Evidence map›Paper›PMID 25828362›Full record

Trial reportExperimental dermatology2015

Evidence that a neutrophil-keratinocyte crosstalk is an early target of IL-17A inhibition in psoriasis.

Kristian Reich, Kim A Papp, Robert T Matheson, John H Tu, Robert Bissonnette, Marc Bourcier, David Gratton, Rodion A Kunynetz, Yves Poulin, Les A Rosoph and 14 more

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Experimental dermatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 6 pooled it
10.8field-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

87 citing papers in PubMed, 6 syntheses or guidelines pooled it, 198 citations in OpenAlex.

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27 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

24 authors at 13 institutions in 5 countries.

Kristian ReichDermatologikum Hamburg and SCIderm Research Institute, Hamburg, Germany.
Kim A PappProbity Medical Research Inc, Waterloo, ON, Canada.
Robert T MathesonOregon Medical Research Center PC, Portland, OR, USA.
John H TuSkin Search of Rochester, Rochester, NY, USA.
Robert BissonnetteInnovaderm Research Inc, Montreal, QC, Canada.
Marc BourcierDermatology Clinic, Moncton, NB, Canada.
David GrattonInternational Dermatology Research, Montreal, QC, Canada.
Rodion A KunynetzUltranova Skincare, Barrie, ON, Canada.
Yves PoulinCentre de Recherche Dermatologique du Québec Métropolitain, Quebec City, QC, Canada.
Les A RosophNorth Bay Dermatology Centre, North Bay, ON, Canada.
Georg StinglDivision of Immunology, Allergy and Infectious Diseases, Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Wolfgang M BauerDivision of Immunology, Allergy and Infectious Diseases, Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Janeen M SalterNovartis Institutes for BioMedical Research, Basel, Switzerland.
Thomas M FalkDermatologikum Hamburg and SCIderm Research Institute, Hamburg, Germany.
Norbert A Blödorn-SchlichtDermatologikum Hamburg and SCIderm Research Institute, Hamburg, Germany.
Wolfgang HueberNovartis Institutes for BioMedical Research, Basel, Switzerland.
Ulrike SommerNovartis Institutes for BioMedical Research, Basel, Switzerland.
Martin M SchumacherNovartis Institutes for BioMedical Research, Basel, Switzerland.
Thomas PetersNovartis Institutes for BioMedical Research, Basel, Switzerland.
Ernst KriehuberNovartis Institutes for BioMedical Research, Basel, Switzerland.
David M LeeNovartis Institutes for BioMedical Research, Basel, Switzerland.
Grazyna A WieczorekNovartis Institutes for BioMedical Research, Basel, Switzerland.
Frank KolbingerNovartis Institutes for BioMedical Research, Basel, Switzerland.
Conrad C BleulNovartis Institutes for BioMedical Research, Basel, Switzerland.
Novartis Institutes for BioMedical ResearchDermatologikum Hamburg · DEMedical University of Vienna · ATNovartis (Switzerland) · CHAlbany International (United States) · USAV&R (Canada) · CABarrie Urology Group · CACentre de Recherche Dermatologique du Québec Métropolitain · CAInnovaderm (Canada) · CAInnovation Initiatives Ontario North · CAMoncton Hospital · CAOregon Medical Research Center · USProbity Medical Research · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The response of psoriasis to antibodies targeting the interleukin (IL)-23/IL-17A pathway suggests a prominent role of T-helper type-17 (Th17) cells in this disease. We examined the clinical and immunological response patterns of 100 subjects with moderate-to-severe psoriasis receiving 3 different intravenous dosing regimens of the anti-IL-17A antibody secukinumab (1 × 3 mg/kg or 1 × 10 mg/kg on Day 1, or 3 × 10 mg/kg on Days 1, 15 and 29) or placebo in a phase 2 trial. Baseline biopsies revealed typical features of active psoriasis, including epidermal accumulation of neutrophils and formation of microabscesses in >60% of cases. Neutrophils were the numerically largest fraction of infiltrating cells containing IL-17 and may store the cytokine preformed, as IL-17A mRNA was not detectable in neutrophils isolated from active plaques. Significant clinical responses to secukinumab were observed 2 weeks after a single infusion, associated with extensive clearance of cutaneous neutrophils parallel to the normalization of keratinocyte abnormalities and reduction of IL-17-inducible neutrophil chemoattractants (e.g. CXCL1, CXCL8); effects on numbers of T cells and CD11c-positive dendritic cells were more delayed. Histological and immunological improvements were generally dose dependent and not observed in the placebo group. In the lowest-dose group, a recurrence of neutrophils was seen in some subjects at Week 12; these subjects relapsed faster than those without microabscesses. Our findings are indicative of a neutrophil-keratinocyte axis in psoriasis that may involve neutrophil-derived IL-17 and is an early target of IL-17A-directed therapies such as secukinumab.

Indexed as

AdolescentAdultAgedAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedCell CommunicationDose-Response Relationship, ImmunologicHumansInterleukin-17KeratinocytesMiddle AgedNeutrophilsPsoriasisTime FactorsYoung AdultAntibodies, MonoclonalAntibodies, Monoclonal, HumanizedIL17A protein, humanInterleukin-17secukinumabIL-17Aneutrophilspsoriasissecukinumab

Identifiers

PMID25828362
PMCPMC4676308
OpenAlexW2029128580

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Registered trials

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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.