Evidence map›Paper›PMID 26496255›Full record

Observational studyMedicine2015

Proinflammatory Cytokines and Antiskin Autoantibodies in Patients With Inherited Epidermolysis Bullosa.

Giuseppina Annicchiarico, Maria Grazia Morgese, Susanna Esposito, Giuseppe Lopalco, Michele Lattarulo, Marilina Tampoia, Domenico Bonamonte, Luigia Brunetti, Antonio Vitale, Giovanni Lapadula and 2 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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

42 citing papers in PubMed, 1 synthesis or guideline pooled it, 70 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. IL-6 levels dominate the serum cytokine signature of severe epidermolysis bullosa: A prospective cohort study.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Article
  11. Article
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  14. Article
  15. Review
  16. Article
  17. Review
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  19. Article
  20. Skin-Derived ABCB5International journal of molecular sciences · 2022
    Review
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 1 institution in 1 country.

Giuseppina AnnicchiaricoFrom the Regional Coordination for Rare Diseases-Ares Puglia, Bari (GA); Department of Clinical and Experimental Medicine, University of Foggia, Foggia (MGM); Pediatric Highly Intensive Care Unit, Department of Pathophysiology and Transplantation, University of Milan, Milan (SE); Interdisciplinary Department of Medicine, Rheumatology Unit, University of Bari, Bari (G Lopalco, G Lapadula, FI); Pharmaceutical Department of Medicine (ML); Laboratory of Clinical Pathology (MT); Section of Dermatology, Department of Biomedical Science and Human Oncology (DB); Department of Biomedicine of the Developmental Age, Pediatric Unit "S. Maggiore" (LB); and Research Center of Systemic Autoinflammatory Diseases and Behcet's Disease Clinic, Department of Medical Sciences, Surgery and Neurosciences, University of Siena, Siena, Italy (AV, LC).
Maria Grazia Morgese
Susanna Esposito
Giuseppe Lopalco
Michele Lattarulo
Marilina Tampoia
Domenico Bonamonte
Luigia Brunetti
Antonio Vitale
Giovanni Lapadula
Luca Cantarini
Florenzo Iannone
University of Bari Aldo Moro · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Epidermolysis bullosa (EB) is a rare disorder characterized by inherited skin adhesion defects with abnormal disruption of the epidermal-dermal junction in response to mechanical trauma. Our aim was to investigate a set of cytokine levels in serum samples from patients suffering from epidermolysis bullosa simplex (EBS), dystrophic epidermolysis bullosa (DEB), and healthy controls (HCs), exploring their potential correlations with antiskin autoantibody titers and disease activity. Forty patients afferent to the Dermatological Ward of Bari City Hospital and 9 HCs were enrolled and subdivided according to the dystrophic (DEB) and simplex forms (EBS). We found a significant increase in interleukin (IL)-1β plasmatic levels of DEB (P = 0.0224) and EBS (P = 0.0465) patients compared to HCs; IL-6 levels were significantly higher in DEB than in EBS patients (P = 0.0004) or HCs (P = 0.0474); IL-2 levels were significantly increased in DEB compared with EBS (P = 0.0428). Plasmatic tumor necrosis factor-β and interferon-γ were higher in DEB patients than in HCs (P = 0.0448 and 0.0229). Conversely, tumor necrosis factor-α was significantly decreased in DEB (P = 0.0034). IL-5 correlated with anti-BP180 (r = -0.5018, P = 0.0338), anti-BP230 (r = -0.6097, P = 0.0122), and anticollagen VII (r = -0.5166, P = 0.0405) autoantibodies; interferon-γ correlated with anti-BP180 (r = 0.9633, P < 0.0001), anti-BP230 (r = 0.9071, P < 0.0001), and anticollagen VII (r = 0.8619, P = 0.0045) autoantibodies. Score of disease severity was significantly correlated with IL-6 (r = 0.6941, P = 0.029) and IL-12 (r = 0.5503, P = 0.0272). The present study supports that EB might be considered a systemic inflammatory disease rather than a skin-limited disorder; clinical disease activity scores could be also integrated by laboratory data such as IL-6 and IL-12 dosage; biotherapies targeting specific cytokine networks probably represent a way to go in the future.

Indexed as

AdolescentAdultAutoantibodiesCytokinesEpidermolysis BullosaFemaleHumansMaleSkinYoung AdultAutoantibodiesCytokines

Identifiers

PMID26496255
PMCPMC4620762
OpenAlexW2330187145

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.