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Garcet S, Bachelez H, Baum P, Visvanathan S, Krueger J. 479 Distinct patterns of gene expression in skin biopsies differentiate generalized pustular psoriasis (GPP) from psoriasis vulgaris (PV). J Invest Dermatol 2022. [DOI: 10.1016/j.jid.2022.05.488] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Frew JW, Grand D, Navrazhina K, Garcet S, Krueger JG. Assessing the responsiveness of sonographic biomarkers to Brodalumab therapy in Hidradenitis Suppurativa. J Eur Acad Dermatol Venereol 2021; 35:e884-e887. [PMID: 34310761 PMCID: PMC8595589 DOI: 10.1111/jdv.17536] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2021] [Accepted: 07/21/2021] [Indexed: 01/24/2023]
Affiliation(s)
- J W Frew
- Laboratory of Investigative Dermatology, Rockefeller University, NY, USA
| | - D Grand
- Laboratory of Investigative Dermatology, Rockefeller University, NY, USA
- Einstein College of Medicine, Bronx, NY, USA
| | - K Navrazhina
- Laboratory of Investigative Dermatology, Rockefeller University, NY, USA
- Tri-Institutional MD-PhD Program Weill Cornell Medical College, New York, NY, USA
| | - S Garcet
- Laboratory of Investigative Dermatology, Rockefeller University, NY, USA
| | - J G Krueger
- Laboratory of Investigative Dermatology, Rockefeller University, NY, USA
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3
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Oliver R, Krueger JG, Glatt S, Vajjah P, Mistry C, Page M, Edwards H, Garcet S, Li X, Dizier B, Maroof A, Watling M, El Baghdady A, Baeten D, Ionescu L, Shaw S. Bimekizumab for the treatment of moderate-to-severe plaque psoriasis: efficacy, safety, pharmacokinetics, pharmacodynamics and transcriptomics from a phase IIa, randomized, double-blind multicentre study. Br J Dermatol 2021; 186:652-663. [PMID: 34687214 PMCID: PMC9303624 DOI: 10.1111/bjd.20827] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/19/2021] [Indexed: 01/18/2023]
Abstract
BACKGROUND Bimekizumab is a monoclonal antibody that selectively inhibits both interleukin (IL)-17A and IL-17F, which is currently under investigation for treatment of moderate-to-severe plaque psoriasis. Maintenance dosing every 4 weeks is well established with IL-17 inhibitors for psoriasis. OBJECTIVES To investigate the possible dosing interval during bimekizumab maintenance therapy to maintain clear skin, to inform phase III studies. METHODS Forty-nine patients with moderate-to-severe plaque psoriasis received bimekizumab 320 mg at weeks 0/4, followed at week 16 by bimekizumab 320 mg (n = 17) or placebo (n = 32). Efficacy, safety, pharmacokinetics, immunogenicity and biopsy transcriptomic analyses were assessed to week 28. RESULTS At week 8, 47% of patients achieved a 100% improvement from baseline in Psoriasis Area and Severity Index (PASI 100), increasing to 57% at week 12 (8 weeks after the second dose) before decreasing. In those who received bimekizumab at week 16, PASI 100 rate increased to comparable peak levels at week 20, but reduced by week 28 to 41% (12 weeks after the third dose). The week 8 transcriptional signature observed in lesional psoriatic skin rapidly normalized to levels consistent with nonlesional skin, resulting in molecular remission. Keratinocyte-related gene products such as CXCL1 (C-X-C motif chemokine ligand 1), IL-8 (encoded by the CXCL8 gene), CCL20 (C-C motif chemokine 20), IL-36γ and IL-17C were profoundly normalized to levels associated with nonlesional skin. CONCLUSIONS Here, inhibition of IL-17F in addition to IL-17A resulted in rapid, deep clinical responses. Additionally, profound normalization of keratinocyte biology and the psoriatic transcriptome was observed, including normalization of both IL17 and IL23 gene expression by week 8. These data provide evidence to support evaluation of bimekizumab maintenance dosing both every 8 and every 4 weeks in phase III clinical trials.
