Evidence map›Paper›PMID 41143763›Full record

ReviewThe Journal of investigative dermatology2026

Reevaluating the Imiquimod Model: A Barrier to Translational Progress in Psoriasis.

Catherine C Smith, Ian M Zwerner, Johann E Gudjonsson, Nicole L Ward

Abstract readReview
In one paragraph

Review in The Journal of investigative dermatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. TopicalPharmaceutics · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Nomilin Rewires mTOR-Driven Immunometabolism via DDIT4 to Restrain Psoriasis.International journal of biological sciences · 2026
    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

4 authors.

Catherine C SmithCollege of Medicine, The University of Tennessee Health Science Center, Memphis, Tennessee, USA; Department of Dermatology, School of Medicine, Vanderbilt University, Nashville, Tennessee, USA; Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Ian M ZwernerDepartment of Dermatology, School of Medicine, Vanderbilt University, Nashville, Tennessee, USA; Vanderbilt University Medical Center, Nashville, Tennessee, USA; Montgomery Bell Academy, Nashville, Tennessee, USA.
Johann E GudjonssonDepartment of Dermatology, University of Michigan, Ann Arbor, Michigan, USA; Taubman Medical Research Institute, University of Michigan Medical School, Ann Arbor, Michigan, USA.
Nicole L WardDepartment of Dermatology, School of Medicine, Vanderbilt University, Nashville, Tennessee, USA; Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt Institute for Infection, Immunology, and Inflammation, Vanderbilt University Medical Center, Nashville, Tennessee, USA; Vanderbilt Center for Immunobiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA. Electronic address: nicole.ward@vumc.org.

Funding

ELLIPSS: ELucidating the Landscape of Immunoendotypes in Psoriatic Skin and SynoviumUC2AR081029 · NIAMS · UNIVERSITY OF ROCHESTER · PI Johann Eli Gudjonsson, Wilson Liao · 2022 to 2026
$7.9M
University of Michigan Skin Biology and Diseases Resource-based CenterP30AR075043 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ANDRZEJ A. DLUGOSZ · 2019 to 2026
$6.6M
Psoriasis Center of Research TranslationP50AR070590 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI WARD, NICOLE LEANNE · 2017 to 2021
$6.5M
Stromal-Immune Interactions in Priming for and Maintaining Inflammation in Lupus Skin (Project 1)P01AI179251 · NIAID · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Johann Eli Gudjonsson, Joanne Michelle Kahlenberg · 2025 to 2026
$4.6M
Kallikrein-PAR interactions in skin inflammationR01AR073196 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WARD, NICOLE LEANNE · 2018 to 2023
$3.3M
Immunogenomics and Systems Biology CoreUC2AR081033 · NIAMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Johann Eli Gudjonsson, Lam Cheung Tsoi · 2022 to 2026
$3.3M
Immune cell contributions to inflammatory arthritisR01AR084312 · NIAMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Johann Eli Gudjonsson, Nicole Leanne Ward · 2025 to 2026
$1.4M
Role of Acidic Environment in Eosinophilic InflammationR21AI079251 · NIAID · CINCINNATI CHILDRENS HOSP MED CTR · PI ZIMMERMANN, NIVES · 2009 to 2010
$410k
CLINICAL TRIALS FOR ANTIVIRAL THERAPIES-266030025-266030025N01AI030025 · NIAID · UNIVERSITY OF ALABAMA BIRMINGH · PI WHITLEY, RICHARD R · 2003 to 2006
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NIAID NIH HHS N01 AI030025NIAID NIH HHS P01 AI179251NIAID NIH HHS R21 AI079251NIAMS NIH HHS P30 AR075043NIAMS NIH HHS P50 AR070590NIAMS NIH HHS R01 AR073196NIAMS NIH HHS R01 AR084312NIAMS NIH HHS UC2 AR081029NIAMS NIH HHS UC2 AR081033
6 · The paper itself

Abstract

Once hailed as a breakthrough in psoriasis research, the imiquimod (IMQ) mouse model is now overused, inconsistently applied, and increasingly disconnected from human disease. Nearly a decade after our initial critique, the field remains reliant on a tool that models acute, innate inflammation rather than chronic, adaptive immunity. In this paper, we revisit the limitations of the IMQ model, highlighting methodological drift, poor transcriptomic overlap with psoriasis, and the illusion of mechanistic discovery. We argue that progress in psoriasis research now depends on moving beyond this model toward more faithful systems that reflect the complexity of human disease.

Indexed as

AminoquinolinesDisease Models, AnimalImiquimodPsoriasisTranslational Research, BiomedicalAnimalsHumansImmunity, InnateMiceAminoquinolinesImiquimodIL-23/IL-17Mouse modelPreclinical drug testingPsoriasis mouseSkin inflammation

Identifiers

PMID41143763
PMCPMC12619112

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.