Evidence map›Paper›PMID 38291032›Full record

ArticleNature communications2024

Single-cell analysis of psoriasis resolution demonstrates an inflammatory fibroblast state targeted by IL-23 blockade.

Luc Francis, Daniel McCluskey, Clarisse Ganier, Treasa Jiang, Xinyi Du-Harpur, Jeyrroy Gabriel, Pawan Dhami, Yogesh Kamra, Sudha Visvanathan, Jonathan N Barker and 3 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
18.7field-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

58 citing papers in PubMed, 1 synthesis or guideline pooled it, 80 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. LCN2-Driven Fibroblast Ferroptosis-Associated Injury Promotes Keratinocyte Proliferation via Lipid Peroxidation Signaling in Psoriasis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
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  12. Review
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  15. Hidden immune memory niches in inflammatory skin diseases.bioRxiv : the preprint server for biology · 2026
    Article
  16. Article
  17. Assessing T-Cell Profile Shifts through IL-23 Inhibition by Guselkumab on Psoriasis.JID innovations : skin science from molecules to population health · 2026
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  19. Article
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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

13 authors at 2 institutions in 2 countries.

Luc FrancisSt John's Institute of Dermatology, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0009-0006-2476-025X
Daniel McCluskeyDepartment of Medical and Molecular Genetics, King's College London, London, UK.
Clarisse GanierCenter of Gene Therapy and Regenerative Medicine, King's College London, London, UK.
Treasa JiangSt John's Institute of Dermatology, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK.ORCID 0009-0002-5786-9340
Xinyi Du-HarpurCenter of Gene Therapy and Regenerative Medicine, King's College London, London, UK.
Jeyrroy GabrielCenter of Gene Therapy and Regenerative Medicine, King's College London, London, UK.ORCID 0000-0003-4492-5200
Pawan DhamiGenomics Research Platform, King's College London NIHR Biomedical Research Centre, London, UK.
Yogesh KamraGenomics Research Platform, King's College London NIHR Biomedical Research Centre, London, UK.
Sudha VisvanathanBoehringer Ingelheim Pharmaceuticals, Ridgefield, USA.
Jonathan N BarkerSt John's Institute of Dermatology, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK.
Catherine H SmithSt John's Institute of Dermatology, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK.
Francesca Capon *Department of Medical and Molecular Genetics, King's College London, London, UK. francesca.capon@kcl.ac.uk.ORCID 0000-0003-2432-5793
Satveer K Mahil *St John's Institute of Dermatology, King's College London and Guy's and St Thomas' NHS Foundation Trust, London, UK. satveer.mahil@kcl.ac.uk.ORCID 0000-0003-4692-3794
King's College London · GBBoehringer Ingelheim (United States) · US

Funding

Medical Research Council MR/R015643/1Medical Research Council MR/W006820/1Wellcome Trust
6 · The paper itself

Abstract

Biologic therapies targeting the IL-23/IL-17 axis have transformed the treatment of psoriasis. However, the early mechanisms of action of these drugs remain poorly understood. Here, we perform longitudinal single-cell RNA-sequencing in affected individuals receiving IL-23 inhibitor therapy. By profiling skin at baseline, day 3 and day 14 of treatment, we demonstrate that IL-23 blockade causes marked gene expression shifts, with fibroblast and myeloid populations displaying the most extensive changes at day 3. We also identify a transient WNT5A+/IL24+ fibroblast state, which is only detectable in lesional skin. In-silico and in-vitro studies indicate that signals stemming from these WNT5A+/IL24+ fibroblasts upregulate multiple inflammatory genes in keratinocytes. Importantly, the abundance of WNT5A+/IL24+ fibroblasts is significantly reduced after treatment. This observation is validated in-silico, by deconvolution of multiple transcriptomic datasets, and experimentally, by RNA in-situ hybridization. These findings demonstrate that the evolution of inflammatory fibroblast states is a key feature of resolving psoriasis skin.

Indexed as

PsoriasisFibroblastsHumansInterleukin-23KeratinocytesRNASingle-Cell AnalysisSkinInterleukin-23RNA

Identifiers

PMID38291032
PMCPMC10828502
OpenAlexW4391338926

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.