Local Inflammation Exacerbates Cutaneous Manifestations in a Murine Autoimmune Pemphigus Model

    Sachiko Ono, Gyohei Egawa, Akihiko Kitoh, Teruki Dainichi, Atsushi Otsuka, Saeko Nakajima, Tetsuya Honda, Kenji Kabashima
    TLDR Local inflammation worsens autoimmune skin conditions by increasing antibody buildup.
    The study demonstrated that local inflammation significantly enhanced the deposition of autoantibodies in the epidermis in a murine model of pemphigus. Using inflammatory stimuli like PMA application, UVB irradiation, and tape-stripping, researchers observed increased antibody deposition in inflamed skin compared to non-inflamed skin, confirmed through intravital microscopy and flow cytometry. A subpathogenic dose of a pathogenic antibody induced pemphigus lesions only in inflamed areas. These findings suggested that local inflammation could exacerbate autoimmune skin conditions by promoting autoantibody deposition, potentially informing diagnostic and therapeutic strategies for pemphigus. Statistical significance was determined with a P value of less than .05.
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