tbuckley/cabot-search huggingface dataset:
O19 Improvement of a junctional epidermolysis bullosa mouse model
Authors: Eleri Jones, Priya Garcha, Monique Aumailley, Edel O’Toole, Emanuel Rognoni, Matthew Caley
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Junctional epidermolysis bullosa (JEB) is the most severe of the epidermolysis bullosa (EB) disorders and is caused by mutations in genes encoding the skin basement membrane proteins laminin 332, type XVII collagen or integrin α6β4. Affected individuals experience blistering from birth leading to scarring, granulation tissue and susceptibility to infection. In JEB, generalized severe, there is 50% mortality in the first 2 years of life, often owing to failure to thrive or overwhelming infection. A number of animal models for JEB exist; however, because of severe blistering on the entire surface of the skin, these mice die soon after birth, reducing their experimental utility. In 2017, the first adult inducible knockout mouse model of JEB was published. In this mouse model, the disruption of the Lama3 gene is specifically induced in epidermal basal keratinocytes after birth. These mice remain viable, which allows us to study the longer-term consequences of the loss of laminin α3. However, the mice did not develop the severe phenotype observed in patients with JEB. Methods We have optimized this previously published methodology of a conditional knockout JEB mouse model (Lama3flx/flxK14CreERT) to now include more regular tamoxifen injections, which Results in a more controlled and severe phenotype of JEB. Results Widespread skin blistering develops after 12 weeks of tamoxifen treatment with an impaired skin barrier (transepidermal water loss) and a loss of epidermal lipids. Immunofluorescent staining was conducted to assess skin differentiation (K14, transglutaminase 1, loricrin), proliferation (Ki67), basement membrane proteins (laminin α3, laminin β3, laminin γ2, collagen VII) and immune markers (F4/80, Ly6-G/C, CD3, CD79). Conclusions These mice recapitulate all key features of human JEB with loss of laminin α3 at the basement membrane, epidermal thickening and visible blisters. This allows us to delve deeper into the functional and downstream pathways affected by the loss of laminin α3 and discover why the prognosis of patients with JEB is so severe.
P33 Skinvaders: gamification of the skin barrier to engage school-age children in the biology of the skin
Authors: Marianne de Brito, Freddy Green, Rebecca McCarthy, Martin Rees, Frances Balkwill, Edel Ann O’Toole
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Public engagement is an essential part of research design. It provides opportunities for both scientists and the public to learn, and inspires the next generation of researchers. We are fortunate to have a public engagement centre within our institution, which contains digital games, an established and effective way to engage children. We developed a new game for school-age children to engage them in the Paediatric Human Cell Atlas, a collaborative project that aims to map single-cell profiles and spatial characterization of gene expression across human tissues and organs throughout development. Our aim was to develop a game that involved different skin cell types, variation in skin colour and common skin disorders. Methods Initial steps included brainstorming with our public engagement staff about content and then developing a lay summary and agreeing on the following key themes: the skin as a barrier, the cells of the skin, and eczema, a common skin disorder. The game was based on the arcade game Breakout. It features a customizable paddle representing the skin, demonstrating how changes in quantities of different skin components can change appearance/function (e.g. melanin production, adipocytes, hair follicles), which players must move across the screen to keep pathogens and allergens out and keep water and protein in. In the last level, barrier function is impaired by eczema and the children can catch cream to repair the barrier. Results The game was developed for our public engagement centre where it has undergone testing by target audiences. Conclusions We have created a game as an innovative way to engage and educate paediatric communities in our research. It was challenging to simplify scientific content for use in a game while staying true to the scientific concepts. We will increase reach by adapting the game for desktop and app-based formats.
