusion, abrocitinib treatment resulted in rapid and extensive normalization of the dysregulated blood transcripts in AD, which was associated with its clinical efficacy.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Michael Lane, Alexandre Aubert, Anna Prudova, Faith Liu, Valerio Russo, Karen Jung, Touraj Khosravi-Hafshejani, Hongyan Zhao, Richard I Crawford, Elizabeth Phillips, David J Granville
{"title":"Extracellular Granzyme B Mediates the Degradation of Collagen XVII in Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis.","authors":"Michael Lane, Alexandre Aubert, Anna Prudova, Faith Liu, Valerio Russo, Karen Jung, Touraj Khosravi-Hafshejani, Hongyan Zhao, Richard I Crawford, Elizabeth Phillips, David J Granville","doi":"10.1016/j.jid.2025.02.140","DOIUrl":"10.1016/j.jid.2025.02.140","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Endothelial Piezo1 Mediates Barrier Dysfunction and NLRP3 Inflammasomes Activation in Psoriasis.","authors":"Lixin Yue, Bingyu Pang, Guohao Li, Chen Zhang, Qingyang Li, Kang Li, Hui Fang, Zhenlai Zhu, Shuai Shao, Erle Dang, Gang Wang, Pei Qiao","doi":"10.1016/j.jid.2025.01.037","DOIUrl":"10.1016/j.jid.2025.01.037","url":null,"abstract":"<p><p>Psoriasis is a chronic inflammatory skin disease characterized by abnormal dilation of microvessels in the dermal papillary layer. Multiple studies have demonstrated that vascular endothelial cells regulate vascular function rather than merely acting as passive barriers. Piezo1 serves as a critical mechanical switch, sensing mechanical changes induced by vasodilation. However, the precise pathological role of Piezo1 in psoriasis remains unclear. In this study, we observed significant upregulation of Piezo1 in endothelial cells from the psoriatic dermis. Piezo1 activation impaired endothelial barrier function and promoted the expression of inflammatory factors. These alterations activated the NLRP3 inflammasome, which secretes IL-1β and IL-18, contributing to the local immune dysregulation characteristic of psoriasis. In addition, Piezo1 promoted mitochondrial ROS production and the release of mitochondrial DNA into the cytoplasm, thereby activating the NLRP3 inflammasome in endothelial cells. Furthermore, in mice with imiquimod-induced psoriasis-like dermatitis, Piezo1 suppression significantly alleviated the psoriasis-like phenotype, microvascular dilation, inflammatory infiltration, and NLRP3 inflammasome activation. Our findings suggest that the tortuous and dilated microvasculature in psoriatic skin disrupts vascular barriers and promotes NLRP3 inflammasome activation through Piezo1, contributing to the onset and progression of psoriasis.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143589155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Glutamatergic Projections from the Basolateral Amygdala to Medial Prefrontal Cortex Contribute to Acute Itch Sensation Processing.","authors":"Qiuying Zhao, Ze Fan, Yiwen Zhang, Jiaqi Li, Yuanyuan Zhu, Yiting Lin, Qingrong Ni, Xiaotong Shi, Ling Liu, Shengxi Wu, Jing Huang","doi":"10.1016/j.jid.2025.02.138","DOIUrl":"10.1016/j.jid.2025.02.138","url":null,"abstract":"<p><p>Itch refers to an aversive sensation that generates a desire to scratch. The basolateral amygdala (BLA) activity is crucial in driving motivation, sensation, and emotional responses. Excitatory projections from the BLA play a vital role in regulating neuronal activity throughout the brain, including the medial prefrontal cortex (mPFC). Nevertheless, whether the BLA neurons and BLA-mPFC circuit contribute to itch sensation remains elusive. In this study, fluoro-gold retrograde tracing, morphological staining, and neuronal manipulation approaches were employed to investigate the role of BLA-mPFC projections in itch processing. Results showed that glutamatergic neurons in the BLA were activated in response to histamine- and chloroquine-induced acute itch stimuli. Chemogenetic activation of these neurons significantly mitigated the scratching behavior, whereas their inhibition increased the number of scratching bouts. The percentages of fluoro-gold-labeled CaMKII<sup>+</sup> neurons expressing FOS in the BLA, which project to the mPFC, were 40.10 ± 2.26% and 73.84 ± 6.48% in acute itch models induced by histamine and chloroquine, respectively. Optogenetic activation of the BLA-mPFC pathway reduced histamine- or chloroquine-induced scratching bouts, whereas its inhibition increased the scratching bouts. These results provide evidence that BLA-mPFC projections are implicated in the acute itch processing, expanding our understanding to the circuit mechanism underlying the modulation of itch.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jong Yeong Lee, Ha Eun Kim, Seung Taek Lee, Jin Park, Kyung-Hwa Nam, Jun-Young Park, Jin Kyeong Choi
