Evidence map›Paper›PMID 23966300›Full record

ArticleScience translational medicine2013

Epidermal EGFR controls cutaneous host defense and prevents inflammation.

Beate M Lichtenberger, Peter A Gerber, Martin Holcmann, Bettina A Buhren, Nicole Amberg, Viktoria Smolle, Holger Schrumpf, Edwin Boelke, Parinaz Ansari, Colin Mackenzie and 8 more

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Science translational medicine, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 125 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
125citing papers in PubMed, 1 pooled it
9.8field-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

125 citing papers in PubMed, 1 synthesis or guideline pooled it, 235 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Genetic Predictors of Severe Skin Toxicity in Patients with Stage III Colon Cancer Treated with Cetuximab: NCCTG N0147 (Alliance).Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2021
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  13. Virulence and Antibiotic Resistance Profiles ofInternational journal of molecular sciences · 2025
    Observational
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65 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 2 institutions in 2 countries.

Beate M LichtenbergerInstitute of Cancer Research, Department of Medicine I, Comprehensive Cancer Center, Medical University of Vienna, Austria.
Peter A Gerber
Martin Holcmann
Bettina A Buhren
Nicole Amberg
Viktoria Smolle
Holger Schrumpf
Edwin Boelke
Parinaz Ansari
Colin Mackenzie
Andreas Wollenberg
Andreas Kislat
Jens W Fischer
Katharina Röck
Jürgen Harder
Jens M Schröder
Bernhard Homey
Maria Sibilia
Heinrich Heine University Düsseldorf · DEMedical University of Vienna · AT

Funding

Austrian Science Fund FWF P 23668
6 · The paper itself

Abstract

The epidermal growth factor receptor (EGFR) plays an important role in tissue homeostasis and tumor progression. However, cancer patients treated with EGFR inhibitors (EGFRIs) frequently develop acneiform skin toxicities, which are a strong predictor of a patient's treatment response. We show that the early inflammatory infiltrate of the skin rash induced by EGFRI is dominated by dendritic cells, macrophages, granulocytes, mast cells, and T cells. EGFRIs induce the expression of chemokines (CCL2, CCL5, CCL27, and CXCL14) in epidermal keratinocytes and impair the production of antimicrobial peptides and skin barrier proteins. Correspondingly, EGFRI-treated keratinocytes facilitate lymphocyte recruitment but show a considerably reduced cytotoxic activity against Staphylococcus aureus. Mice lacking epidermal EGFR (EGFR(Δep)) show a similar phenotype, which is accompanied by chemokine-driven skin inflammation, hair follicle degeneration, decreased host defense, and deficient skin barrier function, as well as early lethality. Skin toxicities were not ameliorated in a Rag2-, MyD88-, and CCL2-deficient background or in mice lacking epidermal Langerhans cells. The skin phenotype was also not rescued in a hairless (hr/hr) background, demonstrating that skin inflammation is not induced by hair follicle degeneration. Treatment with mast cell inhibitors reduced the immigration of T cells, suggesting that mast cells play a role in the EGFRI-mediated skin pathology. Our findings demonstrate that EGFR signaling in keratinocytes regulates key factors involved in skin inflammation, barrier function, and innate host defense, providing insights into the mechanisms underlying EGFRI-induced skin pathologies.

Indexed as

AnimalsAntineoplastic AgentsChemokinesCytokinesDermatitisErbB ReceptorsErlotinib HydrochlorideExanthemaHair FollicleHumansInflammation MediatorsInterleukin-1KeratinocytesLangerhans CellsLymphocytesMaleAntineoplastic AgentsChemokinesCytokinesEGFR protein, humanEGFR protein, mouseErbB ReceptorsErlotinib HydrochlorideInflammation MediatorsInterleukin-1Quinazolines

Identifiers

PMID23966300
OpenAlexW2164613605

What OpenQuestion holds

Textmetadata
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.