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Affiliation(s)
| | - J G Krueger
- The Rockefeller University, New York, NY, USA
| | | | | | - C Mistry
- UCB Pharma, Slough, UK.,Veramed, London, UK
| | | | | | - S Garcet
- The Rockefeller University, New York, NY, USA
| | - X Li
- The Rockefeller University, New York, NY, USA
| | - B Dizier
- UCB Pharma, Braine-l'Alleud, Belgium
| | | | | | - A El Baghdady
- Institute of Pharmaceutical Science, King's College London, London, UK
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4
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Navrazhina K, Renert-Yuval Y, Frew JW, Grand D, Gonzalez J, Williams SC, Garcet S, Krueger JG. Large-scale serum analysis identifies unique systemic biomarkers in psoriasis and hidradenitis suppurativa. Br J Dermatol 2021; 186:684-693. [PMID: 34254293 DOI: 10.1111/bjd.20642] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/10/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Hidradenitis Suppurativa (HS) is now recognized as a systemic inflammatory disease, sharing molecular similarities with psoriasis. Direct comparison of the systemic inflammation in HS with psoriasis is lacking. OBJECTIVES To evaluate the serum proteome of HS and psoriasis, and to identify biomarkers associated with disease severity. METHODS In this cross-sectional study, 1,536 serum proteins were assessed using the Olink Explore (Proximity Extension Assay/PEA) high-throughput panel in moderate-to-severe HS (n=11), psoriasis (n=10) and age- and BMI-matched healthy controls (n=10). RESULTS HS displayed an overall greater dysregulation of circulating proteins, with 434 differentially expressed proteins (|FCH|≥1.2, p-value≤0.05) in HS versus controls, 138 in psoriasis versus controls, and 503 between HS and psoriasis. IL-17A levels and Th1/Th17 pathway enrichment were comparable between diseases, while HS presented greater TNF and IL-1β-related signaling. Th17-associated markers, PI3 and LCN2, were able to accurately differentiate psoriasis from HS. Both diseases presented increases of atherosclerosis-related proteins. Robust correlations between clinical severity scores and immune and atherosclerosis-related proteins were observed across both diseases. CONCLUSIONS HS and psoriasis share significant Th1/Th17 enrichment and upregulation of atherosclerosis-related proteins. Nevertheless, despite the greater body surface area involved in psoriasis, HS presents a greater serum inflammatory burden.
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Affiliation(s)
- K Navrazhina
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA.,Weill Cornell/Rockefeller, Sloan Kettering Tri-Institutional MD-PhD program, New York, NY, USA
| | - Y Renert-Yuval
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA
| | - J W Frew
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA
| | - D Grand
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA
| | - J Gonzalez
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA
| | - S C Williams
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA.,Weill Cornell/Rockefeller, Sloan Kettering Tri-Institutional MD-PhD program, New York, NY, USA
| | - S Garcet
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA
| | - J G Krueger
- Laboratory for Investigative Dermatology, The Rockefeller University, New York, NY, USA
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5
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Tollenaere MAX, Hebsgaard J, Ewald DA, Lovato P, Garcet S, Li X, Pilger SD, Tiirikainen ML, Bertelsen M, Krueger JG, Norsgaard H. Signalling of multiple interleukin (IL)-17 family cytokines via IL-17 receptor A drives psoriasis-related inflammatory pathways. Br J Dermatol 2021; 185:585-594. [PMID: 33792895 PMCID: PMC8453543 DOI: 10.1111/bjd.20090] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/26/2021] [Indexed: 12/14/2022]
Abstract
Background The interleukin (IL)‐23/IL‐17 immune axis is of central importance in psoriasis. However, the impact of IL‐17 family cytokines other than IL‐17A in psoriasis has not been fully established. Objectives To elucidate the contribution of IL‐17 family cytokines in psoriasis. Methods To address the expression and localization of IL‐17 family cytokines, lesional and nonlesional skin samples from patients with psoriasis were analysed by several complementary methods, including quantitative polymerase chain reaction, immunoassays, in situ hybridization and immunohistochemistry. Mechanistic studies assessing the functional activity of IL‐17 family cytokines were performed using ex vivo cultured human skin biopsies and primary human keratinocytes. Results We demonstrated that IL‐17A, IL‐17F, IL‐17A/F and IL‐17C are expressed at increased levels in psoriasis lesional skin and induce overlapping gene expression responses in ex vivo cultured human skin that correlate with the transcriptomic signature of psoriasis skin. Furthermore, we showed that brodalumab, in contrast to ixekizumab, normalizes gene expression responses induced by the combination of IL‐17A, IL‐17F, IL‐17A/F and IL‐17C in human keratinocytes. Conclusions Several IL‐17 ligands signalling through IL‐17RA are overexpressed in psoriasis skin and induce similar psoriasis‐related inflammatory pathways demonstrating their relevance in relation to therapeutic intervention in psoriasis.
