A novel molecular disease classifier for psoriasis and eczema
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A novel molecular disease classifier for psoriasis and eczema. / Garzorz-Stark, Natalie; Krause, Linda; Lauffer, Felix; Atenhan, Anne; Thomas, Jenny; Stark, Sebastian P; Franz, Regina; Weidinger, Stephan; Balato, Anna; Mueller, Nikola S; Theis, Fabian J; Ring, Johannes; Schmidt-Weber, Carsten B; Biedermann, Tilo; Eyerich, Stefanie; Eyerich, Kilian.
in: EXP DERMATOL, Jahrgang 25, Nr. 10, 10.2016, S. 767-774.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - A novel molecular disease classifier for psoriasis and eczema
AU - Garzorz-Stark, Natalie
AU - Krause, Linda
AU - Lauffer, Felix
AU - Atenhan, Anne
AU - Thomas, Jenny
AU - Stark, Sebastian P
AU - Franz, Regina
AU - Weidinger, Stephan
AU - Balato, Anna
AU - Mueller, Nikola S
AU - Theis, Fabian J
AU - Ring, Johannes
AU - Schmidt-Weber, Carsten B
AU - Biedermann, Tilo
AU - Eyerich, Stefanie
AU - Eyerich, Kilian
N1 - © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2016/10
Y1 - 2016/10
N2 - Novel specific therapies for psoriasis and eczema have been developed, and they mark a new era in the treatment of these complex inflammatory skin diseases. However, within their broad clinical spectrum, psoriasis and eczema phenotypes overlap making an accurate diagnosis impossible in special cases, not to speak about predicting the clinical outcome of an individual patient. Here, we present a novel robust molecular classifier (MC) consisting of NOS2 and CCL27 gene that diagnosed psoriasis and eczema with a sensitivity and specificity of >95% in a cohort of 129 patients suffering from (i) classical forms; (ii) subtypes; and (iii) clinically and histologically indistinct variants of psoriasis and eczema. NOS2 and CCL27 correlated with clinical and histological hallmarks of psoriasis and eczema in a mutually antagonistic way, thus highlighting their biological relevance. In line with this, the MC could be transferred to the level of immunofluorescence stainings for iNOS and CCL27 protein on paraffin-embedded sections, where patients were diagnosed with sensitivity and specificity >88%. Our MC proved superiority over current gold standard methods to distinguish psoriasis and eczema and may therefore build the basis for molecular diagnosis of chronic inflammatory skin diseases required to establish personalized medicine in the field.
AB - Novel specific therapies for psoriasis and eczema have been developed, and they mark a new era in the treatment of these complex inflammatory skin diseases. However, within their broad clinical spectrum, psoriasis and eczema phenotypes overlap making an accurate diagnosis impossible in special cases, not to speak about predicting the clinical outcome of an individual patient. Here, we present a novel robust molecular classifier (MC) consisting of NOS2 and CCL27 gene that diagnosed psoriasis and eczema with a sensitivity and specificity of >95% in a cohort of 129 patients suffering from (i) classical forms; (ii) subtypes; and (iii) clinically and histologically indistinct variants of psoriasis and eczema. NOS2 and CCL27 correlated with clinical and histological hallmarks of psoriasis and eczema in a mutually antagonistic way, thus highlighting their biological relevance. In line with this, the MC could be transferred to the level of immunofluorescence stainings for iNOS and CCL27 protein on paraffin-embedded sections, where patients were diagnosed with sensitivity and specificity >88%. Our MC proved superiority over current gold standard methods to distinguish psoriasis and eczema and may therefore build the basis for molecular diagnosis of chronic inflammatory skin diseases required to establish personalized medicine in the field.
KW - Adult
KW - Aged
KW - Chemokine CCL27
KW - Cohort Studies
KW - Eczema
KW - Female
KW - Fluorescent Antibody Technique
KW - Humans
KW - Male
KW - Middle Aged
KW - Nitric Oxide Synthase Type II
KW - Psoriasis
KW - Journal Article
KW - Research Support, Non-U.S. Gov't
U2 - 10.1111/exd.13077
DO - 10.1111/exd.13077
M3 - SCORING: Journal article
C2 - 27193975
VL - 25
SP - 767
EP - 774
JO - EXP DERMATOL
JF - EXP DERMATOL
SN - 0906-6705
IS - 10
ER -