Claudin‐3 – a new intestinal integrity marker in patients with psoriasis: association with disease severity

Background Gut dysbiosis and increased intestinal permeability play a significant role in the pathogenesis of psoriasis and its comorbidities. Claudin‐3 is a key component of tight junctions, which may serve as marker of gut barrier integrity. Objectives The aim of the study was to investigate circu...

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Veröffentlicht in:Journal of the European Academy of Dermatology and Venereology 2019-10, Vol.33 (10), p.1907-1912
Hauptverfasser: Sikora, M., Chrabąszcz, M., Waśkiel‐Burnat, A., Rakowska, A., Olszewska, M., Rudnicka, L.
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container_end_page 1912
container_issue 10
container_start_page 1907
container_title Journal of the European Academy of Dermatology and Venereology
container_volume 33
creator Sikora, M.
Chrabąszcz, M.
Waśkiel‐Burnat, A.
Rakowska, A.
Olszewska, M.
Rudnicka, L.
description Background Gut dysbiosis and increased intestinal permeability play a significant role in the pathogenesis of psoriasis and its comorbidities. Claudin‐3 is a key component of tight junctions, which may serve as marker of gut barrier integrity. Objectives The aim of the study was to investigate circulating plasma claudin‐3 in patients with psoriasis and to evaluate clinical and metabolic factors, which determine its concentration. Methods This cross‐sectional study included 60 patients with psoriasis (39 men and 21 women, mean age: 45.6 ± 12.1 years) and 30 healthy controls (18 men and 12 women, mean age: 46.3 ± 15.5 years) age, sex and body mass index‐matched. Plasma claudin‐3 concentration was measured using an enzyme‐linked immunosorbent assay. Results Plasma claudin‐3 concentration was significantly higher in patients with psoriasis in comparison with healthy control [median (interquartile range), 50.7 ng/mL (47.3–54.2) vs. 43.3 ng/mL (42.3–44.2), P 
doi_str_mv 10.1111/jdv.15700
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Claudin‐3 is a key component of tight junctions, which may serve as marker of gut barrier integrity. Objectives The aim of the study was to investigate circulating plasma claudin‐3 in patients with psoriasis and to evaluate clinical and metabolic factors, which determine its concentration. Methods This cross‐sectional study included 60 patients with psoriasis (39 men and 21 women, mean age: 45.6 ± 12.1 years) and 30 healthy controls (18 men and 12 women, mean age: 46.3 ± 15.5 years) age, sex and body mass index‐matched. Plasma claudin‐3 concentration was measured using an enzyme‐linked immunosorbent assay. Results Plasma claudin‐3 concentration was significantly higher in patients with psoriasis in comparison with healthy control [median (interquartile range), 50.7 ng/mL (47.3–54.2) vs. 43.3 ng/mL (42.3–44.2), P < 0.001]. Patients who achieved ΔPASI90 response after 16 weeks of treatment showed tendency to decrease in circulating claudin‐3 plasma concentration. Positive correlations between claudin‐3 concentration and the PASI score (r = 0.828; P < 0.001) as well as claudin‐3 and neutrophil‐to‐lymphocyte ratio (r = 0.847; P < 0.001) were found. A multivariable linear regression analysis confirmed association of claudin‐3 with the PASI score (P < 0.001), neutrophil‐to‐lymphocyte ratio (P < 0.01) and active smoking (P < 0.05). Conclusion Claudin‐3, a biomarker for gut permeability, is increased in psoriasis and correlates with disease severity and smoking. Further investigations are needed to determine whether reinforcing intestinal barrier may be a new therapeutic target in psoriasis.]]></description><identifier>ISSN: 0926-9959</identifier><identifier>EISSN: 1468-3083</identifier><identifier>DOI: 10.1111/jdv.15700</identifier><identifier>PMID: 31120609</identifier><language>eng</language><publisher>England</publisher><subject>Adult ; Biomarkers - blood ; Claudin-3 - blood ; Cross-Sectional Studies ; Female ; Humans ; Intestinal Mucosa - metabolism ; Lymphocyte Count ; Male ; Middle Aged ; Neutrophils ; Permeability ; Psoriasis - blood ; Severity of Illness Index</subject><ispartof>Journal of the European Academy of Dermatology and Venereology, 2019-10, Vol.33 (10), p.1907-1912</ispartof><rights>2019 European Academy of Dermatology and Venereology</rights><rights>2019 European Academy of Dermatology and Venereology.