{"title":"The Repurposing of Nitazoxanide for Psoriasis Treatment Exerts Therapeutic Effects through Skin Metabolic Reprogramming.","authors":"Jong Yeong Lee, Ha Eun Kim, Seung Taek Lee, Jin Park, Kyung-Hwa Nam, Jun-Young Park, Jin Kyeong Choi","doi":"10.1016/j.jid.2025.02.137","DOIUrl":"10.1016/j.jid.2025.02.137","url":null,"abstract":"<p><p>Nitazoxanide (NTZ), a Food and Drug Administration-approved drug, was originally developed for the treatment of parasitic infections. Recent studies have revealed that NTZ may also be effective in treating other diseases, including inflammatory diseases, cancer, and bacterial and viral infections. Therefore, we investigated whether NTZ could inhibit specific inflammatory pathways and reprogram metabolic processes in psoriasis to regulate inflammation. To investigate the symptom-alleviating effects of NTZ on psoriasis and its underlying mechanisms, we used an imiquimod-induced psoriatic-like skin inflammation mouse model and IL-17-stimulated human keratinocytes. NTZ inhibited the transition of metabolic programs induced by IL-17-mediated inflammation in human keratinocytes. In particular, NTZ suppressed glucose uptake and the associated actions stimulated by IL-17 and reduced enhanced oxidative phosphorylation. NTZ inhibited the mTOR signaling pathway by inducing AMP-activated protein kinase and prevented the development of dysfunctional mitochondria characterized by high mitochondrial mass and high levels of ROS. Moreover, the administration of NTZ in a mouse model of psoriasis, an IL-17-mediated skin disease, inhibited the accumulation of damaged mitochondria and suppressed T helper 17-mediated inflammatory responses. These findings provide preclinical evidence that NTZ may be effective in treating psoriasis and suggest that targeting the energy metabolic pathways in the skin could be beneficial for the treatment and prevention of psoriasis.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Allison R Loiselle, Jessica K Johnson, Wendy Smith Begolka
{"title":"Prevalence and Co-Occurrence of Eczema Types in Adults in the United States: Insights from the All of Us Research Program.","authors":"Allison R Loiselle, Jessica K Johnson, Wendy Smith Begolka","doi":"10.1016/j.jid.2025.02.136","DOIUrl":"10.1016/j.jid.2025.02.136","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143569312","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Skin-Associated Cartilage Is a Distinct Type of Lipid-Filled Tissue.","authors":"Raul Ramos, Maksim V Plikus","doi":"10.1016/j.jid.2025.01.019","DOIUrl":"https://doi.org/10.1016/j.jid.2025.01.019","url":null,"abstract":"","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Preksha Machaiya Kuppanda, Monika Janda, H Peter Soyer, Liam J Caffery
{"title":"What Are Patients' Perceptions and Attitudes Regarding the Use of Artificial Intelligence in Skin Cancer Screening and Diagnosis? Narrative Review.","authors":"Preksha Machaiya Kuppanda, Monika Janda, H Peter Soyer, Liam J Caffery","doi":"10.1016/j.jid.2025.01.013","DOIUrl":"https://doi.org/10.1016/j.jid.2025.01.013","url":null,"abstract":"<p><p>Artificial intelligence (AI) could enable early diagnosis of skin cancer; however, how AI should be implemented in clinical practice is debated. This narrative literature review (16 studies; 2012-2024) explored patient perceptions of AI in skin cancer screening and diagnosis. Patients were generally positive and perceived AI to increase diagnostic speed and accuracy. Patients preferred AI to augment a dermatologist's diagnosis rather than replace it. Patients were concerned that AI could lead to privacy breaches and clinicians deskilling and threaten doctor-patient relationships. Findings also highlight the complex nature of the impact of demographic, quality, and functional attributes on patients' attitudes toward AI.</p>","PeriodicalId":94239,"journal":{"name":"The Journal of investigative dermatology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525526","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}