Does “autoreactivity” play a role in atopic dermatitis?

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Presentation transcript:

Does “autoreactivity” play a role in atopic dermatitis? Ting Seng Tang, BSc, MBBS, Thomas Bieber, MD, PhD, Hywel C. Williams, MSc, PhD  Journal of Allergy and Clinical Immunology  Volume 129, Issue 5, Pages 1209-1215.e2 (May 2012) DOI: 10.1016/j.jaci.2012.02.002 Copyright © 2012 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 1 Study flow diagram. Journal of Allergy and Clinical Immunology 2012 129, 1209-1215.e2DOI: (10.1016/j.jaci.2012.02.002) Copyright © 2012 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 2 Forest plot showing pooled analysis of the prevalence of IgE autoantibodies (Events) in subjects with eczema and control subjects. The weighted risk ratio was calculated by using the Mantel-Haenszel (M-H) statistical method and a random-effects model. Journal of Allergy and Clinical Immunology 2012 129, 1209-1215.e2DOI: (10.1016/j.jaci.2012.02.002) Copyright © 2012 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig 3 Mechanisms of IgE sensitization to epidermal self-proteins in patients with AD. Inflammation induces pruritus through IL-31 production. Scratching results in cellular damage and release of membranous and intracellular compounds from keratinocytes (KC) and possibly other skin cells. The local dendritic cells (DC) subjected to thymic stromal lymphopoietin (TSLP) will induce a TH2 response and the generation of specific IgE directed against these self-proteins. IgE will bind to FcεRI on dendritic cells in the skin and thereby amplify the immune response and inflammatory reaction in the skin. Journal of Allergy and Clinical Immunology 2012 129, 1209-1215.e2DOI: (10.1016/j.jaci.2012.02.002) Copyright © 2012 American Academy of Allergy, Asthma & Immunology Terms and Conditions

Fig E1 Search strategy. Journal of Allergy and Clinical Immunology 2012 129, 1209-1215.e2DOI: (10.1016/j.jaci.2012.02.002) Copyright © 2012 American Academy of Allergy, Asthma & Immunology Terms and Conditions