Evidence map›Paper›PMID 21762976›Full record

ArticleThe Journal of allergy and clinical immunology2011

Reversal of atopic dermatitis with narrow-band UVB phototherapy and biomarkers for therapeutic response.

Suzanne Tintle, Avner Shemer, Mayte Suárez-Fariñas, Hideki Fujita, Patricia Gilleaudeau, Mary Sullivan-Whalen, Leanne Johnson-Huang, Andrea Chiricozzi, Irma Cardinale, Shenghui Duan and 3 more

Registry-linked trialAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03402412 (Atopic Dermatitis), which is not on this map. Cited by 67 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03402412 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Atopic Dermatitis: Early Gene Expression Changes as Predictors of Therapeutic Response to Narrow-band UVB Treatment

TypeinterventionalSponsorOslo University HospitalRan2017 to 2021Enrolled16ConditionsAtopic DermatitisArmsnarrow-band UVB
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Functional Genetic Variation in Ubiquitin D Promoter Influences Susceptibility to Atopic Dermatitis.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. From Pathways to Patients in Atopic Dermatitis: Advanced Systemic Therapies.International journal of molecular sciences · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

7 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

13 authors.

Suzanne TintleColumbia University College of Physicians & Surgeons, New York, NY, USA.
Avner Shemer
Mayte Suárez-Fariñas
Hideki Fujita
Patricia Gilleaudeau
Mary Sullivan-Whalen
Leanne Johnson-Huang
Andrea Chiricozzi
Irma Cardinale
Shenghui Duan
Anne Bowcock
James G Krueger
Emma Guttman-Yassky

Funding

TRANSFORMING TRANSLATIONAL SCIENCE AND EDUCATION TO BENEFIT HUMAN HEALTHUL1RR024143 · NCRR · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2006 to 2011
$49.1M
NCRR NIH HHS 5UL1RR024143-02NCRR NIH HHS UL1 RR024143
6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD) is a common inflammatory skin disease exhibiting a predominantly T(H)2/"T22" immune activation and a defective epidermal barrier. Narrow-band UVB (NB-UVB) is considered an efficient treatment for moderate-to-severe AD. In patients with psoriasis, NB-UVB has been found to suppress T(H)1/T(H)17 polarization, with subsequent reversal of epidermal hyperplasia. The immunomodulatory effects of this treatment are largely unknown in patients with AD.

objectiveWe sought to evaluate the effects of NB-UVB on immune and barrier abnormalities in patients with AD, aiming to establish reversibility of disease and biomarkers of therapeutic response.

methodsTwelve patients with moderate-to-severe chronic AD received NB-UVB phototherapy 3 times weekly for up to 12 weeks. Lesional and nonlesional skin biopsy specimens were obtained before and after treatment and evaluated by using gene expression and immunohistochemistry studies.

resultsAll patients had at least a 50% reduction in SCORAD index scores with NB-UVB phototherapy. The T(H)2, T22, and T(H)1 immune pathways were suppressed, and measures of epidermal hyperplasia and differentiation normalized. The reversal of disease activity was associated with elimination of inflammatory leukocytes and T(H)2/T22- associated cytokines and chemokines and normalized expression of barrier proteins.

conclusionsOur study shows that resolution of clinical disease in patients with chronic AD is accompanied by reversal of both the epidermal defects and the underlying immune activation. We have defined a set of biomarkers of disease response that associate resolved T(H)2 and T22 inflammation in patients with chronic AD with reversal of barrier pathology. By showing reversal of the AD epidermal phenotype with a broad immune-targeted therapy, our data argue against a fixed genetic phenotype.

Indexed as

Ultraviolet TherapyAdultBiomarkersChronic DiseaseDermatitis, AtopicFemaleHistocompatibility Antigens Class IHumansInflammationMaleMiddle AgedSkinTh1 CellsTh2 CellsTreatment OutcomeYoung AdultBiomarkersHistocompatibility Antigens Class IT22 antigen

Identifiers

PMID21762976
PMCPMC3448950

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.