What is already known about this topic?
The key role of interleukin (IL)‐17A in psoriasis is well established. Previous studies have shown that IL‐17A, IL‐17F and IL‐17C are overexpressed in psoriasis skin, whereas contradictory results have been published for IL‐17E. IL‐17 family cytokines induce secretion of inflammatory mediators such as antimicrobial peptides, chemokines and cytokines involved in the pathophysiology of psoriasis.
What does this study add?
Levels of IL‐17A/F are increased in lesional psoriasis skin but markedly lower than IL‐17A and IL‐17F. In ex vivo cultured human skin, a physiologically relevant model, IL‐17A, IL‐17F, IL‐17A/F and IL‐17C show functional redundancy in shaping the psoriasis transcriptome. IL‐17RA antagonism normalizes expression of psoriasis‐related genes in keratinocytes induced by the combination of IL‐17 family cytokines.
What is the translational message?
Overexpression and functional redundancy of IL‐17 family cytokines in psoriasis may explain why some patients with psoriasis with primary or secondary failure of response to secukinumab or ixekizumab achieve a clinical response after switching to brodalumab.
Linked Comment: M. Sugaya. Br J Dermatol 2021; 185:483.
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Affiliation(s)
| | | | | | - P Lovato
- LEO Pharma A/S, Ballerup, Denmark
| | - S Garcet
- Rockefeller University, New York, NY, USA
| | - X Li
- Rockefeller University, New York, NY, USA
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Navrazhina K, Renert-Yuval Y, Frew J, Grand D, Garcet S, Krueger J. 703 Blood analysis uncovers novel inflammatory, oncologic and cardiovascular biomarkers in psoriasis and Hidradenitis Suppurativa. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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7
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Williams S, Navrazhina K, Frew J, Garcet S, Krueger J. 700 Vascularization in the deep dermis of hidradenitis suppurativa lesions. J Invest Dermatol 2021. [DOI: 10.1016/j.jid.2021.02.730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Clessens A, Partoune A, Garcet S, Boxho P. [Forensic analysis of the socio-economic profile of women victims of domestic violence in the region of Liège according to the seriousness of the injuries suffered]. Rev Med Liege 2021; 76:173-178. [PMID: 33682386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
The aim of this study was to analyse retrospectively the profile of female victims of intimate partner violence (IPV) within the population of victims of assault and battery seen in expertise at the Forensic Institute of Liège. Overall, 678 files were analysed. The proportion, nature and type of IPV were determined, as well as the profile of the victims. The link between the socio-economic profile and the seriousness of the sequelae was analysed on the basis of the Chi-square test. 8,4 % of the files concerned IPV, of which 93,0 % were female victims. All the victims had suffered physical domestic violence and 55,5 % of the victims cumulated at least two forms of violence. According to Johnson's typology, 56,6 % of IPV cases may be considered as «Situational Couple Violence» and 43,4 % as «Intimate Terrorism». There are differences between the profile of victims of IPV according to the literature and the profile of victims seen at the IML. Subject to these differences, we have not found a link between the socio-economic status and the severity of the sequelae of IPV victims.