P26 The effect of interleukin-23 stimulation on gene expression in CD4+ Jurkat cells
Authors: Elan Shellard
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims There is now robust evidence that genetic changes along the interleukin (IL)-23 axis increase the risk of developing psoriasis, with CD4+ T cells likely to be pivotal in the disease pathway. Here, we stimulated Jurkat CD4+ T-cell lines that expressed either the risk or protective version of IL23R, identified through genetic studies in psoriasis, and measured the effect in whole-genome expression at different timepoints poststimulation, with the aim of characterizing the downstream effect on the IL-23 pathway. Methods The transformed Jurkat CD4+IL12Rβ1+ IL23Rwt/IL23Rmut-R381Q T cells were stimulated with IL-23 protein (10 ng mL−1) for 0, 2, 4, 16 and 24 h, with triplicates used for each timepoint. RNA sequencing was performed by Novogene, and statistical analyses was performed using negative binomial generalized linear models and then a likelihood-ratio test to remove condition-specific differences over time. Results Of the identified significantly expressed genes (Padj &amp;gt; 10−5), five are also implicated as psoriasis risk genes, i.e. HLA-B, SOCS1, MARS, HLA-C and RUNX3. Specifically, a significant increase in RUNX3 expression in wildtype (WT) vs. mutant (MuT) at 16–24 h, and in suppressor of cytokine signalling (SOCS)-1 at 2–24 h was observed, with runt-related transcription factor (RUNX)3 expression peaking at 4 h and SOCS1 showing consistently high expression beyond 0 h. Decreased expression of SOCS1 disrupts IL-23 production and signalling, whereas increased expression of RUNX3 increases T helper (Th)17 and Th22 levels, key cells downstream of IL-23 signalling Conclusions Here, we show that carriage of the WT vs. MuT IL23R has downstream effects on expression of HLA-B, SOCS1, MARS, HLA-C and RUNX3, implicating these genes in the IL-23 pathway. This is important as defining pathways that are perturbed in patients has great potential within stratified medicine, with the possibility for better annotation of personalized genetic risk scores.
P06 A novel drug combination produces a synergistic effect when inhibiting myofibroblast transformation in an <i>in vitro</i> model of hypertrophic scarring
Authors: Alice Lapthorn, Marcus Ilg, Peter Dziewulski, Selim Cellek
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Hypertrophic scars affect 91% of patients with burns and yet, there is currently no effective treatment for their prevention. Myofibroblasts are key cells in the pathogenesis of hypertrophic scars, with the inhibition of myofibroblast transformation having been suggested as an effective therapeutic strategy. We have previously screened 1954 drugs approved by the Food and Drug Administration to identify any that could inhibit myofibroblast transformation. Using this data, the aim of this study was to investigate the individual and combined antimyofibroblast effect of two drug classes. Methods Primary human fibroblasts were isolated from the scars of patients with burns, with myofibroblast transformation induced using transforming growth factor (TGF)-β1. Concentration-response curves for drug-class A and drug-class B were constructed at a range of concentrations (0.03–300 µmol L–1), with the In-Cell enzyme-linked immunosorbent assay method used to measure α-smooth muscle actin (α-SMA) expression. Combination experiments were carried out through construction of a concentration-response curve for drug-class A (0.03–100 µmol L–1) in the presence of 3 µmol L–1 of drug-class B. Results Both drug classes showed a concentration-dependent antimyofibroblast effect with an IC50 range of 12.2–120.1 µmol L–1 for drug-class A and 1.4–16.7 µmol L–1 for drug-class B. When given in combination the two classes of drugs produced a synergistic effect at all concentrations up to 10 µmol L–1. For example, an 18% reduction α-SMA expression was expected with 1 µmol L–1 of drug-class A and 3 µmol L–1 of drug-class B; however, a 24% reduction in α-SMA expression was observed instead. Conclusions This is the first study to identify this synergistic effect between these two drug classes, and therefore this novel drug combination could be developed for the prevention of hypertrophic scar formation.
