Evidence map›Paper›PMID 28259685›Full record

ArticleThe Journal of investigative dermatology2017

Endogenous Glucocorticoid Deficiency in Psoriasis Promotes Inflammation and Abnormal Differentiation.

Mrinal K Sarkar, Nihal Kaplan, Lam C Tsoi, Xianying Xing, Yun Liang, William R Swindell, Paul Hoover, Maya Aravind, Gleb Baida, Matthew Clark and 6 more

Erratum issuedAbstract read
In one paragraph

Article in The Journal of investigative dermatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
5.1field-weighted citation impact, top 5% 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

36 citing papers in PubMed, 48 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Therapeutic effect ofFrontiers in pharmacology · 2026
    Article
  6. The Role of Selected Proteins in the Pathogenesis of Psoriasis.International journal of molecular sciences · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Current Knowledge in Skin Metabolomics: Updates from Literature Review.International journal of molecular sciences · 2022
    Review
  14. Article
  15. Article
  16. Review
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 2 institutions in 1 country.

Mrinal K SarkarDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Nihal KaplanDepartment of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Lam C TsoiDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA; Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, Michigan, USA; Department of Biostatistics, University of Michigan, Ann Arbor, Michigan, USA.
Xianying XingDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Yun LiangDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
William R SwindellDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Paul HooverDepartment of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Maya AravindDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Gleb BaidaDepartment of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Matthew ClarkDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
John J VoorheesDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Rajan P NairDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
James T ElderDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Irina BudunovaDepartment of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Spiro GetsiosDepartment of Dermatology, Northwestern University, Feinberg School of Medicine, Chicago, Illinois, USA.
Johann E GudjonssonDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA. Electronic address: johanng@med.umich.edu.
University of Michigan–Ann Arbor · USNorthwestern University · US

Funding

ZINC GLUCONATE GLYCINE LOZENGES &VITAMIN C EFFECTS ON COMMON COLDM01RR000042 · NCRR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI RUBENFIRE, MELVYN · 1985 to 2007
$40.8M
Statistics and Bioinformatics Core - WangU24DK097153 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BURANT, CHARLES F · 2012 to 2017
$10.1M
Genetic and Genomic Dissection of Psoriatic ArthritisR01AR063611 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELDER, JAMES TILFORD, GLADMAN, DAFNA D · 2012 to 2023
$6.2M
The Role of Keratinocytes as Independent ThermosensorsP30AR057216 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI PALLER, AMY S · 2009 to 2018
$6.0M
Identification of Psoriatic Arthritis Genes in the MHCR01AR050511 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELDER, JAMES TILFORD · 2004 to 2013
$4.2M
TRAINING PROGRAM IN CELL AND MOLECULAR DERMATOLOGYT32AR007197 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JAMES TILFORD ELDER, Sunny Y Wong · 1986 to 2026
$4.2M
Role of IL-13 and the IL-13 Associated rs20541 Risk Variant in the Pathogenesis of PsoriasisR01AR069071 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GUDJONSSON, JOHANN ELI · 2015 to 2019
$2.1M
Integrative informatics approach to develop safe glucocorticoid therapiesR01GM112945 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI BUDUNOVA, IRINA, MA'AYAN, AVI · 2015 to 2018
$2.1M
EphA/Ephrin-A signaling in epidermal differentiation and diseaseR01AR062110 · NIAMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI LAVKER, ROBERT M · 2012 to 2016
$1.9M
Functional Genomics of PsoriasisR01AR065183 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ELDER, JAMES TILFORD · 2013 to 2016
$1.7M
Role of the Psoriasis Associated IL23R Risk Variants on Th17 Biology and FunctionK08AR060802 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI GUDJONSSON, JOHANN ELI · 2011 to 2015
$636k
NCRR NIH HHS M01 RR000042NIAMS NIH HHS K08 AR060802NIAMS NIH HHS P30 AR057216NIAMS NIH HHS R01 AR050511NIAMS NIH HHS R01 AR062110NIAMS NIH HHS R01 AR063611NIAMS NIH HHS R01 AR065183NIAMS NIH HHS R01 AR069071NIAMS NIH HHS T32 AR007197NIDDK NIH HHS U24 DK097153NIGMS NIH HHS R01 GM112945
6 · The paper itself

Abstract

The factors involved in maintaining a localized inflammatory state in psoriatic skin remain poorly understood. Here, we demonstrate through metabolomic and transcriptomic profiling marked suppression of glucocorticoid biosynthesis in the epidermis of psoriatic skin leading to localized deficiency of cortisol. Utilizing a 3D human epidermis model, we demonstrate that glucocorticoid biosynthesis is suppressed by proinflammatory cytokines and that glucocorticoid deficiency promotes inflammatory responses in keratinocytes. Finally, we show in vitro and in vivo that treatment with topical glucocorticoids leads to rapid restoration of glucocorticoid biosynthesis gene expression coincident with normalization of epidermal differentiation and suppression of inflammatory responses. Taken together, our data suggest that localized glucocorticoid deficiency in psoriatic skin interferes with epidermal differentiation and promotes a sustained and localized inflammatory response. This may shed new light on the mechanism of action of topical steroids, and demonstrates the critical role of endogenous steroid in maintaining both inflammatory and differentiation homeostasis in the epidermis.

Indexed as

Cell DifferentiationEnzyme-Linked Immunosorbent AssayEpidermisGlucocorticoidsHumansKeratinocytesMass SpectrometryPsoriasisGlucocorticoids

Identifiers

PMID28259685
PMCPMC5545780
OpenAlexW2591591213

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.