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Affiliation(s)
- A Clessens
- Faculté de Droit, Sciences politiques et Criminologie, ULiège, Belgique
| | | | - S Garcet
- Faculté de Droit, Sciences politiques et Criminologie, ULiège, Belgique
| | - P Boxho
- Faculté de Médecine, ULiège, Belgique
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Frew J, Navrazhina K, Sullivan‐Whalen M, Gilleaudeau P, Garcet S, Krueger J. Weekly administration of brodalumab in hidradenitis suppurativa: an open‐label cohort study. Br J Dermatol 2020; 184:350-352. [DOI: 10.1111/bjd.19478] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/05/2020] [Accepted: 08/06/2020] [Indexed: 01/14/2023]
Affiliation(s)
- J.W. Frew
- Laboratory of Investigative Dermatology The Rockefeller University New York NY USA
| | - K. Navrazhina
- Laboratory of Investigative Dermatology The Rockefeller University New York NY USA
- Weill Cornell/Rockefeller/Sloan Kettering Tri‐Institutional MD‐PhD Program New York NY USA
| | - M. Sullivan‐Whalen
- Laboratory of Investigative Dermatology The Rockefeller University New York NY USA
| | - P. Gilleaudeau
- Laboratory of Investigative Dermatology The Rockefeller University New York NY USA
| | - S. Garcet
- Laboratory of Investigative Dermatology The Rockefeller University New York NY USA
| | - J.G. Krueger
- Laboratory of Investigative Dermatology The Rockefeller University New York NY USA
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Berstein G, Zhang Y, Berger Z, Kieras E, Li G, Samuel A, Yeoh T, Dowty H, Beaumont K, Wigger-Alberti W, von Mackensen Y, Kroencke U, Hamscho R, Garcet S, Krueger JG, Banfield C, Oemar B. A phase I, randomized, double-blind study to assess the safety, tolerability and efficacy of the topical RORC2 inverse agonist PF-06763809 in participants with mild-to-moderate plaque psoriasis. Clin Exp Dermatol 2020; 46:122-129. [PMID: 32767679 PMCID: PMC7756278 DOI: 10.1111/ced.14412] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 07/27/2020] [Accepted: 08/04/2020] [Indexed: 11/27/2022]
Abstract
BACKGROUND Transcription factor retinoic acid-related orphan receptor 2 (RORC2/RORγT) mediates interleukin (IL)-17A and IL-17F expression. IL-17A plays a central role in the pathogenesis of several inflammatory disorders, including psoriasis. The RORC2 inhibitor PF-06763809 has been hypothesized to inhibit IL-17A production in T-helper 17 (Th17) cells, thereby reducing psoriasis symptoms. AIM To assess the safety, tolerability and effect on skin infiltrate thickness of PF-06763809 in participants with mild/moderate chronic plaque psoriasis. METHODS This was a randomized, double-blind, first-in-human study (trial registration: ClinicalTrials.gov NCT03469336). Participants received each of the following six treatments once daily for 18 days: three topical doses (2.3%, 0.8%, 0.23%) of PF-06763809, a vehicle and two active comparators (betamethasone and calcipotriol). Primary endpoints included change from baseline in psoriatic skin infiltrate thickness [echo-poor band (EPB) on ultrasonography] at Day 19, and safety. Change in psoriasis-associated gene expression (Day 19), evaluated by real-time reverse transcription PCR of skin biopsies, was an exploratory endpoint. RESULTS In total, 17 participants completed the study. Change from baseline in the EPB on Day 19 for all three doses of PF-06763809 was not significantly different from that of vehicle (P > 0.05). A significant reduction in EPB from baseline was observed with betamethasone on Day 19 relative to all other treatments (P < 0.0001). Treatment-related adverse events were mild/moderate. There were no significant differences in gene expression on Day 19 between vehicle and PF-06763809-treated skin lesions. CONCLUSION Using a psoriasis plaque test design, PF-06763809 was found to be well tolerated with an acceptable safety profile in participants with psoriasis, but without reduction in skin infiltrate thickness or disease biomarkers.
