Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.

<h4>Background</h4>Previous studies have extensively documented antimicrobial and chemotactic activities of beta-defensins. Human beta-defensin-2 (hBD-2) is strongly expressed in lesional psoriatic epidermis, and recently we have shown that high beta-defensin genomic copy number is assoc...

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Autores principales: Patrick A M Jansen, Diana Rodijk-Olthuis, Edward J Hollox, Marijke Kamsteeg, Geuranne S Tjabringa, Gys J de Jongh, Ivonne M J J van Vlijmen-Willems, Judith G M Bergboer, Michelle M van Rossum, Elke M G J de Jong, Martin den Heijer, Andrea W M Evers, Mieke Bergers, John A L Armour, Patrick L J M Zeeuwen, Joost Schalkwijk
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Publicado: Public Library of Science (PLoS) 2009
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Acceso en línea:https://doaj.org/article/b6b1e9ff82104ec2b1aca2b327370234
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spelling oai:doaj.org-article:b6b1e9ff82104ec2b1aca2b3273702342021-11-25T06:16:53ZBeta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.1932-620310.1371/journal.pone.0004725https://doaj.org/article/b6b1e9ff82104ec2b1aca2b3273702342009-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/19266104/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Previous studies have extensively documented antimicrobial and chemotactic activities of beta-defensins. Human beta-defensin-2 (hBD-2) is strongly expressed in lesional psoriatic epidermis, and recently we have shown that high beta-defensin genomic copy number is associated with psoriasis susceptibility. It is not known, however, if biologically and pathophysiologically relevant concentrations of hBD-2 protein are present in vivo, which could support an antimicrobial and proinflammatory role of beta-defensins in lesional psoriatic epidermis.<h4>Methodology/principal findings</h4>We found that systemic levels of hBD-2 showed a weak but significant correlation with beta defensin copy number in healthy controls but not in psoriasis patients with active disease. In psoriasis patients but not in atopic dermatitis patients, we found high systemic hBD-2 levels that strongly correlated with disease activity as assessed by the PASI score. Our findings suggest that systemic levels in psoriasis are largely determined by secretion from involved skin and not by genomic copy number. Modelling of the in vivo epidermal hBD-2 concentration based on the secretion rate in a reconstructed skin model for psoriatic epidermis provides evidence that epidermal hBD-2 levels in vivo are probably well above the concentrations required for in vitro antimicrobial and chemokine-like effects.<h4>Conclusions/significance</h4>Serum hBD-2 appears to be a useful surrogate marker for disease activity in psoriasis. The discrepancy between hBD-2 levels in psoriasis and atopic dermatitis could explain the well known differences in infection rate between these two diseases.Patrick A M JansenDiana Rodijk-OlthuisEdward J HolloxMarijke KamsteegGeuranne S TjabringaGys J de JonghIvonne M J J van Vlijmen-WillemsJudith G M BergboerMichelle M van RossumElke M G J de JongMartin den HeijerAndrea W M EversMieke BergersJohn A L ArmourPatrick L J M ZeeuwenJoost SchalkwijkPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 4, Iss 3, p e4725 (2009)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Patrick A M Jansen
Diana Rodijk-Olthuis
Edward J Hollox
Marijke Kamsteeg
Geuranne S Tjabringa
Gys J de Jongh
Ivonne M J J van Vlijmen-Willems
Judith G M Bergboer
Michelle M van Rossum
Elke M G J de Jong
Martin den Heijer
Andrea W M Evers
Mieke Bergers
John A L Armour
Patrick L J M Zeeuwen
Joost Schalkwijk
Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
description <h4>Background</h4>Previous studies have extensively documented antimicrobial and chemotactic activities of beta-defensins. Human beta-defensin-2 (hBD-2) is strongly expressed in lesional psoriatic epidermis, and recently we have shown that high beta-defensin genomic copy number is associated with psoriasis susceptibility. It is not known, however, if biologically and pathophysiologically relevant concentrations of hBD-2 protein are present in vivo, which could support an antimicrobial and proinflammatory role of beta-defensins in lesional psoriatic epidermis.<h4>Methodology/principal findings</h4>We found that systemic levels of hBD-2 showed a weak but significant correlation with beta defensin copy number in healthy controls but not in psoriasis patients with active disease. In psoriasis patients but not in atopic dermatitis patients, we found high systemic hBD-2 levels that strongly correlated with disease activity as assessed by the PASI score. Our findings suggest that systemic levels in psoriasis are largely determined by secretion from involved skin and not by genomic copy number. Modelling of the in vivo epidermal hBD-2 concentration based on the secretion rate in a reconstructed skin model for psoriatic epidermis provides evidence that epidermal hBD-2 levels in vivo are probably well above the concentrations required for in vitro antimicrobial and chemokine-like effects.<h4>Conclusions/significance</h4>Serum hBD-2 appears to be a useful surrogate marker for disease activity in psoriasis. The discrepancy between hBD-2 levels in psoriasis and atopic dermatitis could explain the well known differences in infection rate between these two diseases.
format article
author Patrick A M Jansen
Diana Rodijk-Olthuis
Edward J Hollox
Marijke Kamsteeg
Geuranne S Tjabringa
Gys J de Jongh
Ivonne M J J van Vlijmen-Willems
Judith G M Bergboer
Michelle M van Rossum
Elke M G J de Jong
Martin den Heijer
Andrea W M Evers
Mieke Bergers
John A L Armour
Patrick L J M Zeeuwen
Joost Schalkwijk
author_facet Patrick A M Jansen
Diana Rodijk-Olthuis
Edward J Hollox
Marijke Kamsteeg
Geuranne S Tjabringa
Gys J de Jongh
Ivonne M J J van Vlijmen-Willems
Judith G M Bergboer
Michelle M van Rossum
Elke M G J de Jong
Martin den Heijer
Andrea W M Evers
Mieke Bergers
John A L Armour
Patrick L J M Zeeuwen
Joost Schalkwijk
author_sort Patrick A M Jansen
title Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
title_short Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
title_full Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
title_fullStr Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
title_full_unstemmed Beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
title_sort beta-defensin-2 protein is a serum biomarker for disease activity in psoriasis and reaches biologically relevant concentrations in lesional skin.
publisher Public Library of Science (PLoS)
publishDate 2009
url https://doaj.org/article/b6b1e9ff82104ec2b1aca2b327370234
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