Evidence map›Paper›PMID 38534263›Full record

ArticleDermatopathology (Basel, Switzerland)2023

Claudin-4 Upregulation in Acantholytic and Autoimmune-Mediated Bullous Disorders.

Chau M Bui, Huy G Vuong, Minh-Khang Le, Kristin J Rybski, Hatice B Zengin, Haiming Tang, Bruce R Smoller

Open access · goldAbstract read
In one paragraph

Article in Dermatopathology (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Chau M BuiDepartment of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY 14642, USA.
Huy G VuongDepartment of Pathology, University of Iowa, Iowa City, IA 52242, USA.
Minh-Khang LeDepartment of Pathology, University of Yamanashi, Yamanashi 409-3898, Japan.
Kristin J RybskiDepartment of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY 14642, USA.
Hatice B ZenginDepartment of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY 14642, USA.
Haiming TangDepartment of Pathology, Yale School of Medicine, New Haven, CT 06510, USA.ORCID 0000-0001-7058-349X
Bruce R SmollerDepartment of Pathology and Laboratory Medicine, University of Rochester, Rochester, NY 14642, USA.ORCID 0000-0002-7301-8274
University of Rochester · USUniversity of Iowa · USUniversity of Yamanashi · JPYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Claudin-4 is a key component of tight junctions, which play an important role in the formation of the epidermal barrier by forming a circumferential network in the granular layer that serves as a gatekeeper of the paracellular pathway. The aim of this study is to illustrate claudin-4 immunohistochemical staining patterns of different blistering disorders. We collected 35 cases, including two Hailey-Hailey disease, one Darier disease, three Grover disease, one acantholytic acanthoma, two warty dyskeratoma, 11 pemphigus vulgaris (PV) including six mucosal PV, and two pemphigus foliaceus. For comparison, we included five cases of normal skin, five eczema, and three bullous pemphigoid cases. Claudin-4 demonstrated weak-to-moderate expression in keratinocytes located in the stratum granulosum, keratinocytes surrounding hair follicles, and adnexal glands. Further, claudin-4 exhibited moderate-to-strong membranous staining in disrupted keratinocytes surrounding and within the acantholytic and bullous areas in 16/22 of the acantholytic cases (not seen in the six cases of mucosal PV) and all three bullous pemphigoids. This finding suggests that claudin-4 is upregulated in these conditions, which may be a compensatory response to the disrupted barrier function. This finding could shed light on the molecular mechanisms underlying disrupted barrier function in blistering disorders, independent of the specific underlying disease mechanism.

Indexed as

acantholytic disordersautoimmune-mediated bullous disordersclaudin-4

Identifiers

PMID38534263
PMCPMC10969394
OpenAlexW4390059957

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.