Evidence map›Paper›PMID 25848978›Full record

ArticleThe Journal of investigative dermatology2015

Molecular and Morphological Characterization of Inflammatory Infiltrate in Rosacea Reveals Activation of Th1/Th17 Pathways.

Timo Buhl, Mathias Sulk, Pawel Nowak, Jörg Buddenkotte, Ian McDonald, Jérôme Aubert, Isabelle Carlavan, Sophie Déret, Pascale Reiniche, Michel Rivier and 2 more

2 registry-linked trialsOpen access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in The Journal of investigative dermatology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 119 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
119citing papers in PubMed, 3 pooled it
16.1field-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.

NCT03079531 phase1 / phase2completednot on this mapstarted 2017, after this paper: background citation

An Open Label Phase 1b Study of Secukinumab in Patients With Moderate to Severe Papulopustular Rosacea

TypeinterventionalSponsorAnne ChangRan2017 to 2019Enrolled24ConditionsPapulopustular RosaceaArmsSecukinumab
NCT06952517 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy and Safety of Topical Clascoterone Cream 1% in Patients With Facial Acneiform Rosacea

TypeinterventionalSponsorNarrows Institute for Biomedical ResearchRan2025 to 2025Enrolled20ConditionsPapular-pustular Rosacea, Papulopustular Rosacea (PPR), Papulopustular RosaceaArmsClascoterone Cream 1%
3 · Its place in the literature

Who cites it

119 citing papers in PubMed, 3 syntheses or guidelines pooled it, 274 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Prevalence of rosacea in the general population of Germany and Russia - The RISE study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2016
    Trial
  6. Article
  7. Article
  8. Observational
  9. Article
  10. Keratinocytes: pleiotropic orchestrators of cutaneous immunity and Inflammation - Emerging therapeutic paradigms in dermatological pathologies.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2026
    Review
  11. Formulation and Biological Evaluation ofAntioxidants (Basel, Switzerland) · 2026
    Article
  12. A Novel Rat Model for Human Meibomian Gland Dysfunction and Ocular Rosacea.Investigative ophthalmology & visual science · 2026
    Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Article

59 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

12 authors at 4 institutions in 4 countries.

Timo BuhlDepartment of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany; Charles Institute for Translational Dermatology, University College Dublin, Dublin, Ireland; Department of Dermatology and Surgery, University of California, San Francisco, California, USA.
Mathias SulkDepartment of Dermatology and Surgery, University of California, San Francisco, California, USA; Department of Dermatology, University of Münster, Münster, Germany.
Pawel NowakDepartment of Dermatology, University of Münster, Münster, Germany.
Jörg BuddenkotteDepartment of Dermatology, University of Münster, Münster, Germany.
Ian McDonaldCharles Institute for Translational Dermatology, University College Dublin, Dublin, Ireland.
Jérôme AubertMolecular Dermatology, Research Department, Galderma R&D, Sophia Antipolis, France.
Isabelle CarlavanMolecular Dermatology, Research Department, Galderma R&D, Sophia Antipolis, France.
Sophie DéretMolecular Dermatology, Research Department, Galderma R&D, Sophia Antipolis, France.
Pascale ReinicheMolecular Dermatology, Research Department, Galderma R&D, Sophia Antipolis, France.
Michel RivierMolecular Dermatology, Research Department, Galderma R&D, Sophia Antipolis, France.
Johannes J VoegelMolecular Dermatology, Research Department, Galderma R&D, Sophia Antipolis, France. Electronic address: johannes.voegel@galderma.com.
Martin SteinhoffCharles Institute for Translational Dermatology, University College Dublin, Dublin, Ireland; Department of Dermatology and Surgery, University of California, San Francisco, California, USA; Department of Dermatology, University of San Diego, USA. Electronic address: martin.steinhoff@ucd.ie.
Galderma (France) · FRUniversity of Münster · DEUniversity College Dublin · IEUniversitätsmedizin Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rosacea is a common chronic inflammatory skin disease of unknown etiology. Our knowledge about an involvement of the adaptive immune system is very limited. We performed detailed transcriptome analysis, quantitative real-time reverse-transcriptase-PCR, and quantitative immunohistochemistry on facial biopsies of rosacea patients, classified according to their clinical subtype. As controls, we used samples from patients with facial lupus erythematosus and healthy controls. Our study shows significant activation of the immune system in all subtypes of rosacea, characterizing erythematotelangiectatic rosacea (ETR) already as a disease with significant influx of proinflammatory cells. The T-cell response is dominated by Th1/Th17-polarized immune cells, as demonstrated by significant upregulation of IFN-γ or IL-17, for example. Chemokine expression patterns support a Th1/Th17 polarization profile of the T-cell response. Macrophages and mast cells are increased in all three subtypes of rosacea, whereas neutrophils reach a maximum in papulopustular rosacea. Our studies also provide evidence for the activation of plasma cells with significant antibody production already in ETR, followed by a crescendo pattern toward phymatous rosacea. In sum, Th1/Th17 polarized inflammation and macrophage infiltration are an underestimated hallmark in all subtypes of rosacea. Therapies directly targeting the Th1/Th17 pathway are promising candidates in the future treatment of this skin disease.

Indexed as

Adaptive ImmunityAdultBiopsy, NeedleCase-Control StudiesCell ProliferationChemokinesFemaleHumansImmunohistochemistryInflammationMacrophagesMaleMast CellsMiddle AgedMolecular Targeted TherapyReference ValuesChemokines

Identifiers

PMID25848978
OpenAlexW2108153396

What OpenQuestion holds

Textmetadata
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.