P23 The influence of maternal inflammatory status on the risk of atopic eczema in offspring during infancy
Authors: Sarah El-Heis, Sarah Crozier, Elizabeth Tham, Hazel Inskip, Nick Harvey, Keith Godfrey
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Maternal influences on infantile atopic eczema are complex, with emerging evidence for a protective role for maternal T helper (Th)1 inflammation during pregnancy. Substantial literature on characterization of a proinflammatory dietary pattern, led us to hypothesize that analyses of maternal diet and markers of inflammation might help identify mechanisms influencing the risk of infantile atopic eczema. The aim of this study was to examine the associations between energy-adjusted dietary inflammatory index (eDII) scores indicative of a proinflammatory diet pattern, maternal serum neopterin levels (a biomarker elevated in Th1 immune activation which counteracts Th2 inflammation seen in atopic eczema), and infantile risk of atopic eczema. Methods Within the UK Southampton Women’s Survey, scores for the eDII were derived from mothers’ diets (questionnaires at preconception, early and late pregnancy). Atopic eczema was ascertained at age 6 and 12 months using the UK Working Party Diagnostic Criteria (n = 262 and 270, respectively). Late pregnancy maternal serum neopterin levels were measured in a subsample (n = 497). Directed acyclic graphs were used to determine covariates to be included in linear regression analyses. Results A higher eDII score in late pregnancy was associated with a reduced risk of atopic eczema at age 6 months [odd ratios (OR) 0.89, 95% CI confidence interval (CI) 0.81–0.98; P = 0.02], with a similar trend at age 12 months (OR 0.91, 95% CI 0.83–1.00; P = 0.06). Consistent with this, and adjusting for maternal body mass index, education, smoking during pregnancy, and recent eczema, and infant filaggrin single-nucleotide polymorphism rs7512552, breastfeeding duration and sex, higher maternal serum concentrations of neopterin were associated with lower risks of infant eczema at age 6 months (OR 0.72, 95% CI 0.51–1.01; P = 0.05) and 12 months (OR 0.71, 95% CI 0.53–0.96; P = 0.03). Conclusions These findings suggest that a proinflammatory maternal diet that promotes a Th1 predominant environment protects the developing infant from Th2 inflammation and reduces the risk of atopic eczema.
P21 Advancing dermatological care: a comprehensive evaluation of the steroid-free GL-1 formulation
Authors: Pragya Sharma
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims The prolonged use of topical steroids introduces notable dermatological risks, including the onset of permanent stretch marks, bruising, discoloration and vascular abnormalities. This study presents an innovative strategy by formulating GL-1, a steroid-free treatment amalgamating seaweed bioactives, sesame oil and naturally occurring salts and minerals. The objective of this study was to address the limitations of conventional topical steroids and introduce pioneering solutions to dermatological care. Methods To assess the safety and efficacy of GL-1 (product 1), a comprehensive battery of in vitro tests was employed. The skin corrosion test (OECD 431) established the noncorrosive nature of GL-1, validating its safety on reconstructed human epidermis. The skin irritation test (OECD 439) demonstrated the nonirritating attributes of GL-1, aligning with the United Nations Globally Harmonized System of Classification and Labelling guidelines. Additionally, the bovine corneal opacity and permeability test (OECD 437) affirmed the noninducing nature of GL-1 in relation to eye irritation or serious eye damage. Results Preliminary outcomes from dermal clinical trials indicate promising Results for GL-1. In vitro experiments on HaCaT and human dermal fibroblasts, adult (HDFa) cell lines highlighted the noncytotoxicity of GL-1, contrasting with the ‘Cortopin’, which exhibited cytotoxicity. GL-1 exhibited a proliferative effect in HDFa cells, signifying its potential for regenerative applications. Furthermore, both GL-1 and ‘Cortopin’ displayed antioxidant activity in HaCaT cells, underscoring the additional merits of our formulation. Conclusions Our steroid-free formulation, GL-1, demonstrates exceptional safety and efficacy through a meticulous series of in vitro assessments and initial clinical trials. These findings position GL-1 as a promising candidate for diverse dermal applications, offering a secure alternative to traditional topical steroids. The potential impact of GL-1 transcends its therapeutic efficacy, emphasizing its robust safety profile validated through multiple in vitro evaluations.
