Evidence map›Paper›PMID 32841223›Full record

ArticleJCI insight2020

Immunopathogenesis of hidradenitis suppurativa and response to anti-TNF-α therapy.

Margaret M Lowe, Haley B Naik, Sean Clancy, Mariela Pauli, Kathleen M Smith, Yingtao Bi, Robert Dunstan, Johann E Gudjonsson, Maia Paul, Hobart Harris and 6 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2020. 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 98 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
98citing papers in PubMed, 2 pooled it
11.1field-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.

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

98 citing papers in PubMed, 2 syntheses or guidelines pooled it, 143 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Mature tertiary lymphoid structures in pilonidal sinus disease.JID innovations : skin science from molecules to population health · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Distinct and shared effects of individual γ-secretase inhibitors on human keratinocytes.JID innovations : skin science from molecules to population health · 2026
    Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Hair follicle stem cell fate supports distinct clinical endotypes in hidradenitis suppurativa.Journal of the European Academy of Dermatology and Venereology : JEADV · 2026
    Article
  17. Article
  18. Article
  19. Review
  20. Review

38 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Margaret M LoweDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Haley B NaikDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Sean ClancyDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Mariela PauliDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Kathleen M SmithAbbVie Cambridge Research Center, Cambridge, Massachusetts, USA.
Yingtao BiAbbVie Cambridge Research Center, Cambridge, Massachusetts, USA.
Robert DunstanAbbVie Bioresearch Center, Worcester, Massachusetts, USA.
Johann E GudjonssonDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA.
Maia PaulDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Hobart HarrisDepartment of Surgery, UCSF, San Francisco, California, USA.
Esther KimDepartment of Surgery, UCSF, San Francisco, California, USA.
Uk Sok ShinDepartment of Surgery, UCSF, San Francisco, California, USA.
Richard AhnDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Wilson LiaoDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
Scott L HansenDepartment of Surgery, UCSF, San Francisco, California, USA.
Michael D RosenblumDepartment of Dermatology, University of California at San Francisco (UCSF), San Francisco, California, USA.
University of California, San Francisco · USAbbVie (United States) · USQB3 · USUniversity of Michigan · US

Funding

Research BaseP30DK063720 · NIDDK · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KRUMMEL, MATTHEW F · 2003 to 2019
$21.8M
MOLECULAR AND CELLULAR IMMUNOLOGYT32AI007334 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CYSTER, JASON G · 1988 to 2023
$11.0M
University of Michigan Skin Biology and Diseases Resource-based CenterP30AR075043 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Johann Eli Gudjonsson · 2019 to 2026
$6.6M
MHC and KIR Region Genomics in PsoriasisU01AI119125 · NIAID · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LIAO, WILSON · 2015 to 2019
$3.5M
Restoring Immune Balance in Hiddradenitis SuppurativaR01AR075864 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROSENBLUM, MICHAEL DAVID · 2020 to 2024
$3.5M
Microbial Shifts and Immune Dysregulation in Hidradenitis Suppurativa PathogenesisK23AR074531 · NIAMS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAIK, HALEY · 2019 to 2023
$887k
UCSF DVS CyTOF Mass CytometerS10OD018040 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LANIER, LEWIS LEE · 2014 to 2014
$600k
BD FACSAria Fusion Cell SorterS10OD021822 · OD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI LEE, MICHAEL R. · 2016 to 2016
$573k
NIAID NIH HHS T32 AI007334NIAID NIH HHS U01 AI119125NIAMS NIH HHS K23 AR074531NIAMS NIH HHS P30 AR075043NIAMS NIH HHS R01 AR075864NIDDK NIH HHS P30 DK063720NIH HHS S10 OD018040NIH HHS S10 OD021822
6 · The paper itself

Abstract

Hidradenitis suppurativa (HS) is a highly prevalent, morbid inflammatory skin disease with limited treatment options. The major cell types and inflammatory pathways in skin of patients with HS are poorly understood, and which patients will respond to TNF-α blockade is currently unknown. We discovered that clinically and histologically healthy appearing skin (i.e., nonlesional skin) is dysfunctional in patients with HS with a relative loss of immune regulatory pathways. HS skin lesions were characterized by quantitative and qualitative dysfunction of type 2 conventional dendritic cells, relatively reduced regulatory T cells, an influx of memory B cells, and a plasma cell/plasmablast infiltrate predominantly in end-stage fibrotic skin. At the molecular level, there was a relative bias toward the IL-1 pathway and type 1 T cell responses when compared with both healthy skin and psoriatic patient skin. Anti-TNF-α therapy markedly attenuated B cell activation with minimal effect on other inflammatory pathways. Finally, we identified an immune activation signature in skin before anti-TNF-α treatment that correlated with subsequent lack of response to this modality. Our results reveal the fundamental immunopathogenesis of HS and provide a molecular foundation for future studies focused on stratifying patients based on likelihood of clinical response to TNF-α blockade.

Indexed as

Gene Expression RegulationBiomarkersCase-Control StudiesGene Regulatory NetworksHidradenitis SuppurativaHumansSignal TransductionSingle-Cell AnalysisT-Lymphocytes, RegulatoryTranscriptomeTumor Necrosis Factor-alphaBiomarkersTumor Necrosis Factor-alphaAdaptive immunityDermatologyImmunologyInnate immunitySkin

Identifiers

PMID32841223
PMCPMC7566733
OpenAlexW3080991193

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.