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Affiliation(s)
- G Berstein
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | - Y Zhang
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | - Z Berger
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | - E Kieras
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | - G Li
- Early Clinical Development, Pfizer Inc., Collegeville, PA, USA
| | - A Samuel
- Formulation and Process Design, Pfizer Inc., Groton, CT, USA
| | - T Yeoh
- Formulation and Process Design, Pfizer Inc., Groton, CT, USA
| | - H Dowty
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | - K Beaumont
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | | | | | | | - R Hamscho
- Rothhaar Studien GmbH, Berlin, Germany
| | - S Garcet
- Rockefeller University, New York, NY, USA
| | | | - C Banfield
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
| | - B Oemar
- Inflammation and Immunology Research Unit, Pfizer Inc., Cambridge, MA, USA
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Frew J, Navrazhina K, Garcet S, Krueger J. 880 Targeted IL-17RA antagonism ameliorates histological and transcriptomic features of hidradenitis suppurativa: A proof of concept study. J Invest Dermatol 2020. [DOI: 10.1016/j.jid.2020.03.896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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Navrazhina K, Frew J, Gulati N, Grand D, Garcet S, Mitsui H, Krueger J. 703 Laser Capture Microdissection and genetic analysis identify dysplastic nevi as a subgroup of common nevi rather than a progressive state towards melanoma. J Invest Dermatol 2020. [DOI: 10.1016/j.jid.2020.03.715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Glickman J, Dubin C, Han J, Dahabreh D, Garcet S, Krueger J, Pavel A, Guttman-Yassky E. 568 Comparing molecular cutaneous improvement in atopic dermatitis with various treatment modalities facilitates personalized approaches. J Invest Dermatol 2020. [DOI: 10.1016/j.jid.2020.03.578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Baum P, Visvanathan S, Bossert S, Lang B, Schmid R, Garcet S, Padula S, Bachelez H, Thoma C, Krueger J. LB1140 Treatment with BI 655130, an anti-interleukin-36 receptor antibody, in patients with generalized pustular psoriasis, is associated with the downregulation of biomarkers linked to innate, Th1/Th17, and neutrophilic pathways. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.06.113] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Baum P, Visvanathan S, Bossert S, Lang B, Schmid R, Garcet S, Padula S, Bachelez H, Thoma C, Krueger J. 388 Treatment with spesolimab, an anti-interleukin-36 receptor antibody, in patients with generalized pustular psoriasis, is associated with the downregulation of biomarkers linked to innate, Th1/17 and neutrophilic pathways. J Invest Dermatol 2019. [DOI: 10.1016/j.jid.2019.07.390] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Muñoz E, Forner L, Garcet S, Rodríguez-Lozano FJ, Llena C. Canal shaping with a reciprocating system is easy to learn. Int Endod J 2019; 52:1244-1249. [PMID: 30865308 DOI: 10.1111/iej.13111] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2018] [Accepted: 03/07/2019] [Indexed: 11/26/2022]
Abstract
AIM To assess progressive learning of root canal shaping in order to define the number of simulated canals in resin blocks needed to reach a level of learning beyond which no further improvement in performance is observed. METHODOLOGY A total of 216 simulated canals in resin blocks were instrumented by 18 operators without experience in Endodontics and by 18 Endodontists. The R25 file of the Reciproc system (VDW, Munich, Germany) was used to prepare the canals. The blocks were photographed before and after instrumentation. An analysis was made of the variations in the dimensions of the canals at 6 locations and of the instrumentation time. A Student's t-test was used to analyse the data (P < 0.05). RESULTS The group without experience were associated with significant differences in instrumentation time between the first canal and the subsequent canals (P < 0.05) but differences in canal dimensions were not significant (P > 0.05). In the group with experience, the instrumentation time did not differ significantly after the fifth canal, and no significant variations in canal dimensions were observed (P > 0.05). CONCLUSIONS When conducting studies on root canal shaping or educating students with new instruments, a simulated canal sample size of 6 was appropriate to achieve competence.
