Evidence map›Paper›PMID 21107351›Full record

ArticleThe Journal of investigative dermatology2011

TLR2 expression is increased in rosacea and stimulates enhanced serine protease production by keratinocytes.

Kenshi Yamasaki, Kimberly Kanada, Daniel T Macleod, Andrew W Borkowski, Shin Morizane, Teruaki Nakatsuji, Anna L Cogen, Richard L Gallo

Open access · greenAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 146 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
146citing papers in PubMed, 3 pooled it
15.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

146 citing papers in PubMed, 3 syntheses or guidelines pooled it, 366 citations in OpenAlex.

  1. Pooled it
  2. Molecular Mechanisms in the Etiopathology of Rosacea-Systematic Review.International journal of molecular sciences · 2025
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. The exposomal imprint on rosacea: More than skin deep.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Review
  12. Rosacea scleritis and sclero-uveitis; under recognised and over treated.Journal of ophthalmic inflammation and infection · 2026
    Review
  13. Formulation and Biological Evaluation ofAntioxidants (Basel, Switzerland) · 2026
    Article
  14. Article
  15. A Novel Rat Model for Human Meibomian Gland Dysfunction and Ocular Rosacea.Investigative ophthalmology & visual science · 2026
    Article
  16. Review
  17. Review
  18. The role of the skin microbiome in modulating rosacea.Postepy dermatologii i alergologii · 2026
    Review
  19. Article
  20. Article

86 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 2 countries.

Kenshi YamasakiDivision of Dermatology, Department of Medicine, University of California, San Diego, VA San Diego Health Care System, San Diego, California, USA. kyamasaki@med.tohoku.ac.jp
Kimberly Kanada
Daniel T Macleod
Andrew W Borkowski
Shin Morizane
Teruaki Nakatsuji
Anna L Cogen
Richard L Gallo
UC San Diego Health System · USOkayama University · JPTohoku University · JP

Funding

Cathelicidins in Skin ImmunityR01AI052453 · NIAID · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI GALLO, RICHARD L, NIZET, VICTOR · 2002 to 2017
$5.3M
Cathelicidin in Skin ImmunityR37AI052453 · NIAID · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Richard L Gallo, Victor Nizet · 2019 to 2026
$4.6M
Proteolysis and Skin AntimicrobialsR01AR052728 · NIAMS · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI GALLO, RICHARD L · 2006 to 2015
$3.3M
PROTEOGLYCANS WOUND REPAIR AND INFLAMMATIONR01AR045676 · NIAMS · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI GALLO, RICHARD L · 2001 to 2005
$1.2M
NIAID NIH HHS R01 AI052453NIAID NIH HHS R01-AI052453NIAID NIH HHS R37 AI052453NIAMS NIH HHS R01 AR045676NIAMS NIH HHS R01 AR052728NIAMS NIH HHS R01-AR052728
6 · The paper itself

Abstract

A diverse environment challenges skin to maintain temperature, hydration, and electrolyte balance while also maintaining normal immunological function. Rosacea is a common skin disease that manifests unique inflammatory responses to normal environmental stimuli. We hypothesized that abnormal function of innate immune pattern recognition could explain the enhanced sensitivity of patients with rosacea, and observed that the epidermis of patients with rosacea expressed higher amounts of Toll-like receptor 2 (TLR2) than normal patients. Increased expression of TLR2 was not seen in other inflammatory skin disorders such as atopic dermatitis or psoriasis. Overexpression of TLR2 on keratinocytes, treatment with TLR2 ligands, and analysis of TLR2-deficient mice resulted in a calcium-dependent release of kallikrein 5 from keratinocytes, a critical protease involved in the pathogenesis of rosacea. These observations show that abnormal TLR2 function may explain enhanced inflammatory responses to environmental stimuli and can act as a critical element in the pathogenesis of rosacea.

Indexed as

AnimalsAntimicrobial Cationic PeptidesBiopsyCalciumCathelicidinsCells, CulturedDisease Models, AnimalHumansKallikreinsKeratinocytesMiceMice, Inbred C57BLMice, KnockoutPropionibacterium acnesRosaceaSerine ProteasesAntimicrobial Cationic PeptidesCalciumCathelicidinsKallikreinsKLK5 protein, humanSerine ProteasesTLR2 protein, humanToll-Like Receptor 2

Identifiers

PMID21107351
PMCPMC3085277
OpenAlexW2065076197

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.