Evidence map›Paper›PMID 38959302›Full record

ArticleScience advances2024

Targeting IL-1 controls refractory pityriasis rubra pilaris.

Eloi Schmauch, Yannik Severin, Xianying Xing, Aaron Mangold, Curdin Conrad, Pål Johansen, J Michelle Kahlenberg, Mark Mellett, Alexander Navarini, Stefan Nobbe and 13 more

Abstract read
In one paragraph

Article in Science advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Advancing Precision Medicine in Inflammatory Skin Disease.American journal of clinical dermatology · 2025
    Review
  5. Article
  6. Article
  7. 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

23 authors.

Eloi SchmauchBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0002-2123-8777
Yannik SeverinInstitute of Molecular Systems Biology, Department of Biology, ETH Zurich, 8049 Zurich, Switzerland.ORCID 0000-0003-4482-6237
Xianying XingDepartments of Internal Medicine and Dermatology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0003-4227-6868
Aaron MangoldDepartment of Dermatology, Mayo Clinic Arizona, Scottsdale, AZ 85259, USA.ORCID 0000-0001-6873-1705
Curdin ConradDepartment of Dermatology, CHUV University Hospital and University of Lausanne (UNIL), Lausanne, Switzerland.ORCID 0000-0002-2547-3440
Pål JohansenDepartment of Dermatology, University of Zurich and University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-5055-6299
J Michelle KahlenbergDepartments of Internal Medicine and Dermatology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0002-4006-8945
Mark MellettDepartment of Dermatology, University of Zurich and University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-6315-167X
Alexander NavariniDepartment of Biomedicine and Dermatology Department, University Hospital of Basel, Basel, Switzerland.ORCID 0000-0001-7059-632X
Stefan NobbeDepartment of Dermatology, University of Zurich and University Hospital Zurich, Zurich, Switzerland.ORCID 0009-0002-3093-8852
Mrinal K SarkarDepartments of Internal Medicine and Dermatology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0001-8505-4259
Abhigyan SatyamDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0001-9838-4572
Lam C TsoiDepartments of Internal Medicine and Dermatology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0003-1627-5722
Lars E FrenchDepartment of Dermatology and Allergology, Ludwig Maximilian University of Munich, Munich, Germany.ORCID 0000-0002-4629-1486
Jakob NilssonDepartment of Immunology, University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0001-5091-8133
Suvi Linna-KuosmanenBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0002-3278-2727
Minna U KaikkonenA.I. Virtanen Institute for Molecular Sciences, University of Eastern Finland, Kuopio, Finland.ORCID 0000-0001-6294-0979
Berend SnijderInstitute of Molecular Systems Biology, Department of Biology, ETH Zurich, 8049 Zurich, Switzerland.ORCID 0000-0003-3386-6583
Manolis KellisBroad Institute of MIT and Harvard, Cambridge, MA 02142, USA.ORCID 0000-0001-7113-9630
Johann E GudjonssonDepartments of Internal Medicine and Dermatology, University of Michigan, Ann Arbor, MI 48109, USA.ORCID 0000-0002-0080-0812
George C TsokosDepartment of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.ORCID 0000-0001-9589-2360
Emmanuel ContassotDepartment of Biomedicine and Dermatology Department, University Hospital of Basel, Basel, Switzerland.ORCID 0000-0002-3060-4644
Antonios G A KoliosDepartment of Dermatology, University of Zurich and University Hospital Zurich, Zurich, Switzerland.ORCID 0000-0002-3897-4578

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pityriasis rubra pilaris (PRP) is a rare inflammatory skin disease with a poorly understood pathogenesis. Through a molecularly driven precision medicine approach and an extensive mechanistic pathway analysis in PRP skin samples, compared to psoriasis, atopic dermatitis, healed PRP, and healthy controls, we identified IL-1β as a key mediator, orchestrating an NF-κB-mediated IL-1β-CCL20 axis, including activation of CARD14 and NOD2. Treatment of three patients with the IL-1 antagonists anakinra and canakinumab resulted in rapid clinical improvement and reversal of the PRP-associated molecular signature with a 50% improvement in skin lesions after 2 to 3 weeks. This transcriptional signature was consistent with in vitro stimulation of keratinocytes with IL-1β. With the central role of IL-1β underscoring its potential as a therapeutic target, our findings propose a redefinition of PRP as an autoinflammatory keratinization disorder. Further clinical trials are needed to validate the efficacy of IL-1β antagonists in PRP.

Indexed as

Antibodies, Monoclonal, HumanizedInterleukin-1betaInterleukin 1 Receptor Antagonist ProteinKeratinocytesPityriasis Rubra PilarisAdultCARD Signaling Adaptor ProteinsFemaleGuanylate CyclaseHumansInterleukin-1MaleMembrane ProteinsMiddle AgedNF-kappa BNod2 Signaling Adaptor ProteinAntibodies, Monoclonal, HumanizedcanakinumabCARD14 protein, humanCARD Signaling Adaptor ProteinsGuanylate CyclaseIL1B protein, humanInterleukin-1Interleukin-1betaInterleukin 1 Receptor Antagonist ProteinMembrane ProteinsNF-kappa BNod2 Signaling Adaptor Protein

Identifiers

PMID38959302
PMCPMC11221491

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.