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Affiliation(s)
- E Muñoz
- Department of Stomatology, Clínica Odontológica, Universitat de València, Valencia, Spain
| | - L Forner
- Department of Stomatology, Clínica Odontológica, Universitat de València, Valencia, Spain
| | - S Garcet
- Laboratory for Investigative Dermatology, Rockefeller University, New York, NY, USA
| | - F J Rodríguez-Lozano
- Special Care in Dentistry and Gerodontology, Faculty of Medicine, School of Dentistry, University of Murcia, Murcia, Spain
| | - C Llena
- Department of Stomatology, Clínica Odontológica, Universitat de València, Valencia, Spain
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Smith K, Mashiko S, Edelmayer R, Bi Y, Kaimal V, Olson L, Huang S, Wetter J, Salte K, Wang J, Li X, Garcet S, Kannan A, Cao S, Maari C, St-Cyr Proulx E, Liu Z, Krueger J, Sarfati M, Bissonnette R. 484 Mechanisms in residual plaques in patients with an overall good response to biologics. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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18
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Yan B, Garcet S, Gulati N, Mitsui H, Kiecker F, Krueger J. 1188 Immune surveillance and evasion in the progression from common melanocytic nevi to dysplastic nevi to malignant melanoma. J Invest Dermatol 2018. [DOI: 10.1016/j.jid.2018.03.1203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Brunner PM, Emerson RO, Tipton C, Garcet S, Khattri S, Coats I, Krueger JG, Guttman-Yassky E. Nonlesional atopic dermatitis skin shares similar T-cell clones with lesional tissues. Allergy 2017; 72:2017-2025. [PMID: 28599078 DOI: 10.1111/all.13223] [Citation(s) in RCA: 49] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/05/2017] [Indexed: 12/31/2022]
Abstract
BACKGROUND Atopic dermatitis (AD) is characterized by robust immune activation. Various T-cell subsets, including Th2/Th22 cells, are increased in lesional and nonlesional skin. However, there is conflicting literature on the diversity of the T-cell receptor (TCR) repertoire in lesional AD, and its relation to nonlesional skin remains unclear. METHODS We performed high-throughput deep sequencing of the β-TCR repertoire in 29 lesional and 19 nonlesional AD biopsies, compared to six healthy control and six cutaneous T-cell lymphoma (CTCL) samples from previously published cohorts. RESULTS While greater T-cell infiltrates were observed in lesional vs nonlesional AD, TCR repertoire diversity was similar in lesional and nonlesional tissues, and absolute numbers of unique T-cell clones correlated with respective T-cell counts. Most (87%) top expanded lesional T-cell clones were shared with nonlesional tissues, and they were largely maintained after 16 weeks of successful treatment with topical triamcinolone. Nevertheless, both lesional and nonlesional AD showed a highly polyclonal TCR pattern, without evidence of oligoclonal expansion, or a preferred usage of certain V-β genes in AD skin. Size of the overall T-cell infiltrate, but not the level of clonality, correlated with mRNA levels of key inflammatory mediators (e.g., IL-13, CCL17, IL23p19, CXCL10). CONCLUSION While AD harbors a highly polyclonal T-cell receptor repertoire, and despite the lack of information on TCR antigen specificity, the sharing of top abundant clones between lesional and nonlesional skin, and their persistence after months of therapy, points to the continuous presence of potentially pathogenic skin resident memory T cells well beyond clinically inflamed lesions.
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Affiliation(s)
- P. M. Brunner
- The Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - R. O. Emerson
- Adaptive Biotechnologies Corporation; Seattle WA USA
| | - C. Tipton
- Adaptive Biotechnologies Corporation; Seattle WA USA
| | - S. Garcet
- The Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - S. Khattri
- Department of Dermatology and the Laboratory for Inflammatory Skin Diseases; Icahn School of Medicine at Mount Sinai; New York NY USA
| | - I. Coats
- The Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - J. G. Krueger
- The Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - E. Guttman-Yassky
- The Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
- Department of Dermatology and the Laboratory for Inflammatory Skin Diseases; Icahn School of Medicine at Mount Sinai; New York NY USA
