Causes of epidermal filaggrin reduction and their role in the pathogenesis of atopic dermatitis

The epidermis protects human subjects from exogenous stressors and helps to maintain internal fluid and electrolyte homeostasis. Filaggrin is a crucial epidermal protein that is important for the formation of the corneocyte, as well as the generation of its intracellular metabolites, which contribut...

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Veröffentlicht in:Journal of allergy and clinical immunology 2014-10, Vol.134 (4), p.792-799
Hauptverfasser: Thyssen, Jacob P., MD, PhD, Kezic, Sanja, PhD
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creator Thyssen, Jacob P., MD, PhD
Kezic, Sanja, PhD
description The epidermis protects human subjects from exogenous stressors and helps to maintain internal fluid and electrolyte homeostasis. Filaggrin is a crucial epidermal protein that is important for the formation of the corneocyte, as well as the generation of its intracellular metabolites, which contribute to stratum corneum hydration and pH. The levels of filaggrin and its degradation products are influenced not only by the filaggrin genotype but also by inflammation and exogenous stressors. Pertinently, filaggrin deficiency is observed in patients with atopic dermatitis regardless of filaggrin mutation status, suggesting that the absence of filaggrin is a key factor in the pathogenesis of this skin condition. In this article we review the various causes of low filaggrin levels, centralizing the functional and morphologic role of a deficiency in filaggrin, its metabolites, or both in the etiopathogenesis of atopic dermatitis.
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Filaggrin is a crucial epidermal protein that is important for the formation of the corneocyte, as well as the generation of its intracellular metabolites, which contribute to stratum corneum hydration and pH. The levels of filaggrin and its degradation products are influenced not only by the filaggrin genotype but also by inflammation and exogenous stressors. Pertinently, filaggrin deficiency is observed in patients with atopic dermatitis regardless of filaggrin mutation status, suggesting that the absence of filaggrin is a key factor in the pathogenesis of this skin condition. 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Psychology ; Fundamental immunology ; Genetic Predisposition to Disease ; histidine ; Homeostasis ; Human subjects ; Humans ; Hydration ; ichthyosis vulgaris ; Immunopathology ; Intermediate Filament Proteins - deficiency ; Intermediate Filament Proteins - genetics ; lamellar body ; Lipid Metabolism ; Lipids ; Medical sciences ; Metabolites ; Mice ; Microorganisms ; Mutation ; Pathogenesis ; Proteins ; Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis ; Skin ; Skin allergic diseases. 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Filaggrin is a crucial epidermal protein that is important for the formation of the corneocyte, as well as the generation of its intracellular metabolites, which contribute to stratum corneum hydration and pH. The levels of filaggrin and its degradation products are influenced not only by the filaggrin genotype but also by inflammation and exogenous stressors. Pertinently, filaggrin deficiency is observed in patients with atopic dermatitis regardless of filaggrin mutation status, suggesting that the absence of filaggrin is a key factor in the pathogenesis of this skin condition. 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Psychology</subject><subject>Fundamental immunology</subject><subject>Genetic Predisposition to Disease</subject><subject>histidine</subject><subject>Homeostasis</subject><subject>Human subjects</subject><subject>Humans</subject><subject>Hydration</subject><subject>ichthyosis vulgaris</subject><subject>Immunopathology</subject><subject>Intermediate Filament Proteins - deficiency</subject><subject>Intermediate Filament Proteins - genetics</subject><subject>lamellar body</subject><subject>Lipid Metabolism</subject><subject>Lipids</subject><subject>Medical sciences</subject><subject>Metabolites</subject><subject>Mice</subject><subject>Microorganisms</subject><subject>Mutation</subject><subject>Pathogenesis</subject><subject>Proteins</subject><subject>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</subject><subject>Skin</subject><subject>Skin allergic diseases. 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Psychology</topic><topic>Fundamental immunology</topic><topic>Genetic Predisposition to Disease</topic><topic>histidine</topic><topic>Homeostasis</topic><topic>Human subjects</topic><topic>Humans</topic><topic>Hydration</topic><topic>ichthyosis vulgaris</topic><topic>Immunopathology</topic><topic>Intermediate Filament Proteins - deficiency</topic><topic>Intermediate Filament Proteins - genetics</topic><topic>lamellar body</topic><topic>Lipid Metabolism</topic><topic>Lipids</topic><topic>Medical sciences</topic><topic>Metabolites</topic><topic>Mice</topic><topic>Microorganisms</topic><topic>Mutation</topic><topic>Pathogenesis</topic><topic>Proteins</topic><topic>Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis</topic><topic>Skin</topic><topic>Skin allergic diseases. 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Filaggrin is a crucial epidermal protein that is important for the formation of the corneocyte, as well as the generation of its intracellular metabolites, which contribute to stratum corneum hydration and pH. The levels of filaggrin and its degradation products are influenced not only by the filaggrin genotype but also by inflammation and exogenous stressors. Pertinently, filaggrin deficiency is observed in patients with atopic dermatitis regardless of filaggrin mutation status, suggesting that the absence of filaggrin is a key factor in the pathogenesis of this skin condition. In this article we review the various causes of low filaggrin levels, centralizing the functional and morphologic role of a deficiency in filaggrin, its metabolites, or both in the etiopathogenesis of atopic dermatitis.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>25065719</pmid><doi>10.1016/j.jaci.2014.06.014</doi><tpages>8</tpages></addata></record>
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subjects Allergic diseases
Allergy and Immunology
Amino acids
Animals
Atopic dermatitis
barrier function
Biological and medical sciences
Cell Membrane Permeability
Cell Surface Extensions - metabolism
Cell Surface Extensions - pathology
Cytokines
Cytokines - immunology
Dermatitis, Atopic - genetics
Dermatitis, Atopic - immunology
Dermatology
Down-Regulation
Dyskeratosis
Epidermis - immunology
filaggrin
Fundamental and applied biological sciences. Psychology
Fundamental immunology
Genetic Predisposition to Disease
histidine
Homeostasis
Human subjects
Humans
Hydration
ichthyosis vulgaris
Immunopathology
Intermediate Filament Proteins - deficiency
Intermediate Filament Proteins - genetics
lamellar body
Lipid Metabolism
Lipids
Medical sciences
Metabolites
Mice
Microorganisms
Mutation
Pathogenesis
Proteins
Sarcoidosis. Granulomatous diseases of unproved etiology. Connective tissue diseases. Elastic tissue diseases. Vasculitis
Skin
Skin allergic diseases. Stinging insect allergies
stratum corneum
Stress, Psychological - immunology
Th2 Cells - immunology
TH2 cytokines
urocanic acid
title Causes of epidermal filaggrin reduction and their role in the pathogenesis of atopic dermatitis
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