Raman profiles of the stratum corneum define 3 filaggrin genotype-determined atopic dermatitis endophenotypes. / O'Regan, Grainne M.; Kemperman, Patrick M. J. H.; Sandilands, Aileen; Chen, Huijia; Campbell, Linda E.; Kroboth, Karin; Watson, Rosemarie; Rowland, Marion; Puppels, Gerwin J.; McLean, W. H. Irwin; Caspers, Peter J.; Irvine, Alan D.
In: Journal of Allergy and Clinical Immunology, Vol. 126, No. 3, 09.2010, p. 574-U270.Research output: Contribution to journal › Article
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TY - JOUR
T1 - Raman profiles of the stratum corneum define 3 filaggrin genotype-determined atopic dermatitis endophenotypes
A1 - O'Regan,Grainne M.
A1 - Kemperman,Patrick M. J. H.
A1 - Sandilands,Aileen
A1 - Chen,Huijia
A1 - Campbell,Linda E.
A1 - Kroboth,Karin
A1 - Watson,Rosemarie
A1 - Rowland,Marion
A1 - Puppels,Gerwin J.
A1 - McLean,W. H. Irwin
A1 - Caspers,Peter J.
A1 - Irvine,Alan D.
AU - O'Regan,Grainne M.
AU - Kemperman,Patrick M. J. H.
AU - Sandilands,Aileen
AU - Chen,Huijia
AU - Campbell,Linda E.
AU - Kroboth,Karin
AU - Watson,Rosemarie
AU - Rowland,Marion
AU - Puppels,Gerwin J.
AU - McLean,W. H. Irwin
AU - Caspers,Peter J.
AU - Irvine,Alan D.
PY - 2010/9
Y1 - 2010/9
N2 - <p>Background: Filaggrin (FLG) has a central role in the pathogenesis of atopic dermatitis (AD). FLG is a complex repetitive gene; highly population-specific mutations and multiple rare mutations make routine genotyping complex. Furthermore, the mechanistic pathways through which mutations in FLG predispose to AD are unclear.</p><p>Objectives: We sought to determine whether specific Raman microspectroscopic natural moisturizing factor (NMF) signatures of the stratum corneum could be used as markers of FLG genotype in patients with moderate-to-severe AD.</p><p>Methods: The composition and function of the stratum corneum in 132 well-characterized patients with moderate-to-severe AD were assessed by means of confocal Raman microspectroscopy and measurement of transepidermal water loss (TEWL). These parameters were compared with FLG genotype and clinical assessment.</p><p>Results: Three subpopulations closely corresponding with FLG genotype were identified by using Raman spectroscopy. The Raman signature of NMF discriminated between FLG-associated AD and non-FLG-associated AD (area under the curve, 0.94; 95% CI, 0.91-0.99). In addition, within the subset of FLG-associated AD, NMF distinguished between patients with 1 versus 2 mutations. Five novel FLG mutations were found on rescreening outlying patients with Raman signatures suggestive of undetected mutations (R3418X, G1138X, S1040X, 10085delC, and L2933X). TEWL did not associate with FLG genotype subgroups.</p><p>Conclusions: Raman spectroscopy permits rapid and highly accurate stratification of FLG-associated AD. FLG mutations do not influence TEWL within established moderate-to-severe AD. (J Allergy Clin Immunol 2010;126:574-80.)</p>
AB - <p>Background: Filaggrin (FLG) has a central role in the pathogenesis of atopic dermatitis (AD). FLG is a complex repetitive gene; highly population-specific mutations and multiple rare mutations make routine genotyping complex. Furthermore, the mechanistic pathways through which mutations in FLG predispose to AD are unclear.</p><p>Objectives: We sought to determine whether specific Raman microspectroscopic natural moisturizing factor (NMF) signatures of the stratum corneum could be used as markers of FLG genotype in patients with moderate-to-severe AD.</p><p>Methods: The composition and function of the stratum corneum in 132 well-characterized patients with moderate-to-severe AD were assessed by means of confocal Raman microspectroscopy and measurement of transepidermal water loss (TEWL). These parameters were compared with FLG genotype and clinical assessment.</p><p>Results: Three subpopulations closely corresponding with FLG genotype were identified by using Raman spectroscopy. The Raman signature of NMF discriminated between FLG-associated AD and non-FLG-associated AD (area under the curve, 0.94; 95% CI, 0.91-0.99). In addition, within the subset of FLG-associated AD, NMF distinguished between patients with 1 versus 2 mutations. Five novel FLG mutations were found on rescreening outlying patients with Raman signatures suggestive of undetected mutations (R3418X, G1138X, S1040X, 10085delC, and L2933X). TEWL did not associate with FLG genotype subgroups.</p><p>Conclusions: Raman spectroscopy permits rapid and highly accurate stratification of FLG-associated AD. FLG mutations do not influence TEWL within established moderate-to-severe AD. (J Allergy Clin Immunol 2010;126:574-80.)</p>
KW - Atopic dermatitis
KW - confocal Raman spectroscopy
KW - eczema
KW - filaggrin
KW - hyperlinearity
KW - natural moisturizing factor
KW - transepidermal water loss
KW - tyrosine
KW - OF-FUNCTION MUTATIONS
KW - EPIDERMAL BARRIER FUNCTION
KW - CAUSE ICHTHYOSIS VULGARIS
KW - DRY SKIN
KW - COMPREHENSIVE ANALYSIS
KW - POLYETHYLENE-GLYCOLS
KW - PROFILAGGRIN GENE
KW - UNINVOLVED SKIN
KW - SCHOOL-CHILDREN
KW - MOLECULAR-LEVEL
U2 - 10.1016/j.jaci.2010.04.038
DO - 10.1016/j.jaci.2010.04.038
M1 - Article
JO - Journal of Allergy and Clinical Immunology
JF - Journal of Allergy and Clinical Immunology
SN - 0091-6749
IS - 3
VL - 126
SP - 574-U270
ER -