Evidence map›Paper›PMID 27889290›Full record

Trial reportJournal of the American Academy of Dermatology2017

Randomized, split-body, single-blinded clinical trial of topical broccoli sprout extract: Assessing the feasibility of its use in keratin-based disorders.

Michelle L Kerns, Lark Guss, Jed Fahey, Bernard Cohen, Jill M C Hakim, Sarah Sung, Rosemary G Lu, Pierre A Coulombe

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Dermatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Epidermolysis bullosa.Nature reviews. Disease primers · 2020
    Review
  10. Review
  11. Article
  12. Isothiocyanates: Translating the Power of Plants to People.Molecular nutrition & food research · 2018
    Review
  13. Cut and Paste: Efficient Homology-Directed Repair of a Dominant Negative KRT14 Mutation via CRISPR/Cas9 Nickases.Molecular therapy : the journal of the American Society of Gene Therapy · 2017
    Article
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

8 authors at 1 institution in 1 country.

Michelle L KernsDepartment of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Lark GussDepartment of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Jed FaheyDepartment of Clinical Pharmacology, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Bernard CohenDepartment of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, Maryland; Department of Pediatrics, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Jill M C HakimDepartment of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Sarah SungDepartment of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, Maryland.
Rosemary G LuDepartment of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland.
Pierre A CoulombeDepartment of Biochemistry and Molecular Biology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, Maryland; Department of Dermatology, School of Medicine, Johns Hopkins University, Baltimore, Maryland; Department of Biological Chemistry, School of Medicine, Johns Hopkins University, Baltimore, Maryland; Department of Oncology, School of Medicine, Johns Hopkins University, Baltimore, Maryland. Electronic address: coulombe@jhu.edu.
Johns Hopkins University · US

Funding

TRAINING IN AREAS FUNDAMENTAL TO CANCER RESEARCHT32CA009110 · NCI · JOHNS HOPKINS UNIVERSITY · PI MATUNIS, MICHAEL J., WEERARATNA, ASHANI T · 1985 to 2025
$13.1M
NCI NIH HHS T32 CA009110
6 · The paper itself

Abstract

backgroundEpidermolysis bullosa simplex is a skin-blistering disorder caused by mutations in keratin (K)14 or K5. Treatment with nuclear factor (erythroid-derived 2)-like 2 inducer sulforaphane ameliorated skin blistering in Krt14-null mice, correlating with induction of K17. To be therapeutically useful for epidermolysis bullosa simplex, topical broccoli sprout extract (BSE), enriched for sulforaphane, would ideally induce the expression of homologous keratins (eg, K6, K17, K16) in the basal layer of human epidermis without impacting expression of defective keratins (K5/K14).

objectiveThe purpose of this 1-week, randomized, split-body, single-blinded, placebo-controlled trial was to assess the impact of BSE on keratin expression.

methodsFive subjects (34-71 years old) applied BSE (500 nmol of sulforaphane/mL) or vehicle alone to the inner aspect of the arm daily. Expression of keratin, nuclear factor (erythroid-derived 2)-like 2, and other markers was assessed using reverse transcription-polymerase chain reaction and indirect immunofluorescence.

resultsOne subject (age 71 years) was excluded a posteriori because of poor tissue quality. Topical BSE activated nuclear factor (erythroid-derived 2)-like 2 and up-regulated K17 in the epidermis of all subjects, had variable effects on K16 and K6 expression, and did not alter expression of K14 or K5. LIMITATIONS: Small sample size is a limitation.

conclusionBSE represents an attractive therapeutic candidate for K14-associated epidermolysis bullosa simplex.

Indexed as

BrassicaPhytotherapyAdministration, CutaneousAdultAgedEpidermolysis Bullosa SimplexHumansKeratin-14Keratin-16Keratin-17Keratin-5Keratin-6KeratinsMiddle AgedNF-E2-Related Factor 2Plant ExtractsKeratin-14Keratin-16Keratin-17Keratin-5Keratin-6KeratinsNFE2L2 protein, humanNF-E2-Related Factor 2Plant ExtractsRNA, Messengerbroccoli sprout extractepidermolysis bullosa simplexkeratinnuclear factor (erythroid-derived 2)-like 2sulforaphane

Identifiers

PMID27889290
PMCPMC5509965
OpenAlexW2553354647

What OpenQuestion holds

Textmetadata
LicenceTDM
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.