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3250-94db0025cc0263357897d7fedeeeea17f3afe41f67e074b9c5ea7ebc0a5a4c9d3</citedby><cites>FETCH-LOGICAL-c3250-94db0025cc0263357897d7fedeeeea17f3afe41f67e074b9c5ea7ebc0a5a4c9d3</cites><orcidid>0000-0002-6162-9916 ; 0000-0002-8308-1023</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjdv.15700$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjdv.15700$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31120609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sikora, M.</creatorcontrib><creatorcontrib>Chrabąszcz, M.</creatorcontrib><creatorcontrib>Waśkiel‐Burnat, A.</creatorcontrib><creatorcontrib>Rakowska, A.</creatorcontrib><creatorcontrib>Olszewska, M.</creatorcontrib><creatorcontrib>Rudnicka, L.</creatorcontrib><title>Claudin‐3 – a new intestinal integrity marker in patients with psoriasis: association with disease severity</title><title>Journal of the European Academy of Dermatology and Venereology</title><addtitle>J Eur Acad Dermatol Venereol</addtitle><description><![CDATA[Background Gut dysbiosis and increased intestinal permeability play a significant role in the pathogenesis of psoriasis and its comorbidities. Claudin‐3 is a key component of tight junctions, which may serve as marker of gut barrier integrity. Objectives The aim of the study was to investigate circulating plasma claudin‐3 in patients with psoriasis and to evaluate clinical and metabolic factors, which determine its concentration. Methods This cross‐sectional study included 60 patients with psoriasis (39 men and 21 women, mean age: 45.6 ± 12.1 years) and 30 healthy controls (18 men and 12 women, mean age: 46.3 ± 15.5 years) age, sex and body mass index‐matched. Plasma claudin‐3 concentration was measured using an enzyme‐linked immunosorbent assay. Results Plasma claudin‐3 concentration was significantly higher in patients with psoriasis in comparison with healthy control [median (interquartile range), 50.7 ng/mL (47.3–54.2) vs. 43.3 ng/mL (42.3–44.2), P < 0.001]. Patients who achieved ΔPASI90 response after 16 weeks of treatment showed tendency to decrease in circulating claudin‐3 plasma concentration. Positive correlations between claudin‐3 concentration and the PASI score (r = 0.828; P < 0.001) as well as claudin‐3 and neutrophil‐to‐lymphocyte ratio (r = 0.847; P < 0.001) were found. A multivariable linear regression analysis confirmed association of claudin‐3 with the PASI score (P < 0.001), neutrophil‐to‐lymphocyte ratio (P < 0.01) and active smoking (P < 0.05). Conclusion Claudin‐3, a biomarker for gut permeability, is increased in psoriasis and correlates with disease severity and smoking. Further investigations are needed to determine whether reinforcing intestinal barrier may be a new therapeutic target in psoriasis.]]></description><subject>Adult</subject><subject>Biomarkers - blood</subject><subject>Claudin-3 - blood</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Intestinal Mucosa - metabolism</subject><subject>Lymphocyte Count</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Neutrophils</subject><subject>Permeability</subject><subject>Psoriasis - blood</subject><subject>Severity of Illness Index</subject><issn>0926-9959</issn><issn>1468-3083</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kEtOwzAQhi0EgvJYcAHkJSxSxnYSx-xQeQuJDbCNXGcChjQpmZSqO46AxA05CS4BdsxmRjOfPml-xnYFDEWow6fidSgSDbDCBiJOs0hBplbZAIxMI2MSs8E2iZ4AQIgkW2cbSggJKZgBa0aVnRW-_nx7V_zz7YNbXuOc-7pD6nxtq-_xofXdgk9s-4xtWPCp7TzWHfG57x75lJrWW_J0xC1R43y4NnV_KzyhJeSEr7iUbLO10laEOz99i92dnd6OLqLrm_PL0fF15JRMIDJxMQaQiXMgU6USnRld6BILDGWFLpUtMRZlqhF0PDYuQatx7MAmNnamUFtsv_dO2-ZlFn7JJ54cVpWtsZlRLqWSQopM6IAe9KhrG6IWy3za-vDrIheQL_PNQ775d76B3fvRzsYTLP7I30ADcNgDc1_h4n9TfnVy3yu_AGbHiK4</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Sikora, M.</creator><creator>Chrabąszcz, M.</creator><creator>Waśkiel‐Burnat, A.</creator><creator>Rakowska, A.</creator><creator>Olszewska, M.</creator><creator>Rudnicka, L.