Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs.
<h4>Unlabelled</h4>To understand the development of new psoriasis lesions, we studied a group of moderate-to-severe psoriasis patients who experienced a relapse after ceasing efalizumab (anti-CD11a, Raptiva, Genentech). There were increased CD3(+) T cells, neutrophils, CD11c(+) and CD83(...
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oai:doaj.org-article:3578f6aa939e4e8fb1132dc90435b9aa2021-11-18T07:28:32ZPost-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs.1932-620310.1371/journal.pone.0030308https://doaj.org/article/3578f6aa939e4e8fb1132dc90435b9aa2012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22348003/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Unlabelled</h4>To understand the development of new psoriasis lesions, we studied a group of moderate-to-severe psoriasis patients who experienced a relapse after ceasing efalizumab (anti-CD11a, Raptiva, Genentech). There were increased CD3(+) T cells, neutrophils, CD11c(+) and CD83(+) myeloid dendritic cells (DCs), but no increase in CD1c(+) resident myeloid DCs. In relapsed lesions, there were many CD11c(+)CD1c(-), inflammatory myeloid DCs identified by TNFSF10/TRAIL, TNF, and iNOS. CD11c(+) cells in relapsed lesions co-expressed CD14 and CD16 in situ. Efalizumab induced an improvement in many psoriasis genes, and during relapse, the majority of these genes reversed back to a lesional state. Gene Set Enrichment Analysis (GSEA) of the transcriptome of relapsed tissue showed that many of the gene sets known to be present in psoriasis were also highly enriched in relapse. Hence, on ceasing efalizumab, T cells and myeloid cells rapidly enter the skin to cause classic psoriasis.<h4>Trial registration</h4>Clinicaltrials.gov NCT00115076.Leanne M Johnson-HuangCara A PensabeneKejal R ShahKatherine C PiersonToyoko KikuchiTim LentiniPatricia GilleaudeauMary Sullivan-WhalenInna CuetoArtemis KhatcherianLuke A HyderMayte Suárez-FariñasJames G KruegerMichelle A LowesPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 2, p e30308 (2012) |
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Medicine R Science Q Leanne M Johnson-Huang Cara A Pensabene Kejal R Shah Katherine C Pierson Toyoko Kikuchi Tim Lentini Patricia Gilleaudeau Mary Sullivan-Whalen Inna Cueto Artemis Khatcherian Luke A Hyder Mayte Suárez-Fariñas James G Krueger Michelle A Lowes Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs. |
description |
<h4>Unlabelled</h4>To understand the development of new psoriasis lesions, we studied a group of moderate-to-severe psoriasis patients who experienced a relapse after ceasing efalizumab (anti-CD11a, Raptiva, Genentech). There were increased CD3(+) T cells, neutrophils, CD11c(+) and CD83(+) myeloid dendritic cells (DCs), but no increase in CD1c(+) resident myeloid DCs. In relapsed lesions, there were many CD11c(+)CD1c(-), inflammatory myeloid DCs identified by TNFSF10/TRAIL, TNF, and iNOS. CD11c(+) cells in relapsed lesions co-expressed CD14 and CD16 in situ. Efalizumab induced an improvement in many psoriasis genes, and during relapse, the majority of these genes reversed back to a lesional state. Gene Set Enrichment Analysis (GSEA) of the transcriptome of relapsed tissue showed that many of the gene sets known to be present in psoriasis were also highly enriched in relapse. Hence, on ceasing efalizumab, T cells and myeloid cells rapidly enter the skin to cause classic psoriasis.<h4>Trial registration</h4>Clinicaltrials.gov NCT00115076. |
format |
article |
author |
Leanne M Johnson-Huang Cara A Pensabene Kejal R Shah Katherine C Pierson Toyoko Kikuchi Tim Lentini Patricia Gilleaudeau Mary Sullivan-Whalen Inna Cueto Artemis Khatcherian Luke A Hyder Mayte Suárez-Fariñas James G Krueger Michelle A Lowes |
author_facet |
Leanne M Johnson-Huang Cara A Pensabene Kejal R Shah Katherine C Pierson Toyoko Kikuchi Tim Lentini Patricia Gilleaudeau Mary Sullivan-Whalen Inna Cueto Artemis Khatcherian Luke A Hyder Mayte Suárez-Fariñas James G Krueger Michelle A Lowes |
author_sort |
Leanne M Johnson-Huang |
title |
Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs. |
title_short |
Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs. |
title_full |
Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs. |
title_fullStr |
Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs. |
title_full_unstemmed |
Post-therapeutic relapse of psoriasis after CD11a blockade is associated with T cells and inflammatory myeloid DCs. |
title_sort |
post-therapeutic relapse of psoriasis after cd11a blockade is associated with t cells and inflammatory myeloid dcs. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2012 |
url |
https://doaj.org/article/3578f6aa939e4e8fb1132dc90435b9aa |
work_keys_str_mv |
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