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Petrovic A, Bueide I, Tveit KS, Hallaråker H, Bjørndal B, Holmes TD, Davies R, Brokstad KA, Bergum B, Appel S. Herring roe oil in treatment of psoriasis - influence on immune cells and cytokine network. Front Immunol 2023; 14:1128986. [PMID: 37744329 PMCID: PMC10515196 DOI: 10.3389/fimmu.2023.1128986] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Accepted: 08/07/2023] [Indexed: 09/26/2023] Open
Abstract
Background Psoriasis is a chronic immune-mediated skin disease with systemic inflammation and comorbidities. Although the disease severity may vary over time, many patients suffer from mild to moderate disease. Often local treatment will be sufficient to control the symptoms, but they may have several side effects. ω-3 polyunsaturated fatty acids have shown promising results in clinical trials with mild-to-moderate psoriasis. Methods We explored the impact of phospholipid bound docosahexaenoic acid and eicosapentaenoic acid in a 3:1 ratio on immune cells and cytokine networks in peripheral blood of patients with psoriasis. We investigated the inter-relation of plasma cytokine levels and disease severity in 58 patients, and explored the status of circulating immune cell activity in 18 patients with non-severe psoriasis before and during herring roe oil supplementation. Plasma concentration of 22 cytokines was measured by Luminex technology and circulating immune cells were analyzed by multicolor flow cytometry. Results CCL2 levels decreased over time, and IFN-γR1 increased, possibly related to the action of ω-3 polyunsaturated fatty acids. We observed a shift from naïve to effector CD4+ T cells and decreases of CD38 expression on CD4+ and CD8+ T cells, CD56bright NK cells and CD14+CD16- classical monocytes. Conclusions These findings support the beneficial effect of herring roe oil supplementation.
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Affiliation(s)
- Aleksandra Petrovic
- Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway
| | - Ingvild Bueide
- Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway
| | - Kåre Steinar Tveit
- Department of Dermatology, Haukeland University Hospital, Bergen, Norway
| | | | - Bodil Bjørndal
- Department of Sport, Food and Natural Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Tim D. Holmes
- Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway
| | - Richard Davies
- Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway
| | - Karl Albert Brokstad
- Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway
| | - Brith Bergum
- Core Facility for Flow Cytometry, Department of Clinical Science, University of Bergen, Bergen, Norway
| | - Silke Appel
- Broegelmann Research Laboratory, Department of Clinical Science, University of Bergen, Bergen, Norway
- Core Facility for Flow Cytometry, Department of Clinical Science, University of Bergen, Bergen, Norway
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Thomas J, Küpper M, Batra R, Jargosch M, Atenhan A, Baghin V, Krause L, Lauffer F, Biedermann T, Theis FJ, Eyerich K, Schmidt-Weber CB, Eyerich S, Garzorz-Stark N. Is the humoral immunity dispensable for the pathogenesis of psoriasis? J Eur Acad Dermatol Venereol 2018; 33:115-122. [PMID: 29856508 DOI: 10.1111/jdv.15101] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Accepted: 05/23/2018] [Indexed: 12/14/2022]
Abstract
BACKGROUND Imbalances of T-cell subsets are hallmarks of disease-specific inflammation in psoriasis. However, the relevance of B cells for psoriasis remains poorly investigated. OBJECTIVE To analyse the role of B cells and immunoglobulins for the disease-specific immunology of psoriasis. METHODS We characterized B-cell subsets and immunoglobulin levels in untreated psoriasis patients (n = 37) and compared them to healthy controls (n = 20) as well as to psoriasis patients under disease-controlling systemic treatment (n = 28). B-cell subsets were analysed following the flow cytometric gating strategy based on the surface markers CD24, CD38 and CD138. Moreover, immunofluorescence stainings were used to detect IgA in psoriatic skin. RESULTS We found significantly increased levels of IgA in the serum of treatment-naïve psoriasis patients correlating with disease score. However, IgA was only observed in dermal vessels of skin sections. Concerning B-cell subsets, we only found a moderately positive correlation of CD138+ plasma cells with IgA levels and disease score in treatment-naïve psoriasis patients. Confirming our hypothesis that psoriasis can develop in the absence of functional humoral immunity, we investigated a patient who suffered concomitantly from both psoriasis and a hereditary common variable immune defect (CVID) characterized by a lack of B cells and immunoglobulins. We detected variants in three of the 13 described genes of CVID and a so far undescribed variant in the ligand of the TNFRSF13B receptor leading to disturbed B-cell maturation and antibody production. However, this patient showed typical psoriasis regarding clinical presentation, histology or T-cell infiltrate. Finally, in a group of psoriasis patients under systemic treatment, neither did IgA levels drop nor did plasma cells correlate with IgA levels and disease score. CONCLUSION B-cell alterations might rather be an epiphenomenal finding in psoriasis with a clear dominance of T cells over shifts in B-cell subsets.