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-6162-9916</orcidid><orcidid>https://orcid.org/0000-0002-8308-1023</orcidid></search><sort><creationdate>201910</creationdate><title>Claudin‐3 – a new intestinal integrity marker in patients with psoriasis: association with disease severity</title><author>Sikora, M. ; Chrabąszcz, M. ; Waśkiel‐Burnat, A. ; Rakowska, A. ; Olszewska, M. ; Rudnicka, L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3250-94db0025cc0263357897d7fedeeeea17f3afe41f67e074b9c5ea7ebc0a5a4c9d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Biomarkers - blood</topic><topic>Claudin-3 - blood</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Intestinal Mucosa - metabolism</topic><topic>Lymphocyte Count</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Neutrophils</topic><topic>Permeability</topic><topic>Psoriasis - blood</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sikora, M.</creatorcontrib><creatorcontrib>Chrabąszcz, M.</creatorcontrib><creatorcontrib>Waśkiel‐Burnat, A.</creatorcontrib><creatorcontrib>Rakowska, A.</creatorcontrib><creatorcontrib>Olszewska, M.</creatorcontrib><creatorcontrib>Rudnicka, L.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of the European Academy of Dermatology and Venereology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sikora, M.</au><au>Chrabąszcz, M.</au><au>Waśkiel‐Burnat, A.</au><au>Rakowska, A.</au><au>Olszewska, M.</au><au>Rudnicka, L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Claudin‐3 – a new intestinal integrity marker in patients with psoriasis: association with disease severity</atitle><jtitle>Journal of the European Academy of Dermatology and Venereology</jtitle><addtitle>J Eur Acad Dermatol Venereol</addtitle><date>2019-10</date><risdate>2019</risdate><volume>33</volume><issue>10</issue><spage>1907</spage><epage>1912</epage><pages>1907-1912</pages><issn>0926-9959</issn><eissn>1468-3083</eissn><abstract><![CDATA[Background Gut dysbiosis and increased intestinal permeability play a significant role in the pathogenesis of psoriasis and its comorbidities. Claudin‐3 is a key component of tight junctions, which may serve as marker of gut barrier integrity. Objectives The aim of the study was to investigate circulating plasma claudin‐3 in patients with psoriasis and to evaluate clinical and metabolic factors, which determine its concentration. Methods This cross‐sectional study included 60 patients with psoriasis (39 men and 21 women, mean age: 45.6 ± 12.1 years) and 30 healthy controls (18 men and 12 women, mean age: 46.3 ± 15.5 years) age, sex and body mass index‐matched. Plasma claudin‐3 concentration was measured using an enzyme‐linked immunosorbent assay. Results Plasma claudin‐3 concentration was significantly higher in patients with psoriasis in comparison with healthy control [median (interquartile range), 50.7 ng/mL (47.3–54.2) vs. 43.3 ng/mL (42.3–44.2), P < 0.001]. Patients who achieved ΔPASI90 response after 16 weeks of treatment showed tendency to decrease in circulating claudin‐3 plasma concentration. Positive correlations between claudin‐3 concentration and the PASI score (r = 0.828; P < 0.001) as well as claudin‐3 and neutrophil‐to‐lymphocyte ratio (r = 0.847; P < 0.001) were found. A multivariable linear regression analysis confirmed association of claudin‐3 with the PASI score (P < 0.001), neutrophil‐to‐lymphocyte ratio (P < 0.01) and active smoking (P < 0.05). Conclusion Claudin‐3, a biomarker for gut permeability, is increased in psoriasis and correlates with disease severity and smoking. Further investigations are needed to determine whether reinforcing intestinal barrier may be a new therapeutic target in psoriasis.]]></abstract><cop>England</cop><pmid>31120609</pmid><doi>10.1111/jdv.15700</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-6162-9916</orcidid><orcidid>https://orcid.org/0000-0002-8308-1023</orcidid></addata></record>
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subjects Adult
Biomarkers - blood
Claudin-3 - blood
Cross-Sectional Studies
Female
Humans
Intestinal Mucosa - metabolism
Lymphocyte Count
Male
Middle Aged
Neutrophils
Permeability
Psoriasis - blood
Severity of Illness Index
title Claudin‐3 – a new intestinal integrity marker in patients with psoriasis: association with disease severity
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