O18 Precision genome editing for targeted correction of pathogenic D50N mutation in keratitis–ichthyosis–deafness syndrome using CRISPR/Cas9 and homology-directed repair
Authors: Krishshan Gobalakrishnan, Vignesh Jayarajan, Veronica Kinsler, Wei-Li Di
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Keratitis–ichthyosis–deafness (KID) syndrome is an ectodermal disorder that causes blindness, skin inflammation and deafness. It is caused by autosomal dominant mutations in the gap junction beta 2 (GJB2) gene with 86% being a hotspot mutation on c.148G&amp;gt;A, resulting in the amino acid replacement (D50N) in its coding protein connexin 26 (Cx26). There is currently no curative treatment for KID syndrome. We aim to correct the hotspot mutation D50N using a genome-editing approach. Methods Keratinocytes generated from the patient with KID who had a D50N mutation (KID-KCs) were genetically corrected by homologous-directed repair/CRISPR-Cas9 using an electroporation approach. The correction efficiency was determined and analysed using Sanger sequencing and Synthego Inference of CRISPR Edits analysis. The off-target effects were confirmed by whole-exome sequencing [exome next-generation sequencing (NGS)]. Furthermore, the functional recovery following genome editing was assessed by GJB2 mRNA production, Cx26 protein expression, and trafficking and hemichannel activity. Results The correction efficiencies ranged from 95% to 100% with different doses of CRISPR-Cas9 and 8µg CRISPR-Cas9 was the most optimal concentration with the efficiency of 100% and approximately 0% insertion-deletion (INDEL). Fifty days after gene editing, the INDEL increased to only 2%, indicating a minimum residual CRISPR-Cas9 effect in edited cells. The exome-NGS analysis also showed no off-target effects in the outside target area. Functional studies showed that there was a significant increase in wildtype GJB2 mRNA expression and a reduction of mutant GJB2 expression (n = 5, P &amp;lt; 0.01). Increased Cx26 membranous localization in KID-KCs was also observed (n = 3, P &amp;lt; 0.01). Additionally, Cx26 hemichannel activity assessment using the neurobiotin assay showed a significant decrease in ‘leaky’ hemichannel in gene-edited KID-KCs compared with unedited cells (n = 3, P &amp;lt; 0.05). Conclusions We can genome-correct KID keratinocytes harbouring the mutation D50N with 100% editing efficiency, 0–2% INDEL, and undetectable off-target effects. This result indicates a promising gene therapy for KID syndrome with the hotspot mutation D50N.
O04 Delineation of psoriasis from uninvolved skin using an artificial neural network as a means of targeting phototherapy to psoriatic lesions
Authors: Joseph Scott, Matthew Praeger, Grant-Jacobs James, Josephine Barnsley, Mahesan Niranjan, Robert Eason, Ben Mills, Eugene Healy
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Narrowband ultraviolet B therapy (NB-UVB) is an effective treatment for psoriasis. Currently, NB-UVB is delivered in whole-body cabinets to all of the patient’s skin, thus increasing the risk of normal skin sunburning and the potential risk of skin cancer development. This limits the NB-UVB doses that can be used and requires patients attend sessions three times weekly for up to 10 weeks in order to complete treatment. An artificial intelligence (AI)-mediated, targeted NB-UVB approach would avoid these risks and allow use of higher NB-UVB doses for the areas of the skin affected by psoriasis. We sought to train an artificial neural network on digital images of psoriasis, and subsequently test this trained model in order to assess its accuracy at distinguishing psoriasis from unaffected skin. Methods Overall, 104 digital images of psoriasis from 14 patients with this skin condition, who attended the dermatology department at University Hospital Southampton NHS Foundation Trust, were used to train a conditional generative adversarial network– ‘pix2pix’. Areas of psoriasis were delineated within the images prior to the images being augmented by randomly cropping, rotating and altering colour intensity, thereby increasing the total number to 23 111 images to train and test the neural network. Results The trained neural network was able to identify psoriasis in unseen digital images with 96.73% accuracy at the pixel level across the dataset. The output of the neural network (i.e. a computer-generated image of psoriasis) acted as a signal source for a digital micromirror device (DMD) that was able to shape visible light and project this light over the original image of psoriasis, while avoiding the uninvolved skin. Conclusions It is possible to differentiate psoriasis from unaffected skin within digital images using an artificial neural network. We demonstrated that AI-mediated targeted phototherapy using a DMD is feasible.
