Evidence map›Paper›PMID 26725996›Full record

ArticleThe Journal of allergy and clinical immunology2016

The tryptophan metabolism enzyme L-kynureninase is a novel inflammatory factor in psoriasis and other inflammatory diseases.

Jamie L Harden, Steven M Lewis, Samantha R Lish, Mayte Suárez-Fariñas, Daniel Gareau, Tim Lentini, Leanne M Johnson-Huang, James G Krueger, Michelle A Lowes

Open access · greenAbstract read
In one paragraph

Article in The Journal of allergy and clinical immunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 77 papers.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

77 citing papers in PubMed, 149 citations in OpenAlex.

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  11. Peripheral Kynurenine Pathway Metabolites in Patients with Psoriasis.International journal of molecular sciences · 2025
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  17. Characteristics ofHeliyon · 2024
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17 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

9 authors at 2 institutions in 1 country.

Jamie L HardenLaboratory for Investigative Dermatology, Rockefeller University, New York, NY. Electronic address: jharden@rockefeller.edu.
Steven M LewisLaboratory for Investigative Dermatology, Rockefeller University, New York, NY.
Samantha R LishLaboratory for Investigative Dermatology, Rockefeller University, New York, NY.
Mayte Suárez-FariñasLaboratory for Investigative Dermatology, Rockefeller University, New York, NY; Center for Clinical and Translational Science, Rockefeller University, New York, NY; Icahn Institute for Genomics and Multiscale Biology, Icahn School of Medicine at Mount Sinai, New York, NY.
Daniel GareauLaboratory for Investigative Dermatology, Rockefeller University, New York, NY.
Tim LentiniLaboratory for Investigative Dermatology, Rockefeller University, New York, NY.
Leanne M Johnson-HuangLaboratory for Investigative Dermatology, Rockefeller University, New York, NY.
James G KruegerLaboratory for Investigative Dermatology, Rockefeller University, New York, NY.
Michelle A LowesLaboratory for Investigative Dermatology, Rockefeller University, New York, NY; Division of Dermatology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Rockefeller University · USIcahn School of Medicine at Mount Sinai · US

Funding

TRANSFORMING TRANSLATIONAL SCIENCE AND EDUCATION TO BENEFIT HUMAN HEALTHUL1RR024143 · NCRR · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2006 to 2011
$49.1M
Transforming Translational Science and Education to Benefit Human HealthUL1TR000043 · NCATS · ROCKEFELLER UNIVERSITY · PI COLLER, BARRY · 2012 to 2015
$26.8M
Origin and Function of Inflammatory Dendritic Cells in Psoriasis.R01AR060222 · NIAMS · ROCKEFELLER UNIVERSITY · PI LOWES, MICHELLE A · 2011 to 2013
$1.1M
NCATS NIH HHS UL1 TR000043NCRR NIH HHS UL1 RR024143NIAMS NIH HHS R01 AR060222
6 · The paper itself

Abstract

backgroundMany human diseases arise from or have pathogenic contributions from a dysregulated immune response. One pathway with immunomodulatory ability is the tryptophan metabolism pathway, which promotes immune suppression through the enzyme indoleamine 2,3-dioxygenase (IDO) and subsequent production of kynurenine. However, in patients with chronic inflammatory skin disease, such as psoriasis and atopic dermatitis (AD), another tryptophan metabolism enzyme downstream of IDO, L-kynureninase (KYNU), is heavily upregulated. The role of KYNU has not been explored in patients with these skin diseases or in general human immunology.

objectiveWe sought to explore the expression and potential immunologic function of the tryptophan metabolism enzyme KYNU in inflammatory skin disease and its potential contribution to general human immunology.

methodsPsoriatic skin biopsy specimens, as well as normal human skin, blood, and primary cells, were used to investigate the immunologic role of KYNU and tryptophan metabolites.

resultsHere we show that KYNU(+) cells, predominantly of myeloid origin, infiltrate psoriatic lesional skin. KYNU expression positively correlates with disease severity and inflammation and is reduced on successful treatment of psoriasis or AD. Tryptophan metabolites downstream of KYNU upregulate several cytokines, chemokines, and cell adhesions. By mining data on several human diseases, we found that in patients with cancer, IDO is preferentially upregulated compared with KYNU, whereas in patients with inflammatory diseases, such as AD, KYNU is preferentially upregulated compared with IDO.

conclusionOur results suggest that tryptophan metabolism might dichotomously modulate immune responses, with KYNU as a switch between immunosuppressive versus inflammatory outcomes. Although tryptophan metabolism is increased in many human diseases, how tryptophan metabolism is proceeding might qualitatively affect the immune response in patients with that disease.

Indexed as

BiopsyCells, CulturedDermatitis, AtopicFemaleGene Expression ProfilingHumansHydrolasesIndoleamine-Pyrrole 2,3,-DioxygenaseInflammationInflammation MediatorsMaleMetabolic Networks and PathwaysMyeloid CellsPsoriasisSkinTryptophanHydrolasesIndoleamine-Pyrrole 2,3,-DioxygenaseInflammation MediatorskynureninaseTryptophaninflammationL-kynureninasePsoriasis vulgaristryptophan metabolism

Identifiers

PMID26725996
PMCPMC4899291
OpenAlexW2198077619

What OpenQuestion holds

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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.