Evidence map›Paper›PMID 22076328›Full record

ArticleThe journal of investigative dermatology. Symposium proceedings2011

Neurovascular and neuroimmune aspects in the pathophysiology of rosacea.

Verena D Schwab, Mathias Sulk, Stephan Seeliger, Pawel Nowak, Jerome Aubert, Christian Mess, Michel Rivier, Isabelle Carlavan, Patricia Rossio, Dieter Metze and 4 more

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in The journal of investigative dermatology. Symposium proceedings, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06282679 (Clinical Observation of Intradermal Injections With Botulinum Toxin A in the Treatment of Rosacea Erythema Telangiectasia), which is not on this map. Cited by 116 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
116citing papers in PubMed, 2 pooled it
13.9field-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.

NCT06282679 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Clinical Observation of Intradermal Injections With Botulinum Toxin A in the Treatment of Rosacea Erythema Telangiectasia

TypeinterventionalSponsorNanjing First Hospital, Nanjing Medical UniversityRan2022 to 2024Enrolled30ConditionsRosacea, Botulinum ToxinArmsBotulinum Toxin Type A Injection [Botox]
3 · Its place in the literature

Who cites it

116 citing papers in PubMed, 2 syntheses or guidelines pooled it, 293 citations in OpenAlex.

  1. Molecular Mechanisms in the Etiopathology of Rosacea-Systematic Review.International journal of molecular sciences · 2025
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Rosacea in Patients with Skin of Color: Diagnosis and Management.American journal of clinical dermatology · 2026
    Review
  9. Review
  10. Review
  11. Article
  12. MRGPRX2 as a novel therapeutic target in headache.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Review
  13. Imperatorin Mitigates Rosacea-Like Inflammation by Modulating the Crosstalk Between JNK1 and STAT1.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
  14. Review
  15. Article
  16. Formulation and Biological Evaluation ofAntioxidants (Basel, Switzerland) · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Review

56 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

14 authors at 4 institutions in 3 countries.

Verena D SchwabDepartment of Dermatology, University Hospital Münster, Münster, Germany.
Mathias Sulk
Stephan Seeliger
Pawel Nowak
Jerome Aubert
Christian Mess
Michel Rivier
Isabelle Carlavan
Patricia Rossio
Dieter Metze
Jörg Buddenkotte
Ferda Cevikbas
Johannes J Voegel
Martin Steinhoff
University Hospital Münster · DEGalderma (France) · FRUniversity of California, San Francisco · USUniversity of Göttingen · DE

Funding

Cytokine Signaling in Neurons: Inflammation, Pain and PruritisR01AR059402 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI STEINHOFF, MARTIN · 2011 to 2013
$1.0M
NIAMS NIH HHS R01 AR059402
6 · The paper itself

Abstract

Rosacea is a common skin disease with a high impact on quality of life. Characterized by erythema, edema, burning pain, immune infiltration, and facial skin fibrosis, rosacea has all the characteristics of neurogenic inflammation, a condition induced by sensory nerves via antidromically released neuromediators. To investigate the hypothesis of a central role of neural interactions in the pathophysiology, we analyzed molecular and morphological characteristics in the different subtypes of rosacea by immunohistochemistry, double immunofluorescence, morphometry, real-time PCR, and gene array analysis, and compared the findings with those for lupus erythematosus or healthy skin. Our results showed significantly dilated blood and lymphatic vessels. Signs of angiogenesis were only evident in phymatous rosacea. The number of mast cells and fibroblasts was increased in rosacea, already in subtypes in which fibrosis is not clinically apparent, indicating early activation. Sensory nerves were closely associated with blood vessels and mast cells, and were increased in erythematous rosacea. Gene array studies and qRT-PCR confirmed upregulation of genes involved in vasoregulation and neurogenic inflammation. Thus, dysregulation of mediators and receptors implicated in neurovascular and neuroimmune communication may be crucial at early stages of rosacea. Drugs that function on neurovascular and/or neuroimmune communication may be beneficial for the treatment of rosacea.

Indexed as

FibroblastsGene Expression ProfilingHumansLupus Erythematosus, SystemicLymphatic VesselsMast CellsNeovascularization, PathologicNeurogenic InflammationRosaceaSkinUp-RegulationVasodilationVimentinVimentin

Identifiers

PMID22076328
PMCPMC3704331
OpenAlexW2009117462

What OpenQuestion holds

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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.