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Affiliation(s)
- J Thomas
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - M Küpper
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - R Batra
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany.,Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany
| | - M Jargosch
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - A Atenhan
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - V Baghin
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - L Krause
- Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany
| | - F Lauffer
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - T Biedermann
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | - F J Theis
- Institute of Computational Biology, Helmholtz Center Munich, Neuherberg, Germany.,Institute of Mathematics, Technical University of Munich, Garching, Germany
| | - K Eyerich
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
| | | | - S Eyerich
- ZAUM - Center of Allergy and Environment, Technical University and Helmholtz Munich, Munich, Germany
| | - N Garzorz-Stark
- Department of Dermatology and Allergy, Technical University of Munich, Munich, Germany
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Lin Y, Zhao P, Shen C, Shen S, Zheng X, Zuo X, Yang S, Zhang X, Yin X. Identification of cell types, tissues and pathways affected by risk loci in psoriasis. Mol Genet Genomics 2015; 291:1005-12. [PMID: 26563434 DOI: 10.1007/s00438-015-1141-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2015] [Accepted: 10/28/2015] [Indexed: 01/11/2023]
Abstract
Many common variants have been found associated with the risk of psoriasis, but the underlying mechanism is still largely unknown, mostly owing to the difficulty in dissecting the mechanism of each variant using representative cell type and tissue in biological experiments. We applied an integrative method SNPsea which has been developed by investigators in Broad, to identify the most relevant cell types, tissues, and pathways to psoriasis by assessing the condition specificity affected by psoriasis genome-wide association studies-implicated genes. We employed this software on 89 single-nucleotide polymorphisms with genome-wide significance in Han Chinese and Caucasian populations. We found significant evidence for peripheral blood CD56 + NK cells (P = 1.30 × 10(-7)), Langerhans cells (P = 4.96 × 10(-6)) and CD14+ monocytes (P < 4.80 × 10(-5)) in psoriasis. We suggested that the DNase I hypersensitivity sites in CD14+ cells were active in psoriasis (P = 2.20 × 10(-16)). In addition, we discovered that biotic stimulus response, cytokine production and NF-κB pathways were significantly activated in psoriasis (P < 1.00 × 10(-5)). In conclusion, we found several innate immune cells and immune pathways in psoriasis that will help guide biological experiments for psoriasis risk variants in future.
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Affiliation(s)
- Yan Lin
- Department of Dermatology, The Fourth Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Pan Zhao
- Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China.,School of Basic Medical Science, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Changbing Shen
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Songke Shen
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Xiaodong Zheng
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Xianbo Zuo
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Sen Yang
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Xuejun Zhang
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China.,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China.,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China.,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China
| | - Xianyong Yin
- Institute of Dermatology, Department of Dermatology, The First Affiliated Hospital, Anhui Medical University, Hefei, 230032, Anhui, China. .,Key Lab of Dermatology, Ministry of Education (Anhui Medical University) and State Key Lab of Dermatology Incubation, Hefei, 230032, Anhui, China. .,Key Lab of Gene Resource Utilization for Complex Diseases, Hefei, 230032, Anhui, China. .,Collaborative Innovation Center for Complex and Severe Dermatosis, Anhui Medical University, Hefei, 230032, Anhui, China. .,Department of Genetics, and Renaissance Computing Institute, University of North Carolina at Chapel Hill, Chapel Hill, NC, 27517, USA.
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Niu J, Song Z, Yang X, Zhai Z, Zhong H, Hao F. Increased circulating follicular helper T cells and activated B cells correlate with disease severity in patients with psoriasis. J Eur Acad Dermatol Venereol 2015; 29:1791-6. [PMID: 25712241 DOI: 10.1111/jdv.13027] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2014] [Accepted: 01/13/2015] [Indexed: 02/04/2023]
Abstract
BACKGROUND Follicular Helper T (TFH) Cells are a population of recently discovered CD4(+) T cells involved in autoimmune diseases. However, the contribution of TFH cells in patients with psoriasis remains unknown. OBJECTIVE We aimed to investigate the levels of TFH cells, B cells and their clinical relevance in patients with psoriasis. METHODS Using multi-colour flow cytometry, we detected different subsets of TFH cells and B cells in the peripheral blood of 27 patients with psoriasis and 13 healthy donors. Serum IL-21 levels were measured by ELISA. The relationship between the levels of TFH cells, IL-21, B cells and disease severity were analysed. RESULTS Compared with healthy donors, higher levels of circulating CD3(+) CD4(+) CXCR5(+) cells, CD3(+) CD4(+) CXCR5(+) ICOS(+), CD3(+) CD4(+) CXCR5(+) PD-1(+), CD3(+) CD4(+) CXCR5(+) ICOS(+) PD-1(+) TFH cells and CD19(+) IgD(+) CD27(-) naive B, CD19(+) CD86(+) activated B, but lower levels of CD19(+) IgD(+) CD27(+) preswitch and CD19(+) IgD(-) CD27(+) postswitch memory B cells, were observed in patients with psoriasis. In addition, serum IL-21 levels in patients with psoriasis were significantly higher than those in healthy donors, and showed to be positively correlated with the levels of different subsets of TFH cells, and the level of CD19(+) CD86(+) B cells was also correlated with TFH cells and IL-21 levels. Furthermore, a significant correlation was found between the levels of CD3(+) CD4(+) CXCR5(+) ICOS(+) TFH cells, CD3(+) CD4(+) CXCR5(+) ICOS(+) PD-1(+) TFH cells, CD19(+) CD86(+) B cells and IL-21 with Psoriasis Area and Severity Index scores. CONCLUSION The levels of TFH cells and activated B cells were increased in the peripheral blood of patients with psoriasis, and positively correlated with disease severity. These results suggest that TFH cells and activated B cells may play a role in the pathogenesis of psoriasis.
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Affiliation(s)
- J Niu
- Department of Dermatology, Southwest Hospital, Third Military Medical University, Chongqing, China
| | - Z Song
- Department of Dermatology, Southwest Hospital, Third Military Medical University, Chongqing, China
| | - X Yang
- Department of Dermatology, Southwest Hospital, Third Military Medical University, Chongqing, China
| | - Z Zhai
- Department of Dermatology, Southwest Hospital, Third Military Medical University, Chongqing, China
| | - H Zhong
- Department of Dermatology, Southwest Hospital, Third Military Medical University, Chongqing, China
| | - F Hao
- Department of Dermatology, Southwest Hospital, Third Military Medical University, Chongqing, China
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