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Malik K, Ungar B, Garcet S, Dutt R, Dickstein D, Zheng X, Xu H, Estrada YD, Suárez-Fariñas M, Shemer A, Krueger JG, Guttman-Yassky E. Dust mite induces multiple polar T cell axes in human skin. Clin Exp Allergy 2017; 47:1648-1660. [DOI: 10.1111/cea.13040] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2017] [Revised: 08/11/2017] [Accepted: 08/18/2017] [Indexed: 12/18/2022]
Affiliation(s)
- K. Malik
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - B. Ungar
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - S. Garcet
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - R. Dutt
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
| | - D. Dickstein
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
| | - X. Zheng
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - H. Xu
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
| | - Y. D. Estrada
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
| | - M. Suárez-Fariñas
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
- Department of Population Health Science and Policy; Icahn School of Medicine at Mount Sinai; New York NY USA
- Department of Genetics and Genomics Science; Icahn School of Medicine at Mount Sinai; New York NY USA
- Icahn Institute for Genomics and Multiscale Biology; Icahn School of Medicine at Mount Sinai; New York NY USA
| | - A. Shemer
- The Department of Dermatology; Tel-Hashomer; Tel-Aviv Israel
| | - J. G. Krueger
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
| | - E. Guttman-Yassky
- Department of Dermatology; Icahn School of Medicine at Mount Sinai; New York NY USA
- Laboratory for Investigative Dermatology; The Rockefeller University; New York NY USA
- Department of Genetics and Genomics Science; Icahn School of Medicine at Mount Sinai; New York NY USA
- The Immunology Institute; Icahn School of Medicine at Mount Sinai; New York NY USA
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Ungar B, Garcet S, Gonzalez J, Correa da Rosa J, Dhingra N, Shemer A, Krueger J, Suarez-Farinas M, Guttman-Yassky E. 564 An integrated model of atopic dermatitis biomarkers highlights the systemic nature of the disease. J Invest Dermatol 2017. [DOI: 10.1016/j.jid.2017.02.586] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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Brunner P, Khattri S, Garcet S, Finney R, Oliva M, Dutt R, Fuentes-Duculan J, Zheng X, Li X, Bonifacio K, Kunjravia N, Coats I, Cueto I, Gilleaudeau P, Sullivan-Whalen M, Suarez-Farinas M, Krueger J, Guttman-Yassky E. 230 A mild topical steroid leads to progressive anti-inflammatory effects in skin of moderate-to-severe atopic dermatitis. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.02.259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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23
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Garcet S, Correa-da Rosa J, Nograles K, Schafer P, Krueger J. 235 Exploring the synergistic effects of cytokines as predictors of response to apremilast in patients with moderate to severe plaque psoriasis. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.02.264] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Khattri S, Brunner P, Garcet S, Finney R, Cohen S, Oliva M, Dutt R, Fuentes-Duculan J, Zheng X, Li X, Bonifacio K, Kunjravia N, Coats I, Cueto I, Gilleaudeau P, Sullivan-Whalen M, Suarez-Farinas M, Krueger J, Guttman-Yassky E. 231 Efficacy and safety of ustekinumab treatment in adults with moderate-to-severe atopic dermatitis. J Invest Dermatol 2016. [DOI: 10.1016/j.jid.2016.02.260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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25
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Garcet S. [FROM THE LAW "RELATED TO ABNORMAL AND HABITUAL OFFENDERS" TO THE LAW OF INTERNMENT OF PERSONS WITH MENTAL DISORDERS"]. Rev Med Liege 2015; 70:644-648. [PMID: 26867310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
The Belgian forensic system for offenders with mental disorders is organized according to a principle of social defense. It is characterized, on the one hand, by the protection of the society and neutralization of risks and, on the other hand, by the requirements of mental care for the internee. The evolution of the legal framework from the 1930 law related to "abnormal and habitual offenders" to the law about "internment of persons with mental disorder" voted in 2014 reflects the vicissitudes born of the tension between these two pillars. In this difficult balance between medical and judicial issues, although published, but not yet effective, the 2014 version of the law is, in many ways, a positive development in the integration of internees and their needs.
