Evidence map›Paper›PMID 21261659›Full record

ArticleAllergy2011

Levels of filaggrin degradation products are influenced by both filaggrin genotype and atopic dermatitis severity.

S Kezic, G M O'Regan, N Yau, A Sandilands, H Chen, L E Campbell, K Kroboth, R Watson, M Rowland, W H Irwin McLean and 1 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Allergy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04194814 (Validation of a Novel Composite of Skin Biomarkers as a Primary Outcome Measure for Evaluating the Safety of Treatments for Atopic Dermatitis), which is not on this map. Cited by 103 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
103citing papers in PubMed, 1 pooled it
30.9field-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.

NCT04194814 phase2completednot on this mapstarted 2020, after this paper: background citation

Validation of a Novel Composite of Skin Biomarkers as a Primary Outcome Measure for Evaluating the Safety of Treatments for Atopic Dermatitis: a Randomized Controlled Trial (Phase 2) Comparing the Effects of Crisaborole 2% Ointment to Betamethasone Valerate 0.1% Cream on Skin Structure and Function in Participants With Atopic Dermatitis.

TypeinterventionalSponsorSheffield Teaching Hospitals NHS Foundation TrustRan2020 to 2021Enrolled37ConditionsAtopic Eczema/Dermatitis (Non-Specific)Armscrisaborole (2%) ointment, betamethasone valerate 0.1% cream
3 · Its place in the literature

Who cites it

103 citing papers in PubMed, 1 synthesis or guideline pooled it, 291 citations in OpenAlex.

  1. Classifying atopic dermatitis: a systematic review of phenotypes and associated characteristics.Journal of the European Academy of Dermatology and Venereology : JEADV · 2022
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Vitiligo-like depigmentation as an accessible readout of antitumour immunity in melanoma immunotherapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Review
  11. Microbiome dysbiosis and therapeutic restoration in atopic dermatitis.Frontiers in cellular and infection microbiology · 2026
    Review
  12. Beneficial health effects of ultraviolet radiation: expert review and conference report.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025
    Review
  13. Article
  14. Article
  15. Skin Development and Disease: A Molecular Perspective.Current issues in molecular biology · 2024
    Review
  16. Article
  17. Study on the Skincare Effects of Red Rice Fermented byMolecules (Basel, Switzerland) · 2024
    Article
  18. Article
  19. Article
  20. Effects on keratinocytes of the traditional combination of herb extract (Royal Oji Complex) implicated the improvement of young children's skin moisture and barrier.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
    Article

43 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

11 authors at 6 institutions in 4 countries.

S KezicCoronel Institute of Occupational Health, Academic Medical Center, Amsterdam, the Netherlands. s.kezic@amc.uva.nl
G M O'Regan
N Yau
A Sandilands
H Chen
L E Campbell
K Kroboth
R Watson
M Rowland
W H Irwin McLean
A D Irvine
University of Dundee · GBAmsterdam UMC Location University of Amsterdam · NLNational Children’s Research Centre · IEAgency for Science, Technology and Research · SGTrinity College Dublin · IEUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFilaggrin, coded by FLG, is the main source of several major components of natural moisturizing factor (NMF) in the stratum corneum (SC), including pyrrolidone carboxylic acid (PCA) and urocanic acid (UCA). Loss-offunction mutations in FLG lead to reduced levels of filaggrin degradation products in the SC. It has recently been suggested that expression of filaggrin may additionally be influenced by the atopic inflammatory response. In this study, we investigated the levels of several breakdown products of filaggrin in the SC in healthy controls (CTRL) and patients with atopic dermatitis (AD) in relation to FLG null allele status. We examined the relationship between NMF (defined here as the sum of PCA and UCA) and AD severity.

methodsThe SC levels of filaggrin degradation products including PCA, UCA, histidine (HIS) and tyrosine were determined in 24 CTRL and 96 patients with moderate-to-severe AD. All subjects were screened for 11 FLG mutations relevant for the study population.

resultsThe levels of PCA, UCA and HIS correlated with FLG genotype. Furthermore, these levels were higher in the CTRL when compared to AD patients with no FLG mutations. Multiple regression analysis showed that NMF levels were independently associated with FLG genotype and severity of disease.

conclusionDecreased NMF is a global feature of moderate-to-severe AD; within AD, FLG genotype is the major determinant of NMF, with disease severity as a secondary modifier. NMF components are reliably determined by a noninvasive and relatively inexpensive tape stripping technique.

Indexed as

Severity of Illness IndexChildChild, PreschoolDermatitis, AtopicFemaleFilaggrin ProteinsGenetic Predisposition to DiseaseGenotypeHumansIntermediate Filament ProteinsMaleMutationPyrrolidonecarboxylic AcidSkinUrocanic AcidFilaggrin ProteinsFLG protein, humanIntermediate Filament ProteinsPyrrolidonecarboxylic AcidUrocanic Acid

Identifiers

PMID21261659
PMCPMC3586662
OpenAlexW2159271088

What OpenQuestion holds

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Registered trials

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.