O13 Benchmarking a human pluripotent stem cell-derived hair-bearing skin organoid model to prenatal skin
Authors: Laure Gambardella, Feri Torabi, April Foster, Chloe Admane, Elena Winheim, Nusayhah Hudaa Gopee, Bayanne Olabi, Vicky Rowe, Dinithi Sumanaweera, Phuong Ahn Le, Sara Serdy, Jin Kim, CiCi Deakin, Jiyoon Lee, Emily Stephenson, Rachel Botting, Karl Koehler, Sarah Teichmann, Muzlifah Haniffa
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Molecular regulation of mammalian skin development has been largely derived from murine studies. The lack of human studies stems primarily from the difficulties in prenatal human skin access. There is an important need to study human prenatal skin owing to the notable differences between human and mouse skin and the paucity of mechanistic understanding of congenital skin disorders. Methods We assembled the first comprehensive multiomic reference atlas of prenatal human skin (21 samples from 7 to 16 postconception weeks), combining single-cell (235 201 cells) and spatial transcriptomic data. We followed 84 skin organoids (SkOs) using single-cell analysis over a 5-month culture period and characterized the spatial organization of the skin in mature SkOs. Prenatal skin, SkO and any relevant pre-existing single-cell RNA-Seq datasets were integrated into the analysis. Cell–cell interactions and cell-lineage determination were explored using CellPhoneDB and trajectory inferences. We evaluated the differentiation trajectory alignment between prenatal skin and SkO using the Genes2Genes analysis. Results Our findings reveal predicted factors regulating the epithelial–mesenchymal crosstalk during human hair follicle formation; progressive expression of scar-promoting genes in later gestation, potentially contributing to scarless healing properties of human prenatal skin observed during the early stages of gestation and expression of genes causing genetic skin disorders in the same cell types in prenatal human skin and SkO. We also found that SkOs morphologically recapitulate human skin development from early (periderm formation and shedding) to late (cornification and hair follicle formation) stages. We also demonstrated that SkO and prenatal skin mesenchyme differentiation into hair follicle dermal condensate and dermal papilla is highly conserved at the cellular and molecular level. Conclusions SkOs faithfully recapitulate human prenatal skin development and are a valuable model for mechanistic studies on skin development including hair follicle biology and congenital skin disorders.
P32 Melanin confers protection against ultraviolet radiation-mediated mitochondrial DNA damage in skin of colour
Authors: Bezaleel Mambwe, Abigail Langton
Journal: British Journal of Dermatology (2024)

Abstract Introduction and aims Melanin is a photoprotective pigment that effectively absorbs and scatters solar ultraviolet radiation (UVR) affording protection against nuclear DNA photodamage. In lightly pigmented skin, UVR-mediated damage of cellular DNA is not limited to nuclear DNA; mitochondrial DNA (mtDNA) is also susceptible to UVR-induced damage leading to an increased frequency of deletions and mutations. However, the protective role of melanin against UVR-induced mtDNA damage is unknown. Therefore, we sought to determine whether melanin affords protection against UVR-induced mtDNA damage. Methods Using Genome Analysis Toolkit best practices, mtDNA was extracted from photoexposed forearm and photoprotected buttock of Black African (n = 3) and White Northern European (n = 3) volunteers and sequenced to identify somatic mutations. Results Comparison of photoexposed forearm with photoprotected buttock identified a total of 21 somatic mutations, including single-nucleotide transitions, deletions and additions. Of these, three somatic mutations were observed in Black skin, whereas 18 were identified in White skin (P &amp;lt; 0.01). Analysis of single-nucleotide transitions revealed a total of 13 variations and of these, two were identified in Black skin and 11 in White skin. Interestingly, of the somatic mutations observed in White skin, there was enrichment of the cytosine to thymine (C&amp;gt;T) transitions in all volunteers. In contrast, photoexposed Black skin had a thymine to guanine transition at position 414 (T414G) identified for two of the three Black volunteers. Conclusions Here we identified that Black skin exhibited fewer mtDNA mutations compared with White skin; enrichment of C&amp;gt;T transitions in White skin is consistent with a previously reported UVR-signature of mtDNA damage, whereas the T414G transition identified in Black photoexposed skin has previously been suggested as a mitochondrial biomarker of photoageing. Our study suggests that melanin confers protection against UVR-mediated mtDNA damage and that the mtDNA damage signature differs between skin types.