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Llena C, Leyda A, Forner L, Garcet S. Association between the number of early carious lesions and diet in children with a high prevalence of caries. Eur J Paediatr Dent 2015; 16:7-12. [PMID: 25793946] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
Abstract
AIM An investigation was conducted in a population of paediatric patients with a high risk of caries in order to assess the association between caries history (CH) and the number of early carious lesions (ECLs) and the frequency and timing of cariogenic food and beverage intake, sugar-containing medication, the frequency and efficacy of tooth brushing, and the use of topical fluorides. MATERIALS AND METHODS Study design: descriptive study. One hundred children aged 6-15 years with≥ ECL of a permanent tooth and not enrolled in any dental health educational or preventive programme were selected. For diagnosis it was used an explorer according to the ICDAS II criteria. The participants completed a closed-list questionnaire on the frequency and timing of cariogenic food intake. RESULTS There was a nonsignificant tendency to present more ECLs and a greater CH among patients who consumed cariogenic foods and beverages. A significant relationship (p<0.05) was observed between cariogenic beverages and the number of ECL or CH. Using the number of ECLs as dependent variable, regular fluoridated rinses (p=0.003), frequent sugar-containing medication (p=0.007), and cariogenic beverage consumption (p=0.024) were identified as explanatory parameters in the linear regression model. STATISTICS The Student t-test was used to compare ECL and CH with dietetic factors, fluoridated rinses, sugar- containing medicines, and the frequency and efficacy of tooth brushing. Linear regression analysis correlated the number of ECLs to the mentioned explanatory variables. CONCLUSION The frequent consumption of sugary beverages and medications, and failure to regularly use fluoridated rinses, were positively correlated to an increased number of ECLs in patients with a high prevalence of caries.
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Affiliation(s)
- C Llena
- Department of Dentistry, University of Valencia, Valencia (Spain)
| | - A Leyda
- Department of Dentistry, University of Valencia, Valencia (Spain)
| | - L Forner
- Department of Dentistry, University of Valencia, Valencia (Spain)
| | - S Garcet
- Rockefeller University, Valencia (Spain)
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Fernández A, Ruiz J, Díaz-Canell O, Martínez R, Garcet S, Pascual H, Olivé J. [Intraoperative endoscopic surveillance in laparoscopic surgical treatment of achalasia]. Rev Gastroenterol Peru 2001; 21:30-5. [PMID: 12170284] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 04/18/2023]
Abstract
We study the utility of intraoperative endoscopic control, in laparoscopic surgical treatment of the typical Achalasia of Esophagus. 81 patients were intervened surgically in Centro de Cirugia Endoscopica. Hospital Universitario Calixto Garcia in a five year-old period. All patients received intraoperative endoscopic evaluation to guarantee the effectiveness and integrity of the esophago-cardiomyotomy. The average time of surgical procedure was of 144,7 minutes. The transendoscopic complication in relation with endoscopic procedure was seen in one case but it didn't modify the morbi-mortality of the study. According to Vantrappen classification, 79 patients were considered with a evolution between excellent and good. The use of endoscopic intraoperative control is recommended in the surgical interventions of the patients with achalasia.
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Affiliation(s)
- A Fernández
- Centro de Cirugía Endoscópica, Hospital Universitario General Calixto García, La Habana, Cuba
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Servin A, Dumont-Thomann G, Garcet S. [The effect of normobaric acute hypoxia on the uptake of tritiated deoxyglucose by the brain of mice]. C R Acad Hebd Seances Acad Sci D 1977; 284:1111-3. [PMID: 406063] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Bezançon M, Garcet S, Quevauviller A. [Comparison of the vasodilator effect of papaverine hydrochloride in normal rabbits and atheromatous rabbits]. Therapie 1971; 26:71-6. [PMID: 5554770] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/15/2023]
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Quevauviller A, Foussard-Blanpin O, Garcet S, Levrier-Pottier J, Bezançon M, Muller P, Hengl L. [Pharmacodynamic study of 7(p-dimethylaminobenzyl) theophylline]. Arch Int Pharmacodyn Ther 1967; 166:398-416. [PMID: 6032964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Quevauviller A, Garcet S, Lakah L. [Activity of mucolytics on the experimental retention of intra-bronchial mucus in the rat]. Therapie 1967; 22:485-93. [PMID: 6063434] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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32
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Garcet S. [Hypersensitivity of the rat gastric mucosa to repeated administration of bismuth]. Sem Ther 1967; 43:34-7. [PMID: 6078438] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Quevauviller A, Desvignes A, Garcet S. [Antibiotic properties and tolerance of argicillin: comparison with gramicidin]. Presse Med (1893) 1954; 62:1268-9. [PMID: 13